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Written Question
Health Services: Reciprocal Arrangements
Thursday 6th April 2017

Asked by: Baroness Ludford (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government how many claims from hospitals in other EU member states the NHS has paid where it knows the patient is ineligible for a European Health Insurance Card, but has nevertheless secured one.

Answered by Lord O'Shaughnessy

The unit cost of an European Health Insurance Card (EHIC) is approximately 72 pence. This amount is inclusive of labour and all infrastructure costs.

Information on how many applications for EHICs are rejected due to fraudulent, incomplete or false details being submitted is not held centrally.

The Department, on behalf of the United Kingdom Government, rather than the National Health Service 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, based on pension and benefit eligibility, and irrespective of nationality. In the same way, other EEA countries and Switzerland reimburse the Department, on behalf of the UK Government, for the cost of the NHS providing treatment to people they are responsible for under EU law, irrespective of nationality and including UK nationals insured in another EEA country or Switzerland.

Information on how many claims from hospitals in other EEA member states the Department has paid, and their value, where it knew the patient was ineligible for an EHIC is not held centrally.

Due to the complexities associated with the collection and aggregation of information on costs and treatment, claims for EEA medical costs are typically submitted by EEA member states (including the UK) up to three, and sometimes more, years in arrears. There is then a further, and often significant, time lag between the receipt of the claim and its payment due to the lengthy process of scrutinising and then accepting or rejecting a claim by another member state. Therefore, any figures for rejected claims may not represent a final, accurate picture for any 12-month period.


Written Question
Health Services: Reciprocal Arrangements
Thursday 6th April 2017

Asked by: Baroness Ludford (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government how many claims for payment from the NHS received by hospitals in other EU member states are rejected each year, and what is the value of such claims.

Answered by Lord O'Shaughnessy

The unit cost of an European Health Insurance Card (EHIC) is approximately 72 pence. This amount is inclusive of labour and all infrastructure costs.

Information on how many applications for EHICs are rejected due to fraudulent, incomplete or false details being submitted is not held centrally.

The Department, on behalf of the United Kingdom Government, rather than the National Health Service 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, based on pension and benefit eligibility, and irrespective of nationality. In the same way, other EEA countries and Switzerland reimburse the Department, on behalf of the UK Government, for the cost of the NHS providing treatment to people they are responsible for under EU law, irrespective of nationality and including UK nationals insured in another EEA country or Switzerland.

Information on how many claims from hospitals in other EEA member states the Department has paid, and their value, where it knew the patient was ineligible for an EHIC is not held centrally.

Due to the complexities associated with the collection and aggregation of information on costs and treatment, claims for EEA medical costs are typically submitted by EEA member states (including the UK) up to three, and sometimes more, years in arrears. There is then a further, and often significant, time lag between the receipt of the claim and its payment due to the lengthy process of scrutinising and then accepting or rejecting a claim by another member state. Therefore, any figures for rejected claims may not represent a final, accurate picture for any 12-month period.


Written Question
Health Services: Reciprocal Arrangements
Thursday 6th April 2017

Asked by: Baroness Ludford (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government how many claims the NHS receives each year for payments from hospitals in other EU member states that come from patients ineligible for a European Health Insurance Card, and what is the value of such claims.

Answered by Lord O'Shaughnessy

The unit cost of an European Health Insurance Card (EHIC) is approximately 72 pence. This amount is inclusive of labour and all infrastructure costs.

Information on how many applications for EHICs are rejected due to fraudulent, incomplete or false details being submitted is not held centrally.

The Department, on behalf of the United Kingdom Government, rather than the National Health Service 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, based on pension and benefit eligibility, and irrespective of nationality. In the same way, other EEA countries and Switzerland reimburse the Department, on behalf of the UK Government, for the cost of the NHS providing treatment to people they are responsible for under EU law, irrespective of nationality and including UK nationals insured in another EEA country or Switzerland.

Information on how many claims from hospitals in other EEA member states the Department has paid, and their value, where it knew the patient was ineligible for an EHIC is not held centrally.

