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Agree with Mark F 10:57
NHSD did not get the model right - and they should have been able to do it.
The commissioners did not question the model - and they should have looked at other areas already live with 111.
The DH did not question the model - and approved it as fit to go live.
Staffing 111 is actually very complex - vast numbers are required for short periods in the early evening and weekend mornings - and there is no reserve of suitable staff in the job market. Every single call taker has to be trained from scratch.

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