The NHS England board meeting on 3 May 2013 endorsed proposals for an external review of the model used to roll out the NHS 111 service. The 111 service replaces both NHS Direct and the separate specific telephone numbers needed to call out-of-hours GP services. Official advice is that "you should use the NHS 111 service if you urgently need medical help but it's not a life-threatening situation." This, of course, begs the question of the caller's ability to decide reliably when an urgent situation is life threatening.