HC Deb 02 March 2004 vol 418 cc919-20W
Mrs. Curtis-Thomas

To ask the Secretary of State for the Home Department, what measures are(a) in place and (b) being researched or considered by his Department to combat health tourism. [156091]

Beverley Hughes

Immigration rules (HC 395 as amended) provide for anyone to be refused entry clearance or leave to enter to the United Kingdom who seeks entry for a purpose not covered by the Rules. The Rules provide for entry for the purpose of private medical treatment but not for NHS treatment. They further provide for an Immigration Office to take account of a Medical Inspector's assessment of the likely course of treatment in deciding whether a person seeking entry for private medical treatment has sufficient means at his disposal.

Immigrants who seek NHS treatment after entry to the United Kingdom may be liable to charges for such treatment in accordance with the National Health Service (Charges to Overseas Visitors) Regulations 1989 (S.I. 1989 No.306) as amended. My right hon. Friend the Minister of State for Health has recently announced proposals to amend these Regulations to remove certain loopholes that have been exploited by health tourists. In particular anyone who has no legal basis to remain in the United Kingdom will be liable to be charged for NHS treatment, except for emergencies or conditions for which they were already receiving treatment before the final determination of their status.

The Government have been undertaking a comprehensive interdepartmental review of the issues surrounding immigration and healthcare. The review is ongoing and final decisions remain to be taken.

As announced by my right hon. Friend the Home Secretary, Official Report., 23 February 2004, columns 23–25), from 1 May the Government will be requiring workers from the European Union (EU) accession countries (except Malta and Cyprus) to register with the Home Office. In accordance with EU Regulations, any resident of an EU member state will be entitled to receive free of charge treatment for which the need arises during a visit to the United Kingdom—the cost is met by their home country. But to be fully exempt from charges for routine hospital treatment for a pre-existing condition, patients from elsewhere in the EU will need to prove—just as for any other overseas visitor—that they meet one of the exemption criteria in the National Health Service (Charges to Overseas Visitors) Regulations, for example the exemption for those employed in the United Kingdom. This will apply to registered workers from the accession states. The Government will continue to take every step to ensure that our benefit and healthcare system is not open to abuse.