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GP Out Hours call handling should not have been dismantled ahead of proceeding with 111 at scale. While in theory, it might be best to have a single point of access, it must be able to cope with high call volumes, which 111 was not able to do in many parts of the country, particularly at weekends. This was really a combination of an underfunded model being pushed out by managers who were under pressure to deliver. It was NOT about a private sector failure. We need to beware of the new theory that things need to be rolled out 'at scale and pace'.