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Healthcare: Funding

Volume 715: debated on Monday 7 December 2009


Asked by

To ask Her Majesty's Government further to the Written Answer by Baroness Thornton on 2 November (WA 11–12), why the healthcare payment by the United Kingdom to Germany went from £0 in 2007–08 to £33.3 million in 2008–09; why the payment by Germany to the United Kingdom went from £1.1 million to £0.09 million over the same years; in respect of how many residents in each country the payments were made; and what are the annual average healthcare costs in each country used to decide on the level of those payments. [HL216]

Payments made in any one year will typically involve payments for one or more previous claim years, and are not a measure of the cost of healthcare provided in that year.

Prior to 2009-10, payments to member states were not necessarily made on an annual basis. Therefore, where there was a gap of more than 12 months between payments, no payments might be recorded for a particular member state in a particular financial year. This was the case in relation to payments by the United Kingdom to Germany in 2007-08.

The variation in cash payments by Germany to the UK is a reflection of the intervals between the approval by the European Commission of the UK average costs. Average costs for 2003 were approved in 2006. Average costs for years 2004, 2005 and 2006 were approved in August 2009.

Information is not held in a form that enables the identification of the number of residents in each country. Claims comprise the aggregated costs of treatments for tourists, posted workers and E112 referrals. Claims for pensioners and members of their families, and family members of workers, are recorded in the form of person months of healthcare.

Annual average costs for the UK and Germany, based on the latest approved and published average costs, are set out in the following table.

Article 94(1)

Article 95(2)

UK 2006



Germany 2007




(1) claims relating to family members of workers

(2) claims relating to pensioners and members of pensioners' families