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Dedworth
23rd October 2013, 21:55
Good piece in todays paper :-

For years those who warned about the true cost of health tourism have been called racists. Now the truth is out



Earlier this week, I received a letter from a hospital nurse who has worked in the National Health Service for three decades.
Written with evident emotion, it talked of a scandal covered up by Left-wing doctors and politicians who shout down anyone daring to protest about it.
The letter said: ‘When I began work in South London, 95 per cent of my patients were from the local population.
'Today, that percentage has shrunk to less than 20 per cent on children’s wards and less than 40 per cent on adult wards.
‘The impact of health tourists and migrants has been catastrophic for the NHS.
'The pressure on those who work in the health service has also increased as they try to cope with thousands upon thousands of patients from all over the world who come to Britain wanting — and getting — free treatment.’
Yesterday, the nurse, Peter Murray — who won an award as the top agency nurse in the country a few years ago — was proved right.
A report commissioned by the Government on foreign visitors and short-term migrants treated in the NHS reveals that their care is costing a staggering £2 billion a year, a massive squandering of resources in these austere times.
The report said that £388 million is wasted on foreign patients who should pay for their beds, medicines and nursing, but are never charged.
Worse, another £300 million disappears on caring for relatives of migrants who audaciously turn up here on holiday visits purely to get free treatment, knowing that the chances of being given a medical bill are almost zero.

Not before time, the Government says it plans a new annual health levy of £150 on foreign students and £200 on temporary migrants to use the NHS, in the hope of reducing health tourism.
It wants a watertight system that will identify those who should pay and make them hand over the money.
By doing so, it hopes to save £500 million a year — enough to pay the salaries of more than 4,000 extra doctors.

As Health Secretary Jeremy Hunt said this week: ‘It’s time for action to ensure the NHS is a national health service and not an international health service.
‘The NHS is the envy of the world, but we must make sure it is fair to the hard-working British taxpayers who fund it.’
Needless to say, the cries of derision from the usual suspects were loud and immediate.
The Guardian called the plan an ‘assault’ on health tourists.
The doctors’ union, the British Medical Association, said the levy system will cost more to set up than it will recoup.
Both Andy Burnham, the Shadow Health Minister, and Dr Clare Gerada, chair of the Royal College of GPs, suggested it would force doctors to become immigration police.
We have heard this kind of argument before from the medical profession and sections of the Labour Party who calculatedly turn a blind eye to one of the biggest scandals of modern times.
Those who have been brave enough to blow the whistle on health tourism have been called racists or, if they work in the NHS, have even been threatened with the sack for speaking out.

Earlier this year, the Mail published a series of articles by eminent consultant Professor J. Meirion Thomas, of the Royal Marsden Hospital in London.
Courageously, he stated the truth: that there is a ‘massive and escalating problem’ of foreigners travelling to Britain to exploit the NHS.
Expectant mothers, he said, are flying here just to give birth, while others are arriving for treatment for cancer and HIV, kidney transplants and even, believe it or not, infertility treatment, before leaving hospitals without paying.
The size of our postbag from readers endorsing his views ran into thousands. Even a cursory reading of those letters makes it clear that the Professor was not exaggerating.
For 13 years I’ve been exposing the strain health tourism has been inflicting on the NHS.
I have learnt of pregnant women turning up at hospitals near Heathrow straight from the airport with tickets still tied to their baggage.
They have come from Africa, South Asia, China and all across the world.

