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100022

	registered interest
	date	15/10/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patient Choice Schemes
	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 promote patient choice.
	tabling member constituency	Stroud
	tabling member printed	Neil Carmichael
	uin	905559
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>We are committed to patients having greater choice and control over their healthcare, as this can help drive up standards and improve patient care.</p><p> </p><p> </p><p> </p><p>We believe that patient empowerment is vital to the National Health Service in the 21st century. This Government is committed to continuing to develop digital platforms to enable this to happen, such as My NHS and the NHS e-Referral Service.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/10/2014 16:00:56 answering member 4020 label Biography information for George Freeman
	tabling member	4104 label Biography information for Neil Carmichael

1519678

	registered interest
	date	10/10/2022
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what plans she has to expand and measure the uptake of patient-initiated follow-up across the health system beyond March 2023 as set out in the NHS’s elective recovery plan published in February 2022.
	tabling member constituency	Tooting
	tabling member printed	Dr Rosena Allin-Khan
	uin	59945
	answer	answer is ministerial correction date of answer 18/10/2022 answer text <p>In May 2022, NHS England published ‘Implementing patient initiated follow-up. Guidance for local health and care systems’ (PIFU) to support all providers through the adoption and implementation of PIFU by March 2023. In addition, NHS England’s national and regional teams to work with providers to address challenges with its deployment. Providers are required to report and record PIFU activity through the Elective Recovery Outpatient Collection platform to evaluate the impact.</p> answering member constituency Newark answering member printed Robert Jenrick question first answered 18/10/2022 11:57:09 answering member 4320 label Biography information for Robert Jenrick previous answer version 23182 answering member constituency Newark answering member printed Robert Jenrick answering member 4320 label Biography information for Robert Jenrick
	tabling member	4573 label Biography information for Dr Rosena Allin-Khan

1519855

	registered interest
	date	10/10/2022
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to the Statement of 5 September 2022 on DHSC Update, HCWS291, how she plans to measure progress towards the commitment to offer all patients a choice of provider at the point of GP referral by April 2023; what plans she has to publicise the offer to all patients from April 2023; and whether the adequacy of the level of choice being offered to patients will be monitored.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	59924
	answer	answer is ministerial correction date of answer 03/11/2022 answer text <p>Patients in England have a legal right to choose the provider for their first outpatient appointment following a general practitioner referral for many healthcare services. Patients may choose between National Health Service or independent providers. The My Planned Care platform was launched by the NHS in February 2022, which provides access to information on local average waiting times at a speciality level, excluding cancer, for all hospital trusts in England. NHS England intends to develop My Planned Care to provide a hub for patients for the entire treatment pathway and develop further integration with the NHS App.</p> answering member constituency Harborough answering member printed Neil O'Brien grouped question UIN 59327 question first answered 03/11/2022 16:40:23 answering member 4679 label Biography information for Neil O'Brien previous answer version 23167 answering member constituency Newark answering member printed Robert Jenrick answering member 4320 label Biography information for Robert Jenrick
	tabling member	4504 label Biography information for Wes Streeting

1551500

	registered interest
	date	14/12/2022
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure freedom of choice of GP for patients.
	tabling member constituency	Strangford
	tabling member printed	Jim Shannon
	uin	110908
	answer	answer is ministerial correction date of answer 22/12/2022 answer text <p>Patients can apply to register with the general practitioner (GP) practice of their choice. All practices are required to assign to registered patients a named, accountable GP to ensure that any necessary services the practice is contracted to provide are coordinated and delivered for patients. Practices must make reasonable efforts to accommodate patients’ requests to be assigned a specific accountable GP and endeavour to comply with all reasonable requests to see a particular practitioner. However, patients may have the choice between a named GP or increased speed of access. The right to choose a GP practice and to express a preference for a particular doctor within that practice are reflected in the NHS Constitution.</p><p>We have also committed to publish practice-level appointment data, which will improve transparency on the performance of a GP practice and allow patients to make informed choices when registering.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 22/12/2022 11:43:40 answering member 4679 label Biography information for Neil O'Brien
	tabling member	4131 label Biography information for Jim Shannon

1677422

	registered interest
	date	12/12/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what assessment she has made of the impact of shared waiting lists on patient choice.
	tabling member constituency	East Devon
	tabling member printed	Simon Jupp
	uin	6644
	answer	answer is ministerial correction date of answer 18/12/2023 answer text <p>We have made no such assessment.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 18/12/2023 17:04:35 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4862 label Biography information for Simon Jupp

