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1661483

registered interest
date	18/09/2023
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: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government, with reference to the article Practice under pressure: how can the exodus of GPs be reversed published on 31 August by Dr Imelda McDermott and Dr Sharon Spooner, what plans they have to ensure targets for GPs reflect the real-life needs of patients.
tabling member printed	Lord Hunt of Kings Heath
uin	HL10248
answer	answer is ministerial correction date of answer 18/10/2023 answer text <p>In response to feedback from the profession, work is being undertaken to review the current incentive schemes in primary care, with the aim of making them more focussed and streamlined to give clinicians the flexibility to provide care that is aligned with patient needs. We will consult the profession, patients, and the broader system on primary care incentives this year to inform future reform.</p> answering member printed Lord Markham question first answered 18/10/2023 16:23:48 answering member 4948 label Biography information for Lord Markham
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1609938

registered interest
date	14/04/2023
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: Standards
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 a fully funded plan to enable GP practices to respond to surges in patient demand.
tabling member constituency	Southport
tabling member printed	Damien Moore
uin	180071
answer	answer is ministerial correction date of answer 19/04/2023 answer text <p>In the Autumn Statement we committed to publish a full recovery plan for primary care systems. This plan will set out detailed ambitions for recovery to deliver improved access to general practices (GPs), so that everyone who needs an appointment with their GP can get one within two weeks, and those who need an urgent appointment can get one on the same day. Our primary care recovery plan is being drafted and will be published in the coming weeks.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 19/04/2023 09:49:05 answering member 4679 label Biography information for Neil O'Brien
tabling member	4669 label Biography information for Damien Moore

1605374

registered interest
date	20/03/2023
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: Standards
house id	2
legislature	25277 pref label House of Lords
question text	To ask His Majesty's Government whether General Practitioners are no longer able to perform routine procedures such as syringing of ears and treatment of minor injuries; and if not, who took the decisions to remove these procedures from general practice; and when these decisions were taken.
tabling member printed	Baroness McIntosh of Pickering
uin	HL6639
answer	answer is ministerial correction date of answer 28/03/2023 answer text <p>The National Institute for Health and Care Excellence (NICE) issued guidance in 2018 no longer advising manual ear syringing due to risks associated, such as trauma to the ear drum or infection. NICE guidance suggests alternative arrangements for treatment of excessive ear wax, such as considering ear irrigation using an electronic irrigator, micro suction, or manual removal using a probe. General practitioners follow this guidance and are increasingly recommending self-care methods as the primary means to support the safe removal of ear wax, such as in cases of deafness.</p> answering member printed Lord Markham question first answered 28/03/2023 14:27:31 answering member 4948 label Biography information for Lord Markham
tabling member	384 label Biography information for Baroness McIntosh of Pickering

1605199

registered interest
date	17/03/2023
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: Standards
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 NHS England's 2023-24 priorities and operational planning guidance published on 27 January 2023, what steps his Department is taking to issue guidance to GPs on best practices for the treatment of conditions which moved to a system of self referral.
tabling member constituency	Manchester, Gorton
tabling member printed	Afzal Khan
uin	168099
answer	answer is ministerial correction date of answer 27/03/2023 answer text <p>The range of options for people to self-refer will streamline access to more services for patients and reduce the need for a general practitioner (GP) appointment where this is not clinically necessary. Integrated care boards will work with local people, GPs, and other stakeholders to ensure they have the relevant information to support self-referral.</p> answering member constituency Harborough answering member printed Neil O'Brien question first answered 27/03/2023 13:59:19 answering member 4679 label Biography information for Neil O'Brien
tabling member	4671 label Biography information for Afzal Khan

1520142

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	General Practitioners: Standards
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 effectiveness and timeliness of the patient care offered by GP practices.
tabling member printed	Lord Birt
uin	HL2385
answer	answer is ministerial correction date of answer 07/11/2022 answer text <p>While no formal assessment has been made, the National Health Service has a statutory duty to ensure there are sufficient medical services, including in general practice, in each local area. In addition, as the independent regulator of health and social care the Care Quality Commission assesses the overall quality of individual practices.</p><p>As announced in ‘Our plan for patients’ on 22 September 2022, the Government expects that patients who need an appointment with their practice within two weeks should receive one and patients with urgent needs should be seen on the same day. We also expect local integrated care boards to intervene where services need to be improved.</p> answering member printed Lord Markham question first answered 07/11/2022 12:08:53 answering member 4948 label Biography information for Lord Markham
tabling member	2533 label Biography information for Lord Birt

