Lord Hunt of Kings Heath – 2015 Parliamentary Question to the Department of Health

The below Parliamentary question was asked by Lord Hunt of Kings Heath on 2015-10-19.

To ask Her Majesty’s Government how many general practitioner practices that received funding to open at weekends and in the evening have cut back out-of-hours work due to (1) a lack of demand; and (2) a shortage of GPs; and by how much those practices have reduced their opening.

Lord Prior of Brampton

Schemes within the Prime Minister’s GP Access Fund are trialling innovative and improved general practitioner access. This includes longer opening hours – such as evening and weekend hours – but also different ways of accessing services, for example telephone and video consultations and increased use of skill mix. £175 million (including £25 million sourced from the £1 billion Infrastructure Fund) has been invested in 57 schemes over two waves, meaning that over 18 million patients (a third of the country) will have benefitted from improved access and transformational change at local level by March 2016.

The Wave One pilots have, in some cases, adjusted their approach. It is right for pilots to have done this to fit with what is found to work best for the local population.

Of the 20 Wave One pilots that initially offered extended access:

‒ 12 pilots have maintained or increased their extended access from initial mobilisation;

‒ 5 pilots have reduced their extended access by an average of 6 hours per week per scheme; and

‒ robust data was not supplied in time for three pilots, so an assessment of extended access variation cannot be made at this time.

Schemes noted that in order to meet local needs and preferences, they adjusted opening hours and redirected resources towards the end of the pilot, once the pattern of local demand was better understood. The reasons for reduction in extended access varied according to locality. They included lower than expected demand from patients, and clinical/non-clinical staff availability. Furthermore, after the process of due diligence, there was a difference for some pilots between bid contract and committed hours.

Clinical commissioning groups are looking at the evidence from the pilots necessary to secure sustainable provision which has proved beneficial for patients, local services and the profession.