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200 £million NHS black hole foreign health tourists

(161 Posts)
Primrose53 Sun 20-Jul-25 08:14:10

People come here, get free NHS treatment and go home to their home country!

I thought this was supposed to be stopped a few years ago. Seems no progress has been made.

Other countries won’t treat non residents for free so why should we?

Mt61 Sun 20-Jul-25 15:38:22

PoliticsNerd

Yes, Chocolatelovingran, I have a friend in the same position. They recieve Continuing Healthcare Funding which provides cover for the full cost of a patient’s care and it is not means tested.

However, like all other illnesses this is only provided provided when an individual’s need for care is primarily due to health reasons.

It is difficult to obtain but so is any need for care that moves from mainly social care to primarily health care.

My dad was the only person paying in his care home.
Carers were also privately paid for when mum decided to take my dad out of the home as he wasn’t being looked after properly.
Yes you get a good do, when you haven’t any savings, or property to pay for care- it’s all free!

Mt61 Sun 20-Jul-25 15:39:41

Absolute rubbish politicsnerd

Mamie Sun 20-Jul-25 15:40:11

My daughter had emergency surgery for a life threatening condition here in France a few years after Brexit. Her EHIC card paid 70% and her company private health insurance paid the rest, including an ambulance to Paris and travel on the Eurostar. After her release from hospital the 70% 30% applied to visits from the district nurses to our house until she was fit to travel. I think it is easier to cost here as it is done routinely for all treatment.

Mt61 Sun 20-Jul-25 15:41:45

Mt61

Absolute rubbish politicsnerd

Not attacking any foreigners, people are interested to know is their health care paid for by them, fo they have insurance or do we the tax payer pick up the tab?

Allira Sun 20-Jul-25 15:42:46

The countries with which the UK has a reciprocal healthcare arrangement are in this link together with the documentation required.

The system is not perfect, to make it so would require armies of administration staff which would cost more than the amount lost to replicate in every hospital.
I was wondering about that, Casdon has answered the question.

Would people from overseas be treated for long-term conditions or just in dire emergencies, bearing in mind how difficult it is to get a GP appointment here or the fact that the wait in A&E can be many hours?

Mt61 Sun 20-Jul-25 15:42:55

Mamie

My daughter had emergency surgery for a life threatening condition here in France a few years after Brexit. Her EHIC card paid 70% and her company private health insurance paid the rest, including an ambulance to Paris and travel on the Eurostar. After her release from hospital the 70% 30% applied to visits from the district nurses to our house until she was fit to travel. I think it is easier to cost here as it is done routinely for all treatment.

So good Mamie, she had travel insurance 👍🏻

Casdon Sun 20-Jul-25 15:43:00

Oreo

Casdon

I feel like a loop system is developing here. To repeat, again, the NHS does recoup money for treatment to overseas visitors. The system is not perfect, to make it so would require armies of administration staff which would cost more than the amount lost to replicate in every hospital. Successive governments have wrestled with this issue. Why on earth do you not check the facts?

Other hospitals seem to manage it in other countries.I would be very surprised if Germany and the Netherlands and the Scandi countries don’t get things right.They appear to have enough admin jobs to cover it.

I don’t know where you got that information from Oreo, but they have the same issues that we do. In EU nations there are obviously reciprocal health systems. Other foreign nationals pay either on invoice or through their insurance companies, exactly as in the UK. They do not recoup successfully when people play the system either.

Allira Sun 20-Jul-25 15:44:20

Sorry - this link:

www.gov.uk/guidance/uk-reciprocal-healthcare-agreements-with-non-eu-countries

PamelaJ1 Sun 20-Jul-25 15:46:30

I think because we run our health service on a free to user basis there isn’t really any provision for charging those who are not entitled to use it.
I did watch a television programme about how hard it is for hospitals to get the unentitled to pay up. I’m not sure it was the same programme that Primrose alluded to because I’m sure it was more than 5 years ago but I may be wrong.
I spend quite a bit of time in Australia, visiting my DD,however although we have a reciprocal arrangement with them, I always have travel insurance. I may be taken ill in the airport in HK for instance whilst changing planes or having a stopover.
If you can afford to fly then you should be able to afford the insurance. It should be mandatory. Without it entrance to the country should be denied.