Due to the complexities associated with the collection and aggregation of information on costs and treatment, claims for EEA medical costs are typically submitted by EEA member states (including the UK) up to three, and sometimes more, years in arrears. There is then a further, and often significant, time lag between the receipt of the claim and its payment due to the lengthy process of scrutinising and then accepting or rejecting a claim by another member state. Therefore, any figures for rejected claims may not represent a final, accurate picture for any 12-month period.


Written Question
Health Services: Reciprocal Arrangements
Thursday 6th April 2017

Asked by: Baroness Ludford (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government how many applications for the European Health Insurance Card are rejected each year due to incomplete or false details being submitted.

Answered by Lord O'Shaughnessy

The unit cost of an European Health Insurance Card (EHIC) is approximately 72 pence. This amount is inclusive of labour and all infrastructure costs.

Information on how many applications for EHICs are rejected due to fraudulent, incomplete or false details being submitted is not held centrally.

The Department, on behalf of the United Kingdom Government, rather than the National Health Service 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, based on pension and benefit eligibility, and irrespective of nationality. In the same way, other EEA countries and Switzerland reimburse the Department, on behalf of the UK Government, for the cost of the NHS providing treatment to people they are responsible for under EU law, irrespective of nationality and including UK nationals insured in another EEA country or Switzerland.

Information on how many claims from hospitals in other EEA member states the Department has paid, and their value, where it knew the patient was ineligible for an EHIC is not held centrally.

Due to the complexities associated with the collection and aggregation of information on costs and treatment, claims for EEA medical costs are typically submitted by EEA member states (including the UK) up to three, and sometimes more, years in arrears. There is then a further, and often significant, time lag between the receipt of the claim and its payment due to the lengthy process of scrutinising and then accepting or rejecting a claim by another member state. Therefore, any figures for rejected claims may not represent a final, accurate picture for any 12-month period.


Written Question
Health Services: Reciprocal Arrangements
Thursday 6th April 2017

Asked by: Baroness Ludford (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government how many applications for the European Health Insurance Card are rejected each year due to fraudulent details being submitted.

Answered by Lord O'Shaughnessy

The unit cost of an European Health Insurance Card (EHIC) is approximately 72 pence. This amount is inclusive of labour and all infrastructure costs.

Information on how many applications for EHICs are rejected due to fraudulent, incomplete or false details being submitted is not held centrally.

The Department, on behalf of the United Kingdom Government, rather than the National Health Service 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, based on pension and benefit eligibility, and irrespective of nationality. In the same way, other EEA countries and Switzerland reimburse the Department, on behalf of the UK Government, for the cost of the NHS providing treatment to people they are responsible for under EU law, irrespective of nationality and including UK nationals insured in another EEA country or Switzerland.

Information on how many claims from hospitals in other EEA member states the Department has paid, and their value, where it knew the patient was ineligible for an EHIC is not held centrally.

Due to the complexities associated with the collection and aggregation of information on costs and treatment, claims for EEA medical costs are typically submitted by EEA member states (including the UK) up to three, and sometimes more, years in arrears. There is then a further, and often significant, time lag between the receipt of the claim and its payment due to the lengthy process of scrutinising and then accepting or rejecting a claim by another member state. Therefore, any figures for rejected claims may not represent a final, accurate picture for any 12-month period.


Written Question
Health Services: Reciprocal Arrangements
Thursday 6th April 2017

Asked by: Baroness Ludford (Liberal Democrat - Life peer)

Question to the Department of Health and Social Care:

To ask Her Majesty’s Government how much it costs the NHS, including labour costs, to produce each European Health Insurance Card.

Answered by Lord O'Shaughnessy

The unit cost of an European Health Insurance Card (EHIC) is approximately 72 pence. This amount is inclusive of labour and all infrastructure costs.

Information on how many applications for EHICs are rejected due to fraudulent, incomplete or false details being submitted is not held centrally.

