Asked by: Lord Mann (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how much was claimed back by each hospital trust for healthcare of foreign nationals in the UK in 2016.
Answered by Philip Dunne
The Department on behalf of the United Kingdom Government reimburses other European Economic Area (EEA) countries and Switzerland for the cost of providing treatment to people we are responsible for under European Union law, irrespective of nationality. In the same way, other EEA countries and Switzerland reimburse the UK for the cost of the National Health Service providing treatment to people they are responsible for under European Union law, including UK nationals insured in another EEA country or Switzerland.
The requested data regarding individual trusts is not held centrally.
Due to the complexities associated with collecting and aggregating information on costs and treatment, claims for EEA medical costs are typically submitted by EEA member states (including the UK) up to three, and sometimes more, years in arrears. Therefore, claims for any 12 month period do not necessarily reflect treatment provided in that period.
The attached table provides information about how much was paid to the UK nearest to the pound, for NHS provided treatments for 2015-16, the latest year available, broken down by country of destination.
Asked by: Lord Mann (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how much was recharged to (a) EU and (b) non-EU countries for health treatment by the NHS in 2016.
Answered by Philip Dunne
The Department on behalf of the United Kingdom Government reimburses other European Economic Area (EEA) countries and Switzerland for the cost of providing treatment to people we are responsible for under European Union law, irrespective of nationality. In the same way, other EEA countries and Switzerland reimburse the UK for the cost of the National Health Service providing treatment to people they are responsible for under European Union law, including UK nationals insured in another EEA country or Switzerland.
Due to the complexities associated with collecting and aggregating information on costs and treatment, claims for EEA medical costs are typically submitted by EEA member states (including the UK) up to three, and sometimes more, years in arrears. Therefore, claims for any 12 month period do not necessarily reflect treatment provided in that period.
The attached table provides information about how much was paid to the UK, nearest to the pound, for NHS provided treatments for 2015-16 broken down by country of destination.
For non-EEA countries without a reciprocal agreement in place with the UK, it would be for the individual to pay for any healthcare needed and for that reason appropriate travel and medical insurance is highly advisable. Similarly, for those non-EEA countries with whom the UK does have a reciprocal healthcare agreement, no money changes hands between the parties to the agreement. The basis of these agreements is reciprocity – that is, necessary healthcare is provided in most cases free of charge to the visitor and the associated costs are absorbed by either side.
Asked by: Lord Mann (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many registered care homes in Bassetlaw constituency do not have a fire sprinkler system.
Answered by Jackie Doyle-Price
Local Fire Authorities have the statutory duty to enforce fire safety legislation in the United Kingdom.
However, the Care Quality Commission wrote out to the social care sector this week to remind them of their responsibilities relating to fire safety.
Asked by: Lord Mann (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many new nurses have been employed in each NHS hospital trust in the last 12 months.
Answered by Philip Dunne
The information is not available in the format requested.
NHS Digital collects data on headcount joiners to NHS trusts and clinical commissioning groups in England, by nationality and age. Latest data is available as at March 2017 and available at:
Joiners data shows people joining active service, this would include those returning from maternity leave or career break, for example.
Asked by: Lord Mann (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, whether Doncaster and Bassetlaw Hospitals NHS Foundation Trust is required to pay the apprenticeship levy; and how many apprenticeships that trust plans to create.
Answered by Philip Dunne
The new Apprenticeship Levy came into operation in April 2017 for employers with a with a pay bill over £3 million each year and is set at 0.5% of pay bill. All National Health Service trusts will come within scope for paying the apprentice levy, with an estimated total NHS levy contribution of up to £200 million in 2017/18.
Doncaster and Bassetlaw will come within scope to pay the apprentice levy.
NHS trusts can employ apprentices in a range of clinical and non-clinical roles in the next two years including nursing, healthcare science, dental nursing, healthcare support worker, ambulance practitioner accountancy, business administration, digital and technology roles.
New apprenticeship roles are in development across a range of regulated healthcare professions including, the new Nursing Associate role, Occupational Therapy, Physiotherapy, Paramedic and Social Worker.
The new Public Sector Apprentice Target applies to public sector bodies with 250 or more staff in England and requires a minimum of 2.3% new apprentice starts each year based on the headcount of employees. The total NHS apprentice target is estimated as 27,500 in 2017/18.
Latest information from NHS Digital indicates that Doncaster and Bassetlaw Hospitals NHS Foundation Trust directly employs 6,497 headcount people. The Department estimates Doncaster and Bassetlaw Hospitals would need to employ 149 apprentices in 2017/18 to meet the Public Sector Apprentice Target.
Asked by: Lord Mann (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how many NHS Trusts are required to pay the apprenticeship levy; how much in total NHS Trusts will pay; in which areas of employment NHS Trusts will create apprenticeships in the next two years; and how many apprenticeships NHS Trusts will create.
Answered by Philip Dunne
The new Apprenticeship Levy came into operation in April 2017 for employers with a with a pay bill over £3 million each year and is set at 0.5% of pay bill. All National Health Service trusts will come within scope for paying the apprentice levy, with an estimated total NHS levy contribution of up to £200 million in 2017/18.
Doncaster and Bassetlaw will come within scope to pay the apprentice levy.
NHS trusts can employ apprentices in a range of clinical and non-clinical roles in the next two years including nursing, healthcare science, dental nursing, healthcare support worker, ambulance practitioner accountancy, business administration, digital and technology roles.
