Previous Section Index Home Page

19 Nov 2008 : Column 520W—continued

Hospitals: East of England

Mike Penning: To ask the Secretary of State for Health how much has been spent by the East of England strategic health authority on improving services in hospitals to compensate for the closure of other hospitals in the region in the latest period for which figures are available. [235732]

Mr. Bradshaw: The information requested is not held centrally. The hon. Member may therefore wish to raise this directly with NHS East of England.

Hospitals: Waiting Lists

Norman Lamb: To ask the Secretary of State for Health (1) what estimate he has made of the cost of additional activity to meet the 18 week target for operation waiting times in each of the last four years; [237043]

(2) what estimate he has made of the likely changes in NHS (a) activity levels and (b) costs from (i) achieving and (ii) maintaining the 18 week target for operation waiting times in the next two years; [237044]

(3) if he will estimate the cost to the NHS of reducing the maximum operation waiting time to (a) 17 weeks, (b) 16 weeks, (c) 14 weeks, (d) 12 weeks and (e) eight weeks. [237045]


19 Nov 2008 : Column 521W

Mr. Bradshaw: The 2004 comprehensive spending review provided for an extra £1,000 million and £1,900 million in 2006-07 and 2007-08 respectively for extra outpatient and inpatient activity needed to cover demand growth, existing waiting time initiatives and progress towards the 18 week waiting time target.

Achievement of the 18 week target has required the national health service to increase elective activity at a rate to meet both underlying demand and also clear the backlog of waiters. Achievement of the 18 week target will reduce the required rate of growth to just underlying activity. The Department has not made an estimate of the savings of meeting the 18 week target.

There are no current plans centrally to estimate the cost to the NHS of reducing waiting times below the existing public service agreement 18 week target agreed with HM Treasury. However, primary care trusts may set and fund local stretch targets which include further reductions in maximum waiting times in some areas.

Incontinence: Medical Equipment

Harry Cohen: To ask the Secretary of State for Health if he will meet representatives of the User Group Coalition to discuss the revised proposals on Part IX of the Drug Tariff; and if he will make a statement. [234678]

Phil Hope: In conducting the review of arrangements under part IX of the Drug Tariff for the provision of stoma and urology appliances—and related services—in primary care—departmental officials have sought the views of a wide range of interested parties, including patient representatives. The User Coalition Group has met with officials—as have individual members of the group. Unfortunately, due to diary commitments I am unable to meet the group. However, I have asked departmental officials to contact the chair of the group to organise a meeting.


19 Nov 2008 : Column 522W

Mr. Syms: To ask the Secretary of State for Health what assessment his Department has made of the likelihood of including contractors for the dispensing of intermittent catheters in the proposed new arrangements for prescription fees under Part IX of the Drug Tariff; and if he will make a statement. [235458]

Phil Hope: The review of the arrangements under Part IX of the Drug Tariff for the provision of stoma and urology appliances—and related services—in primary care had considered all appliances listed in Part IXA (catheter related), Part IXB and Part IXC. Intermittent catheters are included in Part IXC and consequently have been part of this review.

In addition, the review is considering reimbursement for items and remuneration for services to both dispensing appliance contractors (DACs) and pharmacy contractors. If such DACs dispense intermittent catheters then they would be included in any new arrangements for the provision of stoma and urology appliances and related services in primary care under Part IX of the Drug Tariff.

Medical Treatments

Mr. Lansley: To ask the Secretary of State for Health which treatments have been appraised by the National Institute for Health and Clinical Excellence; which have been (a) fully recommended, (b) partly recommended and (c) not recommended for use in the NHS; and in respect of each treatment what the (i) indication for which it was appraised and (ii) estimated annual eligible patient population is. [237026]

Dawn Primarolo: A summary of technology appraisal guidance published by the National Institute for Health and Clinical Excellence is shown in the following table. Information on the estimated eligible annual population could be collated only at disproportionate cost.


