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1551500

registered interest
date	14/12/2022
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	Patient Choice Schemes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure freedom of choice of GP for patients.
tabling member constituency	Strangford
tabling member printed	Jim Shannon
uin	110908
answer	answer is ministerial correction date of answer 22/12/2022 answer text <p>Patients can apply to register with the general practitioner (GP) practice of their choice. All practices are required to assign to registered patients a named, accountable GP to ensure that any necessary services the practice is contracted to provide are coordinated and delivered for patients. Practices must make reasonable efforts to accommodate patients’ requests to be assigned a specific accountable GP and endeavour to comply with all reasonable requests to see a particular practitioner. However, patients may have the choice between a named GP or increased speed of access. The right to choose a GP practice and to express a preference for a particular doctor within that practice are reflected in the NHS Constitution.</p><p>We have also committed to publish practice-level appointment data, which will improve transparency on the performance of a GP practice and allow patients to make informed choices when registering.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 22/12/2022 11:43:40 answering member 4679 label Biography information for Neil O'Brien
tabling member	4131 label Biography information for Jim Shannon

1542082

registered interest
date	14/11/2022
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	Patient Choice Schemes
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 proportion of patients who were offered a choice of where they received their NHS consultant-led treatment in each year since 2015.
tabling member printed	Lord Warner
uin	HL3395
answer	answer is ministerial correction date of answer 01/12/2022 answer text <p>This information is not held in the format requested. However, NHS Digital has collected data on the proportion of patients offered a choice of provider for elective referrals from those who responded to the Manage Your Referral (MYR) NHS e-Referral Service (e-RS) Survey. The MYR e-RS Survey enables patients who have used e-RS for elective referrals for directly bookable services to record their experience of being offered a choice of elective care provider. These results are available to integrated care boards and NHS England to review, assure and improve in order to meet its responsibilities related to patient choice.</p><p>The following table shows the responses received to the question “When you agreed to be referred to a specialist, did you talk about the different hospitals or services you could go to?” in each year since 2018.</p><table><tbody><tr><td><p>Year</p></td><td><p>Yes</p></td><td><p>No</p></td><td><p>Don’t know</p></td><td><p>Sample size</p></td></tr><tr><td><p>2018</p></td><td><p>39%</p></td><td><p>59%</p></td><td><p>2%</p></td><td><p>6,962</p></td></tr><tr><td><p>2019</p></td><td><p>38%</p></td><td><p>60%</p></td><td><p>3%</p></td><td><p>4,722</p></td></tr><tr><td><p>2020</p></td><td><p>35%</p></td><td><p>62%</p></td><td><p>3%</p></td><td><p>8,099</p></td></tr><tr><td><p>2021</p></td><td><p>32%</p></td><td><p>65%</p></td><td><p>2%</p></td><td><p>6,158</p></td></tr><tr><td><p>2022</p></td><td><p>31%</p></td><td><p>66%</p></td><td><p>3%</p></td><td><p>5,045</p></td></tr></tbody></table><p> </p><p>The following table shows the responses received to the question “Did you feel that you were able to make choices that met your needs?” in each year since 2018.</p><table><tbody><tr><td><p>Year</p></td><td><p>Yes</p></td><td><p>No</p></td><td><p>Don’t know</p></td><td><p>Sample size</p></td></tr><tr><td><p>2018</p></td><td><p>39%</p></td><td><p>59%</p></td><td><p>2%</p></td><td><p>6,962</p></td></tr><tr><td><p>2019</p></td><td><p>77%</p></td><td><p>15%</p></td><td><p>9%</p></td><td><p>4,722</p></td></tr><tr><td><p>2020</p></td><td><p>77%</p></td><td><p>14%</p></td><td><p>9%</p></td><td><p>8,099</p></td></tr><tr><td><p>2021</p></td><td><p>74%</p></td><td><p>16%</p></td><td><p>10%</p></td><td><p>6,158</p></td></tr><tr><td><p>2022</p></td><td><p>71%</p></td><td><p>18%</p></td><td><p>11%</p></td><td><p>5,045</p></td></tr></tbody></table> answering member printed Lord Markham question first answered 01/12/2022 13:16:33 answering member 4948 label Biography information for Lord Markham
tabling member	1732 label Biography information for Lord Warner

