I, and others who have been campaigning on this issue, believe that the DH consultation is to be taken seriously. Please respond if you feel strongly on this matter. For a more public show of support there is an e-petition to the Prime Minister to be signed, at http://petitions.number10.gov.uk/Healthtelephone/. The contract signed with the telephone company (Opal Telecom, part of the Carphone Warehouse Group) is an issue, but one that can be dealt with. The PCT will indicate that the practice is not directly in breach of its NHS contract and so there is nothing that it can do. The Department of Health messed up on this in 2005 when it banned use of 0870 numbers by GPs, but said that 0844 was OK. It has since been trying to back away from this error. This is partially acknowledged in the consultation text. There should be hard copies of the consultation document available at every GP surgery in England. More copies can be requested - contact details for the team are given in the document, which is available to download at http://www.dh.gov.uk/en/Consultations/Liveconsultations/DH_091879. Please check out the website given below for more info, or contact me if I can help.