New apprenticeship roles are in development across a range of regulated healthcare professions including, the new Nursing Associate role, Occupational Therapy, Physiotherapy, Paramedic and Social Worker.
The new Public Sector Apprentice Target applies to public sector bodies with 250 or more staff in England and requires a minimum of 2.3% new apprentice starts each year based on the headcount of employees. The total NHS apprentice target is estimated as 27,500 in 2017/18.
Latest information from NHS Digital indicates that Doncaster and Bassetlaw Hospitals NHS Foundation Trust directly employs 6,497 headcount people. The Department estimates Doncaster and Bassetlaw Hospitals would need to employ 149 apprentices in 2017/18 to meet the Public Sector Apprentice Target.
Asked by: Lord Mann (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, what assessment he has made of the effectiveness of the Marginal Rate Emergency Tariff (MRET) fund reinvestment in reducing emergency admissions for specialist services pathways such as neuromuscular services; and whether MRET funding is the responsibility of clinical commissioning groups or NHS England.
Answered by Philip Dunne
NHS England and Monitor undertook a review of the marginal rate emergency rule in 2013. The findings from this review informed a number of changes to the operation of the policy. These changes were introduced in 2014/15. The review did not look explicitly at the effectiveness of the marginal rate emergency rule fund reinvestment in reducing emergency admissions for specialist services pathways such as neuromuscular services. However it noted that as specialist activity cannot be demand managed, the effectiveness of the marginal rate to incentivise reducing emergency admissions for specialist services is limited.
Marginal rate emergency tariff (MRET) funding is administered by NHS England. The MRET applies to activity commissioned by clinical commissioning groups and NHS England, though some activity is explicitly excluded from the scope of the rule, such as activity for which there is no national price; and accident and emergency attendances.
Asked by: Lord Mann (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how much was reclaimed in health costs from foreign governments in each of the last three years by Derby Hospitals NHS Trust.
Answered by Philip Dunne
The Department, on behalf of the United Kingdom Government, reimburses other European Economic Area (EEA) countries and Switzerland for the cost of providing treatment to people we are responsible for under European Union law, irrespective of nationality. In the same way, other EEA countries and Switzerland reimburse the UK for the cost of the National Health Service providing treatment to people they are responsible for under EU law, including UK nationals insured in another EEA country or Switzerland.
The requested data regarding individual trusts is not held centrally.
NHS trusts and foundation trusts publish data on amounts claimed for directly chargeable overseas patients in their annual accounts. This data does not include patients from the EEA and Switzerland whose treatment would be reimbursed under Regulations (EC) Nos 883/2004 and 987/2009. Data in trusts’ annual accounts includes:
- Income recognised this year (invoiced amounts and accruals);
- Cash payments received in-year (invoices issued this year);
- Amounts added to provision for impairment of receivables (receivables at previous year end); and
- Amounts written off in-year (irrespective of year of recognition).
Asked by: Lord Mann (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how much was reclaimed in costs to the NHS from foreign governments by United Lincolnshire Hospitals NHS Trust in each of the last three years.
Answered by Philip Dunne
The Department, on behalf of the United Kingdom Government, reimburses other European Economic Area (EEA) countries and Switzerland for the cost of providing treatment to people we are responsible for under European Union law, irrespective of nationality. In the same way, other EEA countries and Switzerland reimburse the UK for the cost of the National Health Service providing treatment to people they are responsible for under EU law, including UK nationals insured in another EEA country or Switzerland.
The requested data regarding individual trusts is not held centrally.
NHS trusts and foundation trusts publish data on amounts claimed for directly chargeable overseas patients in their annual accounts. This data does not include patients from the EEA and Switzerland whose treatment would be reimbursed under Regulations (EC) Nos 883/2004 and 987/2009. Data in trusts’ annual accounts includes:
- Income recognised this year (invoiced amounts and accruals);
- Cash payments received in-year (invoices issued this year);
- Amounts added to provision for impairment of receivables (receivables at previous year end); and
- Amounts written off in-year (irrespective of year of recognition).
Asked by: Lord Mann (Non-affiliated - Life peer)
Question to the Department of Health and Social Care:
To ask the Secretary of State for Health, how much was reclaimed in costs to the NHS from foreign governments by Chesterfield Royal Hospital in each of the last three years.
Answered by Philip Dunne
The Department, on behalf of the United Kingdom Government, reimburses other European Economic Area (EEA) countries and Switzerland for the cost of providing treatment to people we are responsible for under European Union law, irrespective of nationality. In the same way, other EEA countries and Switzerland reimburse the UK for the cost of the National Health Service providing treatment to people they are responsible for under EU law, including UK nationals insured in another EEA country or Switzerland.
The requested data regarding individual trusts is not held centrally.
NHS trusts and foundation trusts publish data on amounts claimed for directly chargeable overseas patients in their annual accounts. This data does not include patients from the EEA and Switzerland whose treatment would be reimbursed under Regulations (EC) Nos 883/2004 and 987/2009. Data in trusts’ annual accounts includes:
- Income recognised this year (invoiced amounts and accruals);
- Cash payments received in-year (invoices issued this year);
- Amounts added to provision for impairment of receivables (receivables at previous year end); and
- Amounts written off in-year (irrespective of year of recognition).