Subject to a consultation launched on 9 July 2009 by Ofcom, a number of strategic health authority areas will pilot the use of 111 from spring 2010, with the intention of extending coverage to all of England if the pilots are successful. The Scottish Government has said it may follow suit, depending on the English pilots.
The service will not replace 999 for emergencies, but in the long term it is set to become the gateway to the NHS Direct nurse led phone service. For the time being NHS Direct will continue with its own telephone number, 0845 4647.
The move to a three figure number for NHS Direct was suggested in 2007 in the DoH's Our NHS, Our Future report, and by the consumer organisation Which? In 2006. The latter's research suggested that three quarters of people in England did not know the NHS Direct number.
Ofcom's consultation notes that the memorability of the 999 emergency number, also available through the European-wide number 112, "often results in consumers calling 999/112 or going to accident and emergency departments, which may be unnecessary, inappropriate and inefficient". It says emergency call volumes increased annually by an average of 6.5% between 1997-8 and 2006-7.
"Patients have told us that they need clear, easy advice on how to find healthcare when they don't need to go to A&E and we have asked Ofcom to consult on making a new national 111 number available for them," said health minister Mike O'Brien.
"The NHS already provides a range of urgent care services. The memorable 111 number will support these services and provide more choice for patients to find the care they need. This will be particularly useful outside of GP surgery hours and for people who are away from home."
The department estimates that an England-wide 111 service could receive 14.4m to 30m calls annually, combining the volume of calls to NHS Direct and GP out of hours services.
The Conservative - Lib Dem Coalition has proposed the same (and plans to put it into action). Labour now say:
The plan has provoked an angry reaction from Labour, with shadow health secretary Andy Burnham using it as evidence of what he claims is the government's intention to "dismantle" the NHS.
He said: "The health secretary's statement will stun people across the NHS.
"It is yet more evidence that Andrew Lansley is on a vindictive mission to break up the NHS, ruthlessly dismantling services before alternatives are in place."
Mr Burnham told the BBC that the government had shown "arrogance" and acted in a "cavalier" way by choosing to scrap NHS Direct without consulting the public.
He said the service saved the NHS £200m a year and played a key role in taking pressure off the health service.
He said: "It's been a proven success for a decade and simply to scrap it is no way to run the NHS."
Andy Burnham became the Secretary of State for Health on 5 June 2009.
UPDATE:
On December 19th 2009 The Labour Government announced plans so that:
Trained call takers will be able to give medical advice over the phone, direct more serious cases to the ambulance service and give details of the nearest walk-in centre or health centre for less urgent problems.

