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Health: Former UK Residents

Volume 710: debated on Monday 27 April 2009

Question

Asked by

To ask Her Majesty's Government which countries are in receipt of annual payments to fund health treatment of those who previously worked in the United Kingdom; and how the amounts paid are calculated. [HL2967]

Under European Union Regulations (1408/71) European economic area (EEA) member states reimburse each other for the cost of providing healthcare to each other's tourists, workers, pensioners and the dependants of both groups. Under these regulations, payments are either made on an actual or average cost basis, depending on the category of the individual.

The following table shows the breakdown of claims by other EEA Member State against the United Kingdom in 2007-08.

There are no similar arrangements with regard to non-EEA countries.

Claims by EEA member states against UK 2007-08

Resource Outturn Totals: 2007-08 Activity

Actual CostsLump Sum

Country

Claims

Claims

Total

Austria

£1,554,000

£1,061,000

£2,615,000

Belgium

£2,670,000

£1,516,000

£4,186,000

Bulgaria

£44,000

£27,000

£71,000

Cyprus

£580,000

£4,172,000

£4,751,000

Czech Republic

£183,000

£50,000

£233,000

Denmark (Waiver)

£0

£0

£0

Estonia (Waiver) (2)

£0

£0

£0

Finland (3)

£17,000

£0

£17,000

France

£28,226,000

£107,887,000

£136,112,000

Germany

£6,893,000

£5,902,000

£12,795,000

Greece

£230,000

£3,337,000

£3,567,000

Hungary (Waiver) (3)

£0

£0

£0

Iceland

£153,000

£0

£153,000

Ireland

£11,120,000

£292,102,000

£303,221,000

Italy

£5,308,000

£4,624,000

£9,932,000

Latvia

£13,000

£14,000

£27,000

Liechtenstein

£3,000

£0

£3,000

Lithuania

£9,000

£6,000

£15,000

Luxembourg (4)

£0

£0

£0

Malta (Waiver) (3)

£0

£0

£0

Netherlands

£3,631,000

£3,047,000

£6,678,000

Norway (Waiver) (3)

£0

£0

£0

Poland

£564,000

£191,000

£754,000

Portugal

£1,000

£2,795,000

£2,795,000

Romania

£16,000

£0

£16,000

Slovakia

£58,000

£2,000

£59,000

Slovenia

£178,000

£40,000

£218,000

Spain

£14,162,000

£122,769,000

£136,931,000

Sweden

£1,122,000

£239,000

£1,361,000

Switzerland

£3,439,000

£481,000

£3,920,000

£80,200,000

£550,300,000

£630,400,000

Notes

(1) Source: 2007-08 Resource Accounting and Budgeting (RAB) exercise. Totals are based on estimates of the costs of European Economic Area (EEA) healthcare claims made annually for the purposes of provisions made in the Department of Health accounts in accordance with Treasury resource accounting rules.

(2) excepting Article 22.1c (patient referral) & Article 55.1c (industrial injury) claims.

(3) excepting Article 22.1c (patient referral) claims.

(4) Previously waiver, regulations apply from 30 June 2008

(5) Totals for individual countries are rounded to nearest £1,000.

(6) Sub totals may not add up to rounded overall totals due to rounding.

Asked by

To ask Her Majesty's Government what payments have been made to the Republic of Ireland in the last ten years to fund health treatment of those who previously worked in the United Kingdom; whether those payments are net or gross; and whether they are continuing at the same rate. [HL2968]

The United Kingdom makes payments to the Republic of Ireland under a bilateral agreement which is in line with European Union regulations covering patient mobility. The majority of these payments relate to the provision of healthcare for around 50,000 pensioners that the UK pays for each year in the Republic of Ireland. According to departmental data, under the terms of the agreement, the UK has paid the Republic of Ireland around €2 billion over the past five years. This figure is gross of income to the UK. Data relating to payments made prior to 2003, is not readily available. The size of payments made by both countries changes on an annual basis and is based on the numbers each country is liable for, the rate which is used and the size of the average healthcare costs.