19 Nov 2008 : Column 523W

19 Nov 2008 : Column 524W

19 Nov 2008 : Column 525W

19 Nov 2008 : Column 526W

19 Nov 2008 : Column 527W

19 Nov 2008 : Column 528W
NICE technology appraisals published as at October 2008
No. Title of guidance Date of issue Recommendation

1

Wisdom teeth

March 2000

Partly recommended

2

Hip replacement

April 2000

Partly recommended

3

Taxanes for ovarian cancer

May 2000

Partly recommended

4

Coronary artery stents

May 2000

Partly recommended

5

Liquid-based cytology—cervical screening

June 2000

Not recommended

6

Taxanes for breast cancer

June 2000

Partly recommended

7

Proton pump inhibitors

July 2000

Partly recommended

8

Hearing aids

July 2000

Partly recommended

9

Rosiglitazone for type 2 diabetes

August 2000

Partly recommended

10

Inhaler systems for under 5s

August 2000

Recommended

11

Implantable cardioverter defibrillators

September 2000

Partly recommended

12

Glycoprotein llb/llla inhibitors

September 2000

Recommended

13

Methylphenidate for Attention deficit hyperactivity disorder

October 2000

Recommended

14

Ribavirin and interferon alpha for hepatitis C

October 2000

Partly recommended

15

Zanamivir for influenza

November 2000

Partly recommended

16

Autologous cartilage transplantation in knee joints

December 2000

Not recommended

17

Laparoscopic surgery for colorectal cancer

January 2001

Not recommended

18

Laparoscopic surgery for inguinal hernia

December 2000

Partly recommended

19

Donepezil, Rivastigmine and Galantamine for Alzheimer’s disease

January 2001

Partly recommended

20

Riluzole for motor neurone disease

January 2001

Recommended

21

Pioglitazone for type 2 diabetes

March 2001

Partly recommended

22

Orlistat for obesity

March 2001

Partly recommended

23

Temozolomide for brain cancer

April 2001

Partly recommended

24

Difficult to heal surgical wounds

April 2001

Recommended

25

Gemcitabine for pancreatic cancer

May 2001

Partly recommended

26

Non-small cell lung cancer

June 2001

Recommended

27

Cox II for osteoarthritis and rheumatoid arthritis

July 2001

Partly recommended

28

Topetecan for advanced ovarian cancer

August 2001

Partly recommended

29

Fludarabine for B-cell chronic lymphocytic leukaemia

September 2001

Recommended

30

Taxanes for breast cancer—review

September 2001

Partly recommended

31

Sibutramine for obesity in adults

October 2001

Recommended

32

Beta interferon and glatiramer

January 2002

Not recommended

33

Colorectal cancer

March 2002

Partly recommended

34

Tratuzumab breast cancer

March 2002

Partly recommended

35

Enteracept juvenile arthritis

March 2002

Partly recommended

36

Enteracept and infliximab rheumatoid arthritis

March 2002

Partly recommended

37

Rituximab lymphoma

March 2002

Partly recommended

38

Inhalers 5-15

March 2002

Recommended

39

Zyban and nicotine replacement therapy

March 2002

Recommended

40

Infliximab for Crohn’s disease

May 2002

Partly recommended

41

Routine anti-D rhesus negative women

May 2002

Recommended

42

Human growth hormone for children

May 2002

Recommended

43

Atypical antipsychotics

June 2002

Recommended

44

Metal on metal

June 2002

Partly recommended

45

Pegylated liposomal doxorubicin hydrochloride (Caelyx) for ovarian cancer

July 2002

Partly recommended

46

Surgery for morbid obesity

July 2002

Partly recommended

47

Glycoproteins—review

September 2002

Recommended

48

Home vs hospital haemodialysis

September 2002

Partly recommended

49

Ultrasonic locating devices for pacing central venous lines

September 2002

Recommended

50

Imatinib for chronic myeloid leukaemia (CML)

October 2002

Recommended

51

Computerised cognitive behavioural therapy

October 2002

Not recommended

52

Thrombolysis

October 2002

Recommended

53

Long acting insulin analogues (glargine)

December 2002

Partly recommended

54

Vinorelbine for breast cancer

December 2002

Partly recommended

55

Paclitaxel for ovarian cancer

January 2003

Recommended

56

Tension free vaginal tape

February 2003

Recommended

57

Subcutaneous insulin infusion (insulin pumps)

February 2003

Partly recommended

58

Zanamivir, oseltamivir and amantidine for the treatment of flu

February 2003

Partly recommended

59

Electroconvulsive therapy (ECT)

