Service evaluation - NHS 111

The NHS 111 project aims to evaluate urgent and emergency care services and provide system-wide learning for commissioners and providers to deliver better care for children and young people.

Phase 1 - children under five years, with a focus on fever

In 2015 the RCPCH, Imperial College NHS Healthcare Trust and NHS England jointly produced a report: A service evaluation of the pathways of care for children <5 years through the NHS following contact with NHS 111: a pilot evaluation with a focus on children with fever.

Using data collected from calls made to NHS 111 between July 2013 and July 2014, this pilot evaluation aimed to:

  • quantify the contribution of fever to the workload of NHS 111 in the under 5s population
  • ascertain the most frequent recommended actions by NHS 111 in response to calls regarding febrile under 5s
  • determine whether data linkage between primary (NHS 111) and secondary (paediatric emergency department (ED) care sources is feasible and can provide insights into patient journeys through urgent care services
  • review the diagnosis and management in the ED of under 5s with fever who had contact with NHS 111, comparing those who had been recommended to attend the ED with those who had not
  • obtain feedback from experts in the field of paediatric emergency medicine on the influence of NHS 111 and telephone triage on children’s acute care.

You can download the full report below.

Phase 2 - children and young people, four common conditions

The RCPCH, Imperial College NHS Healthcare Trust, The Health Foundation and Picker Institute Europe jointly produced a report: The use of primary and secondary care services by children and young people following contact with NHS 111 - investigating the experience and patient flow of four common conditions.

Conducted in 2015, this project aimed to:

  • investigate the feasibility of linking NHS 111 data with wider NHS administrative data to understand the predictors of health care utilisation, following advice from NHS 111
  • identify parents and carers who call NHS 111 about their child then utilise other NHS services during that same illness
  • understand how parents and carers use NHS 111, their experience of the call and their actions as a result of calling
  • identify how parents' and carers' feedback can be used to improve the service provided in the future.

You can download the full report below.