Oreo Sun 20-Jul-25 15:48:23

PamelaJ1

I think because we run our health service on a free to user basis there isn’t really any provision for charging those who are not entitled to use it.
I did watch a television programme about how hard it is for hospitals to get the unentitled to pay up. I’m not sure it was the same programme that Primrose alluded to because I’m sure it was more than 5 years ago but I may be wrong.
I spend quite a bit of time in Australia, visiting my DD,however although we have a reciprocal arrangement with them, I always have travel insurance. I may be taken ill in the airport in HK for instance whilst changing planes or having a stopover.
If you can afford to fly then you should be able to afford the insurance. It should be mandatory. Without it entrance to the country should be denied.

👏🏻👏🏻👏🏻

4allweknow Sun 20-Jul-25 16:04:44

Whitewavemark2 Try going to A & E department in USA hospital. You don't get past reception until you've provided credit card details.

LovesBach Sun 20-Jul-25 16:09:23

It would be inhumane to refuse treatment to people who become ill if they are visiting, and I don't think anyone has suggested that. To travel to have expensive treatment, and then go home, is just not fair to the taxpayers here. I heard an American on the radio a few years ago; he had a heart attack while visiting, received what was in his view 'world class' treatment, offered to pay, and was told there was no mechanism to take his money. This is ridiculous when we are told the NHS is on its knees. Is it really impossible to expect those who have contributed nothing to pay for their care, and to be able to take payments from those who are willing?

LizzieDrip Sun 20-Jul-25 16:10:29

And if Farage had his way, that’s what it would be like here - for all of us!

Allira Sun 20-Jul-25 16:10:47

PamelaJ1

I think because we run our health service on a free to user basis there isn’t really any provision for charging those who are not entitled to use it.
I did watch a television programme about how hard it is for hospitals to get the unentitled to pay up. I’m not sure it was the same programme that Primrose alluded to because I’m sure it was more than 5 years ago but I may be wrong.
I spend quite a bit of time in Australia, visiting my DD,however although we have a reciprocal arrangement with them, I always have travel insurance. I may be taken ill in the airport in HK for instance whilst changing planes or having a stopover.
If you can afford to fly then you should be able to afford the insurance. It should be mandatory. Without it entrance to the country should be denied.

If you want to leave the airport in Singapore, HK, etc., even for a few hours, there is an additional charge on the travel insurance. If you are just in transit, I was told it's fine.

LizzieDrip Sun 20-Jul-25 16:11:01

That was to 4allweknow

Pippa000 Sun 20-Jul-25 16:11:05

Overseas hospitals usually have a finance system and office set up to collect payments from patients. I know this from experience of assessing hospitals in a couple of European Hospitals and living abroad. In the case of a resident on attendance your ID number is entered on a database, with your address etc, if you are a foreign national your EHIC or GHIC details ( if appropriate) are documented. Any extra costs over and above the amount that can be claimed from the country the patients comes from must be either paid on discharge or claimed from private insurance. Where the patients has no such arrangements costs of care is discussed with the patient or relative where appropriate and treatment where an emergency is basic. An Invoice is again given on discharge and payment in full expected.

Primrose53 Sun 20-Jul-25 16:11:15

Oreo

Casdon

I feel like a loop system is developing here. To repeat, again, the NHS does recoup money for treatment to overseas visitors. The system is not perfect, to make it so would require armies of administration staff which would cost more than the amount lost to replicate in every hospital. Successive governments have wrestled with this issue. Why on earth do you not check the facts?

Other hospitals seem to manage it in other countries.I would be very surprised if Germany and the Netherlands and the Scandi countries don’t get things right.They appear to have enough admin jobs to cover it.

