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General Practitioners

Mark Simmonds: To ask the Secretary of State for Health what steps his Department has taken to incentivise general practitioners to accept new patients. [185928]

Mr. Bradshaw: The new general medical services contract introduced a number of steps to incentivise and improve access to general practice. New allocation and funding mechanisms such as the global sum, Quality and Outcomes Framework and enhanced services reward the work associated with each additional patient under new practice-based contracts. Therefore, every new additional patient registration attracts additional funding for each practice. In addition, substantial investment in primary care has enabled new and extended premises for general practices to increase their capacity and accept a greater number of patients to their lists.

Mark Simmonds: To ask the Secretary of State for Health what steps his Department has taken to (a) clarify the rules on eligibility and (b) streamline the process for patients to register with a GP practice. [185929]

Mr. Bradshaw: The current system of patient registration is relatively straightforward. However, the Department acknowledges that the current rules on eligibility to register for free primary medical services for foreign nationals are unclear and much is left to the discretion of individual general practitioners (GPs) and practices. The Department is undertaking a joint review of Access to the NHS by foreign nationals with the Home Office. The review is due to be completed shortly and any new proposals will then go out to public consultation.

Key information about all GP practices, including information on how to register, has also been made available via the NHS Choices website on www.nhs.uk. This service provides people with reliable and accessible information on GP practices to help them choose which a local practice that is likely to best meet their needs.

Mark Simmonds: To ask the Secretary of State for Health what percentage of GPs’ practices’ lists are (a) open, (b) open and full and (c) closed. [185930]

Mr. Bradshaw: Under the contractual arrangements, general practitioner practice lists are either ‘open’ or ‘closed’. In England, as at October 2007, 2 per cent. of practices reported operating ‘closed lists’. These data are collected quarterly through the Primary Care Trust Primary Care Access Survey.

Mark Simmonds: To ask the Secretary of State for Health what steps have been taken to provide individuals with information on GP practices and their services since the publication of Our Health, Our Care, Our Say. [185933]

Mr. Bradshaw: The public are now able to access key information about all general practitioner (GP) practices—including the results of the patient survey,
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practice opening times and performance against key quality indicators via the NHS Choices website on www.nhs.uk. This service provides people with reliable and accessible information on GP practices to help them choose which one is likely to best meet their needs.

Andrew George: To ask the Secretary of State for Health what (a) guidance and (b) rules have been set for existing GP practices which wish to bid to become alternative providers of medical services. [186878]

Mr. Bradshaw: It is for primary care trusts (PCTs) to develop open and transparent tendering processes where all health care providers, including existing practices, voluntary and independent sector organisations, can bid to deliver primary medical care services under an alternative provider medical services (APMS) contract.

General Practitioners: Working Hours

Miss McIntosh: To ask the Secretary of State for Health for what reasons he is planning to re-open negotiations with GPs on out-of-hours services to patients. [185646]

Mr. Bradshaw: The Government have no proposals to re-open negotiations with the general practitioners on taking back responsibility for out of hours services to patients.

Mr. Walker: To ask the Secretary of State for Health (1) what estimate he has made of the effect of requiring GP surgeries to extend their opening hours on GPs’ income; [185826]

(2) whether he plans to amend the General Medical Services contract to include a requirement for GPs to extend their surgery opening hours; [185827]

(3) what additional financial support he will provide to GP surgeries to cover increased costs associated with extended opening hours. [185829]

Mr. Bradshaw: There is no requirement for any general practitioner (GP) practice to extend their opening hours. Under proposals put to the BMA’s General Practitioners Committee, the average GP practice which provides three hours extended opening per week could expect to receive around £19,000 per year, where they choose to provide such services to their patients. This would be funded by making more effective use of existing resources within the current GP contract arrangement. In addition, we have offered to invest an additional 1.5 per cent. increase through the GP contract, worth just over £100 million. This would be a further boost in investment, provide greater improvements for patients and is a good deal for GPs.

Physical/Mental Ill-Health

Jo Swinson: To ask the Secretary of State for Health what research he has evaluated on links between ill health and unhappiness. [187592]


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Mr. Ivan Lewis: The Department is currently reviewing the evidence of the relationship between physical and mental ill-health; there is likely to be a two way interaction between them.

In the longer term, this work will support the Government's commitment to address inequalities in health outcomes across the country.