1679527

	registered interest
	date	05/01/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to her Department's guidance entitled Elective recovery taskforce: implementation plan, published on 4 August 2023, what steps she is taking to ensure equity of access for those unable to use digital platforms.
	tabling member constituency	Bootle
	tabling member printed	Peter Dowd
	uin	7964
	answer	answer is ministerial correction date of answer 15/01/2024 answer text <p>In September 2023, NHS England published a framework for action on digital inclusion to help the system design and implement inclusive digital approaches and technologies, including actions to build digital skills and capability among patients and National Health Service staff. This covers all NHS digital platforms. Patients unable to use digital channels will continue to be able to access services via telephone and through face-to-face services.</p> answering member constituency Pendle answering member printed Andrew Stephenson question first answered 15/01/2024 14:44:37 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4397 label Biography information for Peter Dowd

1687017

	registered interest
	date	02/02/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, with reference to the guidance entitled Elective recovery taskforce: implementation plan, published on 4 August 2023, what the baseline position is for how many patients are accessing choice.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	12827
	answer	answer is ministerial correction date of answer 08/02/2024 answer text <p>Last year, the Government set out how it will make it easier for patients to exercise their choice by improving the NHS App, increasing choice for patients already on waiting lists, and raising awareness of patients’ right to choose.</p><p>At the point of referral, for example at a general practice (GP) appointment, patients will be actively offered a list of providers which are clinically appropriate for their condition. This will be a minimum of five providers where possible. Patients will also be informed of their right to choose and encouraged to raise this at the time of the referral.</p><p>Since the commitments made by the Government in May 2023, we have seen an increase in the number of patients being offered choice at the point of referral. The Department does not hold data regarding patients choosing between a hospital and clinic for their first outpatient appointment each month. The Department has also not made an estimate of how many patients were aware, before visiting their GP, of their right to choose the provider for their first outpatient appointment.</p><p>In autumn last year, the Department ran a press partnership campaign to raise awareness and increase understanding of choice. Furthermore, the Department has recently launched a marketing campaign, aimed at all adults, to increase awareness of a patient's right to choose where they receive their hospital care, as well as encourage more people to actively make a choice.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 12828 12829 12830 question first answered 08/02/2024 10:03:40 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4504 label Biography information for Wes Streeting

1687018

	registered interest
	date	02/02/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what information her Department holds on the number and proportion of patients that were able to discuss with their GP which (a) hospital and (b) clinic they would attend for their first outpatient appointment in the last six months.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	12828
	answer	answer is ministerial correction date of answer 08/02/2024 answer text <p>Last year, the Government set out how it will make it easier for patients to exercise their choice by improving the NHS App, increasing choice for patients already on waiting lists, and raising awareness of patients’ right to choose.</p><p>At the point of referral, for example at a general practice (GP) appointment, patients will be actively offered a list of providers which are clinically appropriate for their condition. This will be a minimum of five providers where possible. Patients will also be informed of their right to choose and encouraged to raise this at the time of the referral.</p><p>Since the commitments made by the Government in May 2023, we have seen an increase in the number of patients being offered choice at the point of referral. The Department does not hold data regarding patients choosing between a hospital and clinic for their first outpatient appointment each month. The Department has also not made an estimate of how many patients were aware, before visiting their GP, of their right to choose the provider for their first outpatient appointment.</p><p>In autumn last year, the Department ran a press partnership campaign to raise awareness and increase understanding of choice. Furthermore, the Department has recently launched a marketing campaign, aimed at all adults, to increase awareness of a patient's right to choose where they receive their hospital care, as well as encourage more people to actively make a choice.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 12827 12829 12830 question first answered 08/02/2024 10:03:40 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4504 label Biography information for Wes Streeting

1687019

	registered interest
	date	02/02/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate she has made of how many patients are being offered a choice between hospital and clinic for their first outpatient appointment each month.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	12829
	answer	answer is ministerial correction date of answer 08/02/2024 answer text <p>Last year, the Government set out how it will make it easier for patients to exercise their choice by improving the NHS App, increasing choice for patients already on waiting lists, and raising awareness of patients’ right to choose.</p><p>At the point of referral, for example at a general practice (GP) appointment, patients will be actively offered a list of providers which are clinically appropriate for their condition. This will be a minimum of five providers where possible. Patients will also be informed of their right to choose and encouraged to raise this at the time of the referral.</p><p>Since the commitments made by the Government in May 2023, we have seen an increase in the number of patients being offered choice at the point of referral. The Department does not hold data regarding patients choosing between a hospital and clinic for their first outpatient appointment each month. The Department has also not made an estimate of how many patients were aware, before visiting their GP, of their right to choose the provider for their first outpatient appointment.</p><p>In autumn last year, the Department ran a press partnership campaign to raise awareness and increase understanding of choice. Furthermore, the Department has recently launched a marketing campaign, aimed at all adults, to increase awareness of a patient's right to choose where they receive their hospital care, as well as encourage more people to actively make a choice.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 12827 12828 12830 question first answered 08/02/2024 10:03:40 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4504 label Biography information for Wes Streeting

