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Despite media interest, the introduction of NHS Direct had no impact on
consultations for influenza-like illness and other respiratory
infections. Chapman et al (p 1397) compared data
on consultations for respiratory diseases in the winters of 1996-7 and
1999-2000, a period preceding and covering the introduction of NHS
Direct. They found no basis for the claims that an
influenza epidemic had occurred in 1999-2000 but was under-reported
because people were contacting NHS Direct instead of their general
practitioner.