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Victims of violence exemptions free treatment to non citizens

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Dear Department of Health,

Further to https://www.gov.uk/government/publicatio...

Victims of violence

Under what law does the department have the right to allow NHS trusts to treat and not get payment for these so called exemptions.

If female genital mutilation happened in another country and the female is not a citizen why should the tax payer foot her treatment?????

I remind you that as most people pay tax we are entitled to question why the departments of government are wasting money. To me providing free treatment to those that have not paid tax is unlawful and put citizens at risk.

Yours faithfully,

Joe Jordan

Department of Health and Social Care

Our ref: DE-1114772

 

Dear Mr Jordan,

 

Thank you for your correspondence of 14 January about access to NHS
services by
overseas visitors.  I have been asked to reply.

I
appreciate your concerns.

 

As you
may be aware, entitlement to free NHS care is largely based on being
ordinarily
resident in the UK, or being otherwise exempt from charges under the
Regulations.  Being ordinarily resident
means, broadly, living in the UK on a lawful and properly settled basis,
with
non-European Economic Area nationals subject to immigration control also
required to have an immigration status of ‘indefinite leave to remain’.  A
person not ordinarily resident in the UK is
deemed an overseas visitor.

 

Following
the public consultation that ran from December 2015 to March 2016, the
Government set out in its response in February that it intended to amend
the
existing Regulations to ensure that, amongst other things, overseas
visitors
make a fair contribution towards the cost of NHS care they use, regardless
of
the setting in which it is provided.  Some
providers of NHS-funded care were not included in the previous Regulations
and
could not therefore apply a charge to overseas visitors.  In some
circumstances, care that would be
chargeable if provided to an overseas visitor at a hospital would not be
chargeable
if it was provided in a non-hospital setting.

The
Government also set out in its response its intention to require upfront
charging in respect of non-urgent treatment, which is consistent with
existing
published guidance.

 

Over
the course of the consultation and decision-making process, the Government
has
carefully considered the impact of the changes on vulnerable groups. 
Ministers believe the changes that have been
adopted within the context of the existing Regulations are reasonable and
fair,
and that the Amendment Regulations will help ensure that all users of NHS
services make an equitable contribution.

 

The
Amendment Regulations came into force on 21 August, with some provisions –
those relating to upfront charging and extending the duties within the
Regulations to non-NHS providers of NHS-funded care, which previously
could not
charge overseas visitors – coming into force on 23 October.  An impact
assessment was published at the
same time as the Amendment Regulations were laid before Parliament, and
estimated that the increase in net income would be up to £40million per
year.

 

However,
the NHS is essentially a humanitarian service and it is important to
understand
that some services remain free to all.  These
currently include primary medical services, the diagnosis and treatment of
infectious diseases, and accident and emergency services until admission
to
hospital as an inpatient.  Also, some
groups of vulnerable overseas visitors remain exempt from charge for all
their
treatment, including refugees and asylum seekers, failed asylum seekers
receiving specified packages of state support, victims of modern slavery
(including human trafficking), and children looked after by a local
authority.

 

The
Government will review the impact of upfront charging and extending
charges to
out-of-hospital care and care provided by non-NHS organisations.  This
work will help ensure that the policies
are working as intended.

 

It is
also important to note that the changes do not require that a patient will
need
to provide a means of identification to qualify for free care.  While this
may be helpful in demonstrating
eligibility, other information will be used by trained NHS staff to ensure
the
residency status of a patient is identified. 
The Regulations simply state that organisations must make reasonable
enquiries to determine whether charges should be made.  There are no fixed
requirements for evidence,
and simple, non-discriminatory questions should be asked by trained staff
to
identify whether patients should be charged.

 

I hope
this reply is helpful.

 

 

Yours sincerely,

 

Jane Spencer

Ministerial Correspondence and Public Enquiries

Department of Health and Social Care

 

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Dear Department of Health and Social Care,

I still don't believe that I should be forced to fund and pay for treatment for these "victims".

The NHS is not essentially a humanitarian service. It is a health care system for those that pay tax. Hence the name of it National Health Service. I understand the view point of the NHS treating infectious disease as the risk to British citizens is high. However to expect our tax to pay for treatment for everyone that comes into the country is not right.

You didn't explain why victim of violence eg. FGM get free treatment when there is no risk to citizens.

Yours faithfully,

Joe Jordan

Department of Health and Social Care

Our ref: DE-1119431

 

Dear Mr Jordan,
 
Thank you for your further correspondence of 11 February about access to
the NHS by overseas visitors.  I have been asked to reply.

