Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many and which GP practices (a) closed and (b) opened in the London Borough of Enfield in each year since 2010.
Answered by Steve Brine
NHS England has recorded four practice closures in Enfield since 2013, listed in the table below.
Practice Name | Date of closure |
The Green Practice | 30 January 2014 |
Jaina House Surgery | 1 July 2014 |
Palm Medical Centre | 2 August 2014 |
Bowes Road Medical Centre | 10 June 2016 |
Practices may close for a variety of reasons, including mergers with neighbouring practices or the retirement of general practitioners from single-handed practices.
A reduction in practice numbers does not necessarily correspond with a reduction in the quality of care. Much of the trend to work in larger groupings is provider driven, in line with the strategic intent to provide primary care at scale and to create back office efficiencies. There are currently three Primary Care Access Hubs across Enfield which are open from 6.30pm - 8pm weekdays and 8am - 8pm weekends and public holidays.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what consultation has been undertaken to assess the effect of potential NHS service consolidation in (a) the London Borough of Enfield and (b) North Central London.
Answered by Philip Dunne
Health organisations across North London are working with NHS England and NHS Improvement to make sure they deliver safe and effective patient care within budget. North London Sustainability and Transformation partnership consists of health organisations and local authorities across the London boroughs of Barnet, Camden, Enfield, Haringey and Islington.
If holding a consultation does become appropriate as a result of planned significant service change then a full public consultation will take place. The proposals must have support from clinical commissioners, clarity on the clinical evidence base, robust patient and public engagement and support for patient choice. There is additional NHS England guidance which means that proposed service reconfigurations should be tested for their impact on overall bed numbers in the area. It is right that these decisions are led by local clinicians, who best understand the healthcare needs of their local populations.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what assessment he has made of the capped expenditure process on the NHS's ability to use and retain patient data.
Answered by Philip Dunne
The National Health Service and wider health system has examined how to sustain and improve care – which produced the NHS Five Year Forward View. The Government committed to providing an additional £10 billion in real terms by 2020-21 to back the NHS’ plan, enabling it to deliver key priorities like seven day care, improved access to cancer treatments and better mental health services.
All public services, local NHS areas need to live within the budget agreed – otherwise they effectively take up resources that could be spent on general practitioners, mental health care, and cancer treatment. As part of their financial planning, NHS England and NHS Improvement have been running a process to look at how a small number of areas could do more to balance their financial plans, as many already have.
The National Health Service is required to meet its operational standards as set out in the mandate and ensure access to appropriate care for all, in line with the NHS Constitution. It is right that the NHS should consider efficiency savings such as reducing delayed transfers of care, reducing running costs, or reviewing treatments that are of low clinical effectiveness – because this improves patient care overall.
The Capped Expenditure Process is an extension of the annual planning process, and as such the usual consultation requirements are unchanged in respect of any proposed major service reconfigurations. We also do not expect that this should affect the appropriate use or availability of patient data.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what discussions he has had with (a) NHS England and (b) NHS Improvement on how the capped expenditure process affects NHS services in the London Borough of Enfield.
Answered by Philip Dunne
The National Health Service and wider health system has examined how to sustain and improve care – which produced the NHS Five Year Forward View. The Government committed to providing an additional £10 billion in real terms by 2020-21 to back the NHS’ plan, enabling it to deliver key priorities like seven day care, improved access to cancer treatments and better mental health services.
All public services, local NHS areas need to live within the budget agreed – otherwise they effectively take up resources that could be spent on general practitioners, mental health care, and cancer treatment. As part of their financial planning, NHS England and NHS Improvement have been running a process to look at how a small number of areas could do more to balance their financial plans, as many already have.
The National Health Service is required to meet its operational standards as set out in the mandate and ensure access to appropriate care for all, in line with the NHS Constitution. It is right that the NHS should consider efficiency savings such as reducing delayed transfers of care, reducing running costs, or reviewing treatments that are of low clinical effectiveness – because this improves patient care overall.
The Capped Expenditure Process is an extension of the annual planning process, and as such the usual consultation requirements are unchanged in respect of any proposed major service reconfigurations. We also do not expect that this should affect the appropriate use or availability of patient data.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, when a public consultation will be held on the capped expenditure process in North Central London.
Answered by Philip Dunne
The National Health Service and wider health system has examined how to sustain and improve care – which produced the NHS Five Year Forward View. The Government committed to providing an additional £10 billion in real terms by 2020-21 to back the NHS’ plan, enabling it to deliver key priorities like seven day care, improved access to cancer treatments and better mental health services.
All public services, local NHS areas need to live within the budget agreed – otherwise they effectively take up resources that could be spent on general practitioners, mental health care, and cancer treatment. As part of their financial planning, NHS England and NHS Improvement have been running a process to look at how a small number of areas could do more to balance their financial plans, as many already have.
The National Health Service is required to meet its operational standards as set out in the mandate and ensure access to appropriate care for all, in line with the NHS Constitution. It is right that the NHS should consider efficiency savings such as reducing delayed transfers of care, reducing running costs, or reviewing treatments that are of low clinical effectiveness – because this improves patient care overall.
The Capped Expenditure Process is an extension of the annual planning process, and as such the usual consultation requirements are unchanged in respect of any proposed major service reconfigurations. We also do not expect that this should affect the appropriate use or availability of patient data.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what discussions (a) he and (b) officials of his Department have had with (i) NHS England and (ii) NHS Improvement on potential NHS service consolidation at North Middlesex University Hospital.
Answered by Philip Dunne
No specific meetings have been recorded. However, both Ministers and officials are in regular communication with colleagues at arms length bodies, including NHS England and NHS Improvement, on many issues affecting the National Health Service.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what assessment his Department has made of the effect of the capped expenditure process on the quality of care delivered by the NHS.
Answered by Philip Dunne
Local organisations are taking action to secure high quality care within their fair share of the National Health Service budget.
The NHS is required to meet its operational standards as set out in the mandate and ensure access to appropriate care for all, in line with the NHS Constitution. It is right that the NHS should consider efficiency savings such as reducing delayed transfers of care, reducing running costs, or reviewing treatments that are of low clinical effectiveness – because this improves patient care overall.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many patients in Enfield North constituency affected by NHS Shared Business Services' backlog of correspondence have yet to have their files assessed by a GP.
Answered by Jackie Doyle-Price
All documentation has been sent on to the relevant general practitioner surgery. Information by parliamentary constituency is not available.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many patients in Enfield North constituency have been affected by NHS Shared Business Services' (SBS) backlog of patient correspondence; of the 1,788 cases of potential harm identified by the National Audit Office (NAO) as being caused by the SBS backlog of correspondence, how many affected Enfield North constituency residents; and of the 2,508 items of correspondence identified by the NAO as high risk, how many affected patients in Enfield North constituency.
Answered by Jackie Doyle-Price
All documentation has been sent on to the relevant general practitioner surgery. Information by parliamentary constituency is not available.
Asked by: Joan Ryan (The Independent Group for Change - Enfield North)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, with reference to his oral contribution of 27 February 2017, Official Report, column 26, how many of the 708,000 items of confidential NHS correspondence lost by NHS Shared Business Services relate to the medical records of patients from (a) Enfield North constituency and (b) the London Borough of Enfield.
Answered by Baroness Blackwood of North Oxford
There has been no loss of correspondence. All correspondence has been securely held, and has now been returned to general practitioner practices or to archives, as appropriate.
The information requested is not available at parliamentary constituency or local authority level.