The Department, on behalf of the United Kingdom Government, rather than the National Health Service 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, based on pension and benefit eligibility, and irrespective of nationality. In the same way, other EEA countries and Switzerland reimburse the Department, on behalf of the UK Government, for the cost of the NHS providing treatment to people they are responsible for under EU law, irrespective of nationality and including UK nationals insured in another EEA country or Switzerland.

Information on how many claims from hospitals in other EEA member states the Department has paid, and their value, where it knew the patient was ineligible for an EHIC is not held centrally.

Due to the complexities associated with the collection and aggregation of information on costs and treatment, claims for EEA medical costs are typically submitted by EEA member states (including the UK) up to three, and sometimes more, years in arrears. There is then a further, and often significant, time lag between the receipt of the claim and its payment due to the lengthy process of scrutinising and then accepting or rejecting a claim by another member state. Therefore, any figures for rejected claims may not represent a final, accurate picture for any 12-month period.


Written Question
Courts: Buildings
Wednesday 29th July 2015

Asked by: Baroness Ludford (Liberal Democrat - Life peer)

Question to the Ministry of Justice:

To ask Her Majesty’s Government what is the estimated value of the court buildings that are scheduled to be removed from the court estate; and how they plan to use the funds raised through the sale or rental to third parties of those buildings.

Answered by Lord Faulks

Between May 2010 and June 2015 we sold 105 court buildings that were unsuitable for use and often underused. A further three court buildings have been transferred to the Avon and Somerset Police in which the MoJ still retains a financial interest. As at 30 June 2015 we generated £82.866m in capital receipts from the sale of 105 surplus court buildings. None of the surplus court buildings generated a rental income.

Capital receipts from the disposal of surplus property assets formed part of the capital budget for investment in the justice system.

The department is committed to disposing of surplus property assets expeditiously and reducing holding costs. The disposal of surplus property assets is, however, dependent on a number of factors e.g. market, potential future use, location and the fact that some are occupied in part by the police and local authorities which also make disposal difficult. There are temporary costs associated with making sure unused buildings are kept secure and protecting the fabric of the building as well as property rates payable to local councils. The maintenance costs between May 2010 and May 2015 for the courts which were closed under CERP can only be provided at disproportionate costs.

On 16 July 2015, HMCTS published a consultation on the provision of court and tribunal estate in England and Wales. The consultation puts forward proposals that aim to reduce surplus capacity by closing courts and tribunals that are unused or underused, or that are simply unsuitable for the services we need to provide from them. The proposals aim to reduce the cost of the estate and reinvest the savings to provide better access to justice.

When disposing of surplus property assets, the Ministry of Justice will always seek to achieve the best available overall value for money for the taxpayer in accordance with government guidelines


Written Question
Courts: Buildings
Wednesday 29th July 2015

Asked by: Baroness Ludford (Liberal Democrat - Life peer)

Question to the Ministry of Justice:

To ask Her Majesty’s Government what were the maintenance costs between May 2010 and May 2015 for each of the 140 court buildings now identified for removal from the court estate by the Lord Chancellor.

Answered by Lord Faulks

Between May 2010 and June 2015 we sold 105 court buildings that were unsuitable for use and often underused. A further three court buildings have been transferred to the Avon and Somerset Police in which the MoJ still retains a financial interest. As at 30 June 2015 we generated £82.866m in capital receipts from the sale of 105 surplus court buildings. None of the surplus court buildings generated a rental income.

Capital receipts from the disposal of surplus property assets formed part of the capital budget for investment in the justice system.

The department is committed to disposing of surplus property assets expeditiously and reducing holding costs. The disposal of surplus property assets is, however, dependent on a number of factors e.g. market, potential future use, location and the fact that some are occupied in part by the police and local authorities which also make disposal difficult. There are temporary costs associated with making sure unused buildings are kept secure and protecting the fabric of the building as well as property rates payable to local councils. The maintenance costs between May 2010 and May 2015 for the courts which were closed under CERP can only be provided at disproportionate costs.

