Asked by: Jo White (Labour - Bassetlaw)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how much each country has paid back for healthcare use by their citizens in the UK within the same year in the latest year for which figures are available.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
NHS care is provided free at the point of use to people who are ordinarily resident in the United Kingdom, including people who were born abroad if they are not subject to immigration controls. Where the person is not ordinarily resident, the National Health Service recovers costs for healthcare provided in the UK through the immigration health surcharge (IHS), directly charging individuals for care provided and charging countries responsible for their healthcare costs through reciprocal healthcare agreements.
The UK’s reciprocal healthcare agreements with the European Union, European Free Trade Association states and Switzerland allow for the reimbursement of costs at a country level. The UK pays for healthcare costs of eligible people visiting or living in these countries under these agreements. For other countries, the UK does not fund overseas treatment and NHS costs incurred are recovered through the IHS or directly charging the individual.
The following table shows the Department’s income and expenditure on overseas healthcare from the United Kingdom’s reciprocal healthcare agreements for 2023/24, the latest year for which figures are available:
Country | 2023/24 income (£) | 2023/24 expenditure (£) |
Austria | 327,322.25 | 3,360,423.14 |
Belgium | 3,474,379.36 | 3,822,245.19 |
Bulgaria | 81,739.18 | 1,212,566.29 |
Croatia | 36,473.40 | 365,199.00 |
Cyprus | 482,172.64 | 56,367,818.62 |
Czech Republic | (148,293.65) | 758,458.60 |
Denmark | - | - |
Estonia | - | - |
Finland | 109,284.40 | 7,213.62 |
France | 11,051,032.23 | 186,694,473.76 |
Germany | 3,559,100.19 | 10,919,120.07 |
Greece | 553,518.12 | 5,335,540.50 |
Hungary | - | 4,961.18 |
Iceland | (6,342.41) | 239,528.19 |
Ireland | (17,810,150.56) | 225,245,716.37 |
Italy | 2,208,886.74 | 172,132.80 |
Latvia | (762,470.36) | 26,357.08 |
Liechtenstein | 1,915.64 | 176.43 |
Lithuania | 75,266.54 | 242,985.85 |
Luxembourg | (265,645.79) | 575,414.85 |
Malta | 798,235.85 | - |
Netherlands | 2,981,546.13 | 1,485,724.03 |
Norway | - | (863.95) |
Poland | 7,123,224.03 | 386,044.52 |
Portugal | 1,871,249.74 | (356,506.41) |
Romania | 2,999,264.69 | 28,944.82 |
Slovakia | 782,608.15 | 557,904.39 |
Slovenia | 24,181.42 | 279,420.15 |
Spain | 6,775,123.13 | 441,009,133.86 |
Sweden | 2,580,816.63 | 2,960,047.61 |
Switzerland | 670,476.95 | 7,255,687.60 |
Total | 29,574,914.65 | 948,955,868.18 |
The figures in the table above relate to all reciprocal healthcare agreements where costs are exchanged between the UK and other countries. These figures are not directly comparable to the figures quoted in the Department’s accounts, which are not broken down by country and include accounting treatment and aggregation of other costs. Negative values in the table above reflect adjustments to prior year forecasts compared to actual receipts/payments received from member states.
Asked by: Jo White (Labour - Bassetlaw)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, how much his Department has spent on overseas healthcare in the latest year for which figures are available, broken down by country.
Answered by Karin Smyth - Minister of State (Department of Health and Social Care)
NHS care is provided free at the point of use to people who are ordinarily resident in the United Kingdom, including people who were born abroad if they are not subject to immigration controls. Where the person is not ordinarily resident, the National Health Service recovers costs for healthcare provided in the UK through the immigration health surcharge (IHS), directly charging individuals for care provided and charging countries responsible for their healthcare costs through reciprocal healthcare agreements.
The UK’s reciprocal healthcare agreements with the European Union, European Free Trade Association states and Switzerland allow for the reimbursement of costs at a country level. The UK pays for healthcare costs of eligible people visiting or living in these countries under these agreements. For other countries, the UK does not fund overseas treatment and NHS costs incurred are recovered through the IHS or directly charging the individual.