1542083

registered interest
date	14/11/2022
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	Patient Choice Schemes
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 training and support currently delivered to GPs to ensure that they make patients aware of their choices when selecting a provider for consultant-led treatment.
tabling member printed	Lord Warner
uin	HL3396
answer	answer is ministerial correction date of answer 23/11/2022 answer text <p>The National Health Service Commissioning Board and Clinical Commissioning Groups Responsibilities and Standing Rules Regulations 2012 state that integrated care boards and NHS England, in exercising its commissioning functions, have a duty to ensure that the awareness and availability of choice is publicised to referrers and patients. NHS England has regulatory oversight and operational implementation of patient choice and provides advice and guidance to the public, patients, referrers, commissioners and providers on the choices available in England and how patient choice can be facilitated.</p> answering member printed Lord Markham question first answered 23/11/2022 12:13:55 answering member 4948 label Biography information for Lord Markham
tabling member	1732 label Biography information for Lord Warner

1538430

registered interest
date	01/11/2022
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	Patient Choice Schemes
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what plans they have regularly to measure public awareness of patients’ right to choose where they receive their NHS consultant-led treatment.
tabling member printed	Lord Warner
uin	HL3130
answer	answer is ministerial correction date of answer 14/11/2022 answer text <p>The Manage Your Referral (MYR) NHS e-Referral Service (e-RS) survey enables patients who have used e-RS for elective referrals for directly bookable services to record their experience of a choice of elective care provider.</p><p> </p><p>The survey includes a question which measures whether patients are aware of the choices available for the location of a first outpatient appointment. The MYR e-RS survey is currently active and data is continuously collected and reviewed. The specific questions relating to patients’ choices and awareness levels are currently being reviewed to ensure we understand their experiences.</p> answering member printed Lord Markham question first answered 14/11/2022 12:34:28 answering member 4948 label Biography information for Lord Markham
tabling member	1732 label Biography information for Lord Warner

1538431

registered interest
date	01/11/2022
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	Patient Choice Schemes
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government what progress they have made with rolling-out the capacity alerts system for the NHS e-referral service; and when they intend to make that a requirement for all referrals from general practice.
tabling member printed	Lord Warner
uin	HL3131
answer	answer is ministerial correction date of answer 16/11/2022 answer text <p>We are exploring the option of such alerts within the National Health Service e-Referral Service (e-RS) system to identify where there are capacity pressures within individual services. These have been utilised previously at the point of referral to allow referring clinicians to view capacity within providers. The re-introduction of this option requires further work to ensure there are no unintended consequences and regional oversight with local system commissioners to ensure provision for patient referrals is always available.</p> answering member printed Lord Markham question first answered 16/11/2022 12:29:53 answering member 4948 label Biography information for Lord Markham
tabling member	1732 label Biography information for Lord Warner

1537040

registered interest
date	27/10/2022
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	Patient Choice Schemes
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 proportion of patients who are aware of their right to choose where they receive their consultant-led treatment.
tabling member printed	Lord Warner
uin	HL2994
answer	answer is ministerial correction date of answer 08/11/2022 answer text <p>The Manage Your Referral (MYR) NHS e-Referral Service (e-RS) Survey enables patients who have used e-RS for elective referrals for directly bookable services to record their experience of being offered a choice of elective care provider.</p><p> </p><p>The MYR e-RS Survey includes a question on whether patients are aware of the choices available to them when attending a first outpatient appointment. In 2021/22, 50% of 7,000 patients surveyed reported that they were aware of the choice of hospitals or clinics for an appointment. The Survey’s results are available to integrated care boards and NHS England to review in order to meet its responsibilities relating to patient choice.</p><p> </p><p>Use of the e-RS for referrals from general practitioners for consultant-led first outpatient appointments is mandated in the latest NHS and GP Standard Contracts.</p> answering member printed Lord Markham grouped question UIN HL2995 question first answered 08/11/2022 13:38:56 answering member 4948 label Biography information for Lord Markham
tabling member	1732 label Biography information for Lord Warner

1519678

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	Patient Choice Schemes
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 she has to expand and measure the uptake of patient-initiated follow-up across the health system beyond March 2023 as set out in the NHS’s elective recovery plan published in February 2022.
tabling member constituency	Tooting
tabling member printed	Dr Rosena Allin-Khan
uin	59945
answer	answer is ministerial correction date of answer 18/10/2022 answer text <p>In May 2022, NHS England published ‘Implementing patient initiated follow-up. Guidance for local health and care systems’ (PIFU) to support all providers through the adoption and implementation of PIFU by March 2023. In addition, NHS England’s national and regional teams to work with providers to address challenges with its deployment. Providers are required to report and record PIFU activity through the Elective Recovery Outpatient Collection platform to evaluate the impact.</p> answering member constituency Newark answering member printed Robert Jenrick question first answered 18/10/2022 11:57:09 answering member 4320 label Biography information for Robert Jenrick previous answer version 23182 answering member constituency Newark answering member printed Robert Jenrick answering member 4320 label Biography information for Robert Jenrick
tabling member	4573 label Biography information for Dr Rosena Allin-Khan

