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1146933

	registered interest
	date	30/09/2019
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Health Services: EU Nationals
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government whether, in the event of a no-deal Brexit, EU frontier workers working and paying tax and National Insurance in the UK will be entitled to NHS treatment.
	tabling member printed	Baroness Hollins
	uin	HL17907
	answer	answer is ministerial correction date of answer 08/10/2019 answer text <p>In a ‘no deal’ European Union exit, EU citizens living in another state but travelling regularly to and from the United Kingdom as a frontier worker on or before exit day will continue to be entitled for National Health Service treatment without charge.</p><p>The Government is aiming to agree with the EU or with individual Member States continuing the existing reciprocal healthcare arrangements after exit day until at least 31 December 2020. Where such agreement is reached, an EU citizen who becomes a frontier worker after exit day would be eligible for NHS treatment without charge, under the terms of that arrangement. Where no agreement is reached, a frontier worker from that country may be charged for their care unless an exemption applies or the service that they are accessing is one which is free for everyone.</p> answering member printed Baroness Blackwood of North Oxford question first answered 08/10/2019 15:44:58 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
	tabling member	4190 label Biography information for Baroness Hollins

1015883

	registered interest
	date	27/11/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Health Services: EU Nationals
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Draft Agreement on the withdrawal of the United Kingdom of Great Britain and Northern Ireland from the European Union and the European Atomic Energy Community, published on 14 November, whether, under the provisions of Article 18(k)(iii), it is their policy to refuse access to the NHS to students from EU countries pursuing courses at accredited higher education establishments in the UK unless they have personal insurance policies to cover the cost of treatments.
	tabling member printed	Lord Wigley
	uin	HL11876
	answer	answer is ministerial correction date of answer 06/12/2018 answer text <p>All people in the United Kingdom are able to access the National Health Service. However, since the UK has a residency based healthcare system, charges for most non-primary care services will apply to those people that are neither ordinarily resident in the UK, nor exempt from charge under the NHS (Charges to Overseas Visitors) Regulations 2015, as amended.</p><p> </p><p>European Union citizens who are currently ordinarily resident in the UK are treated in the same way as ordinarily resident UK nationals for the purpose of receiving NHS-funded healthcare. There is no requirement for European Economic Area nationals to have a ‘right to reside’ in the UK under the Free Movement Directive, nor to exercise treaty rights or hold Comprehensive Sickness Insurance, in order to meet the ordinary residence definition.</p><p> </p><p>For EU citizens resident in the UK by the end of the implementation period and in scope of the Withdrawal Agreement, their entitlement to free NHS services will not change, as long as they continue to be ordinarily resident in the UK.</p><p> </p><p>When EU citizens living in the UK apply to the EU settlement scheme for UK immigration status, they will not be required to demonstrate they have held comprehensive sickness insurance as a qualifying criteria. The settlement scheme will be open to all EU citizens resident in the UK by 31 December 2020, including EU citizens studying in the UK. Those granted pre- or settled status under the settlement scheme will continue to have access to the NHS as long as they are ordinarily resident in the UK and therefore be able to access care as a UK national would.</p><p> </p><p>EU students in the UK at the end of the implementation period will also have a European Health Insurance Card. Under the Withdrawal Agreement they can continue to use this during their stay to access needs arising healthcare.</p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL11875 question first answered 06/12/2018 14:58:45 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	547 label Biography information for Lord Wigley

1015882

	registered interest
	date	27/11/2018
	answering body	Department of Health and Social Care
	answering dept id	17
	answering dept short name	Health and Social Care
	answering dept sort name	Health and Social Care
	hansard heading	Health Services: EU Nationals
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty's Government, further to the Draft Agreement on the withdrawal of the United Kingdom of Great Britain and Northern Ireland from the European Union and the European Atomic Energy Community, published on 14 November, whether, under the provision of Article 18(k)(ii), it is their policy to refuse economically inactive persons who become residents of the UK access to the NHS.
	tabling member printed	Lord Wigley
	uin	HL11875
	answer	answer is ministerial correction date of answer 06/12/2018 answer text <p>All people in the United Kingdom are able to access the National Health Service. However, since the UK has a residency based healthcare system, charges for most non-primary care services will apply to those people that are neither ordinarily resident in the UK, nor exempt from charge under the NHS (Charges to Overseas Visitors) Regulations 2015, as amended.</p><p> </p><p>European Union citizens who are currently ordinarily resident in the UK are treated in the same way as ordinarily resident UK nationals for the purpose of receiving NHS-funded healthcare. There is no requirement for European Economic Area nationals to have a ‘right to reside’ in the UK under the Free Movement Directive, nor to exercise treaty rights or hold Comprehensive Sickness Insurance, in order to meet the ordinary residence definition.</p><p> </p><p>For EU citizens resident in the UK by the end of the implementation period and in scope of the Withdrawal Agreement, their entitlement to free NHS services will not change, as long as they continue to be ordinarily resident in the UK.</p><p> </p><p>When EU citizens living in the UK apply to the EU settlement scheme for UK immigration status, they will not be required to demonstrate they have held comprehensive sickness insurance as a qualifying criteria. The settlement scheme will be open to all EU citizens resident in the UK by 31 December 2020, including EU citizens studying in the UK. Those granted pre- or settled status under the settlement scheme will continue to have access to the NHS as long as they are ordinarily resident in the UK and therefore be able to access care as a UK national would.</p><p> </p><p>EU students in the UK at the end of the implementation period will also have a European Health Insurance Card. Under the Withdrawal Agreement they can continue to use this during their stay to access needs arising healthcare.</p><p> </p> answering member printed Lord O'Shaughnessy grouped question UIN HL11876 question first answered 06/12/2018 14:58:45 answering member 4545 label Biography information for Lord O'Shaughnessy
	tabling member	547 label Biography information for Lord Wigley

