1 Prior to April 2017, did the Trust have policy the requesting of identification of foreign nationals prior to providing care? The overseas regulations do not only cover “foreign nationals” – they include British Citizens no longer resident in the UK, so yes.
2 In the 12 months to April 2017, did employees or others providing Trust services check any patients’ passports before giving them care? Our Overseas team have been requesting proof of Ordinary Residence for the past 12 years. Passports prove nothing as eligibility for free NHS care is based on residency not contribution.
2a Which services? All
2b How many patients were asked for identification in the 12 months to April 2017 All new patients
2c How many were asked to provide passports If no other photo identification (i.e. drivers licence) available, then patients asked for passport.
2d How many those asked to provide identification did not go on to seek care? None
3 What preparations did you make for the new up-front charges for non-emergency care from April 2017? We have been operating this system for over 10 years. To clarify these are the changes outlined in https://www.gov.uk/government/consultations/overseas-visitors-and-migrants-extending-charges-for-nhs-services
4 What projections or estimates have been made of:
4a The cost of implementation? None, been running for 10 years.
4b The revenue it will bring in? Cannot speculate.
4c The potential to deter people from seeking care and consequences on their health and public health? Public health does not come in to the equation as all treatments for communicable diseases are free to all.
4d Compliance with equality and discrimination rules? As all new patients are asked to prove Ordinary Residence, we meet discrimination and Equality Rules.
5 How do you collect charges for overseas patients after care? Do you have figures and are they available for the cost of doing this, the revenue it brought in, the number of people contacted and the number who paid in the 12 months to April 2016?
The patient is invoiced directly.
Income for 2015/2016 – Total £346,574
Reciprocal agreement patients: 492 – Total income £259,735 – all paid
Directly chargeable patients: 56 – Total income £86,839 – £10,650 outstanding