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: Desmond Swayne (Conservative - New Forest West)
Question to the Ministry of Defence:
To ask the Secretary of State for Defence, whether it is his policy to seek UK participation in the Security Action for Europe instrument.
Answered by Luke Pollard - Minister of State (Ministry of Defence)
As outlined in the Minister for Cabinet Office’s Written Ministerial Statement on 1 December, we entered good-faith negotiations on SAFE participation, but no agreement was possible that met our national interest. UK industry retains access under third-country terms. We will continue to explore cooperation with the EU that strengthens European Security and underpins our NATO First policy.
The UK has a long history of collaborating with our European partners on major defence projects, which will continue, regardless of participation in SAFE. This year, we have struck a £10 billion deal with Norway, secured an £8 billion agreement with Türkiye, and signed an agreement with Germany to pursue joint export campaigns for jointly produced equipment like Boxer armoured vehicles.
Asked by: Richard Holden (Conservative - Basildon and Billericay)
Question to the Department for Energy Security & Net Zero:
To ask the Secretary of State for Energy Security and Net Zero, what comparative estimate his Department has made of (a) electricity prices for energy-intensive industries in (i) the UK and (ii) France and Germany and (b) grid and network charges in the UK and those countries.
Answered by Chris McDonald - Parliamentary Under Secretary of State (Department for Energy Security and Net Zero)
The requested comparative estimates can be found in the Quarterly Energy Prices statistical publication published on GOV.UK. The most recent comparisons with EU countries are found in the June 2025 edition.
Further comparative estimates including a discussion of the breakdown of network charging can be found in the consultation outcome relating to: The proposed uplift to the Network Charging Compensation Scheme for energy intensive industries published by the Department for Business and Trade in October of this year, and available here:
Estimates were also set out in the "international price gap" section of the consultation on the British Industrial Competitiveness Scheme, published on 24th November 2025. This consultation will be open for responses until 19th January 2026, and is available here:
British Industrial Competitiveness Scheme: consultation on scheme eligibility and approach - GOV.UK
Asked by: Baroness Pidgeon (Liberal Democrat - Life peer)
Question to the Home Office:
To ask His Majesty's Government what steps they are taking to allow greater automation of border controls at St Pancras station to support increased services through the Channel Tunnel, including to Germany and Switzerland.
Answered by Lord Hanson of Flint - Minister of State (Home Office)
The Government continues to engage with the French Ministry of the Interior and Police aux Frontieres about border control at St Pancras, including on plans for EES and ETIAS. We are working closely with Eurostar and London St Pancras Highspeed to support them in mitigating any disruption. Ultimately outbound border control, including pre-registration for EES and automation at St Pancras is a matter for the French authorities and industry.
For inbound travel to St Pancras, the UK Electronic Travel Authorisation check takes place ahead of travel to the UK, therefore this has no impact on outbound border control at St Pancras.
Asked by: Derek Twigg (Labour - Widnes and Halewood)
Question to the Ministry of Defence:
To ask the Secretary of State for Defence, where were the Army's MAN Logistic Support Vehicle built; and what is the age of the vehicles.
Answered by Luke Pollard - Minister of State (Ministry of Defence)
The vehicles were manufactured under the responsibility of MAN Truck & Bus UK (MTB UK). The base was produced at MAN’s facilities in Germany and Austria, with UK-specific modifications integrated by MTB UK and specialist subcontractors within the UK. The age of the vehicles is approximately 18 years, entering service in 2007/8.
Asked by: Richard Holden (Conservative - Basildon and Billericay)
Question to the Department for Business and Trade:
To ask the Secretary of State for Business and Trade, what estimate his Department has made of a) the average energy cost faced by UK steel producers in the most recent year, b) the equivalent cost faced by producers in France and Germany, and c) the potential impact of this cost gap on the competitiveness of UK steelmaking.
Answered by Chris McDonald - Parliamentary Under Secretary of State (Department for Energy Security and Net Zero)
The Government is committed to delivering a steel strategy setting out a long-term vision for the UK steel industry articulating what is needed to create a competitive business environment in the UK and the actions required to get there.
UK steel producers that benefit from British Industry Supercharger support and the current Network Charging Compensation scheme paid industrial electricity prices of £93 per MWh in 2025 (a 60% relief). The increase in compensation for network charges from 60% to 90%, which was announced in the Industrial Strategy and will be delivered from 1 April 2026, will reduce electricity prices for steel producers by a further £7 to £10 per MWh approximately.
The equivalent cost faced by industrial electricity users in France and Germany is £69/MWh and £60/MWh respectively. Using average electricity intensity factors for electric arc furnace-based steel production, the difference to UK producers equates to approximately £8-£13 per tonne of crude steel.
Asked by: Manuela Perteghella (Liberal Democrat - Stratford-on-Avon)
Question to the Foreign, Commonwealth & Development Office:
To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, what recent assessment she has made of the potential implications for her policies UK’s trust ratings in France, Germany and Italy as reported in the British Council’s Global Perceptions 2025 study; and what diplomatic steps the Government is taking to help improve the UK's reputation within Europe.
Answered by Chris Elmore - Parliamentary Under-Secretary (Foreign, Commonwealth and Development Office)
We welcome the latest edition of the British Council's Global Perceptions report, and we will take into account its insights across a range of different areas when shaping the substance and communication of the UK's foreign policies over the year ahead.
Asked by: Mike Wood (Conservative - Kingswinford and South Staffordshire)
Question to the Foreign, Commonwealth & Development Office:
To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, who the members are of the Quint working group.
Answered by Chris Elmore - Parliamentary Under-Secretary (Foreign, Commonwealth and Development Office)
The Hon Member may be referring to the informal grouping of the United Kingdom, United States, France, Germany and Italy which, for example, works alongside the EU and NATO on promoting stability in the Western Balkans.
Asked by: Lord Risby (Conservative - Life peer)
Question to the Department for Business and Trade:
To ask His Majesty's Government what is their assessment of the performance of foreign direct investment in the UK compared to that of the other G7 nations.
Answered by Lord Stockwood - Minister of State (HM Treasury)
Data published by the United Nations Trade and Development Data Hub show that at the end of 2024 the UK ranked second in the G7 (behind the United States) for levels of inward foreign direct investment (FDI) stock.
Levels of inward FDI stock for G7 nations at the end of 2024 | |||
G7 Rank | G7 Nations | USD$ billion | Global Rank |
1 | United States | 15,567 | 1 |
2 | United Kingdom | 3,254 | 3 |
3 | Canada | 1,819 | 7 |
4 | Germany | 1,209 | 8 |
5 | France | 1,049 | 12 |
6 | Italy | 494 | 20 |
7 | Japan | 220 | 35 |