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1520142

	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	General Practitioners: Standards
	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 effectiveness and timeliness of the patient care offered by GP practices.
	tabling member printed	Lord Birt
	uin	HL2385
	answer	answer is ministerial correction date of answer 07/11/2022 answer text <p>While no formal assessment has been made, the National Health Service has a statutory duty to ensure there are sufficient medical services, including in general practice, in each local area. In addition, as the independent regulator of health and social care the Care Quality Commission assesses the overall quality of individual practices.</p><p>As announced in ‘Our plan for patients’ on 22 September 2022, the Government expects that patients who need an appointment with their practice within two weeks should receive one and patients with urgent needs should be seen on the same day. We also expect local integrated care boards to intervene where services need to be improved.</p> answering member printed Lord Markham question first answered 07/11/2022 12:08:53 answering member 4948 label Biography information for Lord Markham
	tabling member	2533 label Biography information for Lord Birt

1605374

	registered interest
	date	20/03/2023
	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	General Practitioners: Standards
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government whether General Practitioners are no longer able to perform routine procedures such as syringing of ears and treatment of minor injuries; and if not, who took the decisions to remove these procedures from general practice; and when these decisions were taken.
	tabling member printed	Baroness McIntosh of Pickering
	uin	HL6639
	answer	answer is ministerial correction date of answer 28/03/2023 answer text <p>The National Institute for Health and Care Excellence (NICE) issued guidance in 2018 no longer advising manual ear syringing due to risks associated, such as trauma to the ear drum or infection. NICE guidance suggests alternative arrangements for treatment of excessive ear wax, such as considering ear irrigation using an electronic irrigator, micro suction, or manual removal using a probe. General practitioners follow this guidance and are increasingly recommending self-care methods as the primary means to support the safe removal of ear wax, such as in cases of deafness.</p> answering member printed Lord Markham question first answered 28/03/2023 14:27:31 answering member 4948 label Biography information for Lord Markham
	tabling member	384 label Biography information for Baroness McIntosh of Pickering

1661483

	registered interest
	date	18/09/2023
	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	General Practitioners: Standards
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask His Majesty's Government, with reference to the article Practice under pressure: how can the exodus of GPs be reversed published on 31 August by Dr Imelda McDermott and Dr Sharon Spooner, what plans they have to ensure targets for GPs reflect the real-life needs of patients.
	tabling member printed	Lord Hunt of Kings Heath
	uin	HL10248
	answer	answer is ministerial correction date of answer 18/10/2023 answer text <p>In response to feedback from the profession, work is being undertaken to review the current incentive schemes in primary care, with the aim of making them more focussed and streamlined to give clinicians the flexibility to provide care that is aligned with patient needs. We will consult the profession, patients, and the broader system on primary care incentives this year to inform future reform.</p> answering member printed Lord Markham question first answered 18/10/2023 16:23:48 answering member 4948 label Biography information for Lord Markham
	tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1488904

	registered interest
	date	13/07/2022
	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	General Practitioners: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent estimate he has made of the average length of time people wait between initial contact with a GP surgery and seeing a GP (a) in York and (b) nationally; and whether he is taking steps to help shorten that time.
	tabling member constituency	York Central
	tabling member printed	Rachael Maskell
	uin	36002
	answer	answer is ministerial correction date of answer 19/07/2022 answer text <p>No specific estimate has been made. However, NHS England and NHS Improvement are offering practices an interim telephony solution to access additional outgoing telephone lines. This provides additional capacity for incoming for incoming calls and communication tools to ensure patients are aware of how to access services.</p> answering member constituency Halesowen and Rowley Regis answering member printed James Morris question first answered 19/07/2022 10:56:41 answering member 3992 label Biography information for James Morris previous answer version 13725 answering member constituency Halesowen and Rowley Regis answering member printed James Morris answering member 3992 label Biography information for James Morris
	tabling member	4471 label Biography information for Rachael Maskell

