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1063650

registered interest
date	18/02/2019
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	GP at Hand
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if he will make an assessment of the potential merits of providing compensation to GP practices that lose income as a result of patients signing up to the Babylon GP at Hand application.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	222637
answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>NHS England has considered the expansion of the service to Birmingham following initial concerns, in particular regarding access to immunisation and screening programmes for Babylon GP at Hand patients, and a solution has been identified. NHS England will now work together with NHS Hammersmith and Fulham and Birmingham and Solihull Clinical Commissioning Groups (CCGs), national screening services, and Babylon GP at Hand to mobilise the service and agree a start date.</p><p>General practice payments are made to practices according to their registered patient list size, so the funding for general practice care will follow the patients. NHS England will shortly engage on changes to out of area registration rules, some of the current payments to primary care providers and the mechanisms by which new providers can enter the market.</p><p>The new General Practitioner Contract Framework made two changes to the current payment system:</p><p>- the rurality index payment will be amended to apply to patients living within a practice catchment area only, rather than to all patients. This is to better reflect costs; and</p><p>- the London adjustment will be amended to apply to patients resident in London, rather than registered with a London-based practice</p><p> </p><p>CCG allocations have been revised for 2019/20. Hammersmith and Fulham CCG’s allocation takes account of the increased list size of the GP at Hand practice, with the CCG’s funding growth determined by an assessment of the CCG’s fair share of overall funding and rules on the pace of change in funding allocations.</p><p> </p><p>All patients registered with the Babylon GP at Hand practice are recorded as patients of Hammersmith and Fulham CCG.</p><p> </p><p>Hammersmith and Fulham CCG have commissioned an independent evaluation of the Babylon GP at Hand practice. This will look at the impact of the service on patient experience, primary care workforce, use of other services, such as accident and emergency departments and walk-in centres, and system value.</p><p> </p><p>Babylon GP at Hand will provide physical premises in both London and Birmingham for those patients who require a face-to-face consultation. Under the current GP of Choice Policy, the CCGs where ‘out of area’ patients live are required to ensure out of hours care and home visits can be accessed by those patients in their resident area if they need it.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 222634 222635 222638 222639 222640 question first answered 21/02/2019 16:24:57 answering member 4067 label Biography information for Steve Brine
tabling member	298 label Biography information for Steve McCabe

1063651

registered interest
date	18/02/2019
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	GP at Hand: Birmingham
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether patients in Birmingham that sign up to the Babylon GP at Hand application are recorded as a patient of Hammersmith and Fulham CCG in London.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	222638
answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>NHS England has considered the expansion of the service to Birmingham following initial concerns, in particular regarding access to immunisation and screening programmes for Babylon GP at Hand patients, and a solution has been identified. NHS England will now work together with NHS Hammersmith and Fulham and Birmingham and Solihull Clinical Commissioning Groups (CCGs), national screening services, and Babylon GP at Hand to mobilise the service and agree a start date.</p><p>General practice payments are made to practices according to their registered patient list size, so the funding for general practice care will follow the patients. NHS England will shortly engage on changes to out of area registration rules, some of the current payments to primary care providers and the mechanisms by which new providers can enter the market.</p><p>The new General Practitioner Contract Framework made two changes to the current payment system:</p><p>- the rurality index payment will be amended to apply to patients living within a practice catchment area only, rather than to all patients. This is to better reflect costs; and</p><p>- the London adjustment will be amended to apply to patients resident in London, rather than registered with a London-based practice</p><p> </p><p>CCG allocations have been revised for 2019/20. Hammersmith and Fulham CCG’s allocation takes account of the increased list size of the GP at Hand practice, with the CCG’s funding growth determined by an assessment of the CCG’s fair share of overall funding and rules on the pace of change in funding allocations.</p><p> </p><p>All patients registered with the Babylon GP at Hand practice are recorded as patients of Hammersmith and Fulham CCG.</p><p> </p><p>Hammersmith and Fulham CCG have commissioned an independent evaluation of the Babylon GP at Hand practice. This will look at the impact of the service on patient experience, primary care workforce, use of other services, such as accident and emergency departments and walk-in centres, and system value.</p><p> </p><p>Babylon GP at Hand will provide physical premises in both London and Birmingham for those patients who require a face-to-face consultation. Under the current GP of Choice Policy, the CCGs where ‘out of area’ patients live are required to ensure out of hours care and home visits can be accessed by those patients in their resident area if they need it.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 222634 222635 222637 222639 222640 question first answered 21/02/2019 16:24:57 answering member 4067 label Biography information for Steve Brine
tabling member	298 label Biography information for Steve McCabe

