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Once again an idea thought up on the back of a fag packet! No one ever learns from the past when NHSD was set up the DH gave contracts to a myriad of providers who were unable to meet the demand in its local area. As time went on NHSD gradually became a single provider allowing for the use of one computer system and a telephony system that was able to move calls around to cope with demand. NHS 111 has gone back 15 years with a myriad of providers and telephony systems that are stand alone. The OOH providers could never meet their OOH telephony targets but bumbled on as commissioners never understood how OOH services worked. Now they have given contracts to OOH providers and think they will cope with the 111 volume of calls. Naivety at all levels!