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845650

registered interest
date	20/02/2018
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what the process is by which the GP access allocation for clinical commissioning groups is determined.
tabling member constituency	Shrewsbury and Atcham
tabling member printed	Daniel Kawczynski
uin	128622
answer	answer is ministerial correction date of answer 28/02/2018 answer text <p>The weighted population of each clinical commissioning group (CCG) was used to determine the general practitioner (GP) access allocation. The NHS England Technical Guide to Allocation Formulae and Pace of Change, for 2016-17 to 2020-21 revenue allocations to CCGs and commissioning areas (published April 2016) was used to forecast CCG allocations until 2020/21. This document explains the rationale behind the projection and the Office for National Statistics forecast to calculate the registered and weighted populations for five years.</p><p> </p><p>There were two exceptions:</p><p> </p><p>- London, given some of the unique characteristics of London, the allocation (whilst still weighted) for London schemes was made available for deployment across the whole of the geographical area to support improvements; and</p><p> </p><p>- Manchester, with its devolved status secured a top slice of the GP access allocation budget for each financial year in the current settlement review period.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 28/02/2018 13:09:51 answering member 4067 label Biography information for Steve Brine
tabling member	1566 label Biography information for Daniel Kawczynski

839187

registered interest
date	08/02/2018
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what guidance his Department has issued to GPs to promote participation in sport to their patients.
tabling member constituency	West Bromwich East
tabling member printed	Tom Watson
uin	127745
answer	answer is ministerial correction date of answer 23/02/2018 answer text <p>In 2017 Public Health England and Sport England established a co-funded, multi-component partnership called the Moving Healthcare Professional Programme (MHPP) which increases awareness and skills of health professionals to embed activity within routine care.</p><p> </p><p>A component of MHPP includes the peer-to-peer Clinical Champions work-stream which is focused on developing the skills of health professionals to deliver brief advice on physical activity as part of routine care. This programme has trained over 5,000 healthcare professionals across the whole programme, the majority of whom are general practitioners in training.</p><p> </p><p>In 2013, the National Institute for Health and Care Excellence published guidance recommending that healthcare professionals integrate brief advice on physical activity into routine clinical practice.</p><p> </p><p>The United Kingdom Chief Medical Officers’ guidelines for physical activity include daily or weekly quantities of physical activity of at least moderate intensity, for example 150 minutes per week for adults.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 23/02/2018 12:50:13 answering member 4067 label Biography information for Steve Brine
tabling member	1463 label Biography information for Lord Watson of Wyre Forest

838284

registered interest
date	07/02/2018
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
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether it is the policy of NHS England to require a person to provide photographic ID to register with a GP.
tabling member constituency	Leeds Central
tabling member printed	Hilary Benn
uin	127179
answer	answer is ministerial correction date of answer 26/02/2018 answer text <p>NHS England’s policy ‘Patient Registration, Standard Operating Principles for Primary Medical Care (General Practice)’ states that:</p><p>“When applying to become a patient there is no regulatory requirement to prove identity, address, immigration status or the provision of an NHS number in order to register. However, there are practical reasons why a practice might need to be assured that people are who they say they are, or to check where they live, so it can help the process if a patient can provide relevant documents. There is however no contractual requirement to request this nor is establishing an individual’s identity the role of General Practice.</p><p>Any practice policy to ask for patient ID should be applied in a non-discriminatory fashion. This means the policy should apply to all prospective patients equally.”</p><p> </p><p>As there is no requirement under the regulations to produce identity or residence information, the patient must be registered on application unless the practice has reasonable grounds to decline.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 26/02/2018 17:00:42 answering member 4067 label Biography information for Steve Brine
tabling member	413 label Biography information for Hilary Benn

837848

registered interest
date	06/02/2018
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
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 steps he has taken to help reduce the workload on GPs.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	126879
answer	answer is ministerial correction date of answer 08/02/2018 answer text <p>The General Practice Forward View (GP Forward View) commits to an extra £2.4 billion a year to support general practice services by 2020/21. This is available at:</p><p> </p><p><a href="https://www.england.nhs.uk/gp/gpfv/" target="_blank">https://www.england.nhs.uk/gp/gpfv/</a></p><p> </p><p>As part of this package NHS England is investing £500 million in a national sustainability and transformation package to support GP practices, which includes plans to reduce workload. The plan was developed with the Royal College of General Practitioners and Health Education England.</p><p> </p><p>In early 2016, NHS England launched the 10 high impact actions to release time for care including: active signposting for patients to the most appropriate help; new consultation types; reducing the number of Do Not Attends appointment slots; developing the team; introducing new ways of working which enable staff to work smarter; supporting staff to develop; partnership working; social prescribing such as referring and signposting to non-medical services that support wellbeing; supporting self-care for patients, and developing Quality Improvement expertise. The Time for Care programme provides support for groups of practices to implement these actions.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 08/02/2018 17:07:25 answering member 4067 label Biography information for Steve Brine
tabling member	4131 label Biography information for Jim Shannon

830008

registered interest
date	24/01/2018
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
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 his Department has made of the number and proportion of people who were unable to secure within a week an appointment with a GP since January 2017; and what assessment he has made of the effect of the level of access to GPs on attendance at accident and emergency departments since January 2017.
tabling member constituency	Hampstead and Kilburn
tabling member printed	Tulip Siddiq
uin	124729
answer	answer is ministerial correction date of answer 01/02/2018 answer text <p>The latest GP Patient Survey which surveyed patients over January - March 2017 found that 20% of respondents waited a week or more to see or speak to someone.</p><p> </p><p>Of these, 36% wanted to be seen sooner, 32% wanted to wait a week or more before seeing a general practitioner (GP) or nurse and 31% said they did not have a specific day in mind for their appointment.</p><p> </p><p>In relation to impact on accident and emergency, 19% of respondents to the GP survey said that they either were not able to get an appointment or were not offered an appointment at a convenient time. Of these, 4.7% went to an accident and emergency department instead. This amounts to 0.8% of all respondents to the survey.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 01/02/2018 11:41:59 answering member 4067 label Biography information for Steve Brine
tabling member	4518 label Biography information for Tulip Siddiq

824675

registered interest
date	17/01/2018
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
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 he has to simplify funding streams for general practice.
tabling member constituency	North Cornwall
tabling member printed	Scott Mann
uin	123476
answer	answer is ministerial correction date of answer 25/01/2018 answer text <p>NHS England is responsible for payments to general practices for the provision of National Health Service primary medical services. The majority of general practitioner practices operate under General Medical Service (GMS) contract arrangements. Typically, at least half of the money that a GMS practice receives is in the form of the ‘global sum’, derived through the Carr-Hill Formula.</p><p> </p><p>NHS England is working with the British Medical Association to review the Carr-Hill funding formula for general practice and has begun a review of the Quality and Outcomes Framework. Implementation of any changes will need careful planning so that they do not threaten stability or cause financial uncertainty for practices.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 25/01/2018 13:49:23 answering member 4067 label Biography information for Steve Brine
tabling member	4496 label Biography information for Scott Mann

810502

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

806517

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

806681

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

805283

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