NHS 111 online is a Class 1 medical device
Product details
NHS 111 online is a digital triage system available for members of the public in England. It uses clinical content from NHS Pathways to get people to the most appropriate level of care for their symptoms. 111 online does not give a diagnosis but advises users what to do next and in what timeframe based on their answers to the triage questions. You can read more detail about how the 111 online service works and about NHS Pathways.
111 online uses the Directory of Services (DoS) to refer patients to locally-commissioned services that best meet their needs.
Intended use
NHS 111 online is a web-based ‘unassisted’ triage system intended to be used for patients who are 5 years old and above. It assesses the symptoms presented at the time of use of the online tool. Symptoms can include injuries, illnesses, dental or mental health problems or any existing medical condition.
Users are asked a series of questions in a specific order and then given the most appropriate clinical response based on the answers.
Life-threatening symptoms are assessed first, followed by less urgent symptoms requiring a less urgent response.
Use of the online tool is not intended for:
- children under 5 years old
- making treatment decisions following admission to hospital
- predicting the expected outcomes of patients being treated
- denying anyone care
- automatically removing someone from a high risk group
Safety information
Warning: Indicates a potentially hazardous situation which, if not avoided, could result in patient death or serious impact to the health of patients.
When using the NHS 111 online triage system, please follow the cautionary information given in 111 online Terms and Conditions of Use.
The NHS 111 online triage system cannot take the place of clinical assessment. No medical decision should be based solely on results provided by the clinical content. This is a labelled misuse of NHS 111 online.
Users should take careful note of any disclaimers or warnings that appear on 111 online Terms and Conditions of Use. In certain situations, approximate results are shown with a warning, whilst all results carry a disclaimer relating to their inherent limitations.
Caution: Indicates a potentially hazardous situation which, if not avoided, may result in minor or moderate impact to the health of patients.
When using the NHS 111 online triage system, please follow the cautionary information given in 111 online Terms and Conditions of Use
Members of the public should seek a health care professional’s opinion when directed by 111 online, or if information provided is not clear.
111 online aims to ensure that the information published on this website is accurate and consistent with current knowledge and practice in the NHS. However, medical knowledge and practice is constantly evolving and this site may not reflect the latest knowledge or practice.
The 111 online website is written on the basis of general likely scenarios. Individual cases may require specific advice that cannot be addressed through this website. Accordingly, this website is provided for information only. It is not intended to replace a consultation with an appropriately qualified health professional. You should not ignore any professional medical advice on the basis of this website. We cannot guarantee that information provided by us through this website will meet your health or medical requirements.
Health care professionals are expected to apply their own clinical judgement for any further clinical assessment required for users who are referred following 111 online triage and are not expected to rely solely on the output from the 111 online triage in order to appropriately manage and advise these users.
Technical information
Pre-use requirements and dependencies
Use of NHS 111 online is available through any web browser.
License agreement
Commissioners of provider services using 111 online must sign an end user agreement with NHS England.
The 111 online team supports end users in meeting the minimum standards but is not responsible for ensuring they do so.
Host systems
The 111 online system is a standalone system that can refer people to local services. 111 online is available via a standard internet connection and is hosted on Microsoft Azure infrastructure.
Software installation, upgrade and configuration
This version of 111 online is available via the URL https://111.nhs.uk/, it can be accessed anywhere there is an internet connection.
111 online is connected to the live Urgent and Emergency Directory of Service (DoS) and uses the DoS to show commissioned and locally available services to users for their clinical need.
The 111 online web architecture also relies on open-source components whenever possible and uses open standards. Contracts for external services, like Microsoft Azure, are subject to NHS England’s internal controls which ensure commercial agreements have clear requirements.
111 online is a website and therefore no downloads or configuration steps are required to use the service.
Technical specifications
NHS 111 online uses HTML, CSS and JavaScript.
NHS England is committed to making 111 online accessible in accordance with the Public Sector Bodies (Websites and Mobile Applications) (No. 2) Accessibility Regulations 2018 (the ‘accessibility regulations’).
Regulatory information
The NHS 111 online tool fulfils the requirements of the UK Medical Devices Regulations 2002 (SI 2002 No 618, as amended) (UK MDR 2002).
Contact information
You can contact NHS 111 online with internal NHS or general enquiries.
Manufacturer information
NHS England
7 and 8 Wellington Place
Leeds
West Yorkshire
LS1 4AP
Last edited: 19 September 2024 2:25 pm