[英伦广角] 【整理】2013-08-03 NHS结束111热线电话服务合约

qingchengshan

NHS Direct Plans Withdrawal From 111 Helpline


The troubled phone hotline faces fresh turmoil as a major provider of the service decides to withdraw from its contracts.

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由muxiaoxiao7在 整理的参考文本：
In theory telephone triage was a good idea, in practice at times it was anything but. -Realistically on the weekends we still are unsafe, we don't have the staff to deal with the calls that are coming in.

This investigation by two undercover reporters in Bristol and Dorking highlighted everything that was going wrong at  NHS 111.

-I remember once we sent out an ambulance for a cat scratch.

This medical center in southeast London has 20,000 patients.The service lasted just a couple of days here in March before buckling.

-They couldn't manage the volume of the calls, the time to answer. calls were long. The process that patients have to go through till they get an answer from the system is very protracted. A lot of patients gave up before they even got to that stage. The commissioners of the service locally realized the service was potentially dangerous and pulledit very quickly.

It's emerged that officially evaluation of the NHS pilot scheme had not been published before the contracts were signed. NHS Direct base the entire operation on pilots where they expected to earn 13 pounds a call. In fact they brought in between 7 and 9 pounds a call, leaving a huge shortfall. In addition each call took twice as long as expected. Critics argue that replacing nurses with computers was destined to end badly.

-It has all got too complicated, and I think the simple thing is to go back the system that was nurse-led. Under NHS Direct nurses used to handle around 60-70% of the calls. That's gonna write down to about 20% and in the end you get what you paid for. And that's basically the service we’ve got at the moment.

Some still believe that while far from perfect, the system has a future.

-People need to understand that we are not complacent about this, this was a real issue and things are much improved but we can do better and we will do better, and we will be continuously looking at ways that we can improve this service.

-Do you think I should chat to a clinician or just do it?

-We haven't got the clinicians to spare.

The immediate challenge now is to find someone to take on the contracts NHS Direct is pulling out of. Restoring confidence may prove even harder.

徐欣玮

In theory,telephone tri-edge was a good idea and practiced a time,it was anything but realistically on the weekends we are still unsafe.We don't have the staff to deal with the calls that are coming in.
This investigation by two undercover reports in Bristol and Doking highlighted everything that was going wrong at NHS 111.I remember once we sent out an ambulence for cat scratch.This medical center in South-east London has 20,000 patients.The service last just a couple of days here in March before buckling.
They couldn't manage the volume of calls.The time to answer calls were long,the process taht patients have to go through till they get an answer from this system is very protracted.A lot of patients gave up before they even got to that stage.The Commission of the service locally realized that the service was potentially dangerous and poored very quickly.
It's emerged that the offically valuation of the NHS pilot skim had not been published before the contracts were signed.NHS direct based the entire operation on pilots where they expected to earn 13 pounds a call.In fact,they brought in between 7 and 9 pounds a call,leaving a huge shortfall.In addition,each call to twice as long as expected.Critics argued that replacing nurses with computers was destined to end badly.
It has all got too complicated.I think the simplest thing is go back to a system that was nurse-led.Under NHS direct,nurses used to handle around 60 to 70% of the calls.That goes right down to about 20%.And in the end,you get what you pay for.That is basically the service we've got at the moment.
Some still believe that while we are far from perfect,the system has a future.
People need to understand that we are not complacent about this.This was a real issue.Things are much improved,but we can do better and we will do better.And we will be continuously looking at ways that we can improve this service.
Do you think I should chat to a clinician or just do it?
We haven't got the clinicians to spare.
The immediate challenge now is to find someone to take on the contract NHS direct is pullingo out of.Restoring confidence may prove even harder.


This post was generated by put listening repetition system,  Check the original dictation thread!

深白的蓝

HOMEWORK
In theory telephone * was a good idea, in pratice the time it was anything but. Realistically on the weekends we still are unsafe, we don't have the staff to deal with the calls that are coming in.
This investigation by two undercover reporters in Bristol and Doking highlighted everything that was going wrong at NHS 111.
I remember once we sent out an ambulance for a cat scratch.
This medical center in southeast London has 20,000 patients, the service lasted just a couple of days here in Mar before buckling.
They couldn't manage the volume of the calls, the time to answer the calls were long, the process the patients have to go through till they get an answer from the system is very protracted, a lot of patients gave up before they even got to that stage,the commisioners of the service locally realized the service was potentially dangerous and * very quickly.
It's emerged that officially evaluation of the NHS pilot scheme had not been published before the contracts were signed. NHS direct base the entire operation on pilots for the expected to earn 13 pounds a call, in fact they brought in between 7 and 9 pounds a call, leaving a huge shortfall, in addition each call took twice as long as expected, critics argue that replacing nurses with computers was destined to end badly.
It has all got too complicated, i think the simple thing is to go back the system that was nurse led, under NHS direct nurses used to handle around 60-70% of the calls, that goes right down to about 20% and at the end you got what you paid for, and that's basically the service we got at the moment.
Some still believe that while far from perfect, the system has a future.
People need to understand that we are not complacent about this, this was a real issue and things are much improved but we can do better and we will do better, and we will be continuously looking at ways that we can improve the service.
Do you think i should chat to a clinician or just do it? we haven't got the clinicians to spare.
The immediate challenge now is to find someone to take on the contracts NHS direct is pulling out of, restoring confidence may prove even harder.