Health and Social Care Information Centre

Mr. Stephen O'Brien: To ask the Secretary of State for Health pursuant to the answer of 10 December 2007, Official Report, column 309W, on Health and Social Care Information Centre, when the Information Centre began reviewing the information for which data should be made available in the future; which interested parties are contributing to the review; when he expects the review to conclude; and if he will make a statement. [185575]

Mr. Bradshaw: The Information Centre for Health and Social Care is consulting with the Department and a range of other organisations on its products. The outcome and timing of this is a matter for the Chief Executive of the Information Centre for Health and Social Care.

Health Services

Andrew George: To ask the Secretary of State for Health (1) what guidance he has issued to primary care trusts on spending under the alternative providers of medical services budget to develop and expand existing primary care provision; [186879]

(2) what directions he has given to local health trusts in respect of the spending of moneys under the alternative providers of medical services scheme. [186883]

Mr. Bradshaw: The £250 million access fund announced by Secretary of State (Alan Johnson) on 10 October will be devolved to primary care trusts (PCTs) to enable them to develop a general practitioner (GP) led health centre each and at least 100 new GP practices across the 50 PCTs with poorest provision. It will be for PCTs to design these services so that they reflect local health need and health care strategies.

Andrew George: To ask the Secretary of State for Health what (a) timetable has been set for and (b) geographical area will be covered by the initial phases of the alternative providers of medical services scheme. [186880]

Mr. Bradshaw: During 2008-09 primary care trusts (PCTs) will undertake open and transparent procurements for new general practitioner (GP) practices and GP-led health centres. Every PCT in the country will procure on new health centre, however, only those 50 PCTs that have been identified as having the poorest provision will procure new GP practices. A table of these PCTs is shown as follows. The precise geographical locations of these services will be determined locally by PCTs based on their local needs assessment.


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PCTs with poorest provision (i.e. those with fewest primary care clinicians, lowest patient satisfaction with access and poorest health outcomes) where at least 100 new GP practices will be located
Rank PCT SHA

1

Manchester PCT

North West SHA

2

Barking and Dagenham PCT

London SHA

3

Knowsley PCT

North West SHA

4

Sandwell PCT

West Midlands SHA

5

Wolverhampton City PCT

West Midlands SHA

6

Heywood, Middleton and Rochdale PCT

North West SHA

7

Liverpool PCT

North West SHA-

8

Sunderland Teaching PCT

North East SHA

9

Birmingham East and North PCT

West Midlands SHA

10

Halton and St. Helens PCT

North West SHA

11

Heart of Birmingham Teaching PCT

West Midlands SHA

12

Barnsley PCT

Yorkshire and The Humber SHA

13

Leicester City PCT

East Midlands SHA

14

Oldham PCT

North West SHA

15

Blackburn with Darwen PCT

North West SHA

16

Stoke on Trent PCT

West Midlands SHA

17

Hounslow PCT

London SHA

18

Hull PCT

Yorkshire and The Humber SHA

19

Nottingham City PCT

East Midlands SHA

20

Blackpool PCT

North West SHA

21

Ashton, Leigh and Wigan PCT

North West SHA

22

Dudley PCT

West Midlands SHA

23

Bolton PCT

North West SHA

24

Greenwich Teaching PCT

London SHA

25

Sefton PCT

North West SHA

26

Medway Teaching PCT

South East Coast SHA

27

Salford PCT

North West SHA

28

Hartlepool PCT

North East SHA

29

Tameside and Glossop PCT

North West SHA

30

Walsall Teaching PCT

West Midlands SHA

31

Newcastle PCT

North East SHA

32

Redcar and Cleveland PCT

North East SHA

33

South Tyneside PCT

North East SHA

34

Calderdale PCT

Yorkshire and The Humber SHA

35

North Lancashire PCT

North West SHA

36

Luton Teaching PCT

East of England SHA

37

Havering PCT

London SHA

38

Hammersmith and Fulham PCT

London SHA

39

Rotherham PCT

Yorkshire and The Humber SHA

40

Enfield PCT

London SHA

41

Bury PCT

North West SHA

42

South Birmingham PCT

West Midlands SHA

43

Telford and Wrekin PCT

West Midlands SHA

44

Newham PCT

London SHA

45

Gateshead PCT

North East SHA

46

Coventry Teaching PCT

West Midlands SHA

47

Bristol PCT

South West SHA

48

North Somerset PCT

South West SHA

49

Middlesbrough PCT

North East SHA

50

East Lancashire PCT

North West SHA


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