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810502

registered interest
date	21/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent estimate he has made of trends in the number of GPs.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	120848
answer	answer is ministerial correction date of answer 08/01/2018 answer text <p>NHS Digital produce quarterly publications of general practitioner workforce data. The latest figures, for September 2017, were published in November and are available at the following link:</p><p><a href="https://digital.nhs.uk/catalogue/PUB30149" target="_blank">https://digital.nhs.uk/catalogue/PUB30149</a></p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/01/2018 16:35:34 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

806517

registered interest
date	14/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how many GPs there were in England per 100,000 population in each of the last five years.
tabling member constituency	Leicester South
tabling member printed	Jonathan Ashworth
uin	119593
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The requested information is shown in the table below.</p><p> </p><p> </p><table><tbody><tr><td><p>Year</p></td><td><p>All general practitioners (excluding locums) headcount per 100,000 population, England</p></td></tr><tr><td><p>2017</p></td><td><p>70.1</p></td></tr><tr><td><p>2016</p></td><td><p>73.3</p></td></tr><tr><td><p>2015</p></td><td><p>74.2</p></td></tr><tr><td><p>2014</p></td><td><p>75.7</p></td></tr><tr><td><p>2013</p></td><td><p>74.7</p></td></tr></tbody></table><p> </p><p> </p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:22:28 answering member 4067 label Biography information for Steve Brine
tabling member	4244 label Biography information for Jonathan Ashworth

806681

registered interest
date	14/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the number of full-time practising GPs in (a) South Tees NHS Trust, (b) the North East and (c) England for each of the last five years for which figures are available.
tabling member constituency	Redcar
tabling member printed	Anna Turley
uin	119757
answer	answer is ministerial correction date of answer 19/12/2017 answer text <p>The requested information is shown in the table below. The table shows data for general practitioner (GP) full-time equivalent figures for NHS South Tees Clinical Commissioning Group (CCG), NHS England North (Cumbria and North East) and England, for each of the years in question. Prior to 2015, the locum headcounts were not recorded.</p><table><tbody><tr><td rowspan="2"><p>Year</p></td><td colspan="3"><p>All GPs Full-Time Equivalent</p></td><td colspan="3"><p>All GPs (Excluding Registrars, Retainers and Locums) Full-Time Equivalent</p></td></tr><tr><td><p>England</p></td><td><p>NHS England North (Cumbria and North East)</p></td><td><p>NHS South Tees CCG</p></td><td><p>England</p></td><td><p>NHS England North (Cumbria and North East)</p></td><td><p>NHS South Tees CCG</p></td></tr><tr><td><p>March 2017</p></td><td><p>33,921</p></td><td><p>1,679</p></td><td><p>156</p></td><td><p>28,092</p></td><td><p>1,544</p></td><td><p>145</p></td></tr><tr><td><p>September 2016</p></td><td><p>34,495</p></td><td><p>1,837</p></td><td><p>154</p></td><td><p>28,458</p></td><td><p>1,724</p></td><td><p>142</p></td></tr><tr><td><p>September 2015</p></td><td><p>34,592</p></td><td><p>1,910</p></td><td><p>165</p></td><td><p>29,229</p></td><td><p>1,774</p></td><td><p>150</p></td></tr><tr><td><p>September 2014</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p>32,628</p></td><td><p>2,160</p></td><td><p>180</p></td></tr><tr><td><p>September 2013</p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p>32,075</p></td><td><p>2,143</p></td><td><p>189</p></td></tr></tbody></table><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Winchester answering member printed Steve Brine question first answered 19/12/2017 17:58:10 answering member 4067 label Biography information for Steve Brine
tabling member	4449 label Biography information for Anna Turley

805283

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, whether it is his policy to allow GP practices to exclude patients from their register on the basis of pregnancy, age, substance dependence or complexity?
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	118955
answer	answer is ministerial correction date of answer 20/12/2017 answer text <p>Under the terms of their contracts, general practitioner (GP) practices must have reasonable grounds to remove a patient from their practice list which do not relate to the patient’s race, gender, social class, age, religion, sexual orientation, appearance, disability or medical condition.</p><p> </p><p>If a patient feels that the decision to remove them from their list relates to any of these conditions, they may raise a complaint with NHS England. It is the role of NHS England to ensure GP practices meet the terms of their contract.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/12/2017 17:05:32 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

805288

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, pursuant to the Answer of 17 November 2017 to Question 112050 on General Practitioners: Attendance, whether it is permissible under the General Medical Services contract for a GP Practice to exclude certain patients from registering with that Practice.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	118960
answer	answer is ministerial correction date of answer 20/12/2017 answer text <p>Under the terms of their contracts, general practices may refuse an application to be included in the practices’ list of registered patients.</p><p>They must have reasonable grounds for doing so, for example, where the patient lives outside the practice boundary. However, the grounds for refusing to accept a patient on the list must not relate to the patient’s race, gender, social class, age, religion, sexual orientation, appearance, disability or medical condition.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/12/2017 17:06:27 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

