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1037606

registered interest
date	08/01/2019
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: Foreign Nationals
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government how many written submissions they have received as part of the review of the National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017; how many case studies were submitted to the review where urgent care was withheld; and what assessment they have made of the number of case studies submitted where urgent care was, or may have, been incorrectly withheld.
tabling member printed	Lord Hunt of Kings Heath
uin	HL12662
answer	answer is ministerial correction date of answer 22/01/2019 answer text <p>The Department engaged with 79 organisations as part of the process of reviewing of the National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017 and received 57 formal responses. Of these, 22 case studies included instances where individuals were required to make advance payment for treatment that the Department has concluded was arguably, on proper analysis, immediately necessary and/or urgent.</p><p>The common issue in these cases is that clinicians have not fully taken into account the date at which those seeking treatment have been expected to leave the United Kingdom, something that national guidance is clear must be taken into consideration when making a decision as to whether or not treatment is considered urgent. To mitigate this risk and help ensure the regulations are applied as intended the Department has updated its guidance, published on 24 December 2018, and is planning further updates to relevant training material and case studies in early 2019 to ensure all relevant circumstances are considered when deciding if a treatment is to be considered immediately necessary, urgent or non-urgent.</p> answering member printed Baroness Manzoor question first answered 22/01/2019 16:03:35 answering member 4289 label Biography information for Baroness Manzoor
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

1029625

registered interest
date	20/12/2018
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: Foreign Nationals
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they will publish the results of the review of the NHS (Charges to Overseas Visitors) (Amendment) Regulations 2017.
tabling member printed	Lord Hunt of Kings Heath
uin	HL12511
answer	answer is ministerial correction date of answer 07/01/2019 answer text <p>The Department has no plans to produce and publish a formal review document or the evidence collected as part of it.</p> answering member printed Baroness Manzoor question first answered 07/01/2019 16:50:39 answering member 4289 label Biography information for Baroness Manzoor
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

832871

registered interest
date	29/01/2018
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: Foreign Nationals
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether the stakeholder questions on the requirement for all relevant bodies to charge upfront for treatment, which are being asked as part of the review of the National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017 (SI 2017/756), are designed to exclude evidence relating to the impact of charging upfront prior to those Regulations coming into force; whether the review will consider evidence submitted relating to that impact; and what assessment they have made of the extent to which it is possible for a stakeholder responding to provide evidence of the impact of the requirement to charge upfront without drawing on evidence of the impact of charging upfront before that new requirement came into effect.
tabling member printed	Lord Hunt of Kings Heath
uin	HL5188
answer	answer is ministerial correction date of answer 07/02/2018 answer text <p>The current review was initiated as a response to concerns that have been raised by stakeholders regarding the introduction of the National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017, the ‘amendment regulations 2017’, and in line with the continuing public sector equalities duty in relation to these regulations. A document outlining the scope of the review, to consider the impact of the amendment regulations 2017, was shared with stakeholders in November 2017. The questions which have been sent to stakeholders since the sharing of the scope document have intentionally focused on asking for evidence relating to the impact of the amendment regulations 2017. This is in accordance with the rationale for the review and the review scope, which had previously been communicated to stakeholders.</p><p>The Department is aware that, given that the amendment regulation, introduced as part of the amendment regulations 2017, requiring relevant bodies to withhold treatment from chargeable overseas visitors until the estimated full cost of the service has been paid, made a legal requirement of what was previously best practice, it may be relevant to refer to the effects of upfront charging prior to the amendment regulations 2017 coming into effect. This is acknowledged in the question documents which the Department has sent to stakeholders. For example, in the question document sent to vulnerable group’s representatives, the introduction asks for stakeholders to indicate whether the evidence they present relates to the period before or after the relevant provisions of the Amendment Regulations 2017 came into force. It is also the case that if, during the course of engaging with stakeholders as part of the review the Department were to receive evidence concerning the impact of upfront charging prior to the amendment regulations 2017 coming into force the Department would, of course, consider this evidence and take any resulting action which it judged to be necessary.</p> answering member printed Lord O'Shaughnessy question first answered 07/02/2018 12:17:41 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