1687020

	registered interest
	date	02/02/2024
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what estimate she has made of how many patients are aware, before visiting their GP, that they may have a choice of hospital or clinic for their first outpatient appointment.
	tabling member constituency	Ilford North
	tabling member printed	Wes Streeting
	uin	12830
	answer	answer is ministerial correction date of answer 08/02/2024 answer text <p>Last year, the Government set out how it will make it easier for patients to exercise their choice by improving the NHS App, increasing choice for patients already on waiting lists, and raising awareness of patients’ right to choose.</p><p>At the point of referral, for example at a general practice (GP) appointment, patients will be actively offered a list of providers which are clinically appropriate for their condition. This will be a minimum of five providers where possible. Patients will also be informed of their right to choose and encouraged to raise this at the time of the referral.</p><p>Since the commitments made by the Government in May 2023, we have seen an increase in the number of patients being offered choice at the point of referral. The Department does not hold data regarding patients choosing between a hospital and clinic for their first outpatient appointment each month. The Department has also not made an estimate of how many patients were aware, before visiting their GP, of their right to choose the provider for their first outpatient appointment.</p><p>In autumn last year, the Department ran a press partnership campaign to raise awareness and increase understanding of choice. Furthermore, the Department has recently launched a marketing campaign, aimed at all adults, to increase awareness of a patient's right to choose where they receive their hospital care, as well as encourage more people to actively make a choice.</p> answering member constituency Pendle answering member printed Andrew Stephenson grouped question UIN 12827 12828 12829 question first answered 08/02/2024 10:03:40 answering member 4044 label Biography information for Andrew Stephenson
	tabling member	4504 label Biography information for Wes Streeting

384576

	registered interest
	date	22/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what steps his Department is taking to promote the use of the Choose and Book system.
	tabling member constituency	Hendon
	tabling member printed	Dr Matthew Offord
	uin	3431
	answer	answer is ministerial correction date of answer 30/06/2015 answer text <p>The NHS e-Referral Service replaced the previous electronic system, Choose and Book, on 15 June 2015.</p><p> </p><p> </p><p> </p><p>The NHS England Operations Department, with the support of the Health and Social Care Information Centre will take the lead in promoting this service in the future, supporting local health communities to increase their use of the service and providing training, advice and reports to help them become fully electronic.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 30/06/2015 13:09:35 answering member 4020 label Biography information for George Freeman
	tabling member	4006 label Biography information for Dr Matthew Offord

421636

	registered interest
	date	15/10/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patient Choice Schemes
	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 increase the number of patients being offered a choice of outpatient facility by their GPs.
	tabling member constituency	Newport West
	tabling member printed	Paul Flynn
	uin	12026
	answer	answer is ministerial correction date of answer 23/10/2015 answer text <p>We are committed to giving patients more choice and control over their health care, as this can help drive up standards and improve patient care.</p><br /><p>As set out in the Five Year Forward View, the health system is focused on embedding patient choice and, as part of this, NHS England is working to secure improvements in awareness and uptake of choice across physical and mental health services.</p><br /><p>In addition, we have asked NHS England to come up with proposals, before the end of the year, to make sure there is choice and control over services offered in maternity and end-of-life care, as well as for those with long-term conditions.</p><p><strong></strong></p><p><strong></strong></p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 23/10/2015 13:18:48 answering member 3988 label Biography information for Ben Gummer
	tabling member	545 label Biography information for Paul Flynn