April 2003

Partly recommended

60

Patient education models diabetes

April 2003

Recommended

61

Capecitabine and tegafur with uracil for metastatic colorectal cancer

May 2003

Recommended

62

Capecitabine for locally advance breast cancer

May 2003

Recommended

63

Glitazones for type 2 diabetes—review

August 2003

Partly recommended

64

Human growth hormone in adults

August 2003

Partly recommended

65

Rituximab for aggressive non Hodgkin’s lymphoma

September 2003

Partly recommended

66

Olanzapine and valporate semisodium for bipolar 1 disorder

September 2003

Recommended

67

Oseltamivir and amantidine for prophylaxis of flu

September 2003

Partly recommended

68

Photodynamic therapy (PDT) for macular degeneration

September 2003

Partly recommended

69

Use of liquid-based cytology for cervical screening

October 2003

Recommended

70

Use of imatanib for chronic myeloid leukaemia

October 2003

Partly recommended

71

Use of coronary artery stents

October 2003

Partly recommended

72

Rheumatoid arthritis—anakinra

November 2003

Not recommended

73

Myocardial perfusion scintigraphy for the diagnosis and management of angina and myocardial infarction

November 2003

Partly recommended

74

Pre-hospital initiation of fluid replacement therapy in trauma

January 2004

Partly recommended

75

Hepatitis C—pegylated interferons, ribavarin and alfa interferon

January 2004

Partly recommended

76

Newer drugs for epilepsy in adults

March 2004

Partly recommended

77

Newer hypnotic drugs for insomnia

April 2004

Partly recommended

78

Fluid-filled thermal balloon and microwave endometrial ablation techniques for heavy menstrual bleeding

April 2004

Partly recommended

79

Newer drugs for epilepsy in children

April 2004

Partly recommended

80

Acute coronary syndromes—clopidogrel

July 2004

Recommended

81

Atopic dermatitis (eczema)—topical steroids

August 2004

Partly recommended

82

Atopic dermatitis (eczema)—pimecrolimus and tacrolimus

August 2004

Partly recommended

83

Hernia—laparoscopic surgery—review

September 2004

Partly recommended

84

Sepsis (severe)—drotrecogin

September 2004

Recommended

85

Renal transplantation—immunosuppressive regimens (adults)

September 2004

Partly recommended

86

Gastro-intestinal stromal tumours (GIST)—imatinib

October 2004

Partly recommended

87

Secondary osteoporosis

January 2005

Partly recommended

88

Dual-chamber pacemakers for the treatment of symptomatic bradycardia

February 2005

Partly recommended

89

Cartilage injury—autologous chondrocyte implantation (ACI)—review

May 2005

Not recommended

90

Vascular disease—clopidogrel and dipyridamole

May 2005

Partly recommended

91

Ovarian cancer (advanced)—paclitaxel, pegylated liposomal doxorubicin hydrochloride and topotecan—review

May 2005

Partly recommended

92

Tooth decay—Healozone

July 2005

Not recommended

93

Colorectal cancer (advanced)—irinotecan, oxaliplatin and raltitrexed—review

August 2005

Partly recommended

94

Cardiovascular disease—statins

January 2006

Partly recommended

95

Arrhythmia—implantable cardioverter defibrillators (ICDs)—review

January 2006

Partly recommended

96

Hepatitis B (chronic)—adefovir dipivoxil and pegylated interferon alpha-2a

February 2006

Partly recommended

97

Depression and anxiety—computerised cognitive behavioural therapy (CCBT)

February 2006

Partly recommended

98

Attention deficit hyperactivity disorder (ADHD)—methylphenidate, atomoxetine and dexamfetamine—review

March 2006

Partly recommended

99

Immunosuppressive therapy for renal transplantation in children and adolescents

April 2006

Partly recommended

100

Capecitabine and oxaliplatin in the adjuvant treatment of stage III (Dukes’ C) colon cancer

April 2006

Recommended

101

Docetaxel for hormone refractory prostate cancer

June 2006

Recommended

102

Parent-training/education programmes in the management of children with conduct disorders

July 2006

Recommended

103

Etanercept and efalizumab for psoriasis

July 2006

Partly recommended

104

Etanercept and infliximab for psoriatic arthritis

July 2006

Partly recommended

105

Laparoscopic surgery for colorectal cancer

August 2006

Recommended

106

Peginterferon alfa and ribavirin for the treatment of mild chronic hepatitis C

August 2006

Recommended

107

Trastuzumab for the adjuvant treatment of early-stage HER2-positive breast cancer

