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To ask the Secretary of State for Health if he will make it his policy that a proportion of any future underspend within the NHS is allocated to nurses' pay.
To ask the Secretary of State for Health if he will make it his policy that a proportion of any future underspend within the NHS is allocated to nurses' pay.
The Department has made available in subsequent years the underspends delivered by local national health service organisations, but is not prescriptive on how those organisations use that funding.
To ask the Secretary of State for Health (1) what estimate his Department has made of the average annual change in income for GP practices in Fareham and Gosport arising from the withdrawal of the minimum practice income guarantee;
To ask the Secretary of State for Health (1) what estimate his Department has made of the average annual change in income for GP practices in Fareham and Gosport arising from the withdrawal of the minimum practice income guarantee;
Both the Government and NHS England consider Minimum Practice Income Guarantee (MPIG) payments to be inequitable because practices serving very similar populations get paid very different amounts per patient.
As part of the general practitioner contract settlement in 2013, the Department decided to phase out MPIG payments over a seven year period, starting in the financial year 2014-15. The money released by doing this will be reinvested in the basic payments made to all General Medical Services (GMS) practices.
NHS England advises that there are 16 practices in Fareham and Gosport currently receiving a MPIG payment under GMS contracts. Practices that face particular difficulty are encouraged to contact their local NHS England Area Team to discuss any issues so that they can together plan to mitigate these.
(2) what estimate he has made of how many GP practices in Fareham and Gosport will lose income as a consequence of the withdrawal of the minimum practice income guarantee; and what actions his Department has put in place to mitigate the impact of any such losses on services.
Mr Hoban:
(2) what estimate he has made of how many GP practices in Fareham and Gosport will lose income as a consequence of the withdrawal of the minimum practice income guarantee; and what actions his Department has put in place to mitigate the impact of any such losses on services.
Mr Hoban:
Both the Government and NHS England consider Minimum Practice Income Guarantee (MPIG) payments to be inequitable because practices serving very similar populations get paid very different amounts per patient.
As part of the general practitioner contract settlement in 2013, the Department decided to phase out MPIG payments over a seven year period, starting in the financial year 2014-15. The money released by doing this will be reinvested in the basic payments made to all General Medical Services (GMS) practices.
NHS England advises that there are 16 practices in Fareham and Gosport currently receiving a MPIG payment under GMS contracts. Practices that face particular difficulty are encouraged to contact their local NHS England Area Team to discuss any issues so that they can together plan to mitigate these.
To ask the Secretary of State for Health (1) what proportion of the £2.7 million announced for learning disability in the recently published NHS England business plan for 2014-15 will be spent on the proposed premature mortality review function;
To ask the Secretary of State for Health (1) what proportion of the £2.7 million announced for learning disability in the recently published NHS England business plan for 2014-15 will be spent on the proposed premature mortality review function;
NHS England has made £1.5 million available in 2014-15 to undertake the work required to establish a national learning disability mortality review function by the end of March 2015. NHS England is currently undertaking work to define the detail of how the review function will operate. However, NHS England is clear that the starting point will be the proposals put forward by the Confidential Inquiry into Premature Deaths of People with Learning Disabilities team and will aim to develop proposals with input from a range of partners.
Backbench debate on a motion on GP services in Tower Hamlets.
Backbench debate on a motion on GP services in Tower Hamlets.
It is a pleasure to see you in the Chair this afternoon, Mr Streeter. I am grateful to Mr Speaker for affording me the opportunity to hold this debate, to the Minister for being here to listen and respond and to my parliamentary neighbour, my hon. Friend the Member for...
It is a pleasure to see you in the Chair this afternoon, Mr Streeter. I am grateful to Mr Speaker for affording me the opportunity to hold this debate, to the Minister for being here to listen and respond and to my parliamentary neighbour, my hon. Friend the Member for...
As well as the Jubilee Street surgery, four other practices in Tower Hamlets are reported to be part of the 98 surgeries facing closure, but we do not know where they are. Will the Minister commit to publish a list of those surgeries and to place that list in the...
As well as the Jubilee Street surgery, four other practices in Tower Hamlets are reported to be part of the 98 surgeries facing closure, but we do not know where they are. Will the Minister commit to publish a list of those surgeries and to place that list in the...
I am grateful to my hon. Friend for asking the Minister that question and look forward to his response.
The Jubilee Street and St Katharine Docks practices are the two main affected surgeries in my constituency. They are professional, efficient and well-loved and respected by patients. Jubilee Street says that if...
I am grateful to my hon. Friend for asking the Minister that question and look forward to his response.
The Jubilee Street and St Katharine Docks practices are the two main affected surgeries in my constituency. They are professional, efficient and well-loved and respected by patients. Jubilee Street says that if...
I had just asked the Minister three questions relating to what he thinks might be causing the problems confronting our GP practices. The fourth is whether it is because of the range of different contracts negotiated over the past decade, awarding different levels of funding for numbers of patients to...
I had just asked the Minister three questions relating to what he thinks might be causing the problems confronting our GP practices. The fourth is whether it is because of the range of different contracts negotiated over the past decade, awarding different levels of funding for numbers of patients to...
Does my hon. Friend agree that, in a borough such as Tower Hamlets, with high levels of health inequalities, the fact that people cannot get GP appointments for days on end is scandalous? It will devastate people’s lives further and actually cost more, particularly by putting pressure on accident and...