432294

	registered interest
	date	25/11/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, with reference to page 13 of the NHS' Five Year Forward View, what progress NHS England has made on the commitment to give patients choice over where and how they receive care; and how progress on that commitment will be assessed.
	tabling member constituency	Birmingham, Yardley
	tabling member printed	Jess Phillips
	uin	17671
	answer	answer is ministerial correction date of answer 02/12/2015 answer text <p>NHS England is working to secure a sustained improvement in awareness, offer, operation and take up of choice by 2020. This includes supporting the independent Maternity Services Review, which is due for publication early in the New Year, and taking forward any recommendations that relate to choice; improving the quality of End of Life Care and the choices people should have about where they receive their care and where they choose to die; strengthening choice in both physical and mental health elective services, to ensure that the NHS honours patients’ legal rights to choice of who provides their care; and securing choice in the design and implementation of new care models for the future NHS.</p><br /><p>NHS England has brought this work together with their programmes on personal health budgets and integrated personal commissioning, under a new Director and with additional resource, to accelerate the work in all of these areas in support of the Five Year Forward View commitment to deliver greater patient empowerment. Improvements will be assessed through a new national assessment framework for clinical commissioning groups.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 02/12/2015 12:45:40 answering member 3988 label Biography information for Ben Gummer
	tabling member	4370 label Biography information for Jess Phillips

605941

	registered interest
	date	19/10/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment the Government has made of the progress in implementing the commitment in the NHS Five Year Forward View to increase patient choice over where and how patients receive care; and if he will make a statement.
	tabling member constituency	Bath
	tabling member printed	Ben Howlett
	uin	49351
	answer	answer is ministerial correction date of answer 26/10/2016 answer text <p>The Mandate to NHS England, which sets the Government’s objectives for the provision of health services in England and any requirements for NHS England, includes an objective calling for the offer of meaningful choice in the National Health Service. This reflects the commitment in the Five Year Forward View. An assessment of the extent to which the Mandate objectives have been met is set out in my Rt. hon. Friend the Secretary of State’s Annual Assessment of NHS England, which is published at the end of the financial year.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 26/10/2016 09:26:05 answering member 1542 label Biography information for Philip Dunne
	tabling member	4445 label Biography information for Ben Howlett

63702

	registered interest
	date	24/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of NHS outpatient appointments were made through Choose and Book in each quarter of 2013-14 and to date in the first quarter of 2014-15.
	tabling member constituency	Leicester West
	tabling member printed	Liz Kendall
	uin	202220
	answer	answer is ministerial correction date of answer 30/06/2014 answer text <p>Quarterly Choose and Book utilisation data is available for each month and each quarter of the 2013-14 financial year and is set out in the attached table.</p><p> </p><p>When reviewing the table it is important to note that utilisation is calculated as the percentage of referrals made to first consultant-led outpatient services using the Choose and Book system, compared to the total number of referrals made to first outpatient services, as reported by provider organisations.</p><p> </p><p>Each month this represents around 500,000 referrals being made from general practitioner (GP) practices to first consultant-led outpatient services through Choose and Book. Use of Choose and Book is, however, significantly greater than this with an additional 200,000 or so referrals per month being booked to other outpatient services, which include Allied Health Professionals, GPs with Special Interests diagnostic and assessment services. These are not currently included as part of the utilisation figures as the denominator data is not currently reported at a national level.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 30/06/2014 15:11:56 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name Choose and Book utilisation data 2013-14 PQ202220.docx title Choose and Book utilisation data 2013-14
	tabling member	4026 label Biography information for Liz Kendall

802309

	registered interest
	date	06/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what information his Department holds on the number of unsuccessful attempts made by (a) patients and (b) GPs when attempting to book an appointment at a hospital directly through the online choose and book system.
	tabling member constituency	Fylde
	tabling member printed	Mark Menzies
	uin	117996
	answer	answer is ministerial correction date of answer 14/12/2017 answer text <p>The NHS e-Referral Service (e-RS) replaced the choose and book system in June 2015. The NHS e-RS is designed to allow patients and healthcare professionals to select appointments with providers either online or by phone.</p><p> </p><p>An attempt to make a booking may be unsuccessful if there is no appointment for the required clinic or hospital service available on e-RS. If no appointment is available for a patient or general practitioner (GP) to book on e-RS, the referral is forwarded (via the Manage Your Referral application) or deferred (via the professional application) to the patient’s chosen provider to enable the provider to book the patient an appointment.</p><p> </p><p>The relevant provider is contacted informing them that a patient requires an appointment and the provider will then contact the patient in relation to an appointment. Information on unsuccessful appointment bookings by patients or GPs for the last 12 months is in the table.</p><p> </p><table><tbody><tr><td colspan="2"><p>Unsuccessful bookings December 2016 - November 2017</p></td></tr><tr><td><p>By Patient</p></td><td><p>263,681</p></td></tr><tr><td><p>By Referrer (GP)</p></td><td><p>634,630</p></td></tr><tr><td><p>By BMS Admin<sup>1</sup></p></td><td><p>708,718<sup>1</sup></p></td></tr><tr><td><p>Total</p></td><td><p>1,852,781</p></td></tr><tr><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Total successful bookings in same period</p></td><td><p>12,538,460</p></td></tr></tbody></table><p> </p><p>Note:</p><p> </p><p><sup>1</sup>Bookings by “BMS Admin” are created when either another organisation (referrer or provider) attempts to book an appointment on the patient’s behalf or if a patient contacts the national Telephone Appointments Line and a contact centre operator attempts to book an appointment on the patient’s behalf.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 14/12/2017 16:43:40 answering member 4065 label Biography information for Dame Jackie Doyle-Price
	tabling member	3998 label Biography information for Mark Menzies