August 2006

Partly recommended

108

Breast cancer (early)—paclitaxel

September 2006

Not recommended

109

Breast cancer (early)—docetaxel

September 2006

Recommended

110

Follicular lymphoma—rituximab

September 2006

Recommended

111

Alzheimer's—donepezil, galantamine, rivastigmine (review) and memantine

November 2006

Partly recommended

112

Breast cancer (early)—hormonal treatments

November 2006

Recommended

113

Diabetes (types 1 and 2)—inhaled insulin

December 2006

Partly recommended

114

Drug misuse—methadone and buprenorphine

January 2007

Recommended

115

Drug misuse—naltrexone

January 2007

Partly recommended

116

Breast cancer—gemcitabine

January 2007

Partly recommended

117

Hyperparathyroidism—cinacalcet

January 2007

Partly recommended

118

Colorectal cancer (metastatic)—bevacizumab and cetuximab

January 2007

Not recommended

119

Leukaemia (lymphocytic)—fludarabine

February 2007

Not recommended

120

Heart failure—cardiac resynchronisation

May 2007

Partly recommended

121

Glioma (newly diagnosed and high grade)—carmustine implants and temozolomide

June 2007

Partly recommended

122

Ischaemic stroke (acute)—alteplase

June 2007

Recommended

123

Smoking cessation—varenicline

July 2007

Recommended

124

Non-small cell lung cancer—pemetrexed

August 2007

Not recommended

125

Psoriatic arthritis (moderate to severe)—adalimumab

August 2007

Partly recommended

126

Rheumatoid arthritis (refractory)—rituximab

August 2007

Partly recommended

127

Multiple sclerosis—natalizumab

August 2007

Recommended

128

Haemorrhoid—stapled haemorroidopexy

September 2007

Recommended

129

Velcade—multiple myeloma

October 2007

Recommended

130

Rheumatoid arthritis—adalimumab, etanercept and infliximab

October 2007

Partly recommended

131

Asthma (in children)—corticosteroids

November 2007

Partly recommended

132

Hypercholesterolemia—ezetimibe

November 2007

Partly recommended

133

Asthma (uncontrolled)—omalizumab

November 2007

Partly recommended

134

Psoriasis—infliximab

January 2008

Partly recommended

135

Mesothelioma—pemetrexed disodium

January 2008

Partly recommended

136

Structural neuroimaging in first-episode psychosis

February 2008

Not recommended

137

Lymphoma (follicular non-Hodgkin's)—rituximab

February 2008

Recommended

138

Asthma (in adults)—corticosteroids

March 2008

Partly recommended

139

Sleep apnoea—continuous positive airway pressure (CPAP)

March 2008

Partly recommended

140

Colitis (ulcerative)—infliximab

April 2008

Not recommended

141

Rheumatoid arthritis (refractory)—abatacept

April 2008

Not recommended

142

Anaemia (cancer-treatment induced)—erythropoietin (alpha and beta) and darbepoetin

May 2008

Partly recommended

143

Ankylosing spondylitis—adalimumab, etanercept and infliximab

May 2008

Partly recommended

144

Obesity—rimonabant

June 2008

Partly recommended

145

Head and neck cancer—cetuximab

June 2008

Partly recommended

146

Psoriasis—adalimumab

June 2008

Partly recommended

147

Breast cancer (advanced and metastatic)—bevacizumab

June 2008

Terminated

148

Lung cancer (non-small-cell)—bevacizumab

June 2008

Terminated

149

Glioma (recurrent)—carmustine implants

June 2008

Terminated

150

Colorectal cancer (metastatic)—cetuximab

June 2008

Terminated

151

Diabetes—insulin pump therapy

July 2008

Partly recommended

152

Coronary artery disease—drug-eluting stents

July 2008

Partly recommended

153

Hepatitis B—entecavir

August 2008

Recommended

154

Hepatitis B—telbivudine

August 2008

Not recommended

155

Macular degeneration (age-related)—ranibizumab and pegaptanib

August 2008

Partly recommended

156

Pregnancy (rhesus negative women)—routine anti-D (review)

August 2008

Partly recommended

157

Venous thromboembolism—dabigatran

September 2008

Recommended

158

Influenza (prophylaxis)—amantadine, oseltamivir and zanamivir

September 2008

Partly recommended

159

Pain (chronic neuropathic or ischaemic)—spinal cord stimulation

October 2008

Partly recommended

160

Osteoporosis—primary prevention

October 2008

Partly recommended

161

Osteoporosis—secondary prevention including strontium ranelate

October 2008

Partly recommended


Next Section Index Home Page