Does my hon. Friend agree that, in a borough such as Tower Hamlets, with high levels of health inequalities, the fact that people cannot get GP appointments for days on end is scandalous? It will devastate people’s lives further and actually cost more, particularly by putting pressure on accident and...
I agree entirely with my hon. Friend, and I am sure that the Minister also agrees that if we can treat people in general practice and prevent them from going to A and E, that is a much more efficient use of NHS resources. Her point is valid.
The House of...
I agree entirely with my hon. Friend, and I am sure that the Minister also agrees that if we can treat people in general practice and prevent them from going to A and E, that is a much more efficient use of NHS resources. Her point is valid.
The House of...
It is a pleasure to serve under your chairmanship, Mr Streeter, for what I believe is now the third time, and to respond to this debate. I congratulate the hon. Member for Poplar and Limehouse (Jim Fitzpatrick) not only on securing the debate but on his advocacy on behalf of...
It is a pleasure to serve under your chairmanship, Mr Streeter, for what I believe is now the third time, and to respond to this debate. I congratulate the hon. Member for Poplar and Limehouse (Jim Fitzpatrick) not only on securing the debate but on his advocacy on behalf of...
I apologise for intervening so early, but I do not remember having any meetings with the Minister in his office on any subject. I would not want to mislead the House, or for people to think that we had held meetings in which I had not raised this issue.
I apologise for intervening so early, but I do not remember having any meetings with the Minister in his office on any subject. I would not want to mislead the House, or for people to think that we had held meetings in which I had not raised this issue.
A congregation of MPs from London came to see me and I believed that the hon. Gentleman had been there, but I am obviously mistaken. I apologise for that mistake, but I can recall similar conversations in the past during meetings with other MPs from other parts of the country,...
A congregation of MPs from London came to see me and I believed that the hon. Gentleman had been there, but I am obviously mistaken. I apologise for that mistake, but I can recall similar conversations in the past during meetings with other MPs from other parts of the country,...
When we have that meeting with Lord Howe, it would be useful if NHS England could provide the Minister and his officials with an accurate breakdown of figures for the practices in Tower Hamlets. Given the order of deprivation, the chronic ailments and conditions, the age profiles of very elderly...
When we have that meeting with Lord Howe, it would be useful if NHS England could provide the Minister and his officials with an accurate breakdown of figures for the practices in Tower Hamlets. Given the order of deprivation, the chronic ailments and conditions, the age profiles of very elderly...
I am happy to write to the hon. Gentleman after the debate to outline the more general points, and I am sure that we can ensure that more specific details are available for him to discuss in his meeting with my noble Friend Earl Howe. NHS England has made it...
I am happy to write to the hon. Gentleman after the debate to outline the more general points, and I am sure that we can ensure that more specific details are available for him to discuss in his meeting with my noble Friend Earl Howe. NHS England has made it...
I recognise that there is some logic in the Minister’s suggestion about smaller practices. The Jubilee street practice has 13,000 patients. It is a big practice and is multi-handed with clinicians and staffing, and is considered to be extremely efficiently run.
I recognise that there is some logic in the Minister’s suggestion about smaller practices. The Jubilee street practice has 13,000 patients. It is a big practice and is multi-handed with clinicians and staffing, and is considered to be extremely efficiently run.
Indeed. I will talk in more detail about Tower Hamlets, but the hon. Gentleman is right to say that it has a long history of collaboration, efficiently run practices and good working between GPs and other community health services to support some of the most vulnerable people in our society...
Indeed. I will talk in more detail about Tower Hamlets, but the hon. Gentleman is right to say that it has a long history of collaboration, efficiently run practices and good working between GPs and other community health services to support some of the most vulnerable people in our society...
To ask the Secretary of State for Health pursuant to the answer of 1 April 2014, Official Report, column 714, on physical and mental health (parity of esteem), if he will collect and publish mental health spending data for (a) 2012-13, (b) 2013-14 and (c) future years.
To ask the Secretary of State for Health pursuant to the answer of 1 April 2014, Official Report, column 714, on physical and mental health (parity of esteem), if he will collect and publish mental health spending data for (a) 2012-13, (b) 2013-14 and (c) future years.
NHS England currently collects and publishes information about mental health spending via its Programme Budgeting Data collection and published expenditure data for 2012-13 on 21 February 2014. This is available on its website at:
www.england.nhs.uk/resources/resources-for-ccgs/prog-budgeting
We are working with NHS England to support its plans to develop the Programme Budgeting Dataset for 2013-14 to provide a more meaningful analysis of expenditure on mental health conditions.
To ask the Secretary of State for Health pursuant to the answer of 6 May 2014, Official Report, column 127W, if he will list the outlier practices and the amount each is forecast to lose as a result of removing performance indicators from the Quality Outcomes Framework.
To ask the Secretary of State for Health pursuant to the answer of 6 May 2014, Official Report, column 127W, if he will list the outlier practices and the amount each is forecast to lose as a result of removing performance indicators from the Quality Outcomes Framework.
The Department does not hold this information centrally, but details of practices identified by NHS England have been sent to area teams.
As part of the changes to the General Medical Services (GMS) contract from April 2014, we have reduced the Quality and Outcomes Framework by more than a third. These changes are intended to free up space for general practitioners to provide more proactive and personalised care for their patients which includes their new responsibility of being accountable for all of their patients aged 75 and over.
These changes were part of changes to GMS contract negotiated with the General Practitioners Committee of the British Medical Association.