89712

	registered interest
	date	29/08/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment he has made of the levels of patient satisfaction with the NHS Choose and Book service.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	207283
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>The NHS e-Referral Service (Choose and Book) Programme Team carried out a patient survey in January and February 2014 via the NHS Choices website. The survey received 2024 fully completed responses.</p><p> </p><p> </p><p> </p><p>The full results of this survey are available at:</p><p> </p><p> </p><p> </p><p>www.chooseandbook.nhs.uk/staff/gettingmore/benefits/2014_Survey_Results</p><p> </p><p> </p><p> </p><p>The survey found that 72% of patients referred via Choose and Book are ‘satisfied’ or ‘very satisfied’ with the service.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/09/2014 13:10:07 answering member 3918 label Biography information for Jane Ellison
	tabling member	1511 label Biography information for Lord Austin of Dudley

89714

	registered interest
	date	29/08/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what recent discussions he has had with (a) NHS bodies and (b) patients' groups on the effectiveness of the NHS Choose and Book service.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	207282
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>My Rt hon Friend the Secretary of State has regular meetings with both National Health Service bodies and patient groups in which a number of different issues are discussed.</p><p> </p><p> </p><p> </p><p>In addition to these conversations, teams within the Health and Social Care Information Centre have carried out extensive conversations on both the effectiveness of Choose and Book and the vision for the new NHS e-Referral Service.</p><p> </p><p> </p><p> </p><p>Between September 2013 and 31 August 2014, a total of almost 5,000 users representing almost 500 different NHS and independent organisations have taken part in stakeholder engagement events about Choose and Book.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/09/2014 13:04:53 answering member 3918 label Biography information for Jane Ellison
	tabling member	1511 label Biography information for Lord Austin of Dudley

89715

	registered interest
	date	29/08/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patient Choice Schemes
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what estimate he has made of the number of appointments booked through the NHS Choose and Book service in each of the last 12 months.
	tabling member constituency	Dudley North
	tabling member printed	Ian Austin
	uin	207281
	answer	answer is ministerial correction date of answer 05/09/2014 answer text <p> </p><p>On average, every working day around 40,000 outpatient referrals are booked through Choose and Book and patients from over 90% of GP practices are referred using the Choose and Book service every week. Each month this represents around 500,000 referrals being made from GP practices to first consultant-led outpatient services through Choose and Book.</p><p> </p><p> </p><p> </p><p>Use of Choose and Book is, however, significantly greater than this with an additional 200,000 or so referrals per month being booked to other outpatient services, which include allied health professionals, GPs with special interests, diagnostic and assessment services. These are not currently included as part of the utilisation figures below as the denominator data is not currently reported at a national level.</p><p> </p><p> </p><p> </p><p>The following table shows the percentage of first outpatient referrals and the total number of referrals booked through Choose and Book between July 2013 and June 2014. Booking reports are available on the Choose and Book website:</p><p> </p><p> </p><p> </p><p>www.chooseandbook.nhs.uk/staff/bau/reports/?searchterm=reports</p><p> </p><p> </p><p> </p><table><tbody><tr><td><p>Month</p></td><td><p>Utilisation<sup>1</sup> %<br> (GP to 1<sup>st</sup> consultant outpatient)</p></td><td><p>Total number of referrals booked</p></td></tr><tr><td><p>July 2013</p></td><td><p>52%</p></td><td><p>786,212</p></td></tr><tr><td><p>August 2013</p></td><td><p>53%</p></td><td><p>690,431</p></td></tr><tr><td><p>September 2013</p></td><td><p>53%</p></td><td><p>717,987</p></td></tr><tr><td><p>October 2013</p></td><td><p>53%</p></td><td><p>798,605</p></td></tr><tr><td><p>November 2013</p></td><td><p>52%</p></td><td><p>723,663</p></td></tr><tr><td><p>December 2013</p></td><td><p>51%</p></td><td><p>640,101</p></td></tr><tr><td><p>January 2014</p></td><td><p>54%</p></td><td><p>803,350</p></td></tr><tr><td><p>February 2014</p></td><td><p>51%</p></td><td><p>725,563</p></td></tr><tr><td><p>March 2014</p></td><td><p>52%</p></td><td><p>785,484</p></td></tr><tr><td><p>April 2014</p></td><td><p>51%</p></td><td><p>756,372</p></td></tr><tr><td><p>May 2014</p></td><td><p>52%</p></td><td><p>772,120</p></td></tr><tr><td><p>June 2014</p></td><td><p>51%</p></td><td><p>791,019</p></td></tr></tbody></table><p> </p><p> </p><p> </p><p><em>Note:</em></p><p> </p><p><sup>1</sup>Utilisation is calculated as the percentage of referrals made to first consultant-led outpatient services using the Choose and Book system, compared to the total number of referrals made to first outpatient services, as reported by provider organisations to the Department.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison question first answered 05/09/2014 13:56:45 answering member 3918 label Biography information for Jane Ellison
	tabling member	1511 label Biography information for Lord Austin of Dudley