829026

registered interest
date	23/01/2018
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: Foreign Nationals
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether a public consultation will be included as part of their current review of the impact of the National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017 (SI 2017/756).
tabling member printed	Lord Hunt of Kings Heath
uin	HL5009
answer	answer is ministerial correction date of answer 06/02/2018 answer text <p>The Department has no plans to include a public consultation as part of the review of ‘The National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017’ (the 2017 Amendments). The Department ran a consultation ‘Making a fair contribution: consultation on the extension of charging overseas visitors in and migrants for using the NHS in England’ in early 2016. This covered many of the areas included in the 2017 Amendments. The Government published its response in February 2017.</p><p>The Department initially sent a list of review questions on 22 December 2017 to several organisations with a deadline of 31 January 2018 for the submission of evidence to be returned.</p><p>The Department does fully recognise the need to ensure that sufficient time is provided for both evidence collection and analysis. The end of January deadline was chosen so that the Department could seek to identify the main impacts of the amendment regulations on vulnerable groups as early in the review process as possible. This will allow more time to further explore these impacts with stakeholders, within the timeframe of the review that has been set out.</p><p>The Department has responded to questions from stakeholders about the deadline by saying ‘we recognise that the end of January deadline may not be possible for all organisations due to the issues you have raised. As we previously stated, we are therefore willing to be flexible on this deadline, so while we would appreciate organisations submitting their responses as soon as possible, we will of course still consider the information in responses that are submitted after that.’ The Department has made it clear that evidence submitted within a timeframe that allows it to be taken into account as part of the review will be considered.</p><p>The Department has also committed to continue to work with stakeholders to monitor the effects of the charging regulations on vulnerable groups after the review process has concluded. Therefore, if new evidence concerning the impact of the impact of the 2017 Amendments is presented to the Department, after the time at which it can be considered as part of the review process, it will be considered in accordance with the Secretary of State’s ongoing duties.</p><p>The Department does not see any reason to change the position, outlined above, which has already been communicated to stakeholders.</p><p>The Department has undertaken a review of the 2017 Amendments in line with continuing public sector equalities duty, and also in response to concerns that have been raised by stakeholders. The National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2015 were minor amendments in respect of errors identified by the Joint Committee on Statutory Instruments. Given that there have not been recent concerns raised by stakeholders about these amendment regulations the Department does not feel it necessary to review them.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL5010 HL5011 HL5012 question first answered 06/02/2018 13:44:43 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

829028

registered interest
date	23/01/2018
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: Foreign Nationals
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what time limit was given to stakeholders to respond to their current review of the impact of the National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017 (SI 2017/756).
tabling member printed	Lord Hunt of Kings Heath
uin	HL5010
answer	answer is ministerial correction date of answer 06/02/2018 answer text <p>The Department has no plans to include a public consultation as part of the review of ‘The National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017’ (the 2017 Amendments). The Department ran a consultation ‘Making a fair contribution: consultation on the extension of charging overseas visitors in and migrants for using the NHS in England’ in early 2016. This covered many of the areas included in the 2017 Amendments. The Government published its response in February 2017.</p><p>The Department initially sent a list of review questions on 22 December 2017 to several organisations with a deadline of 31 January 2018 for the submission of evidence to be returned.</p><p>The Department does fully recognise the need to ensure that sufficient time is provided for both evidence collection and analysis. The end of January deadline was chosen so that the Department could seek to identify the main impacts of the amendment regulations on vulnerable groups as early in the review process as possible. This will allow more time to further explore these impacts with stakeholders, within the timeframe of the review that has been set out.</p><p>The Department has responded to questions from stakeholders about the deadline by saying ‘we recognise that the end of January deadline may not be possible for all organisations due to the issues you have raised. As we previously stated, we are therefore willing to be flexible on this deadline, so while we would appreciate organisations submitting their responses as soon as possible, we will of course still consider the information in responses that are submitted after that.’ The Department has made it clear that evidence submitted within a timeframe that allows it to be taken into account as part of the review will be considered.</p><p>The Department has also committed to continue to work with stakeholders to monitor the effects of the charging regulations on vulnerable groups after the review process has concluded. Therefore, if new evidence concerning the impact of the impact of the 2017 Amendments is presented to the Department, after the time at which it can be considered as part of the review process, it will be considered in accordance with the Secretary of State’s ongoing duties.</p><p>The Department does not see any reason to change the position, outlined above, which has already been communicated to stakeholders.</p><p>The Department has undertaken a review of the 2017 Amendments in line with continuing public sector equalities duty, and also in response to concerns that have been raised by stakeholders. The National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2015 were minor amendments in respect of errors identified by the Joint Committee on Statutory Instruments. Given that there have not been recent concerns raised by stakeholders about these amendment regulations the Department does not feel it necessary to review them.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL5009 HL5011 HL5012 question first answered 06/02/2018 13:44:43 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