1063652

registered interest
date	18/02/2019
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	GP at Hand
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment has been made of the trends in the level of patients presenting at (a) A&E Departments and (b) GP Walk-in Centres as a result of being deregistered from their local GP Practice after signing up for the Babylon GP at Hand application.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	222639
answer	answer is ministerial correction date of answer 21/02/2019 answer text <p>NHS England has considered the expansion of the service to Birmingham following initial concerns, in particular regarding access to immunisation and screening programmes for Babylon GP at Hand patients, and a solution has been identified. NHS England will now work together with NHS Hammersmith and Fulham and Birmingham and Solihull Clinical Commissioning Groups (CCGs), national screening services, and Babylon GP at Hand to mobilise the service and agree a start date.</p><p>General practice payments are made to practices according to their registered patient list size, so the funding for general practice care will follow the patients. NHS England will shortly engage on changes to out of area registration rules, some of the current payments to primary care providers and the mechanisms by which new providers can enter the market.</p><p>The new General Practitioner Contract Framework made two changes to the current payment system:</p><p>- the rurality index payment will be amended to apply to patients living within a practice catchment area only, rather than to all patients. This is to better reflect costs; and</p><p>- the London adjustment will be amended to apply to patients resident in London, rather than registered with a London-based practice</p><p> </p><p>CCG allocations have been revised for 2019/20. Hammersmith and Fulham CCG’s allocation takes account of the increased list size of the GP at Hand practice, with the CCG’s funding growth determined by an assessment of the CCG’s fair share of overall funding and rules on the pace of change in funding allocations.</p><p> </p><p>All patients registered with the Babylon GP at Hand practice are recorded as patients of Hammersmith and Fulham CCG.</p><p> </p><p>Hammersmith and Fulham CCG have commissioned an independent evaluation of the Babylon GP at Hand practice. This will look at the impact of the service on patient experience, primary care workforce, use of other services, such as accident and emergency departments and walk-in centres, and system value.</p><p> </p><p>Babylon GP at Hand will provide physical premises in both London and Birmingham for those patients who require a face-to-face consultation. Under the current GP of Choice Policy, the CCGs where ‘out of area’ patients live are required to ensure out of hours care and home visits can be accessed by those patients in their resident area if they need it.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 222634 222635 222637 222638 222640 question first answered 21/02/2019 16:24:57 answering member 4067 label Biography information for Steve Brine
tabling member	298 label Biography information for Steve McCabe

1057018

registered interest
date	08/02/2019
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	Pancreatic Cancer
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 his Department is taking to ensure that every patient with pancreatic cancer receives treatment within the first 20 days of diagnosis.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	218748
answer	answer is ministerial correction date of answer 18/02/2019 answer text <p>The information is not available in the format requested.</p><p> </p><p>Clinical priority remains the main determinant of when a patient should be treated.</p><p> </p><p>NHS England will shortly be introducing a new Faster Diagnostic Standard for all cancer patients, including those with suspected pancreatic cancer, which will see patients given a diagnosis or the all clear within 28 days. The 31-day standard of decision to treat to undergoing first treatment will remain in place. However, this is an upper limit and clinical priority will always remain the main determinant of when a patient should be treated.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 218749 question first answered 18/02/2019 17:29:51 answering member 4067 label Biography information for Steve Brine
tabling member	298 label Biography information for Steve McCabe

