Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what assessment he has has made of the potential impact hospital specialists providing advice through the Advice and Guidance scheme on their workload; and whether additional (a) resources and (b) staffing have been provided to specialist departments to manage this increased demand for consultation.

Advice and Guidance (A&G) is a proven method of reducing unnecessary referrals into elective care, by diverting potential referrals where specialist advice determines that the most appropriate setting for care is in primary or community settings. Unnecessary referrals can waste valuable clinical time assessing and or treating patients in secondary care who could be cared for in the community. Allocating existing resources and staff time to handling A&G requests reduces demand for first outpatient appointments where a referral to secondary care is not considered necessary, so where referrals are made, they are a good use of patient and clinician time and result in the most appropriate treatment.

NHS England is leading a programme of work to improve clinical job planning to support trusts to provide high quality and timely A&G responses back to general practitioners alongside their existing work with patients. There are also robust mechanisms for system oversight and reporting on A&G, including the operational delivery framework for integrated care boards to identify and help resolve local operational barriers to delivering increased A&G volumes.