I have written about children with gravely debilitating illnesses who are flown here by their parents and taken to casualty departments, where they are taken in and treated without question, although they might need a lifetime of expensive care, which, of course, will be free to them.
One such child, a girl whose mother arrived here from a Caribbean island when she was 24 weeks pregnant and gave birth prematurely after presenting herself at a Central London hospital, is still — nine years later — receiving specialist medical treatment, and has cost the State more than £1 million.
The girl had weak lungs and trouble breathing because of her very premature birth.
Her mother successfully claimed that her daughter’s human rights would be breached if she was not given the medical care she needed.
One doctor has told me that some scheduled flights from the United Arab Emirates to Manchester are so full of sick people coming to access free treatment at the respected Manchester Royal Infirmary that they are known locally as the ‘MRI planes’.
Other Gulf states now offer discount prices for patients —who often have diabetes, heart complaints, or need liver transplants — to fly to Doha airport to catch the twice-weekly flights to Manchester.
The true scale of how the NHS is being exploited by foreigners is shown by the figures for those who are actually billed, but have still not paid.
Revealed through Freedom of Information requests, they show that the biggest single owed bill for last year was £218,000, relating to the care of an Asian child at the world-renowned Great Ormond Street Hospital.
Elsewhere, a patient from Saudi Arabia clocked up a bill of £28,881, which is still outstanding, for kidney treatment at the Newcastle upon Tyne Hospitals’ Trust.
And the Sheffield Teaching Hospitals’ Trust is still waiting to be paid £43,412 for treatment of a patient from Iran who received care and medicines for a neurological problem.
Patients from South and North America, Hong Kong, Bangladesh, India, Pakistan, Africa, Mauritius, Romania, and even France, have left similar bills unpaid.
A year or two ago, at the Imperial College Trust in London, for example, a Nigerian clocked up a bill of £320,000 when she had a baby with complex health problems, and then simply fled with her child.
Dr Peter Graves, chief executive of Bedfordshire and Hertfordshire Local Medical Committee, which represents 500 doctors, said recently that one of his fellow GPs has ‘thousands of patients on his list who entertain friends and relatives from Pakistan, India and other Asian countries, who come to England for the sole purpose of accessing free health care.
'This is a problem not just here, but across the country.’

The nurse who wrote to me this week, Peter Murray, would agree.
He has also sent his letter to MPs telling them how he has contributed thousands to the NHS through his national insurance payments over several decades and yet — like many Britons — is now refused even basic medical treatment.
‘I recently asked for the removal of a cyst on my forehead, which my GP said he could no longer fund as it is now deemed to be “cosmetic” surgery and too expensive.
‘That is hard to accept when I know that health tourists, who have contributed nothing, are getting free treatment for immensely complex and highly costly medical problems,’ he writes.
Now, at last, with yesterday’s dramatic statement by the Government, a first step has been made towards ensuring the NHS gives priority to those who have paid for it over many years.
Let us hope that the Health Secretary stands firm in his battle to control health tourism.
To do so, he will need to be deaf to the howls of protest from those who think Britons should pay to provide medical treatment for the entire world.


Read more: http://www.dailymail.co.uk/debate/article-2472315/SUE-REID-For-years-warned-true-cost-health-tourism-called-racists-Now-truth-out.html#ixzz2ia40wDYC

Is it any wonder the worlds parasites regard us as a soft touch :cwm23:

stevewool
23rd October 2013, 22:09
yes i heard the saying today the international health service

Doc Alan
24th October 2013, 14:10
Of course it’s OUR National Health Service ! Much has been said on the Forum about this topic ( search NHS / Health Tourism ).


An NHS created in 1948 by Aneurin Bevan HAS become a magnet for internationally mobile patients. He could not have envisaged this. He might not have approved, unless they paid - which many do ! It’s ALSO a magnet for doctors and nurses whose primary qualification was abroad – working in unpopular locations and specialties; and foreign health experts who CHOOSE to work in the NHS / UK universities.


We DO need to get this issue in perspective ! The maximum ESTIMATED cost of Health Tourism is £ 2 billion ... 1.4% of total UK expenditure on healthcare in 2011 ( £ 142.8 billion ). It could be under 1% after deducting income received from foreign patients who PAY for their treatment !


• Jeremy Hunt is ENGLISH Health Secretary for now. OUR NHS includes the entire UK !


• Since 1999, responsibility for health services has been DEVOLVED to administrations in Scotland, Wales and Northern Ireland. They receive block grants from HM Treasury ; choose how much money to spend, what their policy priorities should be ; and how services should be delivered ( as the UK Government does for England ). Health departments in all 4 nations should secure best value for the significant amounts of public money spent. In recent years each nation has spent around 1/5 of all public spending on health.



• Apart from Health Tourism, there is room for efficiency in the OTHER 99% or so of health spending !


