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1086793

	registered interest
	date	11/03/2019
	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	General Practitioners: Contracts
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, what research his Department has commissioned on the effect on GP services in deprived communities of continuing to provide GP services through Alternative Provider Medical Services Contracts when the operators of such contracts hand them back; and if he will make a statement.
	tabling member constituency	Garston and Halewood
	tabling member printed	Maria Eagle
	uin	230662
	answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>NHS England’s Primary Medical Care Policy and Guidance Manual (first published 15 November 2017) provides local commissioners of primary medical services the context, information and tools to safely commission and contract management primary medical care contracts.</p><p> </p><p>There is no prohibition on issuing General Medical Services or Personal Medical Services contracts under this guidance and every local commissioner needs to consider each individual case on the basis of local circumstances that apply. Considerations will also need to factor appropriate legislation and NHS England’s Standing Financial Instructions.</p><p> </p><p>Commissioners need to comply with their obligations under the Public Contract Regulations (“PCR 2015”) and the NHS (Procurement, Patient Choice and Competition Regulations) (No. 2) Regulations 2013 (“the NHS Regulations”). One of the impacts of these Regulations is commissioner should not unnecessarily restrict contracts to only certain kinds of providers. In practice this will mean the use of Alternative Provider Medical Services contracts in procurements.</p><p> </p><p>NHS England’s Standing Financial Instructions additionally require all proposed clinical procurements for all types of revenue expenditure which last for five years or more, including options to extend clauses, must be submitted to and approved by the NHS England Commercial Executive Group before advertisement.</p><p> </p><p>Whilst these considerations do not the use of General and Personal Medical Services contracts where appropriate and justifiable, these are likely to be exceptional.</p><p> </p><p>As part of the NHS Long Term Plan, Parliament and the Government both asked the NHS to make consensus proposals for how primary legislation might be adjusted to better support delivery of the agreed changes set out in this plan.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230661 230663 question first answered 14/03/2019 16:59:14 answering member 4067 label Biography information for Steve Brine
	tabling member	483 label Biography information for Maria Eagle

1086790

	registered interest
	date	11/03/2019
	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	General Practitioners: Contracts
	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 assessment he has made of the effectiveness of his policy of not allowing GP services provided via Alternative Provider Medical Services Contracts to be provided using other contractual models such as General Medical Services Contracts; and if he will make a statement.
	tabling member constituency	Garston and Halewood
	tabling member printed	Maria Eagle
	uin	230661
	answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>NHS England’s Primary Medical Care Policy and Guidance Manual (first published 15 November 2017) provides local commissioners of primary medical services the context, information and tools to safely commission and contract management primary medical care contracts.</p><p> </p><p>There is no prohibition on issuing General Medical Services or Personal Medical Services contracts under this guidance and every local commissioner needs to consider each individual case on the basis of local circumstances that apply. Considerations will also need to factor appropriate legislation and NHS England’s Standing Financial Instructions.</p><p> </p><p>Commissioners need to comply with their obligations under the Public Contract Regulations (“PCR 2015”) and the NHS (Procurement, Patient Choice and Competition Regulations) (No. 2) Regulations 2013 (“the NHS Regulations”). One of the impacts of these Regulations is commissioner should not unnecessarily restrict contracts to only certain kinds of providers. In practice this will mean the use of Alternative Provider Medical Services contracts in procurements.</p><p> </p><p>NHS England’s Standing Financial Instructions additionally require all proposed clinical procurements for all types of revenue expenditure which last for five years or more, including options to extend clauses, must be submitted to and approved by the NHS England Commercial Executive Group before advertisement.</p><p> </p><p>Whilst these considerations do not the use of General and Personal Medical Services contracts where appropriate and justifiable, these are likely to be exceptional.</p><p> </p><p>As part of the NHS Long Term Plan, Parliament and the Government both asked the NHS to make consensus proposals for how primary legislation might be adjusted to better support delivery of the agreed changes set out in this plan.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230662 230663 question first answered 14/03/2019 16:59:14 answering member 4067 label Biography information for Steve Brine
	tabling member	483 label Biography information for Maria Eagle

1086794

	registered interest
	date	11/03/2019
	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	General Practitioners: Contracts
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he plans to review the policy of General Medical Services Contracts not being able to provide GP services when Alternative Provider Medical Contracts fail.
	tabling member constituency	Garston and Halewood
	tabling member printed	Maria Eagle
	uin	230663
	answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>NHS England’s Primary Medical Care Policy and Guidance Manual (first published 15 November 2017) provides local commissioners of primary medical services the context, information and tools to safely commission and contract management primary medical care contracts.</p><p> </p><p>There is no prohibition on issuing General Medical Services or Personal Medical Services contracts under this guidance and every local commissioner needs to consider each individual case on the basis of local circumstances that apply. Considerations will also need to factor appropriate legislation and NHS England’s Standing Financial Instructions.</p><p> </p><p>Commissioners need to comply with their obligations under the Public Contract Regulations (“PCR 2015”) and the NHS (Procurement, Patient Choice and Competition Regulations) (No. 2) Regulations 2013 (“the NHS Regulations”). One of the impacts of these Regulations is commissioner should not unnecessarily restrict contracts to only certain kinds of providers. In practice this will mean the use of Alternative Provider Medical Services contracts in procurements.</p><p> </p><p>NHS England’s Standing Financial Instructions additionally require all proposed clinical procurements for all types of revenue expenditure which last for five years or more, including options to extend clauses, must be submitted to and approved by the NHS England Commercial Executive Group before advertisement.</p><p> </p><p>Whilst these considerations do not the use of General and Personal Medical Services contracts where appropriate and justifiable, these are likely to be exceptional.</p><p> </p><p>As part of the NHS Long Term Plan, Parliament and the Government both asked the NHS to make consensus proposals for how primary legislation might be adjusted to better support delivery of the agreed changes set out in this plan.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 230661 230662 question first answered 14/03/2019 16:59:13 answering member 4067 label Biography information for Steve Brine
	tabling member	483 label Biography information for Maria Eagle

1086788

	registered interest
	date	11/03/2019
	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	General Practitioners: Garston and Halewood
	house id	1
	legislature	25259 pref label House of Commons
	question text	To ask the Secretary of State for Health and Social Care, whether he will enable Liverpool CCG to award General Medical Contracts rather than continue with Alternative Provider Medical Services Contracts to ensure the continuation of GP services currently being provided by Primary Care Connect in the Garston and Halewood Constituency.
	tabling member constituency	Garston and Halewood
	tabling member printed	Maria Eagle
	uin	230660
	answer	answer is ministerial correction date of answer 14/03/2019 answer text <p>The current Alternative Provider Medical Services provider has given notice to terminate their contracts. NHS Liverpool Clinical Commissioning Group is now working with primary care providers in Liverpool to identify an alternate provider or group of providers, that may include an existing General Medical Services contract holder, to run the affected services to ensure continuity for patients.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 14/03/2019 16:59:56 answering member 4067 label Biography information for Steve Brine
	tabling member	483 label Biography information for Maria Eagle