A direct line to medical advice

So often, sound medical advice is needed quickly, and none is more important than in the case of an emergency

So often, sound medical advice is needed quickly, and none is more important than in the case of an emergency. NHS Direct is a telephone advice service for people in England and Wales. Manned by trained nurses 24 hours a day, seven days a week, it is increasingly regarded by health-service consumers as an essential health back-up.

How does it work? All households have been sent the NHS Direct number for the area. So if you are woken at 2 a.m. by a child who is unwell and you are unsure whether to treat him yourself or seek medical help, you might ring for advice.

Using a computer-based protocol system, the nurse who takes the call may advise calling your GP or bringing the child straight to the nearest accident-and-emergency department - or may simply provide reassurance.

Surveys have shown the new service, which was initially criticised as a political quick-fix solution, is popular with users. The information it provides is of a consistently high standard - there is also a website, with health information and news - and it has been shown to help smooth out some of the inequitable aspects of the NHS.

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So far, research suggests NHS Direct is serving a previously unmet need. While attendances at accident-and-emergency departments have not reduced in response to its introduction, calls to casualty units for telephone advice have dropped by up to 70 per cent, meaning front-line hospital staff can be redeployed to direct patient care.

The NHS Direct website is at www.nhsdirect.nhs.uk