1055975

registered interest
date	06/02/2019
answering body	Ministry of Justice
answering dept id	54
answering dept short name	Justice
answering dept sort name	Justice
hansard heading	Birmingham Prison: G4S
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Justice, whether G4S will resume management of HMP Birmingham once the safety standards of the prison have improved; and if he will make a statement.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	217442
answer	answer is ministerial correction date of answer 14/02/2019 answer text <p>We regard well-run prisons as fundamental to the proper functioning of our justice system, and a vital part of our reform plans. Private providers continue to play an important role in the prison estate. The ability for G4S to take back control of the prison will not happen until we are assured that it would be safe to do so and that the issues which gave rise to the step-in have been remedied and are not likely to reoccur. The decision to return the prison to G4S control will be determined by their capacity to safely manage the prison and maintain a trajectory of improvement across a range of issues. We have therefore taken the decision to extend the step-in until the summer, when the position will be reviewed. This will provide time for the changes we are making to bed in, for improvements to gather pace, and for a conclusion to be reached on the longer-term future of the prison.</p><p> </p><p>Our priority is the safety of the prisoners, and ultimately the safety of the public.</p> answering member constituency Penrith and The Border answering member printed Rory Stewart question first answered 14/02/2019 14:57:29 answering member 4137 label Biography information for Rory Stewart previous answer version 101049 answering member constituency Penrith and The Border answering member printed Rory Stewart answering member 4137 label Biography information for Rory Stewart
tabling member	298 label Biography information for Steve McCabe

1055973

registered interest
date	05/02/2019
answering body	Attorney General
answering dept id	88
answering dept short name	Attorney General
answering dept sort name	Attorney General
hansard heading	Crown Prosecution Service
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Attorney General, pursuant to the Answer of 4 February 2019 to Question 213932 on Crown Prosecution Service: West Midlands, what the change has been in the number of offences for each crime type in (a) the West Midlands and (b) England in each year since 2010.
tabling member constituency	Birmingham, Selly Oak
tabling member printed	Steve McCabe
uin	217441
answer	answer is ministerial correction date of answer 11/02/2019 answer text <p>The Crown Prosecution Service (CPS) does not maintain a central record of offences recorded against crime types. However, the CPS does collect data which reports the number of prosecuted defendants allocated to twelve Principal Offence Categories which is collated in financial years.</p><p> </p><p>The tables in Annex A show the number of finalised prosecution outcomes by Principal Offence during each year from 2010-11 to 2017-18 in the West Midlands CPS Area and in England.</p><p> </p><p>During the 8 year period reported in the table, magistrates’ courts caseload has fallen by 31% and Crown Court caseload by 23% in the West Midlands Area, compared to falls of 47% and 34% respectively across England as a whole.</p><p> </p><p>Despite the falling caseload it is important to be aware that the types of cases prosecuted in the West Midlands and England have changed significantly in the period between 2010 and 2018. The CPS is prosecuting more serious and complex cases in the West Midlands Area as evidenced by a 46% rise in homicide (35% in England), a 34% increase in fraud and forgery (compared to a fall of 17% in England) and a 55% increase in sexual offences cases (26% in England). During this period, minor motoring cases have fallen by 67% in the Area with a similar fall reflected across England. This followed changes to the list of specified offences made in 2012 which transferred responsibility for prosecuting many low level motoring offences back to the police</p> answering member constituency South Swindon answering member printed Robert Buckland grouped question UIN 217439 question first answered 11/02/2019 11:35:40 answering member 4106 label Biography information for Sir Robert Buckland attachment 1 file name 217439 & 217441 - Annex A.docx title Annex A
tabling member	298 label Biography information for Steve McCabe