This post was generated by put listening repetition system,  Check the original dictation thread!

白衣人

HW

In theory telephone triage(治疗类选法) was a good idea; in pratice at times it was anything but.

Realistically on the weekends we still are unsafe, we don't have the staff to deal with the calls that are coming in.

This investigation by two undercover reporters in Bristol and Doking highlighted everything that was going wrong at an NHS 111.

I remember once we sent out an ambulance for a cat scratch.

This medical center in southeast London has 20,000 patients, the service lasted just a couple of days here in March before buckling.

They couldn't manage the volume of the calls, the time to answer the calls were long, the process the patients have to go through till they get an answer from the system is very protracted, a lot of patients gave up before they even got to that stage, the commisioners of the service locally realized the service was potentially dangerous and pulled(撤销) it very quickly.

It's emerged that officially evaluation of the NHS pilot scheme had not been published before the contracts were signed. NHS Direct base the entire operation on pilots for they expected to earn 13 pounds a call, in fact they brought in between 7 and 9 pounds a call, leaving a huge shortfall. In addition each call took twice as long as expected. Critics argue that replacing nurses with computers was destined to end badly.

It has all got too complicated, and I think the simple thing is to go back the system that was nurse-led. Under NHS Direct nurses used to handle around 60-70% of the calls, that goes right down to about 20% and at the end you got what you paid for, and that's basically the service we’ve got at the moment.

Some still believe that while far from perfect, the system has a future.

People need to understand that we are not complacent(自满的) about this, this was a real issue and things are much improved but we can do better and we will do better, and we will be continuously looking at ways that we can improve this service.

Do you think I should chat to a clinician(临床医生) or just do it?
We haven't got the clinicians to spare.

The immediate challenge now is to find someone to take on the contracts NHS Direct is pulling out of. Restoring confidence may prove even harder.

geoffreychow

In theory,telephone tri-edge was a good idea and practiced a time,it was anything but realistically on the weekends we are still unsafe.We don't have the staff to deal with the calls that are coming in.
This investigation by two undercover reports in Bristol and Doking highlighted everything that was going wrong at NHS 111.I remember once we sent out an ambulence for cat scratch.This medical center in South-east London has 20,000 patients.The service lasted just a couple of days here in March before buckling.
They couldn't manage the volume of calls.The times to answer calls were long,the process taht patients have to go through till they get an answer from this system is very protracted.A lot of patients gave up before they even got to that stage.The Commission of the service locally realized that the service was potentially dangerous and poored very quickly.
It's emerged that the offically valuation of the NHS pilot skim had not been published before the contracts were signed.NHS direct based the entire operation on pilots where they expected to earn 13 pounds a call.In fact,they brought in between 7 and 9 pounds a call,leaving a huge shortfall.In addition,each call took twice as long as expected.Critics argued that replacing nurses with computers was destined to end badly.
It has all got too complicated.I think the simplest thing is go back to a system that was nurse-led.Under NHS direct,nurses used to handle around 60 to 70% of the calls.That goes right down to about 20%.And in the end,you get what you pay for.That is basically the service we've got at the moment.
Some still believe that while we are far from perfect,the system has a future.
People need to understand that we are not complacent about this.This was a real issue.Things are much improved,but we can do better and we will do better.And we will be continuous looking at ways that we can improve this service.
Do you think I should chat to a clinician or just do it?
We haven't got the clinicians to spare.
The immediate challenge now is to find someone to take on the contract NHS direct is pullingo out of.Restoring confidence may prove even harder.

sundaycoffe

homeworkIn theory, telephone tree-edge was a good idea. In practice,the time was anything but. really we don't,we throw on sight, we don't have the source to do when the calls are coming in.this investigation by two undercover reporters  bristol and dorting highlighted everything is going wrong at NHS 111. This medical center in southeast London has 20,000 patients.The service last just a couple of days here in march before booking.we couldn't manage the volume of calls, the time to answer calls were long, the process the patient has to go through till I get an answer from this system is very protracted , I guess a lot of patients give up before they got to that stage.the commision locally realize the system  is potentially dangerous and pulled it very quickly.


