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749928

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Employment: Epilepsy
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government what assessment they have made of the impact of the rise in indemnity costs, resulting from the change in the discount rate on personal injury payouts, on the incentives for doctors to practise in general practice.
tabling member printed	Lord Hunt of Kings Heath
uin	HL613
answer	answer is ministerial correction date of answer 14/07/2017 answer text <p>The Department is aware that the rising cost of indemnity is an area of concern for general practitioners (GPs).</p><p> </p><p>In July 2016 NHS England published a GP Indemnity review which gathered evidence from GPs about the impact on rising costs of indemnity, which found that:</p><p> </p><p>- 95% of GPs surveyed have experienced a rise in their indemnity costs in the recent years;</p><p>- four fifths of GPs responded that they had been deterred in some way from taking certain types of clinical sessions due to the rise in their indemnity costs; and</p><p>- GPs told us that that if indemnity costs continue to rise at recent rates, this may act as a break on the willingness of GPs to join the profession, to remain in the profession, or to increase their workload.</p><p>In recognition of the rising costs of indemnity, NHS England put an extra £30 million in to the GP contract in March 2017 to cover indemnity-related inflation for GPs from 2016-17. A further sum of approximately £30 million will be made available for April 2018.</p><p> </p><p>The change in the personal injury discount rate announced by the former Lord Chancellor (Elizabeth Truss MP) in February 2017 has significantly increased the cost of claims. The Department is working closely with GPs and Medical Defence Organisations to ensure that appropriate funding is available to meet additional costs to GPs, recognising the crucial role they play in the delivery of National Health Service care.</p> answering member printed Lord O'Shaughnessy question first answered 14/07/2017 13:03:53 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

749929

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Prisoners' Transfers: Northern Ireland
house id	2
legislature	25277 pref label House of Lords
question text	Her Majesty's Government whether they plan to provide financial support to general practitioners to meet the increase in indemnity costs as a result of the change to the discount rate on personal injury payouts.
tabling member printed	Lord Hunt of Kings Heath
uin	HL614
answer	answer is ministerial correction date of answer 14/07/2017 answer text <p>The cost of indemnity to general practitioners (GPs) is already recognised as a business expense, and reflected in the sums received by GP practices via the GP contract. In recognition of the rising costs of indemnity, NHS England put an extra £30 million in to the GP contract in March 2017 to cover indemnity-related inflation for GP’s from 2016-17. A further sum of approximately £30 million will be made available for April 2018.</p><p> </p><p>The change in the personal injury discount rate announced by the former Lord Chancellor (Elizabeth Truss MP) in February 2017 has significantly increased the cost of claims. The Department is working closely with GPs and Medical Defence Organisations to ensure that appropriate funding is available to meet additional costs to GPs, recognising the crucial role they play in the delivery of National Health Service care.</p> answering member printed Lord O'Shaughnessy question first answered 14/07/2017 13:03:11 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

750163

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	GP Surgeries: Repairs and Maintenance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment his Department has carried out to ensure that the proposed £1,000 financial assistance offered to GP practices which accept the full repairing lease contract will be sufficient to cover the legal and survey work associated with those leases.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	4033
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>The £1,000 + VAT offered to general practitioner practices is intended to assist with the legal fees associated with documenting a lease. The calculation is based on the fact that the ‘template’ lease has already been negotiated and agreed with NHS Property Services and the British Medical Association, which minimises negotiations with practices.</p><p> </p><p>The nature of lease – either Full Repairing and Insuring or Internal Repairs – determines the level of reimbursement for the current market rent. This includes both the lease rent and an element for upkeep of the tenanted areas. This is set out in the Premises Costs Directions 2013.</p><p> </p><p>Ultimately, it is for the landlord and tenant to agree the terms of any lease to suit their specific circumstances.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4036 question first answered 13/07/2017 13:05:44 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

