Questions & Answers
Q1
Partial Answer
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Context
Concerns about underfunding and low GP-to-patient ratio in Blackburn.
The inverse training law is depriving communities in Blackburn of access to primary care. Blackburn already has one of the lowest ratios of GPs to patients in the country, and it struggles to attract and retain GPs. The Government have committed to provide 6,000 new GPs by 2024, but according to the British Medical Association there are actually 1,737 fewer GPs as of this month. What is the Secretary of State's Department doing to level up primary care and deliver the incentives for GPs to train and practise in communities such as Blackburn?
I know this is an issue of concern that the hon. Lady wrote to my predecessor about, and indeed she raised its impact on her constituency in the House last month. There are specific programmes such as the targeted enhanced recruitment scheme that was launched in 2016, and the one-off financial incentives to attract GPs to the more deprived areas. We are also looking at how we can have the right skills mix to boost not just the number of GPs but wider access to appointments.
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Assessment & feedback
Did not provide specific details about current actions or plans for improving GP access in Blackburn.
We Are Looking At How We Can Have The Right Skills Mix
Response accuracy
Q2
Partial Answer
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Context
Clinicians raised concerns about face-to-face consultations being replaced with telephone ones, risking missed or misdiagnoses.
Last week, hospital clinicians raised with me their serious concerns that they are seeing incoming case notes of vulnerable and frail patients marked with 'telephone consultation during covid-19 pandemic', but those consultations were just in the last few weeks. This is clearly unacceptable and is leaving many of my constituents with the very real possibility of either a missed diagnosis or a misdiagnosis. What action is the Secretary of State taking to guarantee face-to-face appointments that are easily available for the elderly and vulnerable patients who need them?
The number of face-to-face appointments is increasing and in May 2022, excluding covid-19 vaccines, 64% of appointments were face-to-face, up from 55%. But the hon. Lady is right to say that patients should have the choice, and that is why the NHS access improvement programme has been supporting practices experiencing greater access challenges. Indeed, one of the first visits I did in my new role was to a GP practice to look at the practical measures it was putting in place to facilitate greater access for its patients.
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Assessment & feedback
Did not provide specific actions or commitments regarding face-to-face appointments for elderly and frail patients.
We Are Looking At Supporting Practices Experiencing Challenges
Response accuracy
Q3
Partial Answer
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Context
Concerns about underfunding and low GP-to-patient ratio in Blackburn, impacting access to primary care.
The inverse training law is depriving communities in Blackburn of access to primary care. Blackburn already has one of the lowest ratios of GPs to patients in the country, and it struggles to attract and retain GPs. The Government have committed to provide 6,000 new GPs by 2024, but according to the British Medical Association there are actually 1,737 fewer GPs as of this month. What is the Secretary of State's Department doing to level up primary care and deliver the incentives for GPs to train and practise in communities such as Blackburn?
I know this is an issue of concern that the hon. Lady wrote to my predecessor about, and indeed she raised its impact on her constituency in the House last month. There are specific programmes such as the targeted enhanced recruitment scheme that was launched in 2016, and the one-off financial incentives to attract GPs to the more deprived areas. We are also looking at how we can have the right skills mix to boost not just the number of GPs but wider access to appointments.
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Assessment & feedback
Did not provide specific details about current actions or plans for improving GP access in Blackburn.
We Are Looking At How We Can Have The Right Skills Mix
Response accuracy
Q4
Partial Answer
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Context
Suggestion to improve electronic transfer of prescriptions from hospital consultants to GPs.
I welcome my right hon. Friend to his place. I offer a solution. Will he commit himself to sorting out the transfer of electronic prescriptions between hospital consultants and GPs, which would stop people trying to get appointments for prescriptions written in hospital. That would simplify things enormously, and my GPs would really welcome it. We could also do rural dispensing doctors while we are at it.
I always welcome solutions from colleagues on both sides of the House. From memory, Tim Ferris, who leads on tech within the NHS, is looking at a tech solution—I think it is in beta testing, although I would have to check. Appointments made shortly after a person has been discharged from hospital are often quite complex cases and create additional pressure on GPs.