it's a merge that the official evaluation of the HS pilot schem hasn't been published before the contract were signed. NHS doctor based the entire operation on the pilot , they expect to earn 30 pounds a call. in fact, they brought in between 7 and 9 pounds a call, leaving a huge shortfall. in addition, each call takes twice long as it is expected. critics argues that replacing nurses with computer was destined to end badly. it's all too complicated.the simple thing is to go back to the system which was nurse-led.  indirect and direct,nurese used to handle around 60% -70%of the call.that gonna ride down to 20%, you get what you pay for, that's the basiclly service we've got at the moment.
some still believe well far from perfect, the system still has a future. people needs to understand we are not complaining about it, this is the really shoe, things are much improved  and we can do better and we will do better. and we will continues to look  a way to improve this system.
the immediate challenge now is to find a man to take on the contract and the HNS direct this pulling out of and restoring confidence may prove even harder.


Brandy, sky news.



This post was generated by put listening repetition system,  Check the original dictation thread!

kkiyo

In theory, telephone triage was a good idea. In practice times was anything, but,  Realistically on the weekends we are still unsafe. We do not have the staff to do with calls coming in.
  This investigation by two undercover reporters in B. and D. highlighted everything that was going wrong at NHS 111.
  I remember once we send our ambulance for a cat scratch.
  This medical center in Southeast London has 20,000 patients. The service lasts just a couple days here in March before bulking.
  They could not manage the volume of calls, the time to answer calls were long, the process the patients have to go through till they get an answer from this system is very protracted. A lot of patients give up before they even they get to that stage.The commissioners of the service locally realized  the service was potentially dangerous and  / very quickly.
  It's merged that the officially evaluation of NHS pilot schemes have not been published before the contract were signed. And NHS director based the entire operation on the pilots for the expected to win 13 pounds a call.In fact they brought in between 7 and 9 pounds a call,leaving a huge shortfall.
In addition, each call took twice as long as it expected.
  Critics argue that replacing nurses with computers was destined to end badly.
  It has all got too complicated. And I think the simple thing is go back to a system that was nursed led, under NHS direct  nurses used to handle around 60 or 70 percent of the calls, that's gonna write down about 20%。 And in the end, you get what you pay for. That's basically the service we got the moment.
  Some still believed that while we are far from the perfect the system has a future.
  People need to understand that we are not complacent about this.This was real issue and things are much improved. But we can do better, and we will do better and we will be continuously looking at ways that we could improve this service.
Do you think I should chat with a clinician or just do it?
We have not got clinicians to spare.
The immediate challenge now is to find someone to take on the contract to NHS Direct pulling out off restoring confidence may prove even harder.



This post was generated by put listening repetition system,  Check the original dictation thread!

laopan1989

In theory, telephone triage was a good idea. In practice at times it was anything but. Realistically on the weekends we still are unsafe. We don’t have the staff to deal with the calls that are coming in.
This investigation by two undercover reporters in Bristol and Docking highlighted everything that was going wrong at NHS 111.
I remember once we sent out an ambulance for a cat scratch. This medical center in southeast London has 20000 patients. The service last just a couple of days here in March before buckling.
They couldn’t manage the volume of calls. The times to answer calls were long. The process the patients have to go through until they get an answer from the system is very protracted. A lot of patients gave up before they even got to that stage. The commissioners of the service locally realized that the service was potentially dangerous and pulled it very quickly.
It’s emerged that the officially evaluation of NHS pilot scheme had not been published before the contracts were signed. NHS director based the entire operation on pilots where they expected to earn 13 pounds a call. In fact, they brought in between 7 to 9 pounds a call, leaving a huge shortfall. In addition, each call took twice as long as expected. Critics argued to replace nurses with computers was destined to end badly.
It’s all got too complicated. I think the simple thing is to go back to a system that was nurse-led. Under NHS direct, nurses used to handle around 60-70% of the calls. That’s gone right down to about 20%. And in the end you get what you paid for. That’s basically the service we’ve got at the moment.
Some still believe that while far from perfect, the system has a future.
People need to understand we’re not complacent about this. This was a really issue. Things are much improved. But we can do much better and we’ll do better. And we’ll be continuously looking at ways that we can improve the service.
Do you think I should chat to a clinician or just do it?
We haven’t got the clinicians to spare.
The immediate challenge now was to find someone to take on the contract NHS directors’ pulling out of. Restoring confidence may prove even harder.

polartag

homework:

In theory, telephone triage was a good idea, in practice, at times, it was anything but…

Realistically, on the weekends, we still are unsate. We don’t have the staff to deal with calls that are coming in.

This investigation by two undercover reporters in Bristle and Dorking highlighted everything that was going wrong.

At NHS 111.

I remember once we sent an ambulance for a cat scratch.