750164

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	General Practitioners: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what plans he has to review the Carr-Hill funding formula for GP practices with atypical populations.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	4034
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>NHS England recognises that atypical practices with a significantly skewed patient population will not necessarily have their workload reflected through the Carr-Hill Formula. It is for this reason that NHS England is exploring the additional demands on atypical practices, testing out in the first instance, the experiences of practices that serve university populations, practices with significant number of non-English speaking patients, and practices operating within remote or isolated areas.</p><p> </p><p>Commissioner guidance was published in December 2016 and further analysis of the workload implications is being undertaken.</p> answering member constituency Winchester answering member printed Steve Brine question first answered 13/07/2017 11:47:14 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

750165

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	GP Surgeries: Service Charges
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effect of increased service charges on GP surgeries which lease their buildings from NHS Property Services.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	4035
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>NHS England confirmed the introduction of the market rent model, applying the property sector’s standard method of charging, to the National Health Service in January 2016. It was part of a long-planned move across the public sector to improve utilisation and value for money in property occupancy by putting publicly-owned property on a level with privately-owned alternatives.</p><p> </p><p>The Department agrees that understanding the real cost of running public service buildings has benefits for tenants and the wider NHS:</p><p> </p><p>- It helps the NHS understand the true cost of occupation and reflect these transparently;</p><p>- It informs decisions about the best location for services and investment; and</p><p>- It drives better and more efficient use of space.</p><p>Customer invoices should be based on accurate property information. This includes the precise amount of space used, as well as reflecting an assessment of the facilities provided for that space, e.g. cleaning, reception services and maintenance. This data was not always available in predecessor Primary Care Trust or Strategic Health Authority records.</p><p>NHS Property Services owns only a small proportion of general practitioner (GP) surgeries in England and its approach is consistent with the way those with private sector landlords are treated. The company has endeavoured to improve the quality of its property data and to negotiate and agree lease terms with customers, providing them with the assurance they require. Transparently agreeing precise occupancy details is one reason why some GPs, are</p><p>seeing their costs increase, while others have seen a reduction. NHS Property Services recognises a requirement from its customers to explain any billing changes fully and accurately. It shares their wish to make invoicing totally transparent and is focussed on this quality improvement work.</p><p> </p><p>Within the Premises Cost Direction 2013 under sections 46 and 47 there is the facility for the GP to apply to NHS England for transitional funding related to large increases to service charges.</p><p> </p><p>It is only by improved understanding of the true costs that better informed decisions about the best location for NHS services can be made, as well as also encouraging the most efficient use of NHS space – both of which are important elements of securing best value for taxpayers from the health service estate.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/07/2017 12:44:17 answering member 1542 label Biography information for Philip Dunne
tabling member	4433 label Biography information for Thangam Debbonaire

750166

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	GP Surgeries: Repairs and Maintenance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what assessment he has made of the effect on GP funding of the proposed full repairing leases offered to GP surgeries.
tabling member constituency	Bristol West
tabling member printed	Thangam Debbonaire
uin	4036
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>The £1,000 + VAT offered to general practitioner practices is intended to assist with the legal fees associated with documenting a lease. The calculation is based on the fact that the ‘template’ lease has already been negotiated and agreed with NHS Property Services and the British Medical Association, which minimises negotiations with practices.</p><p> </p><p>The nature of lease – either Full Repairing and Insuring or Internal Repairs – determines the level of reimbursement for the current market rent. This includes both the lease rent and an element for upkeep of the tenanted areas. This is set out in the Premises Costs Directions 2013.</p><p> </p><p>Ultimately, it is for the landlord and tenant to agree the terms of any lease to suit their specific circumstances.</p> answering member constituency Winchester answering member printed Steve Brine grouped question UIN 4033 question first answered 13/07/2017 13:05:44 answering member 4067 label Biography information for Steve Brine
tabling member	4433 label Biography information for Thangam Debbonaire

