Major uncertainties surround the likely impact of 'digital 111' services on most of the important outcomes, but precedent suggests that once introduced their use may increase rapidly.
This document sets out the standards and core requirements for NHS 111 services and includes an outline of CCG responsibilities as follows:
1. Commissioning NHS 111 as an integral part of the urgent care system according to the national requirements and standards
2. Providing NHS England with evidence that they have undertaken a robust procurement with an appropriate assurance process
3. Assuring NHS England that they have a contingency strategy in place should the chosen provider fail to deliver the NHS 111 service as contracted
4. Monitoring the impact of NHS 111 on local services so that over/under utilised services are identified and improvements to the urgent care system are made
5. Ensuring the effective mobilisation and operational delivery of an NHS 111 service that serves the CCG population, either directly or via joint commissioning arrangements
6. Performance managing the contract against National Quality Requirements
7. Reporting on the quality, benefits and performance of NHS 111 services
8. Ensuring that the Directory of Service (DoS) is fully up to date with the availability of local services and the agreed referral protocols with service providers
9. Ensuring that special patient notes and end of life care records are up to date and available to NHS 111
10. Ensuring clinical governance of NHS 111 as an integral part of the urgent care system. This will ensure the quality, safety and effectiveness of the service, leading to people experiencing continuity of service.
11. Publicising NHS 111 locally
12. Local stakeholder communications and media handling
13. Ensuring that business continuity and disaster recovery procedures are in place in the event disruptions to the provision of the NHS 111 service locally.
CCGs have been told by Barbara Hakin NHS England, not to agree any NHS 111 contracts to start before April 2015 while NHS England considers its options for the future of the service.