§ Mr. Milburn
To ask the Secretary of State for Health, pursuant to her answer of 8 February,Official Report, column 470, if she will now issue guidelines to ensure that community health councils are notified about extra-contractual referral decisions, affecting the population in their areas.
§ Dr. Mawhinney
We have already asked regional health authorities to ensure that community health councils have access to information about purchasers' contracts with providers and their purchasing plans which will include extra-contractual referral patterns. However, as each ECR decision is based on individual clinical factors, it would not be appropriate to notify community health councils of these decisions.