§ Mr. Nicholas Bennett
To ask the Secretary of State for Health if decisions have been taken on the central reference lists of model charges for National Health Service private patients for the year from 1 April.
§ Mr. Mellor
From 1 April 1987 health authorities have been able to determine their charges for private patient facilities. Action is now in hand to enable them also to determine, from 1 April 1989, charges for overseas visitors liable to pay. The Health and Medicines Act enables those authorities choosing to set their own charges to do so on a commercial basis.
The central reference lists of model charges for private patients and overseas visitors are given in the tables. Model charges from 1 April 1989 are for in-patients 6.6 per cent. higher and for out-patients 7.2 per cent. higher than those for 1988–89. The figures take account of increased costs (including capital depreciation) and, as before, reflect the fact that private patients have shorter lengths to stay than NHS patients. As in previous years charges for overseas visitors are based on those for private patients.
Charges for amenity beds are increased in line with increased costs. It is intended that after 1989–90 no further reference lists will be produced.319W
Central Reference List (Model Charges): 1989/90 In-Patients Daily charges to private patients not paying consultant(s) separately and to overseas visitors Daily charges to private patients paying consultant(s) separately Single room Other accommodation Single room Other accommodation £ £ £ £ Class A (Long-Stay Hospitals) 99 90 93 85 Class B (Psychiatric Hospitals) 90 82 85 77 Class C1 (mainly Acute and other hospitals in non-teaching districts) 152 138 143 130 Class C2 (Acute and other hospitals in non-teaching districts) 181 164 170 155 Class D (Hospitals in London teaching districts (other than hospitals in Classes A and B)) 241 219 228 207 Class E (Hospitals in provincial teaching districts (other than hospitals in Classes A and B)) 194 177 183 167
Central Reference List (Model Charges): 1989–90 Out-Patients Services Provided Hospital Class A-E Hospital Class F and G £ £ Consultation 1. i. Private Patients—for each attendance other than attendances associated with the procedures listed in paragraph 2–10 7.00 14.00 ii. Overseas Visitors—a patient on each attendance at a hospital other than attendances directly associated with the procedures listed in paragraphs 4–12 14.50 23.00 Day Cases 2 i. Private Patients—charges per day exclusive of charges for procedures listed in paragraphs 4–10 30.50 31.50 ii. Overseas Visitors—charges per day exclusive of charges for procedures listed in paragraphs 4–12 30.50 31.50 For Overseas Visitors only For the purpose of this item a day case is a patient who attends as a non-resident patient for investigation, treatment or operation and who occupies a bed without staying overnight. Day Patients 3 i. Private Patients—charges per day exclusive of charges for procedures listed in paragraphs 4–10 35.50 37.00 ii. Overseas Visitors—charges per day exclusive of charges for procedures listed in paragraphs 4–12 35.50 37.00 For overseas visitors only For the purpose of this item a day patient is someone who attends regularly for a course of treatment without necessarily occupying a bed or staying overnight
Services Provided Hospital Class A-E Hospital Class F and G £ £ Pathology 4. For each request 7.50 15.50 Radiodiagnosis, nuclear medicine and ultrasound 5 i. Charges per KÖrner unit value (The units charged for each procedure are as listed at annex B of HC(88)11) 9.00 per unit for first 6 units, 1.00 for each additional unit over 6 12.00 per unit for first 6 units, 1.25 for each additional unit over 6 ii. CT scanning 107.00 128.50 Radiotherapy 6. For treatment in any one day 20.00 45.00 Physiotherapy and remedial gymnastics 7. For each attendance 6.50 12.00 Occupational therapy 8. For treatment in any one day 10.00 11.00 Other diagnostic procedures 9 i. Audiometry 5. 50 5.50 ii. Electrocardiography, for each testing session 10.50 17.50 iii. Electroencephalography, for each testing session 38.50 83.50 iv. Electromyography, for each testing session 24.00 50.50 Use of operating theatre facilities 10. Use of operating theatre facilities: i. For less than 10 minutes 24.000 29.50 ii. For 10 minutes to 30 minutes 46.50 59.00 iii. For more than 30 minutes 70.00 88.50 Dialysis (Overseas Visitors only) 11. For Haemodialysis or intermittent peritoneal dialysis: i. With training or routine at a hospital, per session. 119.00 119.00 ii. routine, at home—per session 75.50 75.50 iii. Minimal Care Unit—per session 97.00 97.00
Services Provided Hospital Class A-E Class Hospital F and G £ £ For continuous ambulatory peritoneal dialysis (including continuous cycling peritoneal dialysis)—per day. 36.00 36.00 Supply of drugs and Medicines (Overseas Visitors only) 12. For the supply of a drug or medicine which is designed to eliminate, prevent the replication of, or in any way inhibit the mode of action of any Human Immunodeficiency Virus—for each quantity sufficient for one day's treatment. 15.50 15.50 Amenity beds (Private Patients only) For accommodation in a single room—£14.50 per day. For accommodation in a small ward with two or more beds—£7.00 per day.