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NHS 111 is a free-to-call single non-emergency number medical helpline operating in England and Scotland. The service is part of each region's National Health Service and has replaced the telephone triage and advice services provided by NHS Direct, NHS24 and local GP out-of-hours services. The transition was completed in England during February 2014〔http://www.healthcare-today.co.uk/news/february-will-see-the-last-nhs-111-sites-go-live/24920/〕 with Scotland following during April 2014.〔http://www.nhs24.com/111〕 NHS Direct Wales continues to use the 0845 46 47 number. The service is available 24 hours a day, every day of the year and is intended for 'urgent but not life-threatening' health issues〔()〕 and complements the long-established 999 emergency telephone number for more serious matters, although 111 operators are able to dispatch ambulances when appropriate using the NHS Pathways triage system.〔(【引用サイトリンク】title=NHS Direct delivering NHS 111 in East Midlands and East of England )〕〔(【引用サイトリンク】 title=NHS Pathways )〕 NHS Direct Wales continues to operate via 0845 4647, but it is intended the 111 service will begin coming into service on a phased basis from October 2015. The health service of Northern Ireland will be able to introduce its own similar service using the same number if it chooses to do so. ==Origins and development== During 2007, the Department of Health's ''Our NHS, Our Future'' report identified confusion surrounding access to certain NHS services in England and suggested the introduction of a national, three-digit number for out-of-hours healthcare services could help simplify the situation. Arrangements to identify and secure a suitable non-emergency number for England began in July 2009, with the number 111 allocated by telecommunications regulator Ofcom in December of that year. In late August 2010, the Conservative-Liberal Democrat coalition government proposed that 111 could replace the existing NHS Direct (084546 47) telephone helpline in England.〔(【引用サイトリンク】title=NHS Direct launches )〕 This suggestion proved controversial as it was seen by some critics as a "cut-price" replacement, due to likely replacement of NHS Direct with NHS 111 telephone advisors lacking professional training in healthcare. Although then-Health Secretary Andrew Lansley denied plans to close NHS Direct in England, explaining that existing staff would provide the new service and that merely the phone number would change,〔 it was announced in October 2013 that NHS Direct would be closed down in 2014. The first trial, in County Durham and Darlington, started on 23 August 2010, with Nottingham starting on 18 November 2010, Lincolnshire on 22 November 2010, and Luton on 3 December 2010. In July 2015 NHS England decided that what was required was an integrated urgent care access, treatment and clinical advice service which would operate over a large area. Clinical Commissioning Groups were told to stop any procurement exercises until revised commissioning standards and supporting procurement advice for integrated services were produced. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「NHS 111」の詳細全文を読む スポンサード リンク
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