Health Services: Overseas Visitors Mr. Andrew Turner To ask the Secretary of State for Health what estimate he has made of the cost to the NHS of (a) emergency and (b) non-emergency treatment of people from (i) each EU member state, (ii) Jersey and (iii) the Isle of Man in each of the last five years. Gillian Merron Figures relating to the cost to the national health service of treating people from Jersey, the Isle of Man and Guernsey are not recorded centrally. Claims made by the UK for recovering the cost of treatment provided to people from other European Economic Area (EEA) countries are shown in the following table. The claims cannot be broken down by treatment type. 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|Claim against: |2005 |2006 |2007 |2008 |2009 | 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|Austria |637,046 |626,820 |229,422 |253,174 |20,738 | 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|Belgium |1,733,938 |1,728,295 |322,508 |384,497 |4,641 | 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|Bulgaria |— |— |418 |2,507 |— | 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|Cyprus |— |— |382 |4,515 |— | 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|Czech Republic |2,424 |6,685 |7,520 |9,780 |103,278 | 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|Finland |— |— |148 |— |1,873 | 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|France |3,442,555 |4,476,592 |2,436,334 |2,468,923 |— | 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|Germany |1,180,174 |1,231,044 |1,095,501 |1,272,535 |198,099 | 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|Greece |594,325 |52,286 |123,989 |681,455 |1,008,298 | 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|Hungary |— |— |10,658 |8,219 |37,558 | 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|Iceland |— |— |— |24,942 |— | 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|Ireland |18,827,803|18,145,976|20,681,774|22,348,347|28,882,678| 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|Italy |4,831,422 |4,928,362 |147,251 |708,649 |1,005,645 | 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|Lithuania |— |— |— |1,880 |— | 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|Luxembourg |— |— |— |6,323 |7,495 | 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|Netherlands |2,670,533 |1,126,454 |6,691 |41,428 |19,024 | 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|Norway |968 |— |— |— |— | 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|Poland |2,424 |10,445 |21,099 |45,862 |53,169 | 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|Portugal |460,030 |358,320 |22,914 |172,331 |33,626 | 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|Slovenia |45,790 |183,600 |— |5,991 |61,434 | 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|Spain |2,551,006 |3,024,577 |117,857 |132,504 |124,249 | 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|Sweden |1,016,313 |1,012,241 |252,351 |294,953 |82,454 | 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|Switzerland |62,204 |70,608 |56,194 |53,478 |— | 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|Notes:1. Under European Union regulations claims relate to calendar years.2. Due to the nature of the EU claims process member states (including the UK) may submit claims in arrears, often several years in arrears, and the settlement process for any one claim may extend over several years. Smaller supplementary claims may also be made, sometimes several years after main claims. Claims totals given are therefore a snapshot based on the current position, and are subject to change.3. Totals for UK claims will include formula—based claims for temporary visitor costs under bilateral arrangements which provide for reimbursement linked to tourist numbers.4. UK claims under those bilateral arrangements for years 2007 and later have yet to be submitted. These will be submitted following the publication by the European Commission of the UK’s average costs for those years, as data from those average costs are used in the calculation of claims. However, in some cases advance claim payments may be made under bilateral arrangements prior to the submission of the claim. Such advance claim payments will be reflected in the totals included in the table.| | | | | | -----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------