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: Angus MacDonald (Liberal Democrat - Inverness, Skye and West Ross-shire)
Question to the Ministry of Defence:
To ask the Secretary of State for Defence, what steps he is taking to improve (a) military and (b) other defence cooperation with Luxembourg.
Answered by Al Carns - Parliamentary Under-Secretary (Ministry of Defence) (Minister for Veterans)
The UK continues to strengthen its defence relationship with Luxembourg, both bilaterally and through multilateral frameworks, particularly NATO. Our respective Chiefs of Defence have met in the context of wider NATO engagements to discuss and enhance support for the Alliance’s collective defence and deterrence objectives. These meetings have also contributed to broader efforts to strengthen European defence. Most recently, in September, Luxembourg’s Minister of Defence, Yuriko Backes, was invited to attend the Defence and Security Equipment International (DSEI) exhibition, where she was hosted by Defence Minister Lord Coaker.
Asked by: Lord Hampton (Crossbench - Excepted Hereditary)
Question to the Foreign, Commonwealth & Development Office:
To ask His Majesty's Government what progress they have made on obtaining reciprocal voting rights in local elections for UK citizens in Italy; and whether these negotiations are a priority for the Government.
Answered by Baroness Chapman of Darlington - Minister of State (Development)
We have existing bilateral agreements with Denmark, Spain, Portugal, Poland and Luxembourg, which were negotiated by the previous government. The UK is open to further, fully reciprocal bilateral voting agreements but these would be subject to the detail of future negotiations.
Asked by: Kevin Hollinrake (Conservative - Thirsk and Malton)
Question to the Foreign, Commonwealth & Development Office:
To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, pursuant to the Answer of 30 May 2025 to Question 53071 on Youth Mobility Scheme: EU Countries, whether he plans to make further bilateral agreements.
Answered by Stephen Doughty - Minister of State (Foreign, Commonwealth and Development Office)
We have existing bilateral agreements with Denmark, Spain, Portugal, Poland and Luxembourg, which were negotiated by the previous government. The UK is open to further, fully reciprocal bilateral voting agreements but these would be subject to the detail of future negotiations.
Asked by: Angus MacDonald (Liberal Democrat - Inverness, Skye and West Ross-shire)
Question to the Foreign, Commonwealth & Development Office:
To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, what steps he is taking to help strengthen the UK’s relationship with Luxembourg.
Answered by Stephen Doughty - Minister of State (Foreign, Commonwealth and Development Office)
The UK government has a strong bilateral relationship with our NATO ally Luxembourg, underpinned by a bilateral framework agreement which spans a wide range of common interests, including defence, financial services, energy security, human rights and tackling climate change. The Foreign Secretary hosted Deputy Prime Minister Xavier Bettel on 10 February in London where discussions included deepening our cooperation to intensify pressure on Russia and reinforce support for Ukraine.
Asked by: Andy Slaughter (Labour - Hammersmith and Chiswick)
Question to the Ministry of Justice:
To ask the Secretary of State for Justice, what steps her Department is taking to ensure the timely ratification and implementation of the Council of Europe Convention on the Protection of the Profession of Lawyer, signed by the UK in May 2025; and what assessment she has made of the legislative or regulatory measures required to ensure full domestic compliance with its provisions.
Answered by Sarah Sackman - Minister of State (Ministry of Justice)
I am delighted that the UK was an early signatory to the Council of Europe Convention for the Protection of the Profession of Lawyer, which was signed in Luxembourg on 14 May 2025. Throughout the Convention’s development, the Ministry of Justice worked closely with the profession and the UK representative appointed to the drafting panel, to ensure the UK’s interests were effectively represented on key issues. The Department is conducting the necessary due diligence ahead of ratification including an assessment of whether any legislative or regulatory measures are required.
