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The below Parliamentary question was asked by David Amess on 2016-02-08.

To ask the Secretary of State for Health, what assessment he has made of the effectiveness of social enterprises in delivering high quality healthcare services.

Ben Gummer

It is a statutory obligation that decisions on healthcare provision should be taken independently by local commissioners. Clinical commissioning groups (CCGs) must decide how to use their resources in a way which is evidence based, clinically-led and cost-effective in order to provide high-quality healthcare for people in their area. CCGs must also balance both short-term need and long-term transformation in line with the NHS Five Year Forward View’s (5YFV) objectives.

Where a social enterprise provides a regulated activity, under the Health and Social Care Act 2008, it will have to register with the CQC and follow a set of fundamental standards of safety and quality below which care should never fall. Following inspection of individual social enterprise providers, the CQC will publish a report on its website.

The Government firmly believes that providers from all sectors, including social enterprises, play an important role in providing high quality, safe and efficient care to patients, as well as helping to realise the ambitions set out in the NHS 5YFV. That is why, working in partnership with Public Health England, NHS England and representatives from the voluntary sector, the Department is in the final stages of a review looking at partnerships and investment in the voluntary, community and social enterprise sector. The final report of the review is expected to be published in the spring.

The below Parliamentary question was asked by David Amess on 2016-02-08.

To ask the Secretary of State for Health, what steps his Department is taking to encourage GPs to undertake out-of-hours shifts in primary care.

Alistair Burt

The Department and NHS England are committed to addressing the issue of increasing medical indemnity costs for general practitioners (GPs), including those working out of hours.

Increasing costs of indemnity cover associated with out of hours work may discourage GPs from undertaking out-of-hours shifts in primary care.

The Department was represented at a roundtable event held by NHS England on 17 November 2015 to develop a shared understanding of how to address rising medical indemnity costs. A range of stakeholders, including the British Medical Association and Medical Defence Organisations, also attended.

On 9 December 2015, NHS England announced a winter indemnity scheme to offset the additional indemnity premium for GPs who wish to work additional sessions for their out-of-hours providers.

Discussions are ongoing between the Department and NHS England on a long-term solution.

The below Parliamentary question was asked by David Amess on 2016-02-08.

To ask the Secretary of State for Health, what steps are being taken to develop the model of co-location of urgent and emergency primary care services with A&E.

Jane Ellison

In August 2015, NHS England published Safer, faster, better: good practice in delivering urgent and emergency care, which can be found here:

https://www.england.nhs.uk/wp-content/uploads/2015/06/trans-uec.pdf

This provides guidance to help frontline providers and commissioners re-design urgent and emergency care services, including considering locating urgent care centres in emergency departments. Safer, faster, better notes that urgent care centres co-located with emergency departments provide an opportunity to stream patients with less serious illnesses and injuries to a service that is resourced to meet their needs, while reducing crowding in emergency departments. It also sets out that to preserve flow, urgent care centre staff and cubicles must wherever possible be entirely separated from those used for patients with life-threatening or serious injuries or illnesses or who are going to be admitted. The guidance also includes that where urgent care centres are co-located with emergency departments, there must be appropriate integration, with shared governance arrangements and clearly defined protocols for the two-way transfer of patients.

The below Parliamentary question was asked by David Amess on 2016-02-08.

To ask the Secretary of State for Health, what discussions his Department has had with NHS England to agree a long-term arrangement to control the cost of medical indemnity cover for out-of-hours GPs.

Alistair Burt

The Department and NHS England are committed to addressing the issue of increasing medical indemnity costs for general practitioners (GPs), including those working out of hours.

Increasing costs of indemnity cover associated with out of hours work may discourage GPs from undertaking out-of-hours shifts in primary care.

The Department was represented at a roundtable event held by NHS England on 17 November 2015 to develop a shared understanding of how to address rising medical indemnity costs. A range of stakeholders, including the British Medical Association and Medical Defence Organisations, also attended.

On 9 December 2015, NHS England announced a winter indemnity scheme to offset the additional indemnity premium for GPs who wish to work additional sessions for their out-of-hours providers.

Discussions are ongoing between the Department and NHS England on a long-term solution.