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759748

	registered interest
	date	12/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Attendance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what plans he has to review the sanctions available to GP practices against patients who repeatedly do not attend appointments.
	tabling member constituency	Milton Keynes South
	tabling member printed	Iain Stewart
	uin	10282
	answer	answer is ministerial correction date of answer 18/09/2017 answer text <p>The National Health Service Constitution states that patients are responsible for keeping appointments or cancelling them within a reasonable time. At present there are no sanctions available for general practitioner practices to manage repeated failure to attend appointments. There are no plans at present to review this.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 18/09/2017 13:38:21 answering member 4067 label Biography information for Steve Brine
	tabling member	4015 label Biography information for Iain Stewart

786399

	registered interest
	date	07/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Attendance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what discussions he has had with Babylon Health on the criteria for that company to refuse to accept patients for the GP appointment trial.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	112050
	answer	answer is ministerial correction date of answer 17/11/2017 answer text <p>The Department and the National Health Service want to ensure that all patients have access to high quality primary care when they need it. Technological advances mean there are now more innovative ways patients can access health services and we are exploring how we can make the most of those.</p><p> </p><p>‘GP at Hand’ is a practice in North West London operating under a general medical services contract. They offer traditional general medical services to patients registered with them. The enhanced model they are implementing now focuses on a digital first service through the use of a mobile app which is provided by Babylon Health.</p><p> </p><p>It also provides in-person services should patients require them at sites in and outside of Hammersmith and Fulham Clinical Commissioning Group area. This is made possible under the national GP Choice Policy enabling patients outside of the practice area to register with the practice. Any practice can register patients outside of their practice area using the GP Choice Policy. It may not be suitable for a patient managing a medical emergency or with complex needs to register with a practice that is not local to them.</p><p> </p><p>NHS England will continue to evaluate the service to ensure it is delivering for all patients who use it.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/11/2017 11:49:15 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders

786382

	registered interest
	date	07/11/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Attendance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what the funding per patient is awarded to Babylon Health as part of its GP appointment trial.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	112146
	answer	answer is ministerial correction date of answer 17/11/2017 answer text <p>“GP at Hand” is a practice operating under the traditional general medical services (GMS) contract. The normal weighted capitation allowances practices receive through a GMS contract remain the same.</p><p> </p><p>Any arrangement the practice have agreed with Babylon Health is commercially sensitive information that remains with the practice.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/11/2017 11:50:30 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders

805285

	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: Attendance
	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 his officials have requested that Dr Jeffries and Partners advise patients with certain conditions to seek advice before registering with the GP at hand service.
	tabling member constituency	Ellesmere Port and Neston
	tabling member printed	Justin Madders
	uin	118957
	answer	answer is ministerial correction date of answer 20/12/2017 answer text <p>In accordance with the general practitioner choice guidance published by NHS England, all practices choosing to register patients who live outside of their practice boundary area should ensure that it is clinically appropriate and practical for a patient to be registered with them.</p><p> </p><p>More information can be found in the document “Guidance on the new out of area patient registration arrangements”. This document can be accessed through the link below:</p><p> </p><p><a href="https://www.england.nhs.uk/wp-content/uploads/2017/10/Guide-out-area-reg-1214.pdf" target="_blank">https://www.england.nhs.uk/wp-content/uploads/2017/10/Guide-out-area-reg-1214.pdf</a></p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 118959 question first answered 20/12/2017 17:20:44 answering member 4067 label Biography information for Steve Brine
	tabling member	4418 label Biography information for Justin Madders

806185

	registered interest
	date	13/12/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Attendance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what proportion of patients had access to evening and weekend GP appointments in (a) March 2017 and (b) October 2017.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	119386
	answer	answer is ministerial correction date of answer 21/12/2017 answer text <p>In keeping with the National Health Service Operational Planning and Contract Guidance 2016, clinical commissioning groups (CCGs) have put in place plans to ensure full national coverage by March 2019.</p><p> </p><p>Data is not available for March and October 2017 yet, however, planned rollout trajectory from the initial CCG plans collated at the beginning of the year is detailed below. This is split into two 6 month periods labelled H1 (projected number as at 30 September 2017) and H2 (projected number as at 31 March 2018) for 2017/18.</p><p> </p><table><tbody><tr><td><p><strong> </strong></p></td><td colspan="2"><p>H1 2017/18</p></td><td colspan="2"><p>H2 2017/18</p></td></tr><tr><td><p><strong> </strong></p></td><td colspan="2"><p>(Number of CCGs / % CCGs)</p></td><td colspan="2"><p>(Number of CCGs / % CCGs)</p></td></tr><tr><td><p>Total coverage</p></td><td><p>82</p></td><td><p>46%</p></td><td><p>106</p></td><td><p>51%</p></td></tr></tbody></table> answering member constituency Winchester answering member printed Steve Brine question first answered 21/12/2017 16:33:56 answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

