Patients from outside the EU are to be charged 150% of the cost of treatment in the NHS in a fresh crackdown on so-called “health tourism”.
The move is designed to incentivise NHS Trusts in England to recover the cost of operations from migrants.
The UK seeks to reclaim 100% of the cost of treating EU and non-EU nationals where charges are applicable.
But only a fraction of the £460m in chargeable procedures performed every year is currently recovered.
Most migrants and foreign visitors can currently get free NHS care immediately or soon after arrival in the UK but they are expected to repay the cost of most procedures afterwards.
The charges are based on the standard tariff for a range of procedures, ranging from about £1,860 for cataract surgery to about £8,570 for a hip replacement.
‘Carrot and stick’
The BBC News Channel’s chief political correspondent Norman Smith said many trusts did not bother chasing patients because of the time and cost involved in tracking them down compared with the financial rewards.
From next year, trusts will be able to charge 150% of the normal cost of treatment for non-EU patients. Under these plans, non-EU patients receiving a £100 procedure could get a bill of up to £150.
Temporary migrants from outside Europe who are in the UK for longer than six months will have to pay a new surcharge when they submit an application for leave to enter or remain in the UK.
In what Norman Smith said was a “carrot and stick” approach, the NHS will be asked to identify these patients more effectively so costs can be recovered from them.
Those hospitals failing to bill foreign patients could also face fines.
The new measures – which included a tightening of the rules on eligibility for free NHS prescriptions, optical vouchers and subsidised NHS dental treatment – are expected to come into force by next spring
Mr Hunt said the principle that the NHS was free at the point of delivery for residents would not be “undermined”.
But he said treating non-UK citizens cost the NHS an estimated £2bn a year and the plans could save the health service £500m a year by 2018.
“We have no problem with international visitors using the NHS as long as they pay for it – just as British families do through their taxes,” he said.
“These plans will help recoup up to £500m a year, making sure the NHS is better resourced and more sustainable at a time when doctors and nurses on the front line are working very hard.”
While NHS Trusts charge non-EU patients directly, the government pays hospitals for procedures on EU patients, with the money being recovered from other EU member states.
From next year, the government will pay trusts 125% of the cost of treatment for EU patients, up from 100% at the moment to encourage hospitals to submit more relevant data.
The government is also trying to make it easier for hospitals to identify foreign patients while not burdening staff with extra paperwork.
As part of simplifying the registration process, trials are due to start in some A&E departments this summer to explore how details can be taken from patients with an European Health Insurance card when they register.
The crackdown follows plans already unveiled to charge migrants a £200 “NHS” levy when they apply for a visa.
Dr Mark Porter, chairman of council at the British Medical Association, warned: “Without more detail, there are question marks over whether or not these proposals will be workable and if the NHS has the infrastructure and resources necessary to administrate a cost-effective charging system.
“Plans to fine hospitals who fail to recoup costs would see them punished twice over, to the detriment of other services.”
Source: BBC NEWS Website