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77420

registered interest
date	11/07/2014
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 guidance his Department issues to GPs on the use of telephone diagnosis.
tabling member constituency	Copeland
tabling member printed	Mr Jamie Reed
uin	205393
answer	answer is ministerial correction date of answer 16/07/2014 answer text <p>The means by which a general practitioner (GP) consultation is conducted is entirely a matter for the practice and for the GP's clinical judgement. NHS England do not advise practices on the best means of diagnosis. However they would support the use of telephone consultation as it is a service that is valued by many patients and for some patients it would be their preferred method of receiving a service from the GP.</p><p> </p><p>The Prime Minister's £50 million Challenge Fund will help over 1,100 practices, covering 7.5 million people, to develop new ways of improving GP access. This includes better access to GPs in evenings and at weekends and greater use of telephone, email and video consultations.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 16/07/2014 12:52:00 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	1503 label Biography information for Mr Jamie Reed

77145

registered interest
date	10/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Better Care Fund
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what steps he has taken to ensure the exercise of local discretion in the use of the Better Care Fund.
tabling member constituency	Sheffield, Heeley
tabling member printed	Meg Munn
uin	205265
answer	answer is ministerial correction date of answer 15/07/2014 answer text <p>The Better Care Fund has been set up to ensure considerable local discretion. Each plan is developed by local authorities and clinical commissioning groups before being approved by the local health and wellbeing board, to ensure that it is line with local priorities as articulated in joint health and wellbeing strategies. Local areas also have the discretion to put more money than the minimum allocation into the joint fund if this is in the best interest of the community they serve.</p><p><strong> </strong></p><p>This is the biggest ever investment in integrated care and it is important that investing in new community-based services does not destabilise existing health and care provision in the short term. The Government has put in place some national conditions – for example protection of social care services, seven day services to support discharge, an accountable lead professional to coordinate care for those at high risk of hospital admissions - as well as a payment for performance element that links payments to achieving good outcomes for local people while sharing financial risk across health and social care commissioners.</p><p> </p><p>Local commissioners, with their partners, are best placed to make decisions about how best to make integrated care a reality in their area. These national conditions are proportionate and allow local discretion whilst ensuring best use of public money to support integrated care for improved outcomes.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 15/07/2014 13:29:09 answering member 1439 label Biography information for Norman Lamb
tabling member	1448 label Biography information for Meg Munn

77146

registered interest
date	10/07/2014
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 general practitioners (a) excluding retainers and registrars, (b) including retainers but excluding registrars there were in (i) 2009-10 and (ii) 2013-14.
tabling member constituency	Liverpool, Wavertree
tabling member printed	Luciana Berger
uin	205201
answer	answer is ministerial correction date of answer 15/07/2014 answer text <p>The annual National Health Service General and Personal Medical Services workforce census, published by the Health and Social Care Information Centre, shows the numbers of general practitioners working in the National Health Service in England at 30 September each year.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 15/07/2014 14:19:10 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name PQ205201 - Table - GP Numbers.xlsx title GP Numbers
tabling member	4036 label Biography information for Luciana Berger

77150

registered interest
date	10/07/2014
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 a GP surgery on an Alternative Provider Medical Services contract can transfer onto a General Medical Services contract without a tendering exercise.
tabling member constituency	Hyndburn
tabling member printed	Graham Jones
uin	205128
answer	answer is ministerial correction date of answer 15/07/2014 answer text <p>There is no automatic right for a contractor holding an Alternative Provider Medical Services (APMS) contract to transfer to a General Medical Services contract.</p><p> </p><p>It is for a commissioner to decide on the appropriate process for the award of a new contract for clinical services in accordance with the National Health Service (Procurement, Patient Choice and Competition) (No.2) Regulations 2013. There is no requirement to competitively tender all health care service contracts under the regulations and decisions will be based on the local circumstances. Monitor has published guidance for commissioners to support their decision making and is able to provide further advice when requested.</p><p> </p><p>In addition, the provider would need to satisfy the eligibility criteria set out in the National Health Service (General Medical Services Contracts) Regulations 2004. It is not necessarily the case that the holder of an APMS contract will satisfy all of these eligibility requirements.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 15/07/2014 14:53:46 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	3999 label Biography information for Graham P Jones

