HC Deb 15 June 1999 vol 333 cc111-2W
Mr. Ben Chapman

To ask the Secretary of State for Health what representations he has received about GPs redirecting out-of-hours calls to the local hospital; and if he will make a statement. [86376]

Mr. Denham

We are not aware of any general representations to my right hon. Friend the Secretary of State on the redirection of general practitioners out-of-hours calls to local hospitals.

GPs may make arrangements with any organisation to provide out-of-hours primary care services on their behalf but they must satisfy themselves that the service provided

Country Public healthcare expenditure as a percentage of GDP Total healthcare expenditure as a percentage of GDP Public healthcare expenditure ($ per capita) Total healthcare expenditure ($ per capita)
Australia 5.9 8.5 1,220 1,775
Austria 5.7 8.0 1,258 1,748
Belgium 6.8 7.8 1,498 1,708
Canada 6.7 9.6 1,440 2,065
Czech Republic 6.6 7.2 836 904
Denmark 5.2 8.0 1,175 1,802
Finland 5.8 7.4 1,082 1,380
France 7.8 9.7 1,599 1,983
Germany 8.2 10.5 1,783 2,278
Greece 5.2 6.8 688 888
Hungary 4.7 6.7 417 602
Iceland 6.8 8.2 1,582 1,893
Ireland 5.2 7.0 947 1,276
Italy 5.5 7.8 1,106 1,584
Japan 5.7 7.2 1,321 1,677
Korea 2.1 4.0 282 537
Luxembourg 6.2 6.8 1,980 2,139
Mexico 2.7 4.6 212 358
Netherlands 6.2 8.6 1,273 1,766
New Zealand 5.6 7.3 974 1,270
Norway 6.5 7.9 1,591 1,928
Poland 4.6 5.0 344 371
Portugal 4.9 8.3 641 1,071
Spain 5.8 7.4 878 1115
Sweden 7.2 8.6 1,389 1,675
Switzerland 7.1 10.2 1,748 2,499
Turkey 2.7 3.8 165 232
United Kingdom 5.8 6.9 1,113 1,317
United States 6.5 14.0 1,819 3,898

Source:

OECD Health Databank 1998

is adequate and appropriate for their patients. They must ensure that any deputising arrangements which they have chosen continue to meet those standards.

Decisions on whether to refer a patient for secondary care outside surgery hours will be based on clinical need—the same as for referrals which are made after a consultation during surgery hours.