HC Deb 11 March 2002 vol 381 cc848-9W
Tim Loughton

To ask the Secretary of State for Health what guidance has been provided to hospital trusts from his Department for requiring NHS patients to pay for private ambulance services for transfer between hospitals to obtain specialist treatment within the NHS; and on what basis NHS ambulances will not be provided. [42278]

Ms Blears

In 1991, guidance was issued to the national health service which set out eligibility for transport (HSG(91)29 issued in 1991 with booklet "Ambulance and other patient transport services"). A copy is in the Library. The guidance states that if a patient has a medical need for transport as determined by the clinician in charge of their case, then transport should be provided free of charge, as part of NHS treatment. Medical need for non-emergency patient transport must be determined locally by a clinician and will depend on the medical condition of the patient, the availability of private or public transport and distance to be travelled. The principle applied is that a patient should be able to reach hospital in a reasonable time, in reasonable comfort, without detriment to their medical condition. Transport may be provided by either a NHS ambulance trust or other private or voluntary organisation.

Tim Loughton

To ask the Secretary of State for Health what representations he has received from the Brighton Healthcare NHS Trust about shortage of funds restricting availability of ambulances to transfer NHS patients to alternative hospitals for treatment. [42280]

Ms Blears

There has not been any restriction placed on the use of ambulance services at Brighton Health Care NHS Trust by the Surrey Ambulance Service NHS Trust (SAST). In agreement with Brighton Health Care, an additional dedicated routine services ambulance has been made available since 1 February 2002, controlled by Brighton Health Care, to assist with transfers and discharges. This operates from 09.30 to 18.30 daily.