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in Wiltshire, paramedics said they had been sent to patients with a sore throat, patients stuck in a chair, patients with ear ache and a painful wrist. “We are picking up calls that are completely inappropriate and we are having to respond with lights and sirens on,” a paramedic in south-west England said. Daily Telegraph april 26th. This is the 111 service provided by Harmoni in the west of England. A service so terrible that A&E departments were using senior doctors to triage referrals. A service so catastrophic that the commissioners were threatening to cancel the contract afer 2 days ! A service so loaded with problems that NHS Direct are still the default safety net for the unanswered calls .....