NHS: Reciprocal Arrangements

Department of Health and Social Care written question – answered on 3rd April 2018.

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Photo of John Redwood John Redwood Conservative, Wokingham

To ask the Secretary of State for Health and Social Care, how much money the UK (a) received from EU Member States for the treatment of EU nationals in the UK on the NHS and (b) paid to EU Member States for the treatment of UK nationals in 2017.

Photo of Steve Barclay Steve Barclay Minister of State (Department of Health and Social Care)

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.

Member State claims against the UK are in local currency so totals are significantly affected by the exchange rate at the time of payment and can mean a difference of millions of pounds. Member States can submit claims up to 18 months in arrears so claims for any 12 month period do not necessarily reflect treatment provided in that period.

Requested figures, for financial year 2016/17, are provided rounded to the nearest pound.

EEA Medical Costs

UK Claims against Member States

Resource Outturn Totals:

2016-17 Activity

Total

Austria

£568,972

Belgium

£3,312,035

Bulgaria

£2,280,152

Cyprus

£468,363

Czech Republic

£516,385

Denmark (Waiver)

£0

Estonia (Waiver)

£142,688

Finland (Waiver)

£169,887

France

£5,253,748

Germany

£3,166,282

Greece

£853,919

Hungary (Waiver)

£24,466

Iceland

£38,223

Ireland

£18,477,152

Italy

£2,340,368

Latvia

£1,352,936

Liechtenstein

£0

Lithuania

£2,152,090

Luxembourg

£163,818

Malta (Waiver)

£0

Netherlands

£4,426,768

Norway (Waiver)

£731

Poland

£9,468,363

Portugal

£1,964,165

Romania

£1,705,136

Slovakia

£967,572

Slovenia

£225,503

Spain

£4,237,456

Sweden

£1,616,401

Switzerland

£595,370

Total

£66,488,946

EEA Medical Costs

Member State Claims against the UK

Resource Outturn Totals:

2016-17 Activity

Total

Austria

£6,269,483

Belgium

£5,704,185

Bulgaria

£306,178

Croatia

£191,219

Cyprus

£14,838,498

Czech Republic

£719,998

Denmark (Waiver)

£0

Estonia (Waiver)

£0

Finland (Waiver)

£15,588

France

£154,683,554

Germany

£17,988,547

Greece

£1,696,191

Hungary (Waiver)

£5,058

Iceland

£297,460

Ireland

£194,726,929

Italy

£6,554,335

Latvia

£15,319

Liechtenstein

£1,944

Lithuania

£126,242

Luxembourg

£531,360

Malta (Waiver)

£0

Netherlands

£5,285,569

Norway (Waiver)

£2,752

Poland

£4,336,048

Portugal

£5,949,767

Romania

£13,675

Slovakia

£551,667

Slovenia

£257,592

Spain

£201,343,160

Sweden

£2,223,612

Switzerland

£5,522,262

Total

£630,158,194

Source: Resource Accounting and Budgeting exercise. Totals are based on estimates of the costs of EEA healthcare claims made annually for the purposes of provisions made in the Department’s accounts in accordance with Treasury resource accounting rules. Country totals are rounded to the nearest pound.

Notes: Waiver is an agreed intentional relinquishment of healthcare costs between Member States

1. Denmark - Full waiver

2. Estonia and Norway - Waiver, except former Article 22.1c (patient referral) and Article 55.1c (industrial injury) claims.

3. Finland, Hungary and Malta - Waiver, except former Article 22.1c (patient referral) claims.

Figures for 2017-18 should be published over the summer.

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