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Factor 8

Mr. Heppell: To ask the Secretary of State for Health (1) if he will provide extra funds to all hospital trusts to cover the extra cost of recombinant factor 8 products, incurred as a result of the imposition of value added tax on these products. [3134]

Mr. Horam: It is for clinicians to decide what products are used in the light of available resources and the needs of individual patients. Factor 8 derived from human plasma is used for the majority of patients and is exempt from value added tax.

Mr. Heppell: To ask the Secretary of State for Health what representations has he made to the Chancellor of the Exchequer regarding his decision to impose value added tax on recombinant factor 8 products. [3132]

Mr. Horam: The question of whether value added tax is chargeable on factor 8 products turns on whether they are derived from human blood. My Department has provided technical advice to HM Customs and Excise on that issue.

Hormone Replacement Therapy

Mr. Pope: To ask the Secretary of State for Health what plans he has to remove the requirement of a separate prescription charge for each drug contained in HRT preparations; and if he will make a statement. [2862]

30 Nov 1995 : Column: 864

Mr. Malone: None.

The regulations require a charge to be paid for each quantity of a drug supplied. This includes each quantity of medicine in duopacks such as HRT which are packed in this way for the convenience of the patient and for the manufacturer.

Maternity Services, East London

Mr. Timms: To ask the Secretary of State for Health what is the cost per delivery of the maternity services in the City and east London district at (a) Homerton hospital, (b) Newham general hospital and (c) Royal hospitals trust. [2863]

Mr. Malone: This information is not available centrally.

Access Committee for England

Ms Lynne: To ask the Secretary of State for Health if he will list the level of funding the Access Committee for England has received from his Department for each year since 1989 in 1995 prices. [2914]

Mr. Bowis: The Access Committee for England has received the following levels of grant under section 64 of the Health Services and Public Health Act 1968, at 1995 prices, since 1989.


Accident and Emergency Trauma and Orthopaedic Service, Leeds

Ms Harman: To ask the Secretary of State for Health what response he has made to the review of accident and emergency trauma and orthopaedic service in Leeds. [3123]

Mr. Horam: This review of services was undertaken by independent experts commissioned by the Leeds review task force. I understand a draft report prepared by the task force will be circulated widely for comment in the near future.

Doctors Recruitment

Ms Harman: To ask the Secretary of State for Health what representations he has received alleging difficulty in recruiting and retaining general practitioners to (a) general practices and (b) hospitals; and if he will make a statement. [3141]

Mr. Malone: We have received representations through informal discussions with the profession and the national health service on pockets of difficulty within general practice and on particular difficulties in filling some hospital specialty posts. We are addressing these through improved work force planning.

30 Nov 1995 : Column: 865

NHS Organ Donor Register

Mr. Churchill: To ask the Secretary of State for Health what further plans he has to advertise the existence of the national organ donor scheme. [3133]

Mr. Horam: Since we launched the national health service organ donor register in October 1994 over 2¼ million people have applied to join, of which some 800,000 had joined when applying for a driving licence or registering with a general practitioner. We have been monitoring the effectiveness of the different ways used to encourage people to join and plan further publicity initiatives for early in the new year.

Efficiency Scrutiny

Ms Harman: To ask the Secretary of State for Health if he will make a statement on the work on efficiency scrutiny he announced on 11 October; who is conducting the efficiency scrutiny; and what are its terms of reference. [3340]

Mr. Horam: My right hon. the Secretary of State has asked Mr. Jim Hammond, chief executive of East Gloucestershire national health service trust, to lead the efficiency scrutiny into the burdens of paperwork in NHS trusts and health authorities. The terms of reference for the team are:


The team will report to my right hon. Friend the Secretary of State, and the Prime Minister's efficiency adviser, Sir Peter Levene, before the end of March 1996 with recommendations for implementation within two years.

Private Finance Initiative

Ms Harman: To ask the Secretary of State for Health if the services of (a) chiropodists, (b) dieticians, (c) medical laboratory scientists, (d) occupational therapists, (e) orthoptrists, (f) physiotherapists, (g) radiographers and (h) speech therapists are categorised as clinical services for the purposes of the private finance initiative in the NHS. [3341]

Mr. Horam: There is no requirement upon national health service trusts to include these services as part of the testing of private finance options. But these are matters for local determination and cannot be decided without the support of local clinicians.

30 Nov 1995 : Column: 866

Mr. Bayley: To ask the Secretary of State for Health how many national health service trusts in England are developing plans to use the PFI to care for acutely mentally ill patients. [3220]

Mr. Horam: To ensure that national health service capital projects meet NHS needs as cost effectively as possible, the option of using private finance, under this Government's private finance initiative, must be considered for every potential capital project. Formulation of plans for projects to meet local needs is the responsibility of NHS trusts and health authorities. The information requested is not available centrally.

Mr. Morgan: To ask the Secretary of State for Health what are the principal differences between the private finance initiative schemes which may be developed with public finance if no suitable private capital can be raised and those which may be developed only if private capital can be raised; and if he will make a statement. [3476]

Mr. Horam: To ensure that national health service capital projects meet NHS needs as cost-effectively as possible, the option of using private finance, under this Government's private finance initiative, must be considered for every potential capital project. In the event that private capital is unobtainable for a particular scheme, public capital funding will be considered.

Mr. Bayley: To ask the Secretary of State for Health if he will list the nature, value and location of all private finance initiative projects in the NHS with a project value of £1 million or more which have been approved to date. [3475]

Mr. Horam: I refer the hon. Member to the reply my hon. Friend the Member for Bolton, West (Mr. Sackville) gave the hon. and learned Member for Montgomery (Mr. Carlile) on 6 November at columns 622-23.

One further project with a capital value greater than £1 million has been approved:

£ million
Anglia and Oxford Region, South Buckinghamshire NHS Trust New hospital developments at High Wycombe and Amersham 35

NHS Trusts

Mr. Milburn: To ask the Secretary of State for Health what was the level and percentage of trust income in each region received from non-national health service sources in each year since 1991-92. [3258]

Mr. Horam: The information for 1994-95 is shown in the table. Information from previous years is not available centrally.

30 Nov 1995 : Column: 867

Non-national health service income for trusts in England by region--1994-95 £000

Non-NHS income Total income Percentage of total income from non-- NHS sources
Northern and Yorkshire 161,439 2,890,531 5.6
Trent101,2141,972,1875.1
Anglian and Oxford134,9982,039,4156.6
North Thames415,1043,512,90711.8
South Thames218,8842,974,7167.4
South and West181,2832,725,0806.7
West Midlands112,6801,935,3915.8
North-west145,9523,010,7414.9

Source: The annual financial returns of NHS trusts. Notes: The figures are provisional



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