1288350

	registered interest
	date	22/02/2021
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government what steps they are taking to ensure that Patient Initiated Follow Up does not create barriers for deprived and excluded patients to access NHS care.
	tabling member printed	The Lord Bishop of London
	uin	HL13466
	answer	answer is ministerial correction date of answer 16/03/2021 answer text <p>The decision to place a patient on a Patient Initiated Follow Up (PIFU) pathway will be taken jointly by the patient and a clinician when the clinician identifies a patient who would benefit from accessing care in this way. The decision will always be based on a patient’s individual needs and circumstances, ensuring it is in the patient’s best interests.</p><p>The Outpatient Transformation Programme provides ongoing advice and support to systems and providers implementing PIFU. This includes continuous improvement and identifying any risks, such as those relating to health inequalities and exclusion and working to provide resolution/guidance on how to address them. As part of this national support offer, resources have been made available that encourage systems and providers to develop and regularly review their Equality Health Impact Assessments in relation to PIFU.</p> answering member printed Lord Bethell question first answered 16/03/2021 17:08:37 answering member 4708 label Biography information for Lord Bethell
	tabling member	4696 label Biography information for The Lord Bishop of London

1537040

	registered interest
	date	27/10/2022
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of the proportion of patients who are aware of their right to choose where they receive their consultant-led treatment.
	tabling member printed	Lord Warner
	uin	HL2994
	answer	answer is ministerial correction date of answer 08/11/2022 answer text <p>The Manage Your Referral (MYR) NHS e-Referral Service (e-RS) Survey enables patients who have used e-RS for elective referrals for directly bookable services to record their experience of being offered a choice of elective care provider.</p><p> </p><p>The MYR e-RS Survey includes a question on whether patients are aware of the choices available to them when attending a first outpatient appointment. In 2021/22, 50% of 7,000 patients surveyed reported that they were aware of the choice of hospitals or clinics for an appointment. The Survey’s results are available to integrated care boards and NHS England to review in order to meet its responsibilities relating to patient choice.</p><p> </p><p>Use of the e-RS for referrals from general practitioners for consultant-led first outpatient appointments is mandated in the latest NHS and GP Standard Contracts.</p> answering member printed Lord Markham grouped question UIN HL2995 question first answered 08/11/2022 13:38:56 answering member 4948 label Biography information for Lord Markham
	tabling member	1732 label Biography information for Lord Warner

1538430

	registered interest
	date	01/11/2022
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what plans they have regularly to measure public awareness of patients’ right to choose where they receive their NHS consultant-led treatment.
	tabling member printed	Lord Warner
	uin	HL3130
	answer	answer is ministerial correction date of answer 14/11/2022 answer text <p>The Manage Your Referral (MYR) NHS e-Referral Service (e-RS) survey enables patients who have used e-RS for elective referrals for directly bookable services to record their experience of a choice of elective care provider.</p><p> </p><p>The survey includes a question which measures whether patients are aware of the choices available for the location of a first outpatient appointment. The MYR e-RS survey is currently active and data is continuously collected and reviewed. The specific questions relating to patients’ choices and awareness levels are currently being reviewed to ensure we understand their experiences.</p> answering member printed Lord Markham question first answered 14/11/2022 12:34:28 answering member 4948 label Biography information for Lord Markham
	tabling member	1732 label Biography information for Lord Warner