 

I was sorry to read that you were dissatisfied with my colleague’s
previous reply.  However, as my colleague explained in her reply, the
Department’s position is that the NHS is a humanitarian service, and
no-one should be left to suffer just because they cannot pay.  Some
services or treatments carried out in an NHS hospital are exempt from
charges, so that they are free to all.  These include:

 

• accident and emergency services (not including emergency treatment if
admitted to hospital);

• family planning services (this does not include termination of
pregnancy); and

• treatment for most infectious diseases, including sexually transmitted
infections (STIs); and

• treatment required for a physical or mental condition caused by torture,
female genital mutilation,  

 domestic violence or sexual violence (this does not apply if the patient
has come to the UK for the

 purpose of seeking that treatment).

When, in a clinical opinion, medical treatment is immediately necessary it
will not be withheld and should go ahead without delay.  Treatment that is
not immediately necessary, but otherwise urgent in that it cannot wait
until the patient returns home, will also be provided without delay, even
if the hospital has been unable to secure payment in advance.

 

As my colleague explained in her reply, guidance to NHS trusts makes it
clear that all maternity services should be regarded as immediately
necessary. 

 

I hope this reply is helpful.

Yours sincerely,
 
Maxine Kocura
Ministerial Correspondence and Public Enquiries
Department of Health and Social Care

 

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Dear Department of Health and Social Care,

I disagree with the departments view points in this matter as no one is suffering. Some could say that with the government not footing the bill for white fillings then the CITIZEN has suffered!

I understand and support the department when it comes to treatment of infectious diseases, as this protects the British public.

But I don't agree that any of the others that your department has listed are lawful. Or that as a tax payer I am forced to support other people coming into the country for free treatment. Yet citizens don't get treatment.

> FGM - the act was done - your department and this government doesn't care about MGM so why should tax money fund the treatment of FGM that didn't take place in the UK. It is not up to the UK to "fix" the world. Why is there no comment about MGM, there has been cases of baby boys having a bad MGM carried out on them and the child losing his penis. This is alot worst then the FGM.!!!!
> maternity - if the woman doesn't have money for the services the NHS will provide then how did she get money for travel???? It is not the legal requirement of the public to enable these visitors to give birth. My tax should NEVER be used to provide treatment to these types of people! We should do the same as the USA and refuse entry to women that are near the due date to prevent tax payers money being wasted. What I do care about is citizens being affected with the unlawful actions of the trusts, departments and government trying to "fix and save the world. But in the same breath they sentence citizens to death because there is not enough money to safe British citizens.

Yours faithfully,

Joe Jordan

Department of Health and Social Care

Our ref: DE-1124858

 

Dear Mr Jordan,

 

Thank you for your further correspondence of 19 March about access to NHS
services by overseas visitors.  I have been asked to reply.

I
appreciate your continuing concerns.

 

However,
as set out in my reply of 8 February (our ref: DE-1114772) the NHS is
essentially a humanitarian service and it is important to understand that
some
services remain free to all.  These currently
include primary medical services, the diagnosis and treatment of
infectious
diseases, and accident and emergency services until admission to hospital
as an
inpatient.  Also, some groups of
vulnerable overseas visitors remain exempt from charge for all their
treatment,
including refugees and asylum seekers, failed asylum seekers receiving
specified packages of state support, victims of modern slavery (including
human
trafficking), and children looked after by a local authority.

 

The
Government is clear that there will be no compromise on the fundamental
values of
the NHS: healthcare free at the point of use, funded from general taxation
and
available to all based on need rather than the ability to pay. 

 

The
Department of Health and Social Care knows that the NHS is facing many
challenges and that there are increasing pressures on the health and care
system due to, amongst other things, an ageing population, changing public
expectations and the cost of new drugs.  The
Government has already committed to backing the NHS with an additional
£10billion in real terms by 2020/21.  It has now committed to backing the
NHS in England further.  By 2019/20, it will have received £2.8billion
more for frontline services than was previously planned, including
£437million
of winter funding to help trusts to increase capacity. 

 

I
hope this reply is helpful.

Yours sincerely,

 

Jane Spencer

Ministerial Correspondence and Public Enquiries

Department of Health and Social Care

 

-------------------------------------------------------------------------------------------------------------------------

Please do not reply to this email. To contact the Department of Health and
Social Care, please visit the [1]Contact DH section on Gov.uk

To receive news about DH: [2]sign
up to our monthly newsletter

 

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Incoming and outgoing e-mail messages are routinely monitored for
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communications. For more information on the Department of Health's e-mail
policy click here http://www.dh.gov.uk/terms

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