New NHS 111 service for Wiltshire confirmed - with a local clinical hub

Written by Tony Millett on .


A new NHS 111 service will operate for Wiltshire - and neighbouring areas - from 1 May 2018.


It is now confirmed that it will be provided by the Medvivo Group - the Chippenham-based healthcare provider - as part of a five year contract to provide integrated urgent care services across the STP 'footprint', which also includes Bath and North East Somerset and Swindon.


Medvivo currently run the Wiltshire out-of-hours GP service and also have 'mobile carers' who respond to alerts received at their alarm monitoring centre.  Earlier this year their services were rated as 'Outstanding' by the Care Quality Commission.  They will be working working in collaboration with Vocare and BaNES Enhanced Medical Services.


Jo Cullen, Director of Primary and Urgent Care at Wiltshire Clinical Commissioning Group, said: "It’s more than just bolting together the existing NHS111 and out-of-hours services and calling it by a new name, it’s the introduction of an innovative new service that dovetails with existing primary care services."


"It will provide patients with a clear, clinically-led and local urgent care service that ensures they receive the right care, at the right place at the right time.”


Medvivo will develop the NHS 111 service model to include a new locally managed ‘clinical hub.’


Dr Jamie Brosch, Medical Director for Medvivo, explains how the Wiltshire-based hub will work: “Callers to the 111 service will be listened to and advised about what action they should take next. Following their initial conversation with the 111 call handler, it may be necessary for them to receive further medical advice."


"In this situation, the caller will be able to talk to the clinical hub - a team of experienced health professionals who can collectively make clinical assessments, give advice and arrange urgent care if required. This will mean that no decision is made in isolation."


The NHS 111 service for Wiltshire is currently provided by Care UK from a call centre in Bristol.  It covers a wide area of the south west: Bristol, South Gloucestershire, Bath and North east Somerset, Wiltshire and Gloucestershire.

When first set-up the NHS 111 system (a cheaper version of NHS Direct) and the Care UK NHS 111 service for this area were heavily criticised.  But a year ago it was rated as 'Good' by the CQC.   Care UK have had NHS 111 contracts for 12 areas of England.