1503374

registered interest
date	02/09/2022
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	General Practitioners: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions his Department has had with NHS England and NHS Improvement to help ensure equality of access to GPs across England.
tabling member constituency	Slough
tabling member printed	Mr Tanmanjeet Singh Dhesi
uin	45019
answer	answer is ministerial correction date of answer 07/09/2022 answer text <p>The Department works with NHS England to monitor and improve access to general practice services and address regional variation. In 2016, we launched the Targeted Enhanced Recruitment Scheme, which has attracted hundreds of doctors to train in hard to recruit locations, including many rural areas, by providing a one-off financial incentive of £20,000. In 2021, there were 550 places available and through additional Government investment, there are 800 places available in 2022.</p><p>NHS England is continuing to provide structured support to practices working in the most challenging circumstances via the Accelerate Access Improvement Programme. This is prioritising support to practices delivering care in the areas of highest deprivation and with the greatest health needs.</p> answering member constituency Halesowen and Rowley Regis answering member printed James Morris question first answered 07/09/2022 09:40:25 answering member 3992 label Biography information for James Morris
tabling member	4638 label Biography information for Mr Tanmanjeet Singh Dhesi

1503395

registered interest
date	02/09/2022
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	General Practitioners: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what short and long term steps the Government is taking to increase the availability of GP appointments.
tabling member constituency	Ilford South
tabling member printed	Sam Tarry
uin	45053
answer	answer is ministerial correction date of answer 21/09/2022 answer text <p>Excluding COVID-19 vaccinations, there were an average of 1.24 million appointments per working day in July 2022, compared to 1.17 million in July 2019. We have also made £520 million available to improve access and expand general practice capacity during the pandemic. To reduce unnecessary bureaucracy for general practitioners (GPs) and increase capacity for appointments, we have expanded the range of healthcare professionals who can sign fit notes and published seven principles to reduce unnecessary burdens on GPs.</p><p>We are investing at least £1.5 billion to create an additional 50 million general practice appointments by 2024 through increasing and diversifying the workforce. General practice teams include a range of other health professionals in addition to GPs, to respond to the needs of patients and we are on schedule to recruit an additional 26,000 primary care staff.</p> answering member constituency Colchester answering member printed Will Quince question first answered 21/09/2022 11:42:47 answering member 4423 label Biography information for Will Quince
tabling member	4829 label Biography information for Sam Tarry

1491047

registered interest
date	20/07/2022
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	General Practitioners: Standards
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what estimate he has made of the average waiting times for GP appointments in (a) Coventry North East constituency, (b) Coventry, (c) the West Midlands and (d) England in each of the last three years.
tabling member constituency	Coventry North East
tabling member printed	Colleen Fletcher
uin	40805
answer	answer is ministerial correction date of answer 05/09/2022 answer text <p>No specific estimate has been made as the information requested is not collected centrally.</p><p> </p> answering member constituency Halesowen and Rowley Regis answering member printed James Morris question first answered 05/09/2022 09:49:32 answering member 3992 label Biography information for James Morris
tabling member	4378 label Biography information for Colleen Fletcher

1489645

registered interest
date	15/07/2022
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	General Practitioners: Standards
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 his Department has made of the use of the current Quality and Outcomes Framework in general practice.
tabling member constituency	Enfield North
tabling member printed	Feryal Clark
uin	37627
answer	answer is ministerial correction date of answer 22/07/2022 answer text <p>In 2017/18, NHS England reviewed the Quality and Outcomes Framework (QOF) in general practice. The final report, published in 2018, concluded that there were aspects of QOF which are valued and valuable, but that improvements were necessary to deliver better patient care. ‘A five-year framework for GP contract reform to implement The NHS Long Term Plan’, published in 2019, implemented the findings of this review, including via the creation of a new Quality Improvement domain and modifying existing indicators to improve efficacy.</p><p> </p> answering member constituency Halesowen and Rowley Regis answering member printed James Morris question first answered 22/07/2022 12:11:23 answering member 3992 label Biography information for James Morris
tabling member	4822 label Biography information for Feryal Clark

1488394

registered interest
date	12/07/2022
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	General Practitioners: Standards
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 he has made of the effectiveness of the NHS England blueprint in respect of improving access to GP appointments; and what guidance his Department has issued on the steps that patients can take in the event they are dissatisfied with the quality of the service that they receive from their GP.
tabling member constituency	Chippenham
tabling member printed	Michelle Donelan
uin	35009
answer	answer is ministerial correction date of answer 19/07/2022 answer text <p>The Department is working with NHS England and NHS Improvement and others to improve access to general practitioner (GP) appointments for patients. In May 2022, there were on average 1.31 million general practice appointments per working day, excluding COVID-19 vaccinations - a 9% increase from May 2019. NHS England and NHS Improvement are continuing to provide structured support to practices working in the most challenging circumstances via the Access Improvement Programme.</p><p>Practices can provide patients with details of the complaints process. Patients can also raise concerns with the local commissioner, NHS England and NHS Improvement or with the local Healthwatch, the independent consumer champion for health and social care.</p> answering member constituency Halesowen and Rowley Regis answering member printed James Morris question first answered 19/07/2022 12:25:35 answering member 3992 label Biography information for James Morris
tabling member	4530 label Biography information for Michelle Donelan