Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what the cost to the public purse was of sending letters on the GP Patient Survey in the last 12 months; how many letters were sent to recipients; and whether any patients were contacted by e-mail.

The GP Patient Survey (GPPS) has been carried out in England for nineteen years. It is currently conducted by Ipsos on behalf of NHS England. In total for the 2024 survey, Ipsos sent 2.56 million invite letters and 2.28 million reminder letters asking people to complete the survey, incurring a cost of £2.16 million for paper, printing and postage.

In 2024, costs dropped by £0.9 million (from £4.7 million in 2023 to £3.8 million in 2024) after NHS England introduced a push-to-web methodology. People were sent initial invite letters asking them to complete the survey online, reminded by e-letters where possible and only at the final reminder stage sent a paper questionnaire to complete.

NHS England is exploring additional opportunities for cost savings, including by adding extra contact by email or the NHS App.

However, postal contact remains vital for representation, inclusivity and data quality. Because we have incomplete coverage of email addresses and mobile telephone numbers, an online-only methodology would exclude many people. Additionally, online-only survey approaches tend to yield lower response rates, potentially compromising the quality and representativeness of the data.