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Mr. Lidington: To ask the Secretary of State for Health what his policy is towards the suspension from hospital waiting lists of patients recovering from the first stage of a bilateral procedure. 
Mr. Hutton [holding answer 9 January 2002]: Patients who are recovering from the first stage of a bilateral operation should not be suspended from the waiting list but should be placed on the planned list.
Paul Flynn: To ask the Secretary of State for Health what recent assessment he has made of the side effects of tricyclic antidepressants and selective serotonin reuptake inhibitors; and what evidence he has collated on their impact on suicidal tendencies in their users. 
Ms Blears: Selective serotonin reuptake inhibitors (SSRIs) and tricyclic antidepressants (TCAs) are effective medicines in the treatment of depression, features of which may include suicidal behaviour. It is known that
4 Feb 2002 : Column 776W
features of depression, including suicidal behaviour, can worsen after introduction of any antidepressant prior to its beneficial effect being apparent.
As with all medicines the safety of TCAs and selective SSRIs is continually monitored by the Medicines Control Agency (MCA) and the independent expert advisory body, the Committee on Safety of Medicines (CSM). The safety profiles of TCAs and SSRIs are well established and are reflected in the product information for prescribers and patients.
Reports of adverse effects, including suicidal behaviour, suspected to be associated with SSRIs and TCAs are collated by MCA/CSM through the spontaneous reporting scheme, the yellow card scheme. These data are reviewed on a regular basis.
A possible causal association between SSRIs and suicidal behaviour has been reviewed by the CSM on a number of occasions, most recently in 2001. The CSM concluded that the current evidence is insufficient to confirm a causal association between SSRIs and suicidal behaviour and advised that the issue should be kept under review.
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The product information and the British National Formulary warn that patients should be closely monitored for suicidal impulses, particularly in the early stages of treatment. An article emphasising this advice was published in the MCA/CSM drug safety bulletin "Current Problems in Pharmacovigilance" in September 2000.
Mr. Burstow: To ask the Secretary of State for Health, pursuant to his answer of 8 January 2001, Official Report, column 647W, on international recruitment, by what means he monitors the results of the international recruitment and regional international recruitment co-ordinators; and if he will publish the names of the international nursing recruitment agencies who fail to adhere to his guidance. 
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health service employers recruiting internationally. Their role is to ensure that the code of practice is followed and that developing countries are not targeted for international recruitment by providing guidance and advice directly to NHS trusts. The director of international recruitment reviews this process monthly.
Mr. Gordon Prentice: To ask the Secretary of State for Health if he will list for each three star NHS trust in England the estimated value of assets held in (a) land and (b) buildings at the latest date for which figures are available. 
|NHS trust code||NHS trust name||Land||Buildings, installations and fittings|
|RGT||Addenbrooke's NHS Trust||21,243||99,308|
|RDD||Basildon and Thurrock General Hospital NHS Trust||23,135||58,525|
|RCP||Bassetlaw Hospital and Community Health Service Trust||4,070||31,496|
|RMB||Blackburn, Hyndburn and Ribble Valley NHS Trust||5,095||73,620|
|RMR||Blackpool Victoria Hospital NHS Trust||5,303||53,338|
|RAE||Bradford Hospitals NHS Trust||9,373||85,701|
|RGA||Calderdale Healthcare NHS Trust||3,376||21,926|
|RCV||Central Sheffield University Hospitals NHS Trust||7,490||117,702|
|RFS||Chesterfield and North Derbyshire Hospital Trust||8,150||37,033|
|RLN||City Hospitals Sunderland NHS Trust||5,645||76,452|
|RJR||Countess of Chester Hospital NHS Trust||6,064||36,581|
|RA5||East Gloucestershire NHS Trust||22,507||84,159|
|RDU||Frimley Park Hospital NHS Trust||9,900||47,757|