Yes, so why can’t we? Why do we just throw in the towel and not bother doing anything? There are so many areas of the NHS where conditions are very poor due to lack of funding yet we throw millions away on people from overseas.

Stansgran Sun 20-Jul-25 16:13:23

From experience many years ago a close relative left this country, contempt for all it stood for, yet returned about 20 years ago with a terminal illness to be treated on the NHS. It was a very expensive illness, I remember injections costing 80K ,isolation rooms with tv and etc. visiting at clinics I met whole families who came from abroad being treated for free. I know because they said well they have a relatives address on their notes. These were major London hospitals. My relative was a charmer,several partners and doctors and nurses all thought my relative wonderful. My knowledge went on for several years. It may have all changed now. The only payment the NHS got was when I offered to be tested to see if I were suitable donor and had to stay overnight in a hospital accommodation which I paid.

Freya5 Sun 20-Jul-25 16:28:23

MaizieD

What an unpleasant thread.

Why is that. When I was Nursing we had a special depth that collated all details from overseas users of our health service. A consultant regularly brought his mother over from Eygypt for care, but made sure the costs were met. Unlike other countries that get a bill, then refuse to pay. Hence the large amount owing. I do not think this is right, emergency care not withstanding, 9nwrd care needs to be addressed. As in any other country apart from ours. All travellers should have to take out insurance before they are allowed to fly to another country,unless reciprocal care,such as we have with Australia. Can afford a flight, can afford insurance. Wouldn't you say ??

Allira Sun 20-Jul-25 16:36:13

Freya5

MaizieD

What an unpleasant thread.

Why is that. When I was Nursing we had a special depth that collated all details from overseas users of our health service. A consultant regularly brought his mother over from Eygypt for care, but made sure the costs were met. Unlike other countries that get a bill, then refuse to pay. Hence the large amount owing. I do not think this is right, emergency care not withstanding, 9nwrd care needs to be addressed. As in any other country apart from ours. All travellers should have to take out insurance before they are allowed to fly to another country,unless reciprocal care,such as we have with Australia. Can afford a flight, can afford insurance. Wouldn't you say ??

We always take out travel insurance when going to Australia.
Even if there is a reciprocal arrangement, it is for emergencies only and might be needed for ongoing treatment afterwards or in case anything happens en route, as it did with two people we know.

Allira Sun 20-Jul-25 16:38:19

Thanks for the information Pippa000

escaped Sun 20-Jul-25 16:56:30

I've just had my passport checked, scanned, and plonked with a stamp, along with being asked what I've been doing abroad. I'm trying to think of a way the NHS could tap into this system which would then show date of arrival, nationality etc.
Just giving the NHS hospital a random UK is open to abuse. Anyone could say, 36, Oxford Gardens, Stafford, ST16 3JB - I've just plucked that example from millions of available addresses.

escaped Sun 20-Jul-25 16:57:45

I mean in terms of chasing up the person for payment.

mokryna Sun 20-Jul-25 17:02:34

Allira Would people from overseas be treated for long-term conditions or just in dire emergencies, bearing in mind how difficult it is to get a GP appointment here or the fact that the wait in A&E can be many hours?
My NHS DD told me once that they had to telephone the daughter, in a country outside the EU, that the NHS was discharging her mother, after being treated for a slight street accident but to be aware of her mother’s cancer, which they couldn’t treat.
It was thought that the ‘accident’ was a means to get treated.

PoliticsNerd Sun 20-Jul-25 17:15:30

escaped

I've just had my passport checked, scanned, and plonked with a stamp, along with being asked what I've been doing abroad. I'm trying to think of a way the NHS could tap into this system which would then show date of arrival, nationality etc.
Just giving the NHS hospital a random UK is open to abuse. Anyone could say, 36, Oxford Gardens, Stafford, ST16 3JB - I've just plucked that example from millions of available addresses.

Would (or wouldn't) it be better to go to an identity card system. I know there are some negatives but I wonder if it doesn't become inevitable, escaped.

Does anyone know which of the Nordic countries which have strong state services, do or don't use them?