Health Services: Reciprocal Arrangements

Department of Health written question – answered on 15th March 2017.

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Photo of Peter Lilley Peter Lilley Conservative, Hitchin and Harpenden

To ask the Secretary of State for Health, how many European Health Insurance Cards were issued in each of the five financial years preceding 2016-17.

Photo of Peter Lilley Peter Lilley Conservative, Hitchin and Harpenden

To ask the Secretary of State for Health, how many applications for treatment under S2 arrangements were approved retrospectively in each of the five financial years preceding 2016-17.

Photo of Peter Lilley Peter Lilley Conservative, Hitchin and Harpenden

To ask the Secretary of State for Health, how many S1 applications were approved in each of the five financial years preceding 2016-17.

Photo of Peter Lilley Peter Lilley Conservative, Hitchin and Harpenden

To ask the Secretary of State for Health, what the cost was of reimbursing health care treatment received by UK nationals resident in (a) each EEA/EU country and (b) Switzerland under EU Regulations 883/2004 and 987/2009 and Directive 20011/24 under the (i) European Health Insurance Card, (ii) S1 and (iii) S2 schemes in each of the last five financial years.

Photo of Philip Dunne Philip Dunne The Minister of State, Department of Health

As insurability under European Union law is not determined on the basis of nationality, it is not possible to provide information on the reimbursement costs under EU Regulations 883/2004 and 987/2009, and Directive 20011/24 under the European Health Insurance Card, S1 and S2 scheme. Other Economic European Area (EEA) countries and Switzerland reimburse the United Kingdom 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, irrespective of nationality.

The following table provides information on the numbers of S2 forms issued.

Financial years April-March

2011-12

2012-13

2013-14

2014-15

2015-16

S2/E112

Out-going

1,442

1,312

1,354

1,355

1,330

Source: Overseas Healthcare Team (OHT), Department for Work and Pensions (DWP)

Note: It is possible that issued S2s to customers have not been used

Information on S2 arrangements approved retrospectively is not available.

The following table provides information on the numbers of S1 forms registered by individuals in Foreign Authorities (FA) for whom the UK is responsible under the EU law.

Registration In Financial Years April-March

2011-12

2012-13

2013-14

2014-15

2015-16

Registered by FA

7,561

19,887

46,412

28,600

25,198

Source: OHT, DWP

Note: Data is from 1 April to 31 March

Data above includes forms issued E106, E109, E120, E121, E122 and S1, these exclude PRC, E123, DA1, E112 and S2.

Timeline of data

2011 to 2012

OHT moved to Washington and staff training started. There were low skill levels in this period.

2013

OHT had a back log of work which was taken on and cleared by staff in Porth.

2014

Registrations start to level out.

The following list provides information on how many European Health Insurance Cards were issued in the last five years:

2015-16 6,069,233

2014-15 5,414,977

2013-14 5,571,060

2012-13 5,240,608

2011-12 6,830,734

Source: NHS Business Services Authority

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