1538431

	registered interest
	date	01/11/2022
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what progress they have made with rolling-out the capacity alerts system for the NHS e-referral service; and when they intend to make that a requirement for all referrals from general practice.
	tabling member printed	Lord Warner
	uin	HL3131
	answer	answer is ministerial correction date of answer 16/11/2022 answer text <p>We are exploring the option of such alerts within the National Health Service e-Referral Service (e-RS) system to identify where there are capacity pressures within individual services. These have been utilised previously at the point of referral to allow referring clinicians to view capacity within providers. The re-introduction of this option requires further work to ensure there are no unintended consequences and regional oversight with local system commissioners to ensure provision for patient referrals is always available.</p> answering member printed Lord Markham question first answered 16/11/2022 12:29:53 answering member 4948 label Biography information for Lord Markham
	tabling member	1732 label Biography information for Lord Warner

1542082

	registered interest
	date	14/11/2022
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, what assessment they have made of the proportion of patients who were offered a choice of where they received their NHS consultant-led treatment in each year since 2015.
	tabling member printed	Lord Warner
	uin	HL3395
	answer	answer is ministerial correction date of answer 01/12/2022 answer text <p>This information is not held in the format requested. However, NHS Digital has collected data on the proportion of patients offered a choice of provider for elective referrals from those who responded to the Manage Your Referral (MYR) NHS e-Referral Service (e-RS) Survey. The MYR e-RS Survey enables patients who have used e-RS for elective referrals for directly bookable services to record their experience of being offered a choice of elective care provider. These results are available to integrated care boards and NHS England to review, assure and improve in order to meet its responsibilities related to patient choice.</p><p>The following table shows the responses received to the question “When you agreed to be referred to a specialist, did you talk about the different hospitals or services you could go to?” in each year since 2018.</p><table><tbody><tr><td><p>Year</p></td><td><p>Yes</p></td><td><p>No</p></td><td><p>Don’t know</p></td><td><p>Sample size</p></td></tr><tr><td><p>2018</p></td><td><p>39%</p></td><td><p>59%</p></td><td><p>2%</p></td><td><p>6,962</p></td></tr><tr><td><p>2019</p></td><td><p>38%</p></td><td><p>60%</p></td><td><p>3%</p></td><td><p>4,722</p></td></tr><tr><td><p>2020</p></td><td><p>35%</p></td><td><p>62%</p></td><td><p>3%</p></td><td><p>8,099</p></td></tr><tr><td><p>2021</p></td><td><p>32%</p></td><td><p>65%</p></td><td><p>2%</p></td><td><p>6,158</p></td></tr><tr><td><p>2022</p></td><td><p>31%</p></td><td><p>66%</p></td><td><p>3%</p></td><td><p>5,045</p></td></tr></tbody></table><p> </p><p>The following table shows the responses received to the question “Did you feel that you were able to make choices that met your needs?” in each year since 2018.</p><table><tbody><tr><td><p>Year</p></td><td><p>Yes</p></td><td><p>No</p></td><td><p>Don’t know</p></td><td><p>Sample size</p></td></tr><tr><td><p>2018</p></td><td><p>39%</p></td><td><p>59%</p></td><td><p>2%</p></td><td><p>6,962</p></td></tr><tr><td><p>2019</p></td><td><p>77%</p></td><td><p>15%</p></td><td><p>9%</p></td><td><p>4,722</p></td></tr><tr><td><p>2020</p></td><td><p>77%</p></td><td><p>14%</p></td><td><p>9%</p></td><td><p>8,099</p></td></tr><tr><td><p>2021</p></td><td><p>74%</p></td><td><p>16%</p></td><td><p>10%</p></td><td><p>6,158</p></td></tr><tr><td><p>2022</p></td><td><p>71%</p></td><td><p>18%</p></td><td><p>11%</p></td><td><p>5,045</p></td></tr></tbody></table> answering member printed Lord Markham question first answered 01/12/2022 13:16:33 answering member 4948 label Biography information for Lord Markham
	tabling member	1732 label Biography information for Lord Warner