1519855

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	Patient Choice Schemes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, with reference to the Statement of 5 September 2022 on DHSC Update, HCWS291, how she plans to measure progress towards the commitment to offer all patients a choice of provider at the point of GP referral by April 2023; what plans she has to publicise the offer to all patients from April 2023; and whether the adequacy of the level of choice being offered to patients will be monitored.
tabling member constituency	Ilford North
tabling member printed	Wes Streeting
uin	59924
answer	answer is ministerial correction date of answer 03/11/2022 answer text <p>Patients in England have a legal right to choose the provider for their first outpatient appointment following a general practitioner referral for many healthcare services. Patients may choose between National Health Service or independent providers. The My Planned Care platform was launched by the NHS in February 2022, which provides access to information on local average waiting times at a speciality level, excluding cancer, for all hospital trusts in England. NHS England intends to develop My Planned Care to provide a hub for patients for the entire treatment pathway and develop further integration with the NHS App.</p> answering member constituency Harborough answering member printed Neil O'Brien grouped question UIN 59327 question first answered 03/11/2022 16:40:23 answering member 4679 label Biography information for Neil O'Brien previous answer version 23167 answering member constituency Newark answering member printed Robert Jenrick answering member 4320 label Biography information for Robert Jenrick
tabling member	4504 label Biography information for Wes Streeting

1288350

registered interest
date	22/02/2021
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	Patient Choice Schemes
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps they are taking to ensure that Patient Initiated Follow Up does not create barriers for deprived and excluded patients to access NHS care.
tabling member printed	The Lord Bishop of London
uin	HL13466
answer	answer is ministerial correction date of answer 16/03/2021 answer text <p>The decision to place a patient on a Patient Initiated Follow Up (PIFU) pathway will be taken jointly by the patient and a clinician when the clinician identifies a patient who would benefit from accessing care in this way. The decision will always be based on a patient’s individual needs and circumstances, ensuring it is in the patient’s best interests.</p><p>The Outpatient Transformation Programme provides ongoing advice and support to systems and providers implementing PIFU. This includes continuous improvement and identifying any risks, such as those relating to health inequalities and exclusion and working to provide resolution/guidance on how to address them. As part of this national support offer, resources have been made available that encourage systems and providers to develop and regularly review their Equality Health Impact Assessments in relation to PIFU.</p> answering member printed Lord Bethell question first answered 16/03/2021 17:08:37 answering member 4708 label Biography information for Lord Bethell
tabling member	4696 label Biography information for The Lord Bishop of London

802309

registered interest
date	06/12/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Patient Choice Schemes
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what information his Department holds on the number of unsuccessful attempts made by (a) patients and (b) GPs when attempting to book an appointment at a hospital directly through the online choose and book system.
tabling member constituency	Fylde
tabling member printed	Mark Menzies
uin	117996
answer	answer is ministerial correction date of answer 14/12/2017 answer text <p>The NHS e-Referral Service (e-RS) replaced the choose and book system in June 2015. The NHS e-RS is designed to allow patients and healthcare professionals to select appointments with providers either online or by phone.</p><p> </p><p>An attempt to make a booking may be unsuccessful if there is no appointment for the required clinic or hospital service available on e-RS. If no appointment is available for a patient or general practitioner (GP) to book on e-RS, the referral is forwarded (via the Manage Your Referral application) or deferred (via the professional application) to the patient’s chosen provider to enable the provider to book the patient an appointment.</p><p> </p><p>The relevant provider is contacted informing them that a patient requires an appointment and the provider will then contact the patient in relation to an appointment. Information on unsuccessful appointment bookings by patients or GPs for the last 12 months is in the table.</p><p> </p><table><tbody><tr><td colspan="2"><p>Unsuccessful bookings December 2016 - November 2017</p></td></tr><tr><td><p>By Patient</p></td><td><p>263,681</p></td></tr><tr><td><p>By Referrer (GP)</p></td><td><p>634,630</p></td></tr><tr><td><p>By BMS Admin<sup>1</sup></p></td><td><p>708,718<sup>1</sup></p></td></tr><tr><td><p>Total</p></td><td><p>1,852,781</p></td></tr><tr><td><p> </p></td><td><p> </p></td></tr><tr><td><p>Total successful bookings in same period</p></td><td><p>12,538,460</p></td></tr></tbody></table><p> </p><p>Note:</p><p> </p><p><sup>1</sup>Bookings by “BMS Admin” are created when either another organisation (referrer or provider) attempts to book an appointment on the patient’s behalf or if a patient contacts the national Telephone Appointments Line and a contact centre operator attempts to book an appointment on the patient’s behalf.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 14/12/2017 16:43:40 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	3998 label Biography information for Mark Menzies