This request seeks information about decisions made under the National Health Service (Charges to Overseas Visitors) Regulations 2015 (the ‘2015 Regulations’), amended most recently by the National Health Service (Charges to Overseas Visitors) (Amendment) Regulations 2017. The Department of Health and Social Care has published national guidance on the implementation of the same entitled “Guidance on implementing the overseas visitor charging regulations” (May 2018).

Trust policies on charging overseas visitors for NHS services 

1. Please provide information as to whether the Trust has issued or adopted any local policies, instructions or guidance, published or unpublished, concerning the application of NHS Overseas Visitors Regulations 2015 (as amended) and/or the application of the national guidance from the DOHSC as described above. 

The Trust abides by the Overseas Charging Regulations 2015 (amended). We are also currently updating our Overseas Visitors Policy.

a. If so, please provide a copy of the same. Not currently available – the Trust’s Overseas Visitors Policy will be made available on the Trust website once updated.

b. If not, please confirm that no such policies, instructions or guidance are held. 

Information specific to maternity services 

2. Please provide information as to whether the Trust has issued or adopted any local policies, instructions or guidance to those providing maternity services within the Trust concerning the operation of Regulation 9 (f) (i) – (iv) of the NHS Overseas Visitors Charging Regulations, namely the exemption for “services provided for the treatment of a condition caused by (i) torture; (ii) female genital mutilation; (iii) domestic violence; or (iv) sexual violence, provided that the overseas visitor has not travelled to the United Kingdom for the purpose of seeking that treatment”.  No specific local policy for maternity services. The Trust abides by the Overseas Charging Regulations 2015 (amended). We are also currently updating our Overseas Visitors Policy.

a. If so, please provide a copy of the same. Not currently available – the Trust’s Overseas Visitors Policy will be made available on the Trust website once updated.

b. If not, please confirm that no such policies, instructions or guidance are held.

3. We further request a copy of any standard pro forma used at the a woman’s first ante natal booking appointment with maternity services. Please find a copy of this form attached.

 

Antenatal Referral and Booking History

 

4. Within maternity services provided by the Trust, for the years 2016 – 2017 (separately) what was the percentage of women attending their booking appointments at: 

a. 10 weeks gestational age and over (total) 

And of those:

b. 10 weeks +1 day – 12 weeks +6 days

c. 13-20 weeks 

d. Over 20 weeks 

Women attending booking appointment 2016 2017
10 weeks gestational age and over (total) 43.8% 39.4%
10 weeks + 1 day- 12 weeks + 6 days 28.0% 27.8%
13-20 weeks 5.0% 6.0%
Over 20 weeks 7.3% 6.3%

 

5. For the same period what percentage of the above women at 4 (a) – (d) were subject to charges for NHS maternity services? The Trust is very good at identifying these patients very quickly and, as a result, fewer patients are presenting to us. We do not record the required information to provide a percentage against 4 (a) – (d), however, I can provide the following information.

Year Number of patients directly charged
2015-16 31
2016-17 <10
2017-18 <10

 

6. For the same period what percentage of the women at 4 (a) were deemed to be a ‘high risk’ pregnancy in accordance with NICE guidelines? 

High risk pregnancy 2016 2017
10 weeks gestational age and over (total) 29.1% 28.7%
10 weeks + 1 day- 12 weeks + 6 days 18.9% 19.8%
13-20 weeks 3.5% 4.0%
Over 20 weeks 4.9% 4.3%

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