The following table shows the Department’s income and expenditure on overseas healthcare from the United Kingdom’s reciprocal healthcare agreements for 2023/24, the latest year for which figures are available:
Country | 2023/24 income (£) | 2023/24 expenditure (£) |
Austria | 327,322.25 | 3,360,423.14 |
Belgium | 3,474,379.36 | 3,822,245.19 |
Bulgaria | 81,739.18 | 1,212,566.29 |
Croatia | 36,473.40 | 365,199.00 |
Cyprus | 482,172.64 | 56,367,818.62 |
Czech Republic | (148,293.65) | 758,458.60 |
Denmark | - | - |
Estonia | - | - |
Finland | 109,284.40 | 7,213.62 |
France | 11,051,032.23 | 186,694,473.76 |
Germany | 3,559,100.19 | 10,919,120.07 |
Greece | 553,518.12 | 5,335,540.50 |
Hungary | - | 4,961.18 |
Iceland | (6,342.41) | 239,528.19 |
Ireland | (17,810,150.56) | 225,245,716.37 |
Italy | 2,208,886.74 | 172,132.80 |
Latvia | (762,470.36) | 26,357.08 |
Liechtenstein | 1,915.64 | 176.43 |
Lithuania | 75,266.54 | 242,985.85 |
Luxembourg | (265,645.79) | 575,414.85 |
Malta | 798,235.85 | - |
Netherlands | 2,981,546.13 | 1,485,724.03 |
Norway | - | (863.95) |
Poland | 7,123,224.03 | 386,044.52 |
Portugal | 1,871,249.74 | (356,506.41) |
Romania | 2,999,264.69 | 28,944.82 |
Slovakia | 782,608.15 | 557,904.39 |
Slovenia | 24,181.42 | 279,420.15 |
Spain | 6,775,123.13 | 441,009,133.86 |
Sweden | 2,580,816.63 | 2,960,047.61 |
Switzerland | 670,476.95 | 7,255,687.60 |
Total | 29,574,914.65 | 948,955,868.18 |
The figures in the table above relate to all reciprocal healthcare agreements where costs are exchanged between the UK and other countries. These figures are not directly comparable to the figures quoted in the Department’s accounts, which are not broken down by country and include accounting treatment and aggregation of other costs. Negative values in the table above reflect adjustments to prior year forecasts compared to actual receipts/payments received from member states.
Asked by: Jo White (Labour - Bassetlaw)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, whether his Department plans to develop a modern service framework for kidney disease.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
As announced in the 10-Year Health Plan, as well as an overall quality strategy, the National Quality Board will oversee the development of a new series of service frameworks.
The modern service frameworks will define an aspirational, long-term outcome goal for a major condition and will then identify the best evidenced interventions and the necessary support for delivery.
Early priorities will include cardiovascular disease, severe mental illness, and the first ever service framework for frailty and dementia. The Government will consider other long-term conditions for future waves of modern service frameworks. The criteria for determining other conditions for future modern service frameworks will be based on where there is potential for rapid and significant improvements in quality of care and productivity.
Asked by: Jo White (Labour - Bassetlaw)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment his Department has made of the potential impact of a modern service framework for kidney disease on improving outcomes for patients with chronic kidney disease who have received organ transplants.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
As announced in the 10-Year Health Plan, as well as an overall quality strategy, the National Quality Board will oversee the development of a new series of service frameworks.
The modern service frameworks will define an aspirational, long-term outcome goal for a major condition and will then identify the best evidenced interventions and the necessary support for delivery.
Early priorities will include cardiovascular disease, severe mental illness, and the first ever service framework for frailty and dementia. The Government will consider other long-term conditions for future waves of modern service frameworks. The criteria for determining other conditions for future modern service frameworks will be based on where there is potential for rapid and significant improvements in quality of care and productivity.
Asked by: Jo White (Labour - Bassetlaw)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, what assessment he has made of the need for a Modern Service Framework for kidney disease to improve (a) earlier diagnosis, (b) care quality and (c) outcomes.
Answered by Ashley Dalton - Parliamentary Under-Secretary (Department of Health and Social Care)
As announced in the 10-Year Health Plan, as well as an overall quality strategy, the National Quality Board will oversee the development of a new series of service frameworks.
The modern service frameworks will define an aspirational, long-term outcome goal for a major condition and will then identify the best evidenced interventions and the necessary support for delivery.
Early priorities will include cardiovascular disease, severe mental illness, and the first ever service framework for frailty and dementia. The Government will consider other long-term conditions for future waves of modern service frameworks. The criteria for determining other conditions for future modern service frameworks will be based on where there is potential for rapid and significant improvements in quality of care and productivity.
Asked by: Jo White (Labour - Bassetlaw)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health and Social Care, which integrated care boards have reimbursed dental practices for up to 110% of General Dental Services contracts.
Answered by Stephen Kinnock - Minister of State (Department of Health and Social Care)
In the 2023/24 financial year, 37 integrated care boards (ICBs) reimbursed at least one dental practice for over 100%, and up to 110%, of their General Dental Services contract value. These ICBs are as follows: