HC Deb 15 March 1951 vol 485 cc1744-5
23. Mr. Nabarro

asked the Minister of Health which British Dominions and foreign countries are now providing visiting British nationals with facilities reciprocal to the National Health Service; the progress of negotiations for a wider measure of reciprocity; and the general nature of the response from Dominion and Foreign Governments.

Mr. Marquand

Arrangements for medical assistance to indigent persons in the Western Union countries have been ratified so far by Belgium and the Netherlands. Otherwise, there are no reciprocal arrangements with other countries, nor any being negotiated, although there are certain arrangements with the Isle of Man and with Jersey and Guernsey.

Mr. Nabarro

In view of the fact that those reciprocal arrangements apply to only one foreign country, would the right hon. Gentleman consider charging all foreign nationals visiting Britain for the benefits they receive under this service unless they come from this one foreign country?

Mr. Marquand

I am satisfied that the cost of ascertaining whether a person is a foreigner or not would far exceed the present cost of providing him with treatment.

Mr. Langford-Holt

When the right hon. Gentleman says that no negotiations are taking place, does he mean that negotiations which were started have broken down or that no negotiations have been initiated?

Mr. Marquand

I am not aware that I referred to negotiations. I said there were no reciprocal arrangements with other countries. I beg the hon. Gentleman's pardon; I said that no arrangements were being negotiated. I must have notice of the hon. Gentleman's question.

Mr. Nabarro

What proof would be necessary in such circumstances? Presumably if a patient is not on a doctor's list he cannot be an English national, but must be a foreigner. Is that not so?

Mr. Marquand

If I go to Blackpool for my holidays I do not become a foreigner.

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