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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

605941

registered interest
date	19/10/2016
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 assessment the Government has made of the progress in implementing the commitment in the NHS Five Year Forward View to increase patient choice over where and how patients receive care; and if he will make a statement.
tabling member constituency	Bath
tabling member printed	Ben Howlett
uin	49351
answer	answer is ministerial correction date of answer 26/10/2016 answer text <p>The Mandate to NHS England, which sets the Government’s objectives for the provision of health services in England and any requirements for NHS England, includes an objective calling for the offer of meaningful choice in the National Health Service. This reflects the commitment in the Five Year Forward View. An assessment of the extent to which the Mandate objectives have been met is set out in my Rt. hon. Friend the Secretary of State’s Annual Assessment of NHS England, which is published at the end of the financial year.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 26/10/2016 09:26:05 answering member 1542 label Biography information for Philip Dunne
tabling member	4445 label Biography information for Ben Howlett

432294

registered interest
date	25/11/2015
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, with reference to page 13 of the NHS' Five Year Forward View, what progress NHS England has made on the commitment to give patients choice over where and how they receive care; and how progress on that commitment will be assessed.
tabling member constituency	Birmingham, Yardley
tabling member printed	Jess Phillips
uin	17671
answer	answer is ministerial correction date of answer 02/12/2015 answer text <p>NHS England is working to secure a sustained improvement in awareness, offer, operation and take up of choice by 2020. This includes supporting the independent Maternity Services Review, which is due for publication early in the New Year, and taking forward any recommendations that relate to choice; improving the quality of End of Life Care and the choices people should have about where they receive their care and where they choose to die; strengthening choice in both physical and mental health elective services, to ensure that the NHS honours patients’ legal rights to choice of who provides their care; and securing choice in the design and implementation of new care models for the future NHS.</p><br /><p>NHS England has brought this work together with their programmes on personal health budgets and integrated personal commissioning, under a new Director and with additional resource, to accelerate the work in all of these areas in support of the Five Year Forward View commitment to deliver greater patient empowerment. Improvements will be assessed through a new national assessment framework for clinical commissioning groups.</p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 02/12/2015 12:45:40 answering member 3988 label Biography information for Ben Gummer
tabling member	4370 label Biography information for Jess Phillips

421636

registered interest
date	15/10/2015
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 steps he is taking to increase the number of patients being offered a choice of outpatient facility by their GPs.
tabling member constituency	Newport West
tabling member printed	Paul Flynn
uin	12026
answer	answer is ministerial correction date of answer 23/10/2015 answer text <p>We are committed to giving patients more choice and control over their health care, as this can help drive up standards and improve patient care.</p><br /><p>As set out in the Five Year Forward View, the health system is focused on embedding patient choice and, as part of this, NHS England is working to secure improvements in awareness and uptake of choice across physical and mental health services.</p><br /><p>In addition, we have asked NHS England to come up with proposals, before the end of the year, to make sure there is choice and control over services offered in maternity and end-of-life care, as well as for those with long-term conditions.</p><p><strong></strong></p><p><strong></strong></p> answering member constituency Ipswich answering member printed Ben Gummer question first answered 23/10/2015 13:18:48 answering member 3988 label Biography information for Ben Gummer
tabling member	545 label Biography information for Paul Flynn

384576

registered interest
date	22/06/2015
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 steps his Department is taking to promote the use of the Choose and Book system.
tabling member constituency	Hendon
tabling member printed	Dr Matthew Offord
uin	3431
answer	answer is ministerial correction date of answer 30/06/2015 answer text <p>The NHS e-Referral Service replaced the previous electronic system, Choose and Book, on 15 June 2015.</p><p> </p><p> </p><p> </p><p>The NHS England Operations Department, with the support of the Health and Social Care Information Centre will take the lead in promoting this service in the future, supporting local health communities to increase their use of the service and providing training, advice and reports to help them become fully electronic.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 30/06/2015 13:09:35 answering member 4020 label Biography information for George Freeman
tabling member	4006 label Biography information for Dr Matthew Offord

100022

registered interest
date	15/10/2014
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 steps he is taking to promote patient choice.
tabling member constituency	Stroud
tabling member printed	Neil Carmichael
uin	905559
answer	answer is ministerial correction date of answer 21/10/2014 answer text <p>We are committed to patients having greater choice and control over their healthcare, as this can help drive up standards and improve patient care.</p><p> </p><p> </p><p> </p><p>We believe that patient empowerment is vital to the National Health Service in the 21st century. This Government is committed to continuing to develop digital platforms to enable this to happen, such as My NHS and the NHS e-Referral Service.</p><p> </p> answering member constituency Mid Norfolk answering member printed George Freeman question first answered 21/10/2014 16:00:56 answering member 4020 label Biography information for George Freeman
tabling member	4104 label Biography information for Neil Carmichael