Nicholas Soames – 2016 Parliamentary Question to the Department of Health
The below Parliamentary question was asked by Nicholas Soames on 2016-03-23.
To ask the Secretary of State for Health, what steps he is taking to (a) better identify visitors to the UK from other EEA countries who are being treated in NHS hospitals and (b) ensure that such visitors’ home countries are charged for their treatment.
Alistair Burt
Since its inception in 2013, the Department of Health’s Visitor and Migrant NHS Cost Recovery Programme has been working to design and implement key improvements to ensure that those people who should pay for National Health Service care in England are identified and charged. The Department has also been working closely with the NHS to improve rates of recovery where these healthcare costs are the responsibility of other member states of the European Economic Area (EEA) via the European Health Insurance Card (EHIC), S1 and S2 mechanisms.
Achievements include:
– the revision of the NHS (Charges to Overseas Visitors) Regulations that came into force on 6 April 2015, reducing the number of exemption from charge categories and realigning the Regulations to the principle that the NHS is a residency-based healthcare system;
– support of and engagement with NHS providers through meetings with senior trust employees, plus the launch of a Cost Recovery Support Team to provide bespoke assistance to trusts to support them in improving their processes for identifying chargeable patients and recovering funds owed, including those from Europe;
– the launch of the European Health Insurance Card reporting incentive on 1 October 2014. Through this, all EHIC activity correctly reported by NHS secondary providers that enables the UK to make appropriate reimbursement claims from other member states attracts an additional 25% funding of the costs of providing treatment for the benefit of the reporting organisation.
The Department has recently concluded a consultation on the extension of charging overseas visitors and migrants using the NHS in England. Part of the consultation proposes to amend the residence definition for EEA nationals, by which they qualify for free NHS treatment in England. The Government will set out its response to the consultation in due course.
EEA countries and Switzerland reimburse the UK for the cost of the NHS providing treatment to people they are responsible for under EU law, including UK nationals insured in another EEA country or Switzerland.