77152

registered interest
date	10/07/2014
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 GP surgeries in (a) England, (b) Lancashire and (c) Hyndburn constituency are on (i) an Alternative Provider Medical Services contract and (ii) General Medical Services contracts.
tabling member constituency	Hyndburn
tabling member printed	Graham Jones
uin	205129
answer	answer is ministerial correction date of answer 15/07/2014 answer text <p>The requested information is contained in the following table.</p><p> </p><p> </p><table><tbody><tr><td> </td><td> </td><td><p>2010</p></td><td><p>2011</p></td><td><p>2012</p></td><td><p>2013<sup>1</sup></p></td></tr><tr><td colspan="2"><p>England</p></td><td> </td><td> </td><td> </td><td><p> </p></td></tr><tr><td> </td><td><p>General Medical Services (GMS) Practices</p></td><td><p>4,538</p></td><td><p>4,581</p></td><td><p>4,458</p></td><td><p>4,345</p></td></tr><tr><td> </td><td><p>Alternative Provider Medical Services (APMS) Practices</p></td><td><p>262</p></td><td><p>276</p></td><td><p>260</p></td><td><p>271</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td><p> </p></td></tr><tr><td> </td><td><p>North West Strategic Health Authority</p></td><td> </td><td> </td><td> </td><td><p> </p></td></tr><tr><td> </td><td><p>GMS Practices</p></td><td><p>787</p></td><td><p>793</p></td><td><p>768</p></td><td><p>..</p></td></tr><tr><td> </td><td><p>APMS Practices</p></td><td><p>57</p></td><td><p>60</p></td><td><p>53</p></td><td><p>..</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td><p> </p></td></tr><tr><td> </td><td><p>Lancashire Area Team</p></td><td> </td><td> </td><td> </td><td><p> </p></td></tr><tr><td> </td><td><p>GMS Practices</p></td><td><p>..</p></td><td><p>..</p></td><td><p>..</p></td><td><p>162</p></td></tr><tr><td> </td><td><p>APMS Practices</p></td><td><p>..</p></td><td><p>..</p></td><td><p>..</p></td><td><p>7</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td><p> </p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td><p> </p></td></tr><tr><td> </td><td><p>East Lancashire Teaching Primary Care Trust (PCT)</p></td><td> </td><td> </td><td> </td><td><p> </p></td></tr><tr><td> </td><td><p>GMS Practices</p></td><td><p>47</p></td><td><p>47</p></td><td><p>45</p></td><td><p>..</p></td></tr><tr><td> </td><td><p>APMS Practices</p></td><td><p>2</p></td><td><p>2</p></td><td><p>2</p></td><td><p>..</p></td></tr><tr><td> </td><td> </td><td> </td><td> </td><td> </td><td><p> </p></td></tr><tr><td> </td><td><p>NHS East Lancashire clinical commissioning group (CCG)</p></td><td> </td><td> </td><td> </td><td><p> </p></td></tr><tr><td> </td><td><p>GMS Practices</p></td><td><p>..</p></td><td><p>..</p></td><td><p>..</p></td><td><p>44</p></td></tr><tr><td> </td><td><p>APMS Practices</p></td><td><p>..</p></td><td><p>..</p></td><td><p>..</p></td><td><p>2</p></td></tr><tr><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td><td><p> </p></td></tr></tbody></table><p><strong> </strong></p><p><strong> </strong></p><p><sup>1</sup>Hyndburn constituency was held within and serviced by East Lancashire Teaching PCT in 2010-2012 and by NHS East Lancashire Clinical Commissioning Group in 2013. Prior to the formation of the Area Teams in April 2013, the region of Lancashire was contained within the North West Strategic Health Authority</p><p> </p><p>'..' denotes not applicable</p><p> </p><p><em>Notes:</em></p><p>Data as at 30 September in each year</p><p>GP workforce statistics are not available at constituency level; figures are shown for those NHS Organisations in operation at the time of the relevant census</p><p> </p><p>Data Quality:</p><p>The Health and Social Care Information Centre seeks to minimise inaccuracies and the effect of missing and invalid data but responsibility for data accuracy lies with the organisations providing the data. Methods are continually being updated to improve data quality where changes impact on figures already published. This is assessed but unless it is significant at national level figures are not changed. Impact at detailed or local level is footnoted in relevant analyses.</p><p> </p><p>Further details and definitions of GP Practice contracts can be found in our annual Census publication:</p><p> </p><p>http://www.hscic.gov.uk/catalogue/PUB13849</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 15/07/2014 14:48:35 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	3999 label Biography information for Graham P Jones

77154

registered interest
date	10/07/2014
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 GP surgeries in (a) England, (b) Lancashire and (c) Hyndburn constituency have transferred from an Alternative Provider Medical Services contract to a General Medical Services contract since 2010.
tabling member constituency	Hyndburn
tabling member printed	Graham Jones
uin	205130
answer	answer is ministerial correction date of answer 15/07/2014 answer text <p>The requested information is contained in the attached table.</p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 15/07/2014 14:45:49 answering member 3932 label Biography information for Dr Dan Poulter attachment 1 file name PQ205130 - Table.docx title Table
tabling member	3999 label Biography information for Graham P Jones

77158

registered interest
date	10/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Hearing Aids
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what guidance his Department has issued to clinical commissioning groups on the provision of hearing aids free at the point of delivery for patients with mild to moderate hearing loss.
tabling member constituency	Eastbourne
tabling member printed	Stephen Lloyd
uin	205037
answer	answer is ministerial correction date of answer 15/07/2014 answer text <p>The Department does not issue advice toclinical commissioning groups (CCGs) on hearing aid provision.</p><p> </p><p>Local commissioners are responsible for commissioning the provision of hearing aids for mild to moderate hearing loss, based on the needs of their local population. In doing so, CCGs take into consideration relevant clinical guidance, which may include guidance from appropriate national bodies such as the National Institute for Health and Care Excellence.</p><p> </p> answering member constituency North Norfolk answering member printed Norman Lamb question first answered 15/07/2014 13:34:02 answering member 1439 label Biography information for Norman Lamb
tabling member	3968 label Biography information for Stephen Lloyd