829029

registered interest
date	23/01/2018
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: Foreign Nationals
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government whether they intend to extend the deadline for responding to the consultation as part of their current review into the impact of the National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017 (SI 2017/756).
tabling member printed	Lord Hunt of Kings Heath
uin	HL5011
answer	answer is ministerial correction date of answer 06/02/2018 answer text <p>The Department has no plans to include a public consultation as part of the review of ‘The National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017’ (the 2017 Amendments). The Department ran a consultation ‘Making a fair contribution: consultation on the extension of charging overseas visitors in and migrants for using the NHS in England’ in early 2016. This covered many of the areas included in the 2017 Amendments. The Government published its response in February 2017.</p><p>The Department initially sent a list of review questions on 22 December 2017 to several organisations with a deadline of 31 January 2018 for the submission of evidence to be returned.</p><p>The Department does fully recognise the need to ensure that sufficient time is provided for both evidence collection and analysis. The end of January deadline was chosen so that the Department could seek to identify the main impacts of the amendment regulations on vulnerable groups as early in the review process as possible. This will allow more time to further explore these impacts with stakeholders, within the timeframe of the review that has been set out.</p><p>The Department has responded to questions from stakeholders about the deadline by saying ‘we recognise that the end of January deadline may not be possible for all organisations due to the issues you have raised. As we previously stated, we are therefore willing to be flexible on this deadline, so while we would appreciate organisations submitting their responses as soon as possible, we will of course still consider the information in responses that are submitted after that.’ The Department has made it clear that evidence submitted within a timeframe that allows it to be taken into account as part of the review will be considered.</p><p>The Department has also committed to continue to work with stakeholders to monitor the effects of the charging regulations on vulnerable groups after the review process has concluded. Therefore, if new evidence concerning the impact of the impact of the 2017 Amendments is presented to the Department, after the time at which it can be considered as part of the review process, it will be considered in accordance with the Secretary of State’s ongoing duties.</p><p>The Department does not see any reason to change the position, outlined above, which has already been communicated to stakeholders.</p><p>The Department has undertaken a review of the 2017 Amendments in line with continuing public sector equalities duty, and also in response to concerns that have been raised by stakeholders. The National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2015 were minor amendments in respect of errors identified by the Joint Committee on Statutory Instruments. Given that there have not been recent concerns raised by stakeholders about these amendment regulations the Department does not feel it necessary to review them.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL5009 HL5010 HL5012 question first answered 06/02/2018 13:44:43 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath

829030

registered interest
date	23/01/2018
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: Foreign Nationals
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government why their review on the impact of the National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017 (SI 2017/756) does not cover the implementation of the National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2015 (SI 2015/2025).
tabling member printed	Lord Hunt of Kings Heath
uin	HL5012
answer	answer is ministerial correction date of answer 06/02/2018 answer text <p>The Department has no plans to include a public consultation as part of the review of ‘The National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017’ (the 2017 Amendments). The Department ran a consultation ‘Making a fair contribution: consultation on the extension of charging overseas visitors in and migrants for using the NHS in England’ in early 2016. This covered many of the areas included in the 2017 Amendments. The Government published its response in February 2017.</p><p>The Department initially sent a list of review questions on 22 December 2017 to several organisations with a deadline of 31 January 2018 for the submission of evidence to be returned.</p><p>The Department does fully recognise the need to ensure that sufficient time is provided for both evidence collection and analysis. The end of January deadline was chosen so that the Department could seek to identify the main impacts of the amendment regulations on vulnerable groups as early in the review process as possible. This will allow more time to further explore these impacts with stakeholders, within the timeframe of the review that has been set out.</p><p>The Department has responded to questions from stakeholders about the deadline by saying ‘we recognise that the end of January deadline may not be possible for all organisations due to the issues you have raised. As we previously stated, we are therefore willing to be flexible on this deadline, so while we would appreciate organisations submitting their responses as soon as possible, we will of course still consider the information in responses that are submitted after that.’ The Department has made it clear that evidence submitted within a timeframe that allows it to be taken into account as part of the review will be considered.</p><p>The Department has also committed to continue to work with stakeholders to monitor the effects of the charging regulations on vulnerable groups after the review process has concluded. Therefore, if new evidence concerning the impact of the impact of the 2017 Amendments is presented to the Department, after the time at which it can be considered as part of the review process, it will be considered in accordance with the Secretary of State’s ongoing duties.</p><p>The Department does not see any reason to change the position, outlined above, which has already been communicated to stakeholders.</p><p>The Department has undertaken a review of the 2017 Amendments in line with continuing public sector equalities duty, and also in response to concerns that have been raised by stakeholders. The National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2015 were minor amendments in respect of errors identified by the Joint Committee on Statutory Instruments. Given that there have not been recent concerns raised by stakeholders about these amendment regulations the Department does not feel it necessary to review them.</p> answering member printed Lord O'Shaughnessy grouped question UIN HL5009 HL5010 HL5011 question first answered 06/02/2018 13:44:43 answering member 4545 label Biography information for Lord O'Shaughnessy
tabling member	2024 label Biography information for Lord Hunt of Kings Heath