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Dáil Éireann debate -
Tuesday, 14 Dec 1999

Vol. 512 No. 6

Written Answers. - IDTS Scheme.

Bernard Allen

Question:

237 Mr. Allen asked the Minister for Health and Children his views on whether the indicative drug target saving scheme lays greater emphasis on cheaper medicines, thus providing patients with newer more effective medicines; and if he will make a statement on the matter. [26782/99]

Bernard Allen

Question:

238 Mr. Allen asked the Minister for Health and Children the plans, if any, he has to end the indicative drugs target saving scheme and to introduce a system of annual health screening for all adults over the age of 30; and if he has received a proposal from the IPHA which states that the scheme represents an unhealthy and unbalanced approach to prescribing, concentrating on the cost of medicines and is not balanced by a broad analysis of the benefits of medicines. [26783/99]

I propose to take Questions Nos. 237 and 238 together.

The indicative drugs target savings, IDTS, scheme was introduced in 1993 to encourage more rational and cost effective prescribing by general practitioners in the interests of both improved patient care and more efficient and effective use of health care resources. Similar schemes have been introduced across Europe and the IDTS scheme can justifiably be viewed, on the evidence available, as having been successful in its objectives.

It is most important to bear in mind that the scheme is entirely voluntary and savings made thereunder are available to the general practitioners concerned for investment in general practice infrastructure and service development. Patients therefore benefit directly from the scheme in a very tangible way.

I have received no formal submission from IPHA of the type referred to in the question and I would point to the detailed examination of the scheme carried out by a review group, under the chairmanship of Professor Michael Murphy, Professor of Clinical Pharmacology, University College, Cork. The review group was asked to provide an independent and wide-ranging evaluation of the effect of the IDTS on the quality of patient care with particular reference to changing patterns of prescribing. It reported in July 1997 and its principal findings were that while there were changes in prescribing behaviour as a result of the IDTS, resulting in reduced drug costs, there were no discernible negative effects in overall quality of prescribing. Accordingly, I have no plans to end the IDTS scheme, nor do I have any plans to introduce a system of annual health screening for all adults over the age of 30.
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