|RGB||Huddersfield Health Care Services NHS Trust||8,359||57,213|
|RJZ||King's College Hospital NHS Trust||21,356||108,796|
|RC9||Luton and Dunstable Hospital NHS Trust||6,887||35,855|
|RQ8||Mid Essex Hospital Services NHS Trust||45,921||78,138|
|RTX||Morecambe Bay Hospitals NHS Trust||10,481||111,631|
|RM1||Norfolk and Norwich University Hospital NHS Trust||2,492||4,258|
|RVW||North Tees and Hartlepool NHS Trust||7,595||73,964|
|RNS||Northampton General Hospital NHS Trust||15,152||60,348|
|RBZ||Northern Devon Healthcare NHS Trust||9,172||39,126|
|RTF||Northumbria Health Care NHS Trust||14,619||116,072|
|RGN||Peterborough Hospitals NHS Trust||4,454||24,064|
|RQW||Princess Alexandra Hospital NHS Trust||16,000||34,386|
|RG2||Queen Elizabeth Hospital NHS Trust||16,813||10,432|
|RH8||Royal Devon and Exeter Healthcare NHS Trust||21,431||94,218|
|RK5||Sherwood Forest Hospitals NHS Trust||6,504||41,003|
|RA9||South Devon Health Care NHS Trust||21,906||72,567|
|RTA||South Durham Health Care NHS Trust||6,558||43,184|
|RE9||South Tyneside Health Care NHS Trust||6,523||51,546|
|RTG||Southern Derbyshire Acute Hospitals NHS Trust||12,313||103,241|
|RBA||Taunton and Somerset NHS Trust||11,448||77,073|
|RGR||West Suffolk Hospitals NHS Trust||6,400||29,101|
|RN1||Winchester and Eastleigh Healthcare NHS Trust||24,010||62,879|
NHS Trust Summarisation Schedules 200001
Ms Walley: To ask the Secretary of State for Health what assessment he has made of (a) the effect of under investment and (b) the poor performance of management with regard to persistently failing NHS hospitals; and if he will make a statement. 
4 Feb 2002 : Column 779W
differently. Variations in performance are largely down to hospital management teams. The direct effect of funding levels on performance has not been used in deciding the ratings, although maintaining financial balance is a key target.
The poorest performing, zero star trusts, have submitted performance improvement plans to the Department. These are being reviewed and will subsequently be monitored. The modernisation agency is playing a full role in this process, to bring the performance of these trusts up to a level that patients have the right to expect.
Ms Walley: To ask the Secretary of State for Health if he will take into account (a) social, (b) economic and (c) demographic data when assessing an NHS hospital's (i) success and (ii) failure rate. 
Mr. Hutton: The national health service performance ratings for acute trusts, published in September 2001, were based on areas of performance that are under the influence of hospital managers. Where appropriate, the performance indicators used in the assessment are standardised to take into account the age and sex of patients to make meaningful comparisons between hospital trusts.
Dr. Kumar: To ask the Secretary of State for Health if he will make a statement on the proposal by private firms to offer drop-in body scans claiming to identify cancer and heart disease; and what (a) checks and (b) licensing a company must undergo to ensure that such a service is (i) reliable and (ii) effective. 
Yvette Cooper: From 1 April this year the National Care Standards Commission (NCSC) will take over from health authorities the regulation of independent health care providers under the Care Standards Act 2000. For the first time, owners and managers of independent drop-in medical services and exclusively private general practitioners offering primary care or diagnostic services to the public will be obliged to register with the NCSC, comply with regulations and meet core and service- specific national minimum standards.
Treatment and diagnostic services provided solely by registered nurses or other non-medical health professionals will not be required to register with the NCSC. However, under the Care Standards Act my right hon. Friend the Secretary of State has powers to make regulations to bring services not initially regulated by the National Care Standards Commission under regulation at a future date.
Other specific legislation requires that all medical exposures to ionising radiation, such as X-rays or CT scans, whether undertaken in the national health service or private sector must be justified.
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