1537446

	registered interest
	date	31/10/2022
	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	General Practitioners: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what progress the Government has made on meeting the target to deliver 50 million extra general practice appointments a year; and what steps he is taking to increase access to a GP in Workington.
	tabling member constituency	Workington
	tabling member printed	Mark Jenkinson
	uin	74918
	answer	answer is ministerial correction date of answer 03/11/2022 answer text <p><strong> </strong>In the 12 months to September 2022, there were an estimated 325.2 million appointments in general practice in England, excluding COVID-19 vaccinations. This is an increase of 7.3% compared to the 12 months to September 2021. On 22 September 2022, we announced ‘Our plan for patients’, which sets out how we will deliver an addition one million appointments this winter and the expectation that patients who need an appointment within two weeks will receive one, with urgent cases being seen on the same day, including in Workington.</p><p>We have committed to publishing practice-level appointment data to assist patients to make an informed choice on the appropriate practice for their needs. We have also set out measures to help patients book appointments more easily and benefit from more options for care, such as community pharmacy. NHS England has offered a short-term telephony solution to all general practitioner (GP) practices, to increase capacity for incoming calls. From December, NHS England will accelerate the delivery of a framework to support all practices to secure cloud-based telephony systems. We will also assist general practices to recruit a range of health professionals to increase appointment capacity, such as GP assistants and advanced practitioners.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 03/11/2022 17:44:51 answering member 4679 label Biography information for Neil O'Brien
	tabling member	4752 label Biography information for Mark Jenkinson

724171

	registered interest
	date	25/04/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the average waiting time was for a GP appointment in (a) Woking constituency, (b) Surrey, (c) the South East and (d) England in each of the last seven years.
	tabling member constituency	Woking
	tabling member printed	Mr Jonathan Lord
	uin	71937
	answer	answer is ministerial correction date of answer 27/04/2017 answer text <p>Information on the average waiting time for general practitioner (GP) appointments at local and national level is not collected or held centrally.</p><p> </p><p>The GP Patient Survey, published by NHS England, asks respondents across England how long it took for them to see a GP or a nurse after contacting their practice. The full set of survey releases can be found here:</p><p> </p><p><a href="https://gp-patient.co.uk/surveys-and-reports" target="_blank">https://gp-patient.co.uk/surveys-and-reports</a></p><p> </p><p>According to the latest release, published in July 2016:</p><p> </p><p>- Almost two in five patients (37.6%) said that they were able to see or speak to someone on the same day as initially contacting the surgery,</p><p>- One in ten (10.7%) saw someone on the next working day,</p><p>- Three in ten patients (29.3%) saw or spoke to someone a few days later,</p><p>- 18.6% waited a week or more to see or speak to someone.</p><p>This does not take account of circumstances where patients express a preference to pre-book an appointment for a later date.</p><p> </p><p>The Government is committed to improving access to general practice. By 2020, everyone will have access to routine evening and weekend appointments.</p><p> </p> answering member constituency Warrington South answering member printed David Mowat question first answered 27/04/2017 07:28:23 answering member 4080 label Biography information for David Mowat
	tabling member	4090 label Biography information for Mr Jonathan Lord

100020

	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	General Practitioners: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what progress has been made on improving access to GPs.
	tabling member constituency	Weaver Vale
	tabling member printed	Graham Evans
	uin	905556
	answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>The Prime Minister’s £50 million Challenge Fund is currently improving general practitioner access for over two million patients across England. This includes offering evening and weekend appointments, as well as better use of technology, such as telehealth, to look after patients. By January, 7.5 million patients will be covered.</p><p> </p><p> </p><p> </p><p>And, we have recently announced another £100 million of funding for next year to improve access for even more patients.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 21/10/2014 15:48:51 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	4081 label Biography information for Lord Evans of Rainow

385858

	registered interest
	date	25/06/2015
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of people in England and Wales are waiting for a week or more for an appointment with a GP; and what steps he is taking to decrease the length of such waits.
	tabling member constituency	Upper Bann
	tabling member printed	David Simpson
	uin	4330
	answer	answer is ministerial correction date of answer 03/07/2015 answer text <p>The data on waiting times to see a general practitioner (GP) in England is not held centrally. The waiting times to see a GP in Wales is a matter for the Welsh Assembly.</p><p> </p><p> </p><p> </p><p>The Prime Minister’s Access Fund has so far invested £175 million (including £25 million from the £1 billion Infrastructure Fund) in 57 schemes in England covering over 2,500 practices. This means that a third of the country (over 18 million patients) will have benefitted from improved access and transformational change at local level by March 2016. These schemes include longer opening times, such as evenings and weekends, but also different ways of accessing services, such as online and by telephone.</p><p> </p> answering member constituency North East Bedfordshire answering member printed Alistair Burt question first answered 03/07/2015 11:38:17 answering member 1201 label Biography information for Alistair Burt
	tabling member	1597 label Biography information for David Simpson