This medical center in southeast London has 20,000 patients, the service lasted just a couple of days here in March, before buckling.

We couldn’t manage the volume of the calls, the time to answer calls were long, the process the patients have to go through till they get an answer from this system is very protracted, a lot of patients gave up before they even got to that stage. The commissioner of the service locally realized that the service was potentially dangerous and pulled it very quickly.

It’s emerged that officially evaluation of the NHS pilot scheme had not been published before the contracts were signed. NHS direct based the entire operation on pilots where they expected to earn ￡13 a call, in fact, they brought in between ￡7-9 a call, leaving a huge shortfall. In addition, each call took twice as long as expected. Critics argue that replacing nurses with computers were destined to end badly.

It’s all got too complicated, I think the simple thing is go back to a system that was nurse led. Under NHS direct, nurses used to handle around 60 to 70 percent of the calls. That’s gonna write down to about 20%, and in the end you get what you paid for, and that’s the basic service we’ve got at the moment.

Some still believe that well far from perfect, the system has a future.

People need to understand that we’re not complacent about this, this was a real issue. Things are much improved, but we can do better and we will do better, and we will be continuously looking at ways that we could improve this service.

Do you think I should chat to a clinician or just do it?
We haven’t got the clinicians to spare.

The immediate challenge now was to find someone to take on the contract an NHS direct is pulling out of, restoring confidence may prove even harder.

NV Brady, Skynews.

xingxingcamille

HOMEWORK

In theory, telephone triage was a good idea. In practice, at times it was anything but…

“Realistically on the weekend we still are unsafe. We don’t have the staff to deal with the calls that are coming. ”

This investigation by two undercover reporters in Bristol and Docking highlighted everything that was going wrong at an NHS 111.

“I remember once we sent out an ambulance for a cat scratch.”

This medical center in southeast London has 20,000 patients. The service lasted just a couple of days here in March before buckling.

“They couldn’t manage the volume of the calls. The times to answer the calls were long. The process that patients have to go through till they get an answer from this system is very protracted. A lot of patients gave up before they even got to that stage. The commissioners of the service locally realized the service was potentially dangerous and pulled it very quickly.”

It emerged that officially evaluation of the NHS pilot scheme has not been published before the contracts were signed. NHS Direct based the entire operation on pilots for they expected to earn 13 pounds a call. In fact they brought in between 7-9 pounds a call, leaving a huge shortfall. In addition, each call took twice as long as expected. Critics argue that replacing nurses with computers was destined to end badly.

“It has all got too complicated. I think the simple thing is to go back a system that was nurse-led. Under NHS Direct nurses used to handle around 60 to 70% of the calls. That goes right down to about 20% and at the end you get what you paid for, and that’s basically the service we’ve got at the moment.”

Some still believe that while far from perfect, the system has a future.

“People need to understand that we are not complacent about this. This was a real issue. Things are much improved, but we can do better and we will do better. And we will be continuously looking at ways that we can improve this service.”

“Do you think I should chat to a clinician or just do it?”

“We haven’t got the clinicians to spare.”

The immediate challenge now is to find someone to take on the contracts NHS direct is pulling out of. Restoring confidence may prove even harder.

Ander Brady, Sky News.

Inuyasha1366

Homework~
In theory,telephone triage was a goog idea.In practise,at tims,it was anything but...

Realistically on the weekend we still are unsafe. We don’t have the staff to deal with the calls that are coming in.

The same investigation by two undercover reporters in Bristol and Doking highlighted everything that was going wrong at an NHS 111.

I remember once we sent out our ambulance for cat scratch.

This medical center in Southeast London has 20000 patients,the survice last just a couple of days here in March before buckling.

We couldn't manage the volumn of calls,the times to answer calls were long.They process the patients have to go through till they get an answer from the system is very protracted,another patient give up before they even go to that stage.The commision of the service locally realized that service was potentially dangerous and pulled it very quickly.  

It's emerged that officially evaluation of the NHS pilot scheme had not been published before the contract were signed.And NHS Direct based entire operation on pilots for they expected to earn 13 pounds a call,in fact,they brought in 7-9 pounds a call,leaving a huge shortfall,in addition,each call took twice as long as expected.

Critics argued that replacing nurses with computers was destined to end badly.

It's all got too complicated,I think the simple thing is go back to a system with nurse-led.Under NHS Direct,nurses used to handle around 60%-70% of the calls,that's go right down to about 20%,and in the end you get what you pay for and that's basically the service we've got at the moment.

Some still believe that well far from perfect,the system has the future.

People need to understand that we are not complacent about this,this was a real issue and things are much improved,we can do better and we'll do better,we will be continous in looking at ways that we coulld improve this service.

The immediate chanllenge now is to find someone to take on the contract NHS Direct this pulling out of,restoring confidence may prove even harder.