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Assessment & feedback
Did not commit to a specific action or timeline for improving the transfer of electronic prescriptions between hospitals and GPs.
From Memory, Tim Ferris Is Looking At A Tech Solution
Response accuracy
Q5
Partial Answer
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Context
A new medical centre approved for Calne has faced delays due to covid and contractors.
A much-needed new medical centre at Calne in my constituency was approved by the NHS in 2021, but there have since been a number of blockages to do with covid and the contractors. Will the Secretary of State look into those problems to find out what the blockages are—I think they are largely bureaucratic—and clear them out of the way to give the people of Calne their much-needed new medical centre?
I am very happy to look into that specific issue, which I know my hon. Friend has raised with the Department. I am happy to have further conversations with him.
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Assessment & feedback
Did not commit to a concrete action or timeline for resolving blockages and completing the new medical centre.
I Am Very Happy To Look Into That Specific Issue
Response accuracy
Q6
Partial Answer
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Context
A GP survey showed a doubling of poor experiences reported between 2021 and 2022.
The GP survey out last week shows that the proportion of people reporting their overall GP experience as very poor or fairly poor doubled between 2021 and 2022. Instead of picking a fight or blaming someone else, will the Secretary of State tell us what he will do to ensure that people in places like Wakefield can see their GP when they need to?
Far from blaming anyone else—notwithstanding the fact I have been in post for less than two weeks—I have set out a range of things we need to do, because this is a shared challenge that affects all our constituents, and it is within the context of increased demand. The May figures show a significant increase in appointments—1.31 million appointments per working day this year compared with 1.24 million last year. There is increasing demand, and we need to harness GP time, the skills mix and better use of technology.
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Assessment & feedback
Did not provide specific measures for improving access in areas with poor GP experiences.
Far From Blaming Anyone Else
Response accuracy
Q7
Partial Answer
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Context
Support for the Three Counties Medical School in Worcester to address workforce pressure.
We need more GPs and junior doctors in Worcestershire, and there is strong support from our local GPs, our acute trust and neighbouring trusts for the Three Counties Medical School in Worcester. Will my right hon. Friend meet me to discuss the case for providing funded places as swiftly as possible?
My hon. Friend will be aware that, through this Government's funding, we have opened five new medical schools and, from memory, 1,500 additional undergraduate places. That is thanks to the work of the former Secretary of State, my right hon. Friend the Member for South West Surrey (Jeremy Hunt), who championed this specific initiative to address workforce pressure.
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Assessment & feedback
Did not commit to meeting him specifically to discuss funding places for the Three Counties Medical School.
From Memory, 1,500 Additional Undergraduate Places
Response accuracy
Q8
Partial Answer
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Context
Concerns about pharmacy closures due to financial pressures and their impact on GP services.
Does the Secretary of State agree that one way we can take some of the pressure off overstretched GP services is to ensure that pharmacists can continue to play their vital role in looking after the health and wellbeing of patients? Pharmacies across the country are closing because of financial pressures, so will he urgently look into extra support for them to recruit and retain staff?
The hon. Lady raises a valid and important point about getting the right service to patients, which can often best be delivered by a pharmacist. That is why, as I signalled earlier, we need better use of tech to support patients in understanding where they can best access the advice they need.
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Assessment & feedback
Did not commit to urgent support for pharmacies or measures related to recruitment and retention.
We Need Better Use Of Tech
Response accuracy
Q9
Partial Answer
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Context
The MP noted significant GP access issues in her constituency of Burton and Uttoxeter. A walk-in centre is proposed as a solution.
Access to GPs is a huge problem across my constituency of Burton and Uttoxeter, as it is in other constituencies. A walk-in centre in Burton would significantly ease some of the load on our GPs and hospital services. Will my right hon. Friend meet me to discuss this possibility?
I have had quite a few meeting requests this morning, and I am always keen to meet colleagues. My hon. Friend will be well aware that part of the reason for having integrated care boards within the place-based approach is that commissioners can determine the best mix of services in the locality, including in Burton.
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Assessment & feedback
The specific request for a meeting to discuss establishing a walk-in centre was not directly addressed.
Response accuracy