984599

	registered interest
	date	09/10/2018
	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: Attendance
	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 he has made of the cost of missed GP appointments to the NHS in (a) Medway and (b) England in the most recent year for which data is available.
	tabling member constituency	Gillingham and Rainham
	tabling member printed	Rehman Chishti
	uin	177272
	answer	answer is ministerial correction date of answer 17/10/2018 answer text <p>Information on the number and cost of missed general practitioner (GP) appointments is not collected or held centrally. Costs associated with GP appointments are determined by a range of locally determined factors including appointment duration, the workforce requirement and the clinical complexity of each appointment.</p><p> </p><p>NHS England advises that Medway Clinical Commissioning Group is taking forward a number of initiatives to reduce missed GP appointments, including encouraging patients to sign-up to a text message service, and to make greater use of its Patient Online app and website; as well as working with practices to agree guidance on managing Do Not Attends.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 17/10/2018 13:45:53 answering member 4067 label Biography information for Steve Brine
	tabling member	3987 label Biography information for Rehman Chishti

1013144

	registered interest
	date	23/11/2018
	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: Attendance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what proportion of patients had access to evening and weekend GP appointments at (a) March 2018 and (b) October 2018.
	tabling member constituency	Leicester South
	tabling member printed	Jonathan Ashworth
	uin	195069
	answer	answer is ministerial correction date of answer 05/12/2018 answer text <p>The Government has committed to ensuring that everyone can see their general practitioner at a convenient time by increasing the availability of routine appointments in general practice in the evening and at the weekend.</p><p> </p><p>By March 2019, all clinical commissioning groups (CCGs) should provide extended access to general practice for the whole of their registered population, subject to local demand. This includes ensuring that access is available during peak times of demand, including bank holidays and across the Easter, Christmas and New Year periods. This deadline was brought forward to 1 October 2018 in the latest National Health Service planning guidance, which was published by NHS England in February 2018, to ensure additional capacity is in place ahead of winter 2018.</p><p> </p><p>The delivery of the commitment is assessed in two ways, which use different measures of extended access.</p><p> </p><p>The first measure relies on NHS England’s bi-annual survey of extended access, which collects data direct from general practices. This showed that, in September 2018, full extended access was available to 30.8 million registered patients, comprising 55.3% of all registered patients in England. This represents widening of coverage since March 2018, when the previous bi-annual survey found that full extended access was available to 22.6 million, or (39.7%) registered patients. The next bi-annual survey, to be published in April 2019, will show the extent of coverage in March 2019.</p><p> </p><p>The second measure uses the General Practice Forward View Monitoring Survey, which is a monthly return from CCGs that covers all extended access provision, including that delivered via extended access hubs. The results are published via the CCG Improvement and Assessment Framework. The latest data show that, in August 2018, full extended access was available to 40 million registered patients comprising 68% of the registered patient population. This also represents a widening of access relative to March 2018, when full extended access was available to 35.4 million registered patients, comprising 61% of the registered patient population. Data for September and October 2018 are not yet available.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 05/12/2018 12:29:06 answering member 4067 label Biography information for Steve Brine previous answer version 87857 answering member constituency Winchester answering member printed Steve Brine answering member 4067 label Biography information for Steve Brine
	tabling member	4244 label Biography information for Jonathan Ashworth

758191

	registered interest
	date	06/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Attendance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, how many did-not-attends and drop-outs from appointments occurred in GP practices in (a) Barnsley and (b) England in each of the last 12 months.
	tabling member constituency	Barnsley East
	tabling member printed	Stephanie Peacock
	uin	9124
	answer	answer is ministerial correction date of answer 14/09/2017 answer text <p>NHS England does not currently hold information on the number of patients who did not attend general practitioner (GP) appointments on either a local or national level. NHS England has directed NHS Digital to gather this information as a part of a new national collection of GP workload information. This collection will begin shortly.</p><p> </p><p>NHS England has not issued guidance on minimising missed GP appointments. This is tackled on a local level as GP practices are best placed to understand the needs of their patients.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 9125 question first answered 14/09/2017 14:24:49 answering member 4067 label Biography information for Steve Brine
	tabling member	4607 label Biography information for Stephanie Peacock

758190

	registered interest
	date	06/09/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Attendance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what guidance NHS England publishes on minimising GP appointment drop-outs and did-not-attends.
	tabling member constituency	Barnsley East
	tabling member printed	Stephanie Peacock
	uin	9125
	answer	answer is ministerial correction date of answer 14/09/2017 answer text <p>NHS England does not currently hold information on the number of patients who did not attend general practitioner (GP) appointments on either a local or national level. NHS England has directed NHS Digital to gather this information as a part of a new national collection of GP workload information. This collection will begin shortly.</p><p> </p><p>NHS England has not issued guidance on minimising missed GP appointments. This is tackled on a local level as GP practices are best placed to understand the needs of their patients.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 9124 question first answered 14/09/2017 14:24:49 answering member 4067 label Biography information for Steve Brine
	tabling member	4607 label Biography information for Stephanie Peacock