PERFORMANCE: The NHS 111 service could be terminated in Norfolk, as the East of England Ambulance Service Trust, which runs the service, has failed to secure sufficient funding.

According to trust board papers its “most significant contract” for primary care 111 services is in Norfolk area; however it ran at a “significant loss” for 2013-14. “Despite continuing negotiations with CCGs, adequate funding has not yet been secured for 14-15”.

“Unless funding can be secured there remains the potential that this contract could be ceased in 014-15,” the papers add.

The trust has confirmed that it currently has a gap of around £1m between the costs and income of the contract.

Trust chief executive Anthony Marsh told HSJ: “We are holding discussions with commissioners about ongoing funding.”

He added: “Our performance in 111 is excellent. I am pleased to report that good levels of progress have been made in this 111 service and an assessment by one of our CCGs into auditing and frequent callers led to a ‘full achievement’ mark which is down to hardworking and committed staff.”

NHS 111 replaced NHS Direct, which closed earlier this year, as the health service’s 24-hour non-emergency hotline.