Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure that the restructuring of Out-of-Hours GP services in (a) Wiltshire, (b) Gloucestershire and (c) other rural areas does not restrict patient access to urgent care.

General practices (GPs) are independent businesses who are contracted by National Health Service commissioners to perform medical services. The GP contract ensures that a consistent provision of healthcare is provided, including out of hours services which should be available to all patients, including in Wiltshire, Gloucestershire, and other rural areas.

Practices may provide out of hours services themselves, for which they will be paid, or they can opt out of providing these with their commissioner’s approval. If a practice chooses to opt out of delivering these services, they must be made available from an alternative provider for that practice’s registered patients. This is to provide practices with flexibility, as they are best placed to understand their own workforce and workloads. Any changes in services are determined by local commissioners.