Asked by: Peter Prinsley (Labour - Bury St Edmunds and Stowmarket)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of the NHS Dispensing Fee for dispensing GP practices in the context of recent increases in employers’ National Insurance contributions.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
General practices (GPs) are valued independent contractors who provide over £13 billion worth of National Health Services. Every year we consult with the profession about what services GPs provide, and the money providers are entitled to in return under their contract, taking account of the cost of delivering services, including dispensing fees.
Dispensing practices receive a dispensing fee, approximately £2.00 to 2.50 per item, which is intended to cover dispensing costs. This fee is calculated based on the forecasted volumes of prescriptions to be dispensed and the size of the funding envelope, according to a methodology agreed by the Department, the General Practitioners Committee, NHS Employers, and the Welsh Government. An updated methodology was agreed between the British Medical Association and NHS England to address the issue of continuing fluctuation between over and underspend year on year, the alternating pattern of over and under spends, and implemented in October 2023.
We are investing an additional £1.1 billion in GPs to reinforce the front door of the NHS, bringing total spend on the GP Contract to £13.4 billion in 2025/26, which is the biggest cash increase in over a decade. The 8.9% boost to the GP Contract in 2025/26 is greater than the 5.8% growth to the NHS budget as a whole.
Asked by: Peter Prinsley (Labour - Bury St Edmunds and Stowmarket)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress the General Dental Council has made on procuring a new examination board for the Overseas Registration Exam.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
I have asked the General Dental Council (GDC) to present its action plan to reduce the Overseas Registration Exam (ORE) waiting list in the autumn, when the GDC also expects to be able to announce the new contract provider for the ORE.
Asked by: Peter Prinsley (Labour - Bury St Edmunds and Stowmarket)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what progress the General Dental Council has made on developing an action plan to reduce the waiting list for the Overseas Registration Exam.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
I have asked the General Dental Council (GDC) to present its action plan to reduce the Overseas Registration Exam (ORE) waiting list in the autumn, when the GDC also expects to be able to announce the new contract provider for the ORE.
Asked by: Peter Prinsley (Labour - Bury St Edmunds and Stowmarket)
Question to the Home Office:
To ask the Secretary of State for the Home Department, what consultation her Department undertook on the potential impact of changes to the skilled worker route on the supply of (a) dental hygienists and (b) dental nurses.
Answered by Seema Malhotra - Parliamentary Under-Secretary (Foreign, Commonwealth and Development Office)
On 12 May, we published our Immigration White Paper ‘Restoring Control over the Immigration System’, outlining our future approach to legal migration routes. The first set of immigration rules giving effect to the policies in the White Paper was published on 1 July, including raising the skills threshold to RQF 6 and we will publish an impact assessment of this change in due course.
Asked by: Peter Prinsley (Labour - Bury St Edmunds and Stowmarket)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what discussions he has had with the General Medical Council on ensuring that doctors who are unwell seek professional help for their condition, in the context of the General Medical Council's decision to remove health as a specific grounds for action in fitness to practise investigations.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Government has committed to bringing forward legislation to modernise the regulation of doctors in the United Kingdom by the General Medical Council (GMC) in this Parliament. Government officials are working closely with the GMC and other stakeholders, and we expect to be in a position to consult on a draft legislative framework for the GMC, which will include proposed grounds for action in fitness to practice cases, by the end of 2025.
The GMC and all other healthcare professional regulators will continue to have a duty of care to any of their registrants who have physical or mental health concerns. This includes, where necessary, supporting them to work within a safe scope of practice. Healthcare professional regulators must ensure that any fitness to practice concerns relating to a health condition are handled sensitively and confidentially in a way that balances the rights and interests of the registrant with the need to ensure public protection.
Asked by: Peter Prinsley (Labour - Bury St Edmunds and Stowmarket)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent discussions he has had with the Care Quality Commission on the introduction of specific metrics to tackle sexual misconduct.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
The Department has not had any recent discussions with the Care Quality Commission (CQC) regarding the introduction of specific metrics to tackle sexual misconduct.
Nonetheless, the CQC monitors for concerns related to sexual misconduct as part of its regulatory responsibilities. This is in line with Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, which requires that service providers must have a zero tolerance approach to abuse, including sexual abuse and harassment. Failure to comply with Regulation 13 can have serious consequences, including regulatory action from the CQC, potentially leading to a provider being denied registration, or in some cases, prosecution.