77159

registered interest
date	10/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Health Services: Private Sector
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what recent assessment his Department has made of the (a) effectiveness and (b) value for money of independent sector treatment centres.
tabling member constituency	Bradford East
tabling member printed	Mr David Ward
uin	205114
answer	answer is ministerial correction date of answer 15/07/2014 answer text <p>The Department has not carried out a recent formal assessment of the effectiveness and value for money of independent sector treatment centres (ISTCs). Since 1 April 2013 remaining ISTC contracts have been transferred to NHS England. There are six remaining contracts, two of which expire on 31 March 2015 and a further two expiring 31 October 2015. While NHS England continues to make monthly payments to ISTC providers under the remaining contracts and maintains on-going monthly reporting of value paid to providers, day to day management of the contracts is carried out by local commissioners who have responsibility for budgets and driving value from the contracts.</p><p> </p><p>As three of the contracts have guaranteed minimum amounts paid to providers the payment to providers can be greater than the sum of the contract price, multiplied by activity, for each type of activity delivered. Reporting for the latest month of activity analysed, May 2014, shows a 99% value being achieved in that month with the shortfall arising from two contracts covering elective care activity in the South West and Manchester.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 15/07/2014 15:53:10 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	3923 label Biography information for Mr David Ward

77163

registered interest
date	10/07/2014
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Alcoholism and Drugs: Rehabilitation
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, how much each local authority with public health responsibilities in England spent on (a) drug treatment, (b) alcohol treatment and (c) in total in each of the last three financial years; and how much each body is expected to spend in each of the next two years.
tabling member constituency	Kingston upon Hull North
tabling member printed	Diana Johnson
uin	205119
answer	answer is ministerial correction date of answer 15/07/2014 answer text <p>A breakdown of drug treatment funding for 2012-13, including allocations to local areas has been placed in the Library and can be found at the Public Health England alcohol and drugs website:</p><p> </p><p>www.nta.nhs.uk/news-2012-ptb.aspx</p><p> </p><p>In 2012-13, alcohol services were funded from primary care trusts mainstream budgets. As there were no central reporting requirements, there is no equivalent alcohol funding figure.</p><p> </p><p>As part of conditions attached to the Public Health Grant, the Department for Communities and Local Government (DCLG) requires local authorities to report projected and actual spend on an annual basis. There are categories for spending on adult drug treatment, adult alcohol treatment and young people's substance misuse interventions.</p><p> </p><p>Local authority spending forecasts against these categories in 2013-14 have been published by the DCLG. The figures are available in the table ‘Revenue account (RA) budget 2013 to 2014', which has been placed in the library and is also available on the gov.uk website:</p><p> </p><p>https://www.gov.uk/government/publications/local-authority-revenue-expenditure-and-financing-england-2013-to-2014-individual-local-authority-data</p><p> </p><p>However, not all local authorities submitted their forecasts, so these figures are incomplete. DCLG will publish figures on actual spend later this year.</p><p> </p><p>Equivalent figures for projected and actual spend for 2014-15 and subsequent years are not yet available.</p><p> </p> answering member constituency Battersea answering member printed Jane Ellison attachment 1 file name PQ205119 - Lib Doc - Table - Part 1.xls title Drug Funding 2012-13 2 file name PQ205119 - Lib Doc - Table - Part 2.xls title Revenue Account Budget 2013-14 question first answered 15/07/2014 16:14:22 answering member 3918 label Biography information for Jane Ellison
tabling member	1533 label Biography information for Dame Diana Johnson

77164

registered interest
date	10/07/2014
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, pursuant to the Answer of 3 July 2014, Official Report, column 704W, on general practitioners, what estimate he has made of the effect of projected population growth from overseas immigration on the demand for GP services over the next 10 years.
tabling member constituency	Birkenhead
tabling member printed	Mr Frank Field
uin	205120
answer	answer is ministerial correction date of answer 15/07/2014 answer text <p>NHS England has advised that they are not undertaking any work to estimate the impact of immigration on the numbers of general practitioners (GPs)(or other health services). However, there may be local work being carried out by clinical commissioning groups to ensure they can plan for a growing population.</p><p> </p><p>The Department commissioned the Centre for Workforce Intelligence to conduct an in-depth review of the GP workforce. The report will be published shortly and will build on the preliminary findings published in March 2013.</p><p> </p><p>The review will assess:</p><p>- current workforce numbers to forecast supply;</p><p>- key drivers affecting workforce demand; and</p><p>- regional variations in demand.</p><p> </p><p>The review will make recommendations for future workforce planning. It will also address issues such as GP workload and the 2015 recruitment target and beyond, as well as wider issues around primary care delivery.</p><p> </p> answering member constituency Central Suffolk and North Ipswich answering member printed Dr Daniel Poulter question first answered 15/07/2014 14:50:20 answering member 3932 label Biography information for Dr Dan Poulter
tabling member	478 label Biography information for Lord Field of Birkenhead