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750163

	registered interest
	date	10/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	GP Surgeries: Repairs and Maintenance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, what assessment his Department has carried out to ensure that the proposed £1,000 financial assistance offered to GP practices which accept the full repairing lease contract will be sufficient to cover the legal and survey work associated with those leases.
	tabling member constituency	Bristol West
	tabling member printed	Thangam Debbonaire
	uin	4033
	answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>The £1,000 + VAT offered to general practitioner practices is intended to assist with the legal fees associated with documenting a lease. The calculation is based on the fact that the ‘template’ lease has already been negotiated and agreed with NHS Property Services and the British Medical Association, which minimises negotiations with practices.</p><p> </p><p>The nature of lease – either Full Repairing and Insuring or Internal Repairs – determines the level of reimbursement for the current market rent. This includes both the lease rent and an element for upkeep of the tenanted areas. This is set out in the Premises Costs Directions 2013.</p><p> </p><p>Ultimately, it is for the landlord and tenant to agree the terms of any lease to suit their specific circumstances.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4036 question first answered 13/07/2017 13:05:44 answering member 4067 label Biography information for Steve Brine
	tabling member	4433 label Biography information for Thangam Debbonaire

750164

	registered interest
	date	10/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	General Practitioners: Finance
	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 Carr-Hill funding formula for GP practices with atypical populations.
	tabling member constituency	Bristol West
	tabling member printed	Thangam Debbonaire
	uin	4034
	answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>NHS England recognises that atypical practices with a significantly skewed patient population will not necessarily have their workload reflected through the Carr-Hill Formula. It is for this reason that NHS England is exploring the additional demands on atypical practices, testing out in the first instance, the experiences of practices that serve university populations, practices with significant number of non-English speaking patients, and practices operating within remote or isolated areas.</p><p> </p><p>Commissioner guidance was published in December 2016 and further analysis of the workload implications is being undertaken.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/07/2017 11:47:14 answering member 4067 label Biography information for Steve Brine
	tabling member	4433 label Biography information for Thangam Debbonaire

750166

	registered interest
	date	10/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	GP Surgeries: Repairs and Maintenance
	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 effect on GP funding of the proposed full repairing leases offered to GP surgeries.
	tabling member constituency	Bristol West
	tabling member printed	Thangam Debbonaire
	uin	4036
	answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>The £1,000 + VAT offered to general practitioner practices is intended to assist with the legal fees associated with documenting a lease. The calculation is based on the fact that the ‘template’ lease has already been negotiated and agreed with NHS Property Services and the British Medical Association, which minimises negotiations with practices.</p><p> </p><p>The nature of lease – either Full Repairing and Insuring or Internal Repairs – determines the level of reimbursement for the current market rent. This includes both the lease rent and an element for upkeep of the tenanted areas. This is set out in the Premises Costs Directions 2013.</p><p> </p><p>Ultimately, it is for the landlord and tenant to agree the terms of any lease to suit their specific circumstances.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4033 question first answered 13/07/2017 13:05:44 answering member 4067 label Biography information for Steve Brine
	tabling member	4433 label Biography information for Thangam Debbonaire

751235

	registered interest
	date	12/07/2017
	answering body	HM Treasury
	answering dept id	14
	answering dept short name	Treasury
	answering dept sort name	CaTreasury
	hansard heading	Economic Situation
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask Mr Chancellor of the Exchequer, what estimate he has made of the economic effect of the enforcement of immigration policy on businesses in the last 12 months.
	tabling member constituency	Bristol West
	tabling member printed	Thangam Debbonaire
	uin	4656
	answer	answer is ministerial correction date of answer 17/07/2017 answer text <p>The Treasury has not made any formal assessment of the economic effect of immigration enforcement on business.</p><p> </p> answering member constituency North East Cambridgeshire answering member printed Stephen Barclay question first answered 17/07/2017 11:05:34 answering member 4095 label Biography information for Steve Barclay
	tabling member	4433 label Biography information for Thangam Debbonaire

750165

	registered interest
	date	10/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	GP Surgeries: Service Charges
	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 effect of increased service charges on GP surgeries which lease their buildings from NHS Property Services.
	tabling member constituency	Bristol West
	tabling member printed	Thangam Debbonaire
	uin	4035
	answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>NHS England confirmed the introduction of the market rent model, applying the property sector’s standard method of charging, to the National Health Service in January 2016. It was part of a long-planned move across the public sector to improve utilisation and value for money in property occupancy by putting publicly-owned property on a level with privately-owned alternatives.</p><p> </p><p>The Department agrees that understanding the real cost of running public service buildings has benefits for tenants and the wider NHS:</p><p> </p><p>- It helps the NHS understand the true cost of occupation and reflect these transparently;</p><p>- It informs decisions about the best location for services and investment; and</p><p>- It drives better and more efficient use of space.</p><p>Customer invoices should be based on accurate property information. This includes the precise amount of space used, as well as reflecting an assessment of the facilities provided for that space, e.g. cleaning, reception services and maintenance. This data was not always available in predecessor Primary Care Trust or Strategic Health Authority records.</p><p>NHS Property Services owns only a small proportion of general practitioner (GP) surgeries in England and its approach is consistent with the way those with private sector landlords are treated. The company has endeavoured to improve the quality of its property data and to negotiate and agree lease terms with customers, providing them with the assurance they require. Transparently agreeing precise occupancy details is one reason why some GPs, are</p><p>seeing their costs increase, while others have seen a reduction. NHS Property Services recognises a requirement from its customers to explain any billing changes fully and accurately. It shares their wish to make invoicing totally transparent and is focussed on this quality improvement work.</p><p> </p><p>Within the Premises Cost Direction 2013 under sections 46 and 47 there is the facility for the GP to apply to NHS England for transitional funding related to large increases to service charges.</p><p> </p><p>It is only by improved understanding of the true costs that better informed decisions about the best location for NHS services can be made, as well as also encouraging the most efficient use of NHS space – both of which are important elements of securing best value for taxpayers from the health service estate.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/07/2017 12:44:17 answering member 1542 label Biography information for Philip Dunne
	tabling member	4433 label Biography information for Thangam Debbonaire

750176

	registered interest
	date	10/07/2017
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	GP Surgeries: Repairs and Maintenance
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health, on what basis the deadline of October 2017 has been set for GP surgeries to agree full repairing leases with NHS Property Services.
	tabling member constituency	Bristol West
	tabling member printed	Thangam Debbonaire
	uin	4037
	answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>The Full Repairing and Insuring Lease is a standard, recognised property industry lease and as such is put forward as a starting point in the Standard Lease Agreement agreed between NHS Property Services (NHS PS) and the British Medical Association in 2016.</p><p> </p><p>NHS England has committed to a date of 30 November 2017 by which it will offer certain additional benefits to general practitioner practices which enter into a Lease. These are as follows:</p><p> </p><p>- NHS England will reimburse Stamp Duty Land Tax for an initial term of up to 15 years;</p><p>- NHS England will reimburse legal fees for conveyancing up to a maximum of £1,000, plus VAT; and</p><p>- NHS England will reimburse the Management Fee for Service Charges for both 2016/17 and 2017/18.</p><p> </p><p>NHS PS is working with all GP practices to facilitate outcomes which work for both parties in all cases, using the framework as outlined by NHS England.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/07/2017 12:51:36 answering member 1542 label Biography information for Philip Dunne
	tabling member	4433 label Biography information for Thangam Debbonaire