On 16 July 2015, HMCTS published a consultation on the provision of court and tribunal estate in England and Wales. The consultation puts forward proposals that aim to reduce surplus capacity by closing courts and tribunals that are unused or underused, or that are simply unsuitable for the services we need to provide from them. The proposals aim to reduce the cost of the estate and reinvest the savings to provide better access to justice.

When disposing of surplus property assets, the Ministry of Justice will always seek to achieve the best available overall value for money for the taxpayer in accordance with government guidelines


Written Question
Courts: Buildings
Wednesday 29th July 2015

Asked by: Baroness Ludford (Liberal Democrat - Life peer)

Question to the Ministry of Justice:

To ask Her Majesty’s Government how money raised by disposing of court buildings by (1) sale, or (2) rental, to third parties since May 2010 that was not directed into the court estate or otherwise into HM Courts & Tribunals Service has been used.

Answered by Lord Faulks

Between May 2010 and June 2015 we sold 105 court buildings that were unsuitable for use and often underused. A further three court buildings have been transferred to the Avon and Somerset Police in which the MoJ still retains a financial interest. As at 30 June 2015 we generated £82.866m in capital receipts from the sale of 105 surplus court buildings. None of the surplus court buildings generated a rental income.

Capital receipts from the disposal of surplus property assets formed part of the capital budget for investment in the justice system.

The department is committed to disposing of surplus property assets expeditiously and reducing holding costs. The disposal of surplus property assets is, however, dependent on a number of factors e.g. market, potential future use, location and the fact that some are occupied in part by the police and local authorities which also make disposal difficult. There are temporary costs associated with making sure unused buildings are kept secure and protecting the fabric of the building as well as property rates payable to local councils. The maintenance costs between May 2010 and May 2015 for the courts which were closed under CERP can only be provided at disproportionate costs.

On 16 July 2015, HMCTS published a consultation on the provision of court and tribunal estate in England and Wales. The consultation puts forward proposals that aim to reduce surplus capacity by closing courts and tribunals that are unused or underused, or that are simply unsuitable for the services we need to provide from them. The proposals aim to reduce the cost of the estate and reinvest the savings to provide better access to justice.

When disposing of surplus property assets, the Ministry of Justice will always seek to achieve the best available overall value for money for the taxpayer in accordance with government guidelines


Written Question
Courts: Buildings
Wednesday 29th July 2015

Asked by: Baroness Ludford (Liberal Democrat - Life peer)

Question to the Ministry of Justice:

To ask Her Majesty’s Government how much of the money raised by disposing of court buildings by (1) sale, or (2) rental, to third parties since May 2010 has been reinvested in (a) the court estate, and (b) HM Courts & Tribunals Service generally.

Answered by Lord Faulks

Between May 2010 and June 2015 we sold 105 court buildings that were unsuitable for use and often underused. A further three court buildings have been transferred to the Avon and Somerset Police in which the MoJ still retains a financial interest. As at 30 June 2015 we generated £82.866m in capital receipts from the sale of 105 surplus court buildings. None of the surplus court buildings generated a rental income.

Capital receipts from the disposal of surplus property assets formed part of the capital budget for investment in the justice system.

The department is committed to disposing of surplus property assets expeditiously and reducing holding costs. The disposal of surplus property assets is, however, dependent on a number of factors e.g. market, potential future use, location and the fact that some are occupied in part by the police and local authorities which also make disposal difficult. There are temporary costs associated with making sure unused buildings are kept secure and protecting the fabric of the building as well as property rates payable to local councils. The maintenance costs between May 2010 and May 2015 for the courts which were closed under CERP can only be provided at disproportionate costs.

On 16 July 2015, HMCTS published a consultation on the provision of court and tribunal estate in England and Wales. The consultation puts forward proposals that aim to reduce surplus capacity by closing courts and tribunals that are unused or underused, or that are simply unsuitable for the services we need to provide from them. The proposals aim to reduce the cost of the estate and reinvest the savings to provide better access to justice.

When disposing of surplus property assets, the Ministry of Justice will always seek to achieve the best available overall value for money for the taxpayer in accordance with government guidelines