1122732

	registered interest
	date	24/04/2019
	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	General Practitioners: Standards
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what recent estimate he has made of the time taken to obtain non-emergency GP appointments in (a) England and (b) Gloucestershire; and if he will make a statement.
	tabling member constituency	Tewkesbury
	tabling member printed	Mr Laurence Robertson
	uin	246920
	answer	answer is ministerial correction date of answer 29/04/2019 answer text <p>The time between booking an appointment with a general practice and having the appointment (in days) for the practices where data is currently collected in Gloucestershire Clinical Commissioning Group is presented in the following table for the last available published date, February 2019. A 12- month average from March 2018-February 2019 has also been presented along with a comparison to the average across all appointments in England. NHS Digital’s ‘Appointments in General Practice’ data is published monthly with a two-month time lag.</p><p>The appointments data does not differentiate between emergency and routine appointments in general practice and the ‘time from booking to appointment’ does not take into consideration that many patients will be appropriately booking ahead as part of the continuity of care they receive for long-term conditions.</p><p>The data on general practitioner (GP) appointments are from a new data collection and are still experimental therefore the data and collection method are still being refined and improved. Whilst these early datasets published by NHS Digital do not yet represent a comprehensive picture, they are an important key step in understanding pressures on primary care. NHS England, NHS Digital and the government are working closely with GPs to understand how the data on GP appointments can be refined to improve the overall picture of primary care activity.</p><p> </p><p><strong> </strong></p><table><tbody><tr><td><p> </p></td><td><p>Gloucestershire</p></td><td><p>England</p></td><td><p>Gloucestershire</p></td><td><p>England</p></td></tr><tr><td><p>Time between booking an appointment with a general practice and having the appointment (days)</p></td><td colspan="2"><p>February 2019</p></td><td colspan="2"><p>March 2018 to February 2019</p></td></tr><tr><td><p>Same Day</p></td><td><p>38.3%</p></td><td><p>42.3%</p></td><td><p>37.5%</p></td><td><p>42.2%</p></td></tr><tr><td><p>One Day</p></td><td><p>6.2%</p></td><td><p>6.8%</p></td><td><p>6.5%</p></td><td><p>6.8%</p></td></tr><tr><td><p>Two to Seven Days</p></td><td><p>19.2%</p></td><td><p>19.8%</p></td><td><p>20.0%</p></td><td><p>20.1%</p></td></tr><tr><td><p>Eight to 14 Days</p></td><td><p>15.4%</p></td><td><p>14.4%</p></td><td><p>14.8%</p></td><td><p>13.8%</p></td></tr><tr><td><p>15 to 21 Days</p></td><td><p>9.1%</p></td><td><p>7.6%</p></td><td><p>8.6%</p></td><td><p>7.4%</p></td></tr><tr><td><p>22 to 28 Days</p></td><td><p>6.4%</p></td><td><p>5.1%</p></td><td><p>6.4%</p></td><td><p>5.0%</p></td></tr><tr><td><p>More than 28 Days</p></td><td><p>5.4%</p></td><td><p>4.0%</p></td><td><p>6.3%</p></td><td><p>4.7%</p></td></tr><tr><td><p>Total</p></td><td><p>100.0%</p></td><td><p>100.0%</p></td><td><p>100.0%</p></td><td><p>100.0%</p></td></tr></tbody></table><p> </p> answering member constituency South Ribble answering member printed Seema Kennedy question first answered 29/04/2019 14:41:03 answering member 4455 label Biography information for Seema Kennedy
	tabling member	253 label Biography information for Mr Laurence Robertson

64197

	registered interest
	date	26/06/2014
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Standards
	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 reduce waiting times for appointments at GP surgeries.
	tabling member constituency	Tewkesbury
	tabling member printed	Mr Laurence Robertson
	uin	202575
	answer	answer is ministerial correction date of answer 01/07/2014 answer text <p>The Government recognises the importance of timely access to general practice. The Prime Minister's Challenge Fund has allocated £50 million to pilot ways to improve access around the country, to give general practitioners (GPs) the flexibility to meet the needs of the local population. These pilots will benefit more than 7.5 million patients across more than 1,110 practices.</p><p> </p><p>In addition, changes to the GP contract in April 2014 introduced a new Enhanced Service, which includes a commitment to same day telephone consultations with a professional in the GP surgery, where necessary, for the most at risk in the population.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 01/07/2014 15:36:05 answering member 3932 label Biography information for Dr Dan Poulter
	tabling member	253 label Biography information for Mr Laurence Robertson