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Health Services: Overseas Residence

Volume 496: debated on Wednesday 9 September 2009

To ask the Secretary of State for Health how many non-British residents received NHS treatment in (a) England and (b) North East Cambridgeshire in each of the last 10 years; what estimate he has made of the cost to the NHS of treating each such group in each year; what proportion of such expenditure was recovered through charges to such patients and their insurers in each year; and if he will make a statement. (290671)

The total audited national income from overseas patients under non-reciprocal arrangements and total losses, bad debt and claims abandoned for overseas visitors for years 2002-03 to 2008-09 for which figures are available for England and North East Cambridgeshire are shown in the tables.

The provisions of the NHS (Charges to Overseas Visitors) Regulations 1989 place a legal obligation on providers of National Health Service hospital services to establish whether patients are ordinarily resident in the United Kingdom and, if not, whether they are exempt from charges under the provisions of the regulations or liable to pay for any treatment provided. Under the regulations a number of categories of non-British citizens who are currently either resident or visiting the UK are exempted from charges for some or all of their NHS treatment. These include, but are not limited to, nationals of the European economic area states and other countries with which the UK has a bilateral health agreement, students and some workers.

The figures provided therefore reflect chargeable patients under these regulations. Successive governments have not required the NHS to provide separate statistics on the number of non-British residents seen, treated or charged under these provisions. Therefore, it is not possible to provide that level of information.

The total audited national income from overseas patients under non-reciprocal arrangements, and total losses, bad debt and claims abandoned for overseas visitors for years 2002-03 to 2008-09 for which figures are available for England.

£

Non-reciprocal income received

Bad debts and claims abandoned in respect of overseas patients

2002-03

2,109,000

2003-04

9,178,000

3,334,173

2004-05

10,883,000

2,369,650

2005-06

13,070,000

3,883,017

2006-07

15,182,925

5,046,763

2007-08

18,167,000

6,468,751

2008-09

17,541,000

5,204,856

Notes:

1. 2003-04 was the first year we separately identified income from overseas patients under non-reciprocal agreements. Therefore there are no data before this time.

2. We do not collect data from NHS Foundation Trusts so figures from 2004-05 onwards exclude these sites.

Source:

NHS Trust Audited Summarisation Schedules.

The total audited income from overseas patients under non-reciprocal arrangements, and total losses, bad debt and claims abandoned for overseas visitors for years 2002-03 to 2008-09 for which figures are available for those organisations within North East Cambridgeshire.

Income

£

Financial year

Addenbrookes NHS Trust

Kings Lynn and Wisbech Hospitals NHS Trust

Queen Elizabeth Hospital Kings Lynn NHS Trust

Peterborough Hospitals NHS Trust

Total North East Cambridgeshire

2003-04

217,000

19,000

74,000

310,000

2004-05

320,000

320,000

2005-06

0

0

2006-07

20,000

20,000

2007-08

65,000

65,000

2008-09

-3,000

-3,000

Losses and debts

£

Financial year

Addenbrookes NHS Trust

Cambridge University Hospital NHS Foundation Trust

Kings Lynn and Wisbech Hospitals NHS Trust

Queen Elizabeth Hospital Kings Lynn NHS Trust

Total North East Cambridgeshire

2002-03

19,000

1,000

20,000

2003-04

20,684

0

328

21,012

2004-05

961

13,084

14,045

2005-06

8,147

8,147

2006-07

0

0

2007-08

2,442

2,442

2008-09

3,286

3,286

Notes:

1. 2003-04 was the first year we separately identified income from overseas patients under non-reciprocal agreements. Therefore there are no income data before this time.

2. The Department keeps data from the individual summarisation schedules of NHS bodies for seven years; therefore losses data are only available for the years 2002-03 to 2008-09.

3. In 2004-05 Addenbrookes NHS Trust obtained foundation status and became Cambridgeshire University Hospital Foundation Trust. The 2004-05 figure represents only the part of the year the organisation operated as a NHS Trust after which no national data have been collected.

4. In 2004-05 Peterborough Hospitals NHS Trust obtained foundation status and became Peterborough and Stamford Hospitals Foundation Trust. There are no losses data for Peterborough Hospitals NHS Trust.

5. In 2004-05 Kings Lynn and Wisbech Hospitals NHS Trust became Queen Elizabeth Hospital Kings Lynn NHS Trust.

Source:

NHS Trust Audited Summarisation Schedule