1542083

	registered interest
	date	14/11/2022
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what assessment they have made of the training and support currently delivered to GPs to ensure that they make patients aware of their choices when selecting a provider for consultant-led treatment.
	tabling member printed	Lord Warner
	uin	HL3396
	answer	answer is ministerial correction date of answer 23/11/2022 answer text <p>The National Health Service Commissioning Board and Clinical Commissioning Groups Responsibilities and Standing Rules Regulations 2012 state that integrated care boards and NHS England, in exercising its commissioning functions, have a duty to ensure that the awareness and availability of choice is publicised to referrers and patients. NHS England has regulatory oversight and operational implementation of patient choice and provides advice and guidance to the public, patients, referrers, commissioners and providers on the choices available in England and how patient choice can be facilitated.</p> answering member printed Lord Markham question first answered 23/11/2022 12:13:55 answering member 4948 label Biography information for Lord Markham
	tabling member	1732 label Biography information for Lord Warner

1644914

	registered interest
	date	14/06/2023
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Patient Choice Schemes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government what steps they will take to ensure that patients are not digitally excluded from making choices about their care as the Patient Access Plan is rolled out.
	tabling member printed	The Lord Bishop of London
	uin	HL8501
	answer	answer is ministerial correction date of answer 20/06/2023 answer text <p>The Government wants to make it easier and quicker for everyone to get the help they need from primary care and reduce digital inequalities when they access care. The Delivery Plan for Recovering Access to Primary Care, published on 9 May 2023, describes the implementation of a new Modern general practice access model, which will make it easier for everyone to contact their practice and it will make sure arrangements for care happen on the same day. This will ensure we move away from a ‘first come, first served’ approach towards a more equitable one that benefits all patients, regardless of their chosen route of access.</p><p>To combat digital exclusion, the public need to know that the new access model combines the flexible use of telephone, digital and in person access choices for patients. That is why the delivery plan includes a major national communications campaign to explain the evolving nature of primary care how best the public can use the National Health Service. The plan commits £240 million of re-targeted funding for better digital tools and training, which will improve digital access routes, freeing up capacity for those patients who still want or need to contact their practice by telephone or in person.</p> answering member printed Lord Markham question first answered 20/06/2023 14:38:18 answering member 4948 label Biography information for Lord Markham
	tabling member	4696 label Biography information for The Lord Bishop of London

61942

	registered interest
	date	16/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Patient Choice Schemes
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether patients have the legal right to be referred to any hospital provider of their choice, no matter where the consultant is located in England, subject to the provisos listed on the NHS website under Choosing your Hospital; whether patients diagnosed with chronic fatigue syndrome/myalgic encephalopathy in Sussex and elsewhere have been denied the opportunity to do so by local clinical commissioning groups when their general practitioners request a referral; and, if so, why.
	tabling member printed	The Countess of Mar
	uin	HL360
	answer	answer is ministerial correction date of answer 24/06/2014 answer text <p>The 2014-15 Choice Framework and the NHS Constitution, both available on .gov.uk, set out when patients have legal rights to choice.</p><p> </p><p>The NHS Constitution states that patients have the rightto make choices about the services commissioned by National Health Service bodies and to information to support these choices.</p><p> </p><p>The 2014-15 NHS Choice Framework establishes that if a patient needs to see a consultant or specialist as an outpatient for a physical or mental health condition, they can choose the organisation that provides their NHS care and treatment anywhere in England for their first outpatient appointment. They can also choose which consultant-led team or which mental health team led by a named health care professional will be in charge of their NHS care and treatment for their first outpatient appointment.</p><p> </p><p>The organisation can be any clinically appropriate health service provider with whom any clinical commissioning group or NHS England has a commissioning contract for the service required as a result of the referral, but the team must be clinically appropriate and led by a named consultant or health professional who is employed or engaged by that health service provider.</p><p> </p><p>There are also times that patients are not able to make a choice, and these are outlined in the <em>Choice Framework</em> and the <em>Handbook to the NHS Constitution</em>. For example, patients can only choose a hospital or clinic that offers the right treatment and care for their condition. Furthermore, if patients need urgent or emergency treatment, they cannot choose who they see.</p><p> </p><p>If a patient, who is not covered by the exemptions, has not been offered choice, or denied the opportunity to exercise choice by a clinical commissioning group, the 2014-15 Choice Framework sets out a clear complaints procedure.</p> answering member printed Earl Howe question first answered 24/06/2014 12:45:48 answering member 2000 label Biography information for Earl Howe
	tabling member	1861 label Biography information for The Countess of Mar