805290

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what safeguards are in place to prevent GP practices targeting younger and healthier patients.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	118962
answer	answer is ministerial correction date of answer 20/12/2017 answer text <p>According to the General Medical Services contract, general practitioner practices cannot refuse to accept a patient on to their list on the grounds of age, appearance, disability or medical condition, gender or gender reassignment, marriage or civil partnership, pregnancy or maternity, race, religion or belief, sexual orientation or social class.</p><p> </p><p>The service provided by GP at Hand is available for all patients to sign up to if they live within the practice area. Patients may also register as ‘out of area’ patients i.e. where they live outside of practice area but work within London travel zones 1 to 3. In such cases, practices should consider whether it is clinically appropriate to accept a patient onto their list – taking into account the individual needs of the patient.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/12/2017 17:17:39 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

805293

registered interest
date	12/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the extent to which GP practices target younger and healthier patients; and if he will make a statement.
tabling member constituency	Ellesmere Port and Neston
tabling member printed	Justin Madders
uin	118965
answer	answer is ministerial correction date of answer 20/12/2017 answer text <p>According to the General Medical Services contract, general practitioner practices cannot refuse to accept a patient on to their list on the grounds of age, appearance, disability or medical condition, gender or gender reassignment, marriage or civil partnership, pregnancy or maternity, race, religion or belief, sexual orientation or social class.</p><p> </p><p>The service provided by GP at Hand is available for all patients to sign up to if they live within the practice area. Patients may also register as ‘out of area’ patients i.e. where they live outside of practice area. In such cases, practices should consider whether it is clinically appropriate to accept a patient onto their list – taking into account the individual needs of the patient.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 20/12/2017 17:15:56 answering member 4067 label Biography information for Steve Brine
tabling member	4418 label Biography information for Justin Madders

802927

registered interest
date	08/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he is taking to support GP services in (a) Sevenoaks and (b) England.
tabling member constituency	Sevenoaks
tabling member printed	Sir Michael Fallon
uin	118347
answer	answer is ministerial correction date of answer 15/12/2017 answer text <p>It is the responsibility of local commissioners, overseen by NHS England, to ensure that general practitioner (GP) services meet the needs of local people.</p><p> </p><p>In line with its strategic vision, Mapping the Future, that was approved by West Kent Clinical Commissioning Group (CCG) in July 2017 a Local Care Plan that describes the model of GP care, the infrastructure required and what will change for local people was published.</p><p> </p><p>In this local care model, the system is organised at four different levels – general practice, cluster, local care hubs and west Kent-wide services. There are seven ‘clusters’ of general practices in West Kent. The cluster model is being implemented in three phases across the seven clusters. The Sevenoaks cluster lead GP, Dr Vicky O’Neill, is leading the development of a bid on behalf of local practices to secure GP Five-Year Forward View funding to help ensure that local GP care is sustainable.</p><p> </p><p>Several practices in Sevenoaks are finalising practice premises development plans to allow them to expand their services. The Sevenoaks cluster is also working to prepare for delivering the enhanced access requirements for general practice and West Kent CCG expects the cluster to be compliant by the target date of March 2019.</p><p> </p><p>In April 2016, the General Practice Forward View set out a package of investment in English general practice. This included a number of reforms which will support general practice through increased investment in general practice, recruitment and retention of GPs and the wider workforce, and investment in extended access to GP services.</p><p> </p><p>By 2020 the Government has committed to supporting general practice by incrementally increasing investment up to £12 billion (an additional £2.4 billion compared to 2015/16); an additional 5,000 GPs and 5,000 other staff working in general practice; and by March 2019 everyone having access to GP services, including sufficient routine appointments at evenings and weekends to meet locally determined demand.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 15/12/2017 14:27:13 answering member 4067 label Biography information for Steve Brine
tabling member	88 label Biography information for Sir Michael Fallon

801036

registered interest
date	05/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment he has made of the sustainability of the GP network.
tabling member constituency	Gillingham and Rainham
tabling member printed	Rehman Chishti
uin	117595
answer	answer is ministerial correction date of answer 13/12/2017 answer text <p>A general practitioner (GP) network is an informal collaboration of multiple practices. The Department and NHS England does not monitor, control or regulate these arrangements.</p><p> </p><p>However, as the GP Forward View said, it is becoming increasingly normal for general practices to work together at scale and form into networks or federations of practices. Larger organisational forms will enable greater opportunities for practices to increase their flexibility to shape, buy or build additional services, working from a more effective platform with other local health and care providers, including community health services, social care and voluntary organisations. There will also be greater use of technology to connect primary care with others, for the sharing of best practice and sourcing of timely advice.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/12/2017 14:10:44 answering member 4067 label Biography information for Steve Brine
tabling member	3987 label Biography information for Rehman Chishti

797442

registered interest
date	29/11/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what estimate his Department has made of the number of (a) young and (b) older people who are not registered with a GP.
tabling member constituency	Birkenhead
tabling member printed	Frank Field
uin	116405
answer	answer is ministerial correction date of answer 07/12/2017 answer text <p>The Department does not collect data and has made no estimates on the number of people who are not registered at a general practitioner practice.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 07/12/2017 15:22:25 answering member 4067 label Biography information for Steve Brine
tabling member	478 label Biography information for Lord Field of Birkenhead