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Recognition of the higher cost of insurance premiums was one of the factors taken into account in making the extra payments to those infected with HIV.

Health: Dementia

Question

Asked by Lord Morris of Manchester

Baroness Thornton: This information is not collected centrally. The National Dementia Strategy, published a year ago, outlines the range of services that we want to see delivered so that people can live well with dementia. The department is commissioning an audit of dementia services across health and social care.



10 Feb 2010 : Column WA150

Health: EU Resident Citizens

Question

Asked by Lord Laird

Baroness Thornton: The following table shows the latest annual average costs for state pensioners and their dependents for all other member states of the European Economic Area and Switzerland, as published in the Official Journal of the European Union. Denmark and Iceland do not claim reimbursement for state pensioners living there, and so do not publish annual average costs. Bulgaria and Romania are yet to produce average costs since their accession to the European Union in 2007. Average costs are calculated for calendar years, in arrears, and are published in the local currency of the member state.

CountryCurrencyAnnual Average CostClaim Year

Austria

EURO

4,437.30

2007

Belgium

EURO

4,775.84

2007

Cyprus

EURO

816.63

2005

Czech Republic

CZK

40,758.70

2007

Estonia

EEK

12,710.56

2007

Finland

EURO

3,799.91

2005

France

EURO

5,202.72

2007

Germany

EURO

4,558.33

2007

Greece

EURO

2,169.08

2006

Hungary

HUF

236,088.00

2007

Ireland

EURO

6,789.44

2004

Italy

EURO

2,704.45

2006

Latvia

LVL

320.07

2007

Liechtenstein

CHF

8,459.40

2007

Lithuania

LTL

2,241.18

2007

Luxembourg

EURO

8,432.37

2007

Malta

EURO

1,479.27

2006

Netherlands

EURO

9,212.14

2007

Norway

NOK

74,640.00

2007

Poland

PLN

2,203.05

2005

Portugal

EURO

1,845.42

2006

Slovakia

EURO

977.77

2005

Slovenia

EURO

1,559.55

2007

Spain

EURO

3,242.51

2007

Sweden

SEK

43,515.81

2007

Switzerland

CHF

6,836.65

2007

Health: Former UK Residents

Question

Asked by Lord Laird

Baroness Thornton: Historically, the system for agreeing the number of pensioners each country will be liable for has been derived from a triennial survey.

Under the terms of the agreement reached with Ireland for years 2003-06, both countries agreed to move to a per capita basis, rather than a per family basis. For the years 2007-09, the United Kingdom has agreed to accept liability for 40 per cent of the pensioner caseload.

For future years, we are examining the practicalities of a system of pensioner registration.

Health: Reciprocal Agreements

Question

Asked by Lord Wallace of Tankerness

Baroness Thornton: The net deficit, based on the financial allocation provided under the bilateral healthcare agreement with the Isle of Man for 2007-08 and 2008-09 was £2.65 million and £2.8 million respectively. Over the same period, the net deficit, based on the financial allocation provided under the bilateral healthcare agreement with the Channel Islands was £4.332 million and £6,390,672.

The agreements with Azerbaijan, Georgia, Ukraine, Moldova and Serbia do not involve financial transactions.

Health: Republic of Ireland

Question

Asked by Lord Laird

Baroness Thornton: The following table shows the number of E112 forms issued in the Republic of Ireland and received by hospitals in Northern Ireland for planned treatment, and the combined cost of those treatments for which the United Kingdom claims reimbursement from the Republic of Ireland. Comparable data for previous years is not available.



10 Feb 2010 : Column WA152

Treatment yearNumber of E112 formsClaim Cost

2007

28

£17,723.77

2008

27

£26,986.50

Health: Tuberculosis-HIV Co-infection

Questions

Asked by Baroness Masham of Ilton

Baroness Thornton: The following guidance documents have recommendations about tuberculosis (TB) and human immunodeficiency virus (HIV) co-infected patients, and the Department recommends that all service users follow these recommendations:

Clinical Diagnosis and Management of Tuberculosis, and Measures for its Prevention and Control (National Institute for Clinical Excellence (NICE), 2006);

Tuberculosis Prevention and Treatment: a Toolkit for Planning, Commissioning and Delivering High-Quality Services in England (DH, 2007);

Recommended Standards for NHS HIV Services (2003);

HIV in Primary Care (2004); and

HIV for non-HIV Specialists (2008)

Copies of the documents have already been placed in the Library. Other Governments within the United Kingdom either follow these recommendations, or have developed their own local versions.

The NICE guidelines recommend that all patients with tuberculosis should have a risk assessment for HIV, and upon sufficient suspicion that patient should be offered an HIV test along with any counselling required. NICE has clear recommendations about joint case management for co-infected cases by both TB and HIV professions. All London TB services have adopted a policy of automatically offering all TB patients an HIV test.

The government response to TB-HIV co-infection overseas is led by the Department for International Development (DFID). There is a commitment of £1 billion between 2007 and 2015 to the Global Fund to fight AIDS, Tuberculosis and Malaria and a 20-year (2006¬2026), commitment to the international drugs purchase facility UNITAID which is helping to increase access to and affordability of HIV and TB drugs.

The Government also support the scale-up efforts to deliver universal access to TB and HIV prevention, treatment, care and support services by 2015; to strengthen health systems; to integrate health services, including HIV and TB; and to increase investment and facilitate research to promote the development of better tools for prevention, diagnosis and treatment of TB.


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