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Emergency and urgent care services

NHS 111 service

Call 111 when it's less urgent than 999

NHS 111 is a new service that's being introduced to make it easier for you to access local NHS healthcare services. If you live in County Durham and Darlington, Lancashire (excluding West Lancashire), Lincolnshire, the London boroughs of Croydon and Hillingdon, Luton, North Derbyshire and Nottingham City, or on the Isle of Wight, you can now call 111 when you need medical help fast but it’s not a 999 emergency.

NHS 111 is a fast and easy way to get the right help, whatever the time.

Tip

NHS 111 is available 24 hours a day, 365 days a year. Calls are free from landlines and mobile phones.

When to use it

You should use the NHS 111 service if you urgently need medical help or advice but it's not a life-threatening situation.

Call 111 if:

  • You need medical help fast but it's not a 999 emergency.
  • You think you need to go to A&E or need another NHS urgent care service.
  • You don't know who to call or you don't have a GP to call.
  • You need health information or reassurance about what to do next.

For less urgent health needs, contact your GP or local pharmacist in the usual way.

For immediate, life-threatening emergencies, continue to call 999.

How does it work?

The NHS 111 service is staffed by a team of fully trained advisers, supported by experienced nurses. They will ask you questions to assess your symptoms, then give you the healthcare advice you need or direct you straightaway to the local service that can help you best. That could be A&E, an out-of-hours doctor, a walk-in centre or urgent care centre, a community nurse, an emergency dentist or a late-opening chemist.

Where possible, the NHS 111 team will book you an appointment or transfer you directly to the people you need to speak to. If you need an ambulance, one will be sent just as quickly as if you had dialled 999.

If a health professional has given you a specific phone number to call when you are concerned about your condition, continue to use that number.

Typetalk or textphone

If you have difficulties communicating or hearing, you can use the NHS 111 service through a textphone by calling 18001 111.

Calls are connected to the TextDirect system and the textphone will display messages to tell you what is happening. A Typetalk Relay Assistant will automatically join the call. They will talk back what you've typed to the NHS 111 adviser and, in return, type back the adviser’s conversation, so you can read it on your textphone's display or computer.

Comments are personal views. Any information they give has not been checked and may not be accurate.

prince3248 said on 21 April 2012

I have had continuous deep chesty coughs for about 10 days, coughing up mucus and blood. I also have asthma and had problems breathing. So I thought I needed 'medical help but it was not a 999 emergency'. I called 111 because I wanted to 'get the right help', 'didn't know who to call, did not have a GP to call', and needed 'health information and reassurance about what to do next'.

How was the service provided? RUBBISH. Absolutely ridiculous. The 111 operator knew I can't breathe and he must have figured I am having problems talking, but he continued to ask for my personal information for 2 minutes. He asked what the problem was and I started the reply by saying 'I started coughing over 10 days ago...'. This is where he stopped me and said 'Coughing?! Is this why you are calling me?! You have a cough?!' I explained I wasn't finished talking but he kept exclaiming the same remarks and did not give me a chance to speak. This is where I hung up the phone.

Note this is when I was completely helpless. And it was 3am. And I could not breathe properly and was coughing up blood.

Today I went to an emergency walk-in centre and found out I have a very bad chest infection!! NHS 111 is rubbish. That operator was rubbish. Will be complaining to NHS and to Parliamentary and Health Service Ombudsman!

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prince3248 said on 21 April 2012

I have had continuous deep chesty coughs for about 10 days, coughing up mucus and blood. I also have asthma and had problems breathing. So I thought I needed 'medical help but it was not a 999 emergency'. I called 111 because I wanted to 'get the right help', 'didn't know who to call, did not have a GP to call', and needed 'health information and reassurance about what to do next'.

How was the service provided? RUBBISH. Absolutely ridiculous. The 111 operator knew I can't breathe and he must have figured I am having problems talking, but he continued to ask for my personal information for 2 minutes. He asked what the problem was and I started the reply by saying 'I started coughing over 10 days ago...'. This is where he stopped me and said 'Coughing?! Is this why you are calling me?! You have a cough?!' I explained I wasn't finished talking but he kept exclaiming the same remarks and did not give me a chance to speak. This is where I hung up the phone.

Note this is when I was completely helpless. And it was 3am. And I could not breathe properly and was coughing up blood.

