HC Deb 19 December 2001 vol 377 cc448-9W
Mr. Andrew Turner

To ask the Secretary of State for Health what plans he has to allow the Isle of Wight(a) hospital trust, (b) health authority and (c) primary care group (i) to purchase operations abroad, (ii) to offer assistance with travel costs to patients being operated on abroad and (iii) to offer assistance with travel costs for relatives of patients being operated on abroad; and what financial resources he is making available for those purposes and to meet additional administrative costs. [22792]

Mr. Hutton

[holding answer 13 December 2001]In the light of rulings of the European Court of Justice (ECJ) in July this year my right hon. Friend the Secretary of State announced on 27 August that national health service bodies could commission treatment for NHS patients from other member states of the European Economic Area (EEA), as part of their wider efforts to reduce waiting times. My right hon. Friend made it clear that NHS bodies would need to meet the costs of treating NHS patients elsewhere in the EEA out of their existing budgets.

The regulations governing reimbursement of travel costs are being amended to enable NHS bodies to pay the travel costs of patients from the point of departure for their international journey (an airport, international train station or ferry port). Travel costs incurred by relatives of those being treated abroad will only be reimbursed if it is necessary on medical grounds that the patient be accompanied.

On 15 October my right hon. Friend announced that the Department would be working with three test-bed sites in the south-east of England, East Kent, Portsmouth and West Sussex/East Surrey, on a pilot to send NHS patients to mainland Europe. The Department will produce guidance for the NHS based on the scheme. The first patients should travel in January 2002, subject to contractual discussions.

Mr. Gareth R. Thomas

To ask the Secretary of State for Health if he will make a statement on commissioning treatment for NHS patients overseas by the NHS. [25099]

Mr. Hutton

In the light of recent rulings of the European Court of Justice, we announced that we would amend the National Health Service Act 1977 to enable the NHS to commission treatment within the European Economic Area (EEA). We will make regulations shortly. We will also take this opportunity to permit NHS bodies to commission care from outside the EEA, where it is in the patient's best interest to do so. We none the less expect that the overwhelming majority of referrals, where they occur, will be to countries of the EEA.

Regulations will also be made shortly to amend the National Health Service (Travelling Expenses and Remission of Charges) Regulations 1988 to permit NHS bodies to pay for the travel of NHS patients going overseas for treatment funded by the NHS. The NHS will meet the cost of the patient's travel from the point at which they begin their international journey (the airport, ferry port or international train station) to the foreign provider. Reimbursement of travel expenses between the patient's home to the airport, ferry port of international train station will be governed by the same rules that currently apply to payment of travelling expenses to hospitals in England. This change will ensure that patients treated overseas under the auspices of the NHS will not be disadvantaged by having to travel further for that treatment.

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