750167

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Maternity Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what discussions he has had with the leaders of the (a) review of neonatal services and (b) Maternity Transformation Programme to ensure that their work plans are co-ordinated to ensure continuity of care for mothers whose babies are admitted to neonatal care.
tabling member constituency	Birmingham, Erdington
tabling member printed	Jack Dromey
uin	4054
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>My Rt. hon. Friend the Secretary of State for Health has not met with leaders of the Maternity Transformation Programme (MTP) or neonatal review to discuss continuity of care in neonatal services. The neonatal review, conducted by NHS England’s Women and Children’s Programme of Care and its Neonatal Critical Care Clinical Reference Group, reports progress of the review into neonatal services to the MTP Board, as the review forms part of the overall MTP.</p><p> </p><p>The review focuses on a number of themes and variables including admission rates, length of stay, outcomes and pregnancy profiles. The findings of the neonatal review will inform the development and delivery of Local Maternity Plans, with recommendations that will include ensuring continuity of care for mothers whose babies are admitted to neonatal care.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne question first answered 13/07/2017 12:28:05 answering member 1542 label Biography information for Philip Dunne
tabling member	3913 label Biography information for Jack Dromey

750168

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Maternity Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, what the remit is of the review of neonatal services; and whether that remit includes the tariff for (a) neonatal and (b) transitional care.
tabling member constituency	Birmingham, Erdington
tabling member printed	Jack Dromey
uin	4053
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>Better Births, the report of the National Maternity Review, recommended that a dedicated review of neonatal services should be taken forward, in light of its findings and their potential implications for the provision of neonatal care. Within that context, NHS England’s Women and Children’s Programme of Care and its Neonatal Critical Care Clinical Reference Group are undertaking a review of neonatal services under the auspices of the Maternity Transformation Programme. The review is focusing on a number of themes and variables including admission rates, length of stay, outcomes and pregnancy profiles.</p><p> </p><p>The findings will inform the development and delivery of Local Maternity System Plans with recommendations that will include ensuring continuity of care for mothers whose babies are admitted to neonatal care.</p><p> </p><p>The neonatal service review has a number of work streams including a pricing work stream. This involves the development of a pricing model to support the baby across the whole care pathway including transitional care.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 4055 question first answered 13/07/2017 09:16:01 answering member 1542 label Biography information for Philip Dunne
tabling member	3913 label Biography information for Jack Dromey

750171

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Social Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, when his Department plans to publish the (a) consultation on improving social care and (b) green paper on social care funding.
tabling member constituency	Birmingham, Hall Green
tabling member printed	Mr Roger Godsiff
uin	3910
answer	answer is ministerial correction date of answer 12/07/2017 answer text <p>The Government will work to address the challenges of social care for our ageing population, bringing forward proposals for consultation to build widespread support. We are committed to listening to people’s views on how to reform the social care system, to ensure it is sustainable for current and future generations and that the quality of care improves.</p><p> </p><p>We will provide further details on the next steps on social care in due course.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 12/07/2017 09:17:03 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	304 label Biography information for Mr Roger Godsiff

750172

registered interest
date	10/07/2017
answering body	Department of Health
answering dept id	17
answering dept short name	Health
answering dept sort name	Health
hansard heading	Maternity Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health, to what extent the Maternity Transformation Programme is considering the tariff for transitional care as part of its review of the maternity tariff.
tabling member constituency	Birmingham, Erdington
tabling member printed	Jack Dromey
uin	4055
answer	answer is ministerial correction date of answer 13/07/2017 answer text <p>Better Births, the report of the National Maternity Review, recommended that a dedicated review of neonatal services should be taken forward, in light of its findings and their potential implications for the provision of neonatal care. Within that context, NHS England’s Women and Children’s Programme of Care and its Neonatal Critical Care Clinical Reference Group are undertaking a review of neonatal services under the auspices of the Maternity Transformation Programme. The review is focusing on a number of themes and variables including admission rates, length of stay, outcomes and pregnancy profiles.</p><p> </p><p>The findings will inform the development and delivery of Local Maternity System Plans with recommendations that will include ensuring continuity of care for mothers whose babies are admitted to neonatal care.</p><p> </p><p>The neonatal service review has a number of work streams including a pricing work stream. This involves the development of a pricing model to support the baby across the whole care pathway including transitional care.</p> answering member constituency Ludlow answering member printed Mr Philip Dunne grouped question UIN 4053 question first answered 13/07/2017 09:16:01 answering member 1542 label Biography information for Philip Dunne
tabling member	3913 label Biography information for Jack Dromey