Once this is complete, the Convention and its accompanying Explanatory Memorandum will be laid before both Houses of Parliament for scrutiny, in accordance with the Constitutional Reform and Governance Act 2010. The Convention enters into force on the expiry of a period of 3 months after the date on which eight signatories, including at least six member States of the Council of Europe, have expressed their consent to be bound by it.
Asked by: Mike Wood (Conservative - Kingswinford and South Staffordshire)
Question to the Cabinet Office:
To ask the Minister for the Cabinet Office, with reference to paragraph 14 of the policy paper entitled UK-EU Summit: Common Understanding, published on 19 May 2025, whether young people will be given voting rights in local elections in (a) England and (b) Northern Ireland under the proposed youth experience scheme from an EU Member State (i) that are residing in the UK and (ii) where there is not a bilateral reciprocal agreement between the UK and that EU Member State under the Representation of the People Act 1983.
Answered by Nick Thomas-Symonds - Paymaster General and Minister for the Cabinet Office
Prior to the UK’s departure from the EU, in December 2018, the Government wrote to all 27 EU member states signalling willingness to enter into bilateral agreements to ensure continuity of local election voting and candidacy rights for each other's citizens.
EU citizens from countries that have a bilateral agreement with the UK can therefore vote in local elections in England and Northern Ireland (alongside those who have been legally resident in the UK prior to withdrawal from the EU). We have such agreements with Denmark, Luxembourg, Poland, Portugal and Spain.
These agreements are separate from Youth Mobility Schemes.
Asked by: Lord Aberdare (Crossbench - Excepted Hereditary)
Question to the Department for Digital, Culture, Media & Sport:
To ask His Majesty's Government what assessment they have made of the experience of other countries (including Italy, the United States of America, France, Greece, Spain, Luxembourg, Sweden, Norway, Germany, Poland and Israel) in promoting or requiring heart screening for young people engaged in sport, including its impact in reducing sudden cardiac deaths.
Answered by Baroness Twycross - Baroness in Waiting (HM Household) (Whip)
The safety, wellbeing and welfare of everyone taking part in sport is absolutely paramount. National Governing Bodies (NGBs) are responsible for the regulation of their sports and for ensuring that appropriate measures are in place to protect participants from harm. NGBs are independent of Government, but the Government expects NGBs to make the health and safety of players their top priority.
Sport England, DCMS arm's-length body for grassroots sport, works closely with Cardiac Risk in the Young (CRY), an organisation which aims to prevent young sudden cardiac deaths through awareness, screening, research, and supporting affected families. Sport England is helping increase awareness of CRY in the community sports sector, including through Buddle, its online site for clubs and community organisations.
The Department for Health and Social Care has responsibility for preventative healthcare strategies. The UK National Screening Committee (UK NSC) is an independent scientific advisory body which advises health ministers and the NHS in the four nations of the UK on all aspects of screening. It is currently reviewing a submission received via its annual call process to consider Sudden Cardiac Death screening in young people aged 14-35 engaging in sport. More information on the annual call process can be found here: UK NSC annual call.
Countries often cited as screening for more conditions than the UK are not always running national programmes; often, there are small pilots operating in one region or city, led by a single clinician. They are therefore not directly comparable to the national screening programmes operating in the UK.
Asked by: Blake Stephenson (Conservative - Mid Bedfordshire)
Question to the Foreign, Commonwealth & Development Office:
To ask the Secretary of State for Foreign, Commonwealth and Development Affairs, whether he has had recent discussions with his Spanish counterpart.
Answered by Stephen Doughty - Minister of State (Foreign, Commonwealth and Development Office)
The Foreign Secretary last met with his Spanish counterpart Foreign Minister José-Manuel Albares in the margins of the Foreign Affairs Council (FAC) in Luxembourg in October 2024 and was in touch with Mr Albares to express the UK's condolences and offer our support after the heavy flooding in Valencia later in October. I visited Madrid on 17th January 2025 where I had discussions with Foreign Minister Albares and my Spanish counterpart, Minister for Europe Fernando Sampedro.