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Urology: Medical Equipment

Volume 475: debated on Tuesday 6 May 2008

To ask the Secretary of State for Health (1) if he will list each of the consultations undertaken on the provision of stoma and incontinence appliances, giving in each case the dates of commencement and closure; when he expects the process to be complete; how much is has cost; and if he will make a statement; (202348)

(2) how the opinions of patients has been sought in the consultations conducted on the provision of stoma and incontinence products; and if he will make a statement.

The current review of the arrangements under Part IX of the Drug Tariff for the provision of stoma and incontinence appliances—and related services—in primary care began in October 2005 and has followed the following timetable:

Consultation

Opened

Closed

Key purpose

Arrangements for the provision of dressings, incontinence appliances, stoma appliances, chemical reagents and other appliances to primary and secondary care

24 October 2005

23 January 2006

Joint consultation; setting out objectives

Arrangements for the provision of stoma and incontinence appliances and related support services to patients under Part IX of the Drug Tariff

27 July 2006

11 September 2006

Sought views on service specification and broad classification

Arrangements for the reimbursement pricing of stoma and incontinence appliances under Part IX of the Drug Tariff

23 November 2006

2 April 2007

Sought views on classification of items and reduction in reimbursement

Arrangements for the remuneration of services relating to appliances within Part IX of the Drug Tariff

23 November 2006

2 April 2007

Sought views on service provision and remuneration for same

Proposed amendments to the Regulatory Terms of Service of Pharmacy and Appliance Contractors in relation to dispensing items listed in Part IX of the Drug Tariff

5 March 2007

2 April 2007

Given proposed service provision, sought views on amendments to terms of service

Arrangements under Part IX of the Drug Tariff for the provision of stoma and incontinence appliances—and related services—to primary care, revised proposals.

6 September 2007

28 December 2007

Sought views on new proposals relating to reimbursement, service provision and remuneration - and terms of service

A further consultation will be published in May 2008, together with an impact assessment and equality impact assessment, and will be open for 12 weeks. No statement can be made as to when the process will be complete until that consultation has concluded.

Costs to date have been £2.4 million, but this does include the work that was done on chemical reagents and dressings in 2005 and 2006. These costs were for the services of professional advisers. The Department's costs are part of its ongoing operational budget.

The new arrangements for reagents and dressings which came into effect in October 2006 are delivering savings of £24 million year to primary care.

A wide range of patients groups have been involved in the consultation process and users have helped to inform policy at every stage.