Immigration Bill

Debate between Henry Smith and Pamela Nash

Tuesday 22nd October 2013 Commons Chamber

[Henry Smith (Crawley) (Con)]

I wholeheartedly support the whole Bill, but I wish particularly to address my remarks to chapter 2 of part 3, which deals with the impact on the national health service of the cost of treating foreign nationals.

Last year, I had the privilege of introducing a private Member’s Bill, the NHS Audit Requirements (Foreign Nationals) Bill. I am delighted that most of the measures that were pursued in that Bill have found their way into the Government’s Immigration Bill. In preparing my private Member’s Bill, I sent out Freedom of Information Act requests to all NHS health trusts—more than 400 requests—asking what the impact on their finances was of treating overseas visitors. I received replies from less than a quarter of trusts, and those from which I did receive replies gave haphazard information. Some recorded the treatment of foreign nationals in ways that did not comply with Department of Health guidelines. That shows that our understanding of the scale of the issue is at best limited and, in many parts of the country, virtually non-existent.

There are wide-ranging estimates of the cost of treating overseas visitors on the national health service. At the very lowest end, a figure of some £200 million is often quoted. Interestingly, the European Commission quotes a figure of £1.5 billion, and the Government quote the rather modest figure of some £500 million, which was arrived at through the Department of Health’s independent study. Of that £500 million, £388 million is identified as being spent on the treatment of foreign nationals who would otherwise not be entitled to free NHS care, and those costs should be recovered. The figure for the treatment of those who come to this country specifically for NHS treatment, which is commonly known as health tourism, ranges anywhere between £70 million and £300 million. The scale of the impact on the NHS budget, and therefore on the British taxpayer, is quite significant.

I do not think that anybody in this House would claim that those in need of medical attention should be denied it. Indeed, many people come to this country to receive the innovative and first-class health care our health system provides, and that is absolutely right. However, it is not right that the British taxpayer should have to pick up the charges for treating people who should be paying through reciprocal arrangements with other countries or through their own medical insurance.

[Pamela Nash]

On what evidence are the hon. Gentleman’s figures for health tourism based?

[Henry Smith]

They are from an independent assessment commissioned by the Department of Health. As I mentioned, I have tried to get information through FOI requests, and the figures from those trusts that hold statistics are quite staggering, but more than three quarters were unable to provide any figures at all, which suggests that the scale of the problem is probably larger than the Department recognises.