Asked by: Peter Prinsley (Labour - Bury St Edmunds and Stowmarket)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what recent discussions he has had with professional regulators to ensure consistent management of sexual misconduct cases.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Professional Standards Authority for Health and Social Care (PSA) oversees the bodies which regulate health and care professionals in the United Kingdom. As with all UK healthcare professional regulators, the PSA is independent of Government, and directly accountable to Parliament. As the oversight body for the UK healthcare regulators, it annually reviews each professional regulators’ performance and publishes its findings.
Since 2006, the PSA has published guidance for healthcare regulators, employers and patients on tackling sexual misconduct amongst healthcare professionals as part of the ‘Clear Sexual Boundaries’ project.
The recommendations in the reports have been used by all the statutory healthcare regulators as a basis for reviewing and aligning their own guidance to registrants on standards of professional behaviour. In addition, Fitness to Practise Committees consider the guidance when making decisions on sanctions in cases involving sexual misconduct by registrants to ensure they are proportionate and equitable across professions. Regulators have also committed to working with registrants, employers, education providers and other stakeholders to develop more effective ways to prevent sexual misconduct by registrants and to improve the detection of perpetrators of sexual misconduct.
My Rt. Hon. Friend, the Secretary of State for Health and Social Care, has not had any recent discussions with professional regulators to ensure consistent management of sexual misconduct cases.
Asked by: Peter Prinsley (Labour - Bury St Edmunds and Stowmarket)
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 establish a national anonymous reporting mechanism for sexual misconduct in the NHS.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We are committed to ensuring that all National Health Service healthcare settings are safe places to work and that everyone working in the NHS feels safe and supported at work. There is a zero-tolerance approach to any instances of sexual misconduct in the NHS workplace. The NHS Sexual Safety Charter has been signed by over 400 organisations across the health system to date and requires signatories to ensure appropriate reporting mechanisms are in place, including anonymous reporting. This has been strengthened by the National People Policy Framework on Sexual Misconduct and further evaluation work is ongoing to ensure consistent implementation across all integrated care boards and NHS trusts.
Asked by: Peter Prinsley (Labour - Bury St Edmunds and Stowmarket)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what steps he is taking to help ensure trauma-informed education and training for all staff involved in fitness-to-practice cases within the Medical Practitioners Tribunal Service.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
The Medical Practitioners Tribunal Service (MPTS) is a statutory committee of the General Medical Council (GMC), the independent regulator of all medical doctors, anaesthesia associates and physician associates practising in the United Kingdom. The MPTS operates separately from the investigatory role of the GMC to make impartial decisions about whether doctors are fit to practise medicine. The MPTS is independent of Government, accountable to the GMC and Parliament.
The appointment, training and appraisal of tribunal members is undertaken by the MPTS to ensure independence of tribunal decision making. All tribunal members are required to take part in annual training. In 2024, this included decision making in sexual misconduct cases, supported by case studies, encompassing inappropriate sexual behaviours, sexual motivation and sexual harassment, rape myths and assessing demeanour.
The UK's model of healthcare professional regulation is founded on the principle of regulators operating independently from government. My Rt. Hon. friend, the Secretary of State for Health and Social Care, has not taken any steps to ensure trauma-informed education and training for all staff involved in fitness-to-practice cases within the MPTS.
Asked by: Peter Prinsley (Labour - Bury St Edmunds and Stowmarket)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what plans his Department has to mandate (a) NHS trust organisations, (b) health boards and (c) professional regulators to collect and publish annual data on sexual misconduct cases.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
We are committed to ensuring that all National Health Service healthcare settings are safe places to work and everyone working in the NHS feels safe at work. There is a zero-tolerance approach to any instances of sexual misconduct in the NHS workplace.
NHS England is currently reviewing sexual misconduct data as part of a wider review of Domestic Abuse and Sexual Violence (DASV) data to promote better collection of annual data on sexual misconduct cases. Better collection of data will support and strengthen the zero-tolerance approach. NHS England is currently reviewing staff sexual misconduct workforce data as part of wider DASV data improvement work.