A major provider of the NHS non-emergency telephone service in England is seeking to pull out of its contracts due to severe problems.
NHS Direct initially won 11 of the 46 regional contracts for the service, covering 34% of the population.
It has already pulled out of two services, but the remaining nine are now "financially unsustainable".
The whole NHS 111 service itself has been plagued with problems, including reports of patients facing long waits.
The regional services are run by a range of organisations including private companies, ambulance trusts and NHS Direct - which ran the old telephone advice line.
- Buckinghamshire
- East London and the City
- South East London
- Sutton and Merton
- West Midlands
- Lancashire and Cumbria
- Greater Manchester
- Merseyside and Cheshire
- Somerset
NHS Direct has already pulled out of contracts for 111 services in Cornwall and North Essex
NHS Direct pulled of two areas - Cornwall and North Essex - even before the services were launched.
In July the organisation warned that the volume of calls was 30-40% lower than contracted levels, leading to lower income and leaving the remaining nine services "financially unsustainable".
Projections reported earlier this month showed NHS Direct had lost £2.8m since April and was "heading for a deficit of £26m if we continue to run the same volume of 111 services until the end of this financial year".
The organisation is now seeking a "managed transfer" of its 111 commitments to another provider.
Nick Chapman, the chief executive of NHS Direct, said: "We will continue to provide a safe and reliable NHS 111 service to our patients until alternative arrangements can be made by commissioners.
"Whatever the outcome of the discussions on the future, patients will remain the central focus of our efforts, together with protecting our staff who work on NHS 111 to ensure that the service will continue to benefit from their skills and experience."
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