Summer Adjournment

Chris Skidmore Excerpts

Tuesday 19th July 2011 Commons Chamber

[Chris Skidmore (Kingswood) (Con)]

The principle that the national health service should be free at the point of delivery and based on clinical need, regardless of background or wealth, is one that few in the House would disagree with. It is a principle that we are all proud to defend, knowing that there is nothing as important as the health of the nation. We recognise that the NHS is paid for by taxpayers’ money and is the result of the hard-earned wages of citizens and taxpayers, and as citizens we are happy to provide for those in the greatest need—the vulnerable, the elderly, those who cannot care for themselves and those who are dying; we know that one day that fate will be ours, and we hope that the NHS will be there for each of us then.

We also recognise that the NHS must make record efficiency savings over the next four years, savings that will be reinvested in the service so that the NHS can meet another challenge—rising demand and an ageing population, which will put ever greater pressure on health care services. As a result, NHS spending is coming under greater scrutiny than ever before. But in recent years there has been a rise in the number of foreign nationals, ineligible for free care, who have been using NHS services. A recent parliamentary answer that I received on this issue revealed that since 2002-03 the Department has written off, and is no longer seeking to claim back unpaid bills, of nearly £35.4 million. The figures show that last year alone £6.9 million was written off, three times the £2.1 million lost in 2002-03.

It was made clear in the Minister’s reply to me that this figure does not include money yet to be collected, or money owed to foundation trusts for which the Department does not hold data. I have now begun to collect these data, which the Department does not keep, as a result of a freedom of information request to each trust. As a result of this, a picture is beginning to form that points to a far deeper problem than perhaps we recognise. So far 31 trusts have responded, stating that they have written off a total of £7.8million. This includes my own local trust, North Bristol NHS Trust, which has written off a total of £1,727,000 since 2003. That is as unacceptable as it is unsustainable.

The problem is not just one of cost. The variation and discrepancy in the collection of data is astounding. It seems that no criteria or framework exists under which one hospital or trust might charge another for its services. As soon as I have a more detailed and complete picture, I shall be happy to share these findings with the Minister.

I know that the Minister and the Department have been actively consulting on the problem of how to deal with the use of NHS services by foreign nationals, and I would welcome an update on the Department’s current thinking on how to tackle this issue for the future. We need to expose the reality of the problem, especially at times when the NHS seeks to make savings. We need a comprehensive plan to ensure that local services are not put under pressure by what many are now calling “health tourism”. The NHS may be free, but it is not a free-for-all. It is a national health service, not an international health service. Let us do all that we can to ensure that that remains the case.