To ask Her Majesty's Government how much was paid in each year since 1997 to the Governments of (a) Latvia, (b) Poland, and (c) Lithuania, for healthcare for United Kingdom citizens. [HL4568]

To ask Her Majesty's Government how much they received in each year since 1997 from the Governments of (a) Latvia, (b) Poland, and (c) Lithuania, for healthcare for their citizens. [HL4569]

The following table shows the actual cash payments made to Latvia, Poland and Lithuania in the financial years since their accession to the European Union (EU) in 2004 for the healthcare of United Kingdom citizens in accordance with EU Regulation (EC) 1408/71.

Claims for medical costs are typically submitted by member states one to three, and sometimes more, years in arrears. Payments made in one year do not necessarily relate to claims for that year nor do they reflect the full value of claims for that year.

In the financial years up to and including 2008-09, the United Kingdom did not receive any cash payments from Latvia, Poland and Lithuania for the healthcare of their citizens since their accession to the EU in 2004.

To ask Her Majesty's Government what are the terms of their bilateral healthcare agreement with the Republic of Ireland for the payment of costs for pensioners and healthcare services for all ages. [HL4570]

Under the terms of a bilateral healthcare agreement between the United Kingdom and the Republic of Ireland, both countries make payments to cover the cost of healthcare provided to each other's tourists, workers, pensioners and dependants of the latter two groups. In terms of healthcare for tourists and workers, payments are made by both countries on an actual cost basis. In terms of pensioners and their dependants and dependants of workers, payments are made by both countries on an average cost basis.