646562

	registered interest
	date	28/11/2016
	answering body	Department of Health
	answering dept id	17
	answering dept short name	Health
	answering dept sort name	Health
	hansard heading	Health Services: EU Nationals
	house id	2
	legislature	25277 pref label House of Lords
	question text	To ask Her Majesty’s Government what steps they are taking to obtain a higher level of repayment from other EU member states for NHS treatment of non-British EU citizens.
	tabling member printed	Lord Marlesford
	uin	HL3581
	answer	answer is ministerial correction date of answer 06/12/2016 answer text <p>It is not possible to provide data of an estimate of the cost to the National Health Service of treating non-European Union citizens during the year 2015-16 as patient nationality is not reported by NHS provider trusts.</p><p><br> An independent report by prederi, entitled <em>Quantitative Assessment of Visitor and Migrant Use of the NHS in England: Exploring the Data </em>was commissioned by the Department to better understand the impact of treating visitors and migrants and was published on 22 October 2013. A copy of this report is attached</p><p><br> The report estimated the gross value of NHS-funded healthcare provided to non-European Economic Area (EEA) visitors and temporary migrants was approximately £1.4 billion per year.</p><p><br> The Department has been collecting data on the amounts recovered from patients subject to the National Health Service (Charges to Overseas Visitors) Regulations 2015 that have been directly charged for their treatment. These relate to invoices raised in current and previous years.</p><p> </p><p>Figures for financial year 2015-2016 are shown in the table below:</p><p> </p><table><tbody><tr><td><p>Income recognised this year</p></td><td><p>Cash payments received in-year (relating to invoices raised in current and previous years) 2015-16</p></td></tr><tr><td><p>£ Millions</p></td><td><p>£ Millions</p></td></tr><tr><td><p>NHS Trusts</p></td><td><p>30.6</p></td><td><p>13.1</p></td></tr><tr><td><p>NHS Foundation Trusts</p></td><td><p>38.6</p></td><td><p>16.2</p></td></tr><tr><td><p>Total</p></td><td><p>69.2</p></td><td><p>29.3</p></td></tr></tbody></table><p><br> Source: NHS Trust and NHS Foundation Trust Annual Accounts 2015/16</p><p> </p><p>We do not recover costs directly from patients covered by the terms of the reciprocal healthcare agreements that the United Kingdom has with certain non-EEA countries. The terms of the reciprocal healthcare agreements allow for each country to absorb the cost of providing immediately necessary and urgent care provided to visitors between those countries.</p><p><br> Under the terms of the Regulation (EC) No 883/2004 of the European Parliament and of the Council of 29 April 2004, other EEA member states and Switzerland reimburse the UK for healthcare treatment provided to the citizens for whom they are responsible. Reimbursement is contingent on the NHS frontline identifying patients for whom we can recover costs and reporting the necessary information.</p><p> </p><p>All EEA countries, including the UK, have a legal obligation to pay agreed claims relating to healthcare treatment provided. Once both sides are satisfied that such claims are accurate, they are paid in full.</p><p> </p><p>In October 2014, the Department introduced a European Health Insurance Card (EHIC) incentive, meaning NHS provider trusts would be paid an additional 25% of all EHIC activity they correctly record. This has led to a significant improvement in collection of EHICs as shown in the table below:</p><p> </p><table><tbody><tr><td><p> </p></td><td><p>October 2013- September 2014</p></td><td><p>October 2014- September 2015</p></td></tr><tr><td><p>European Health Insurance Card (Volumes)</p></td><td><p>6,140</p></td><td><p>12,611</p></td></tr><tr><td><p>European Health Insurance Card (Amounts)</p></td><td><p>£9.1 million</p></td><td><p>£17.6 million</p></td></tr></tbody></table><p><br> Source: Department of Work and Pensions Overseas Healthcare Team.</p> answering member printed Lord Prior of Brampton grouped question UIN HL3580 question first answered 06/12/2016 16:26:51 answering member 127 label Biography information for Lord Prior of Brampton attachment 1 file name Quantitative_Assessment_of_Visitor_and_Migrant_Use_of_the_NHS_in_England_-_Exploring_the_Data_-_FULL_REPORT.pdf title Quantitative Assessment
	tabling member	1854 label Biography information for Lord Marlesford