Today I went to an emergency walk-in centre and found out I have a very bad chest infection!! NHS 111 is rubbish. That operator was rubbish. Will be complaining to NHS and to Parliamentary and Health Service Ombudsman!

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rockymo10 said on 14 April 2012

I needed help with my medication as I am on a new one and it is too late to call doctor , so I made the mistake of calling 111,first I could not get through on my BT landlind so had to call from my cell phone.when I did get through the guy was no help at all ,I explained that I was worried about my medication and he asked me if I wanted him to explain about headaches! I put the phone down,what a waste of money this service is costing Rubbish

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User48914 said on 29 March 2012

This just adds to the confusion as far as I can see. So "111" is more or less the same as NHS Direct is/was then?

WHY do organisations keep continually changing this sort of thing? There are enough things to confuse the elderly as it is!

If someone "needs help urgently,but it's not an emergency" - WHAT?
How are people supposed to know where urgent becomes an emergency ?

Is NHS Direct defunct now or do we still have that option too?

It's all just adding to the confusion

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sibo said on 04 March 2012

i use the 111 number for some help with my 8 month old and found it to be very poor. the woman i talked to was very nice and try to help but it would seem you have to be a oap to get a doctor to come out to see you. i had to take my baby girl at 8 month my 5 year old and 9 year old to a&e at 130am on a sat night to get her looked at. the a&e was full of people who had to much to drink or been fighting it was a very upsetting and stressful thing to go though all becouse doctor will only come out to see you if you an oap my baby had a very bad tummy bug for more than 24 hours being sick that much she couldnt get any more out was not taking any drinks but still ive got to take my family to a&e.

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Emm2904 said on 05 February 2012

That was quite impressive. I've just finished talking to the 111 operator. After a very thorough and comprehensive interview, I was given a huge amount of advice - mainly to do with what further symptoms to look out for and what action to take if such symptoms occur and advised to contact my surgery to get an emergency appointment within 24 hours.

I can see that this service, if maintained at a high level, Nationally, could be an invaluable addition to the NHS and should help ease the congestion at A&E departments and the demands on emergency services, such as on-call GP's and the Ambulance service. It beggars the question, "Why wasn't this done before?"

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User23096 said on 04 February 2012

I recently used 111 on the Isle of Wight amd was very impressed with the speed of response and the kind and helpful profesionalism of the duty doctor

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tireecoll said on 29 January 2012

My expereience on the Isle of Wight was not good.

I rang 111 to tell them I had trouble passing water. I was given a GP appointment at 730PM and wasn't seen until 940PM. The GP told me I had been incorrectly referred to them as given I had urine retention a catheter was needed and that was the job of A and E. I went to the back of the queue and had to wait in considerable discomfort until after midnight before I wa seen. As the clock for both the GP and A and E didn't start until I was referred to each one they could both claim to have met 4 hour waiting time target eeven though I was there for over 6 hours 5 of which were waiting for something to happen. Surely if the 111 staff are medically trained they would know a urinary problem would need a catheter and wshould refer me straight to A and E. By the way I have no complaints about the staff who came into contact with me at the Hospital.

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JanetWhit said on 29 January 2012

I contacted the 111 service last night as I wasn't well at all, and from the lady who answered the telephone within a minute to the booking agent who got me into see an emergency GP within 2 hours and diagnosed a bi-lateral kidney infection, they were as far as I'm concerned brilliant!!

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zenthra said on 04 December 2011

I rang 111 one weekend as had a severe throat infection which had been sore for days and had suddenly got worse so i couldnt swollow. the call was answered in minutes and i was given an assessment and then referred to another person where i was booked in for an appointment in one hrs time at my local nhs drop in centre at the hospital. when i got there i was seen as soon as i arrived. i think this is an excellent service and will take the burden of non emergency calls from the 999 operators. it is good to know if you a medical emergency that is not life threating there is a number to call that can give you instant help!

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malde said on 31 October 2011

This is just typical!
National announcements are made before local trials have been completed!

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santaclause said on 15 September 2011

i needed help today,but having tried the 111 number for 35 mins, i then tried the doctor's house then my surgery to get the 111 number to phone but still no answer from this,i even tried a&e as a last resort and was told to take pain killers or go to doctors,all i wanted was a bit of advice i now need to go to work and have had no help from any one,l had the sense to take pain killers myself,hope this new service gets better.

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Last reviewed: 16/03/2012

Next review due: 16/03/2014