• Staff costs - salaries - account for 2/3 of NHS expenditure.

Most providers of primary care are independent contractors, with staff paid from the practice income. There is variation between the nations in the pay levels of dentists, and especially GPs.


• Most NHS hospital staff in the UK are employed through similar nationally negotiated contracts, so pay bands are similar in all four nations.


• Clearly NON-staff costs therefore account for around 1/3 of NHS spending in the UK.


• Many factors affect health needs and demand for healthcare, including level of ill-health; age and socio-economic profile; and lifestyle. There is a HUGE burden of epidemic levels of obesity, continued smoking, and alcohol abuse - not confined to NHS budgets. Better integration between primary ( local ) and hospital services is needed. Standards in a number of hospitals need to improve. Day case surgery saves time spent in hospital and money.


• Health priorities DO vary across the 4 nations over time, with overlap in key areas, but there are opportunities for saving. Public health, waiting times, cancer services and mental health have been priorities in recent years. I guess most of us would prefer our NHS to stay free at the point of use, funded by taxation and possibly also insurance.


• The list could go on for SIGNIFICANT improvements and cost cutting !

Our FOUR nation NHS is STILL the envy of many countries, including the Philippines; as well as those not entitled to treatment :xxgrinning--00xx3: !






http://www.official-documents.gov.uk/document/hc1213/hc01/0192/0192.pdf

lordna
24th October 2013, 14:23
Oh what a suprise!....an article from the Daily Mail!

Dedworth
24th October 2013, 14:42
Oh what a suprise!....an article from the Daily Mail!


In the Guardian retired GP Dr Kailash Chand (deputy Chair of the BMA) see's nothing wrong in lavishing healthcare on absolutely anyone who pitches up - "Anyone seeking to access the NHS should be eligible to do so"

whereas 31 year veteran Cancer Consultant Surgeon J Meirion Thomas says "My only motive in campaigning against health tourism is to protect the NHS for future generations"

http://www.theguardian.com/commentisfree/2013/oct/23/jeremy-hunt-health-tourism-nhs-visitors

Incidentally Dr Chand isn't really retired as well as trousering it from the BMA he's Non Executive Director on NHS Greater Manchester and ............ Vice chair: Equal Opportunities Committee

I wonder if he has any financial interests in any GP Out of Hours Service providers ? :biggrin:

A bit more about him here -

Kailash Chand's Brass Neck http://tamesidelabour.blogspot.co.uk/2011/05/kailash-chands-brass-neck.html

Arthur Little
24th October 2013, 19:23
Wishful thinking, I'm well aware... but the title of this thread provoked a 'Utopian' vision in my mind ...

... that of a universally reciprocal healthcare system. :wink:

:icon_rolleyes: ... if only!

andy222
24th October 2013, 20:37
Oh what a suprise!....an article from the Daily Mail!:laugher:
The tories want to privatise the health service ask anyone who works for them.

Dedworth
24th October 2013, 20:54
:laugher:
The tories want to privatise the health service ask anyone who works for them.

You're off topic this threads about Health Tourism.

However correct me if I'm wrong Andy but wasn't it Labour who foolishly revised GP's contacts in 2004 throwing them a load of cash for fewer hours and then encouraged them to set up cosy little limited companies to provide out of hours and locum services ?

andy222
24th October 2013, 21:02
Yes and less waiting times for the patients. Thats more than this government can say. Pop down to your local A&E Ded and have a look for yourself.

Doc Alan
24th October 2013, 21:10
You're off topic ( Andy ) this threads about Health Tourism.



Not really off topic Ded.

The title was The International Health Service. Almost 99% of it is Four Nations National Health Service.

It's vital to keep the issue in perspective, in my humble opinion as a retired non-GP with a passionate interest in health :xxgrinning--00xx3:.

Sort out Health Tourism by whatever means possible !

But far greater savings could be made in other fields of healthcare without sacrificing quality. That could include greater personal responsibility for health by lifestyle choices, but I never judge those choices, merely try to offer free help and advice based on my experience :smile:.

andy222
24th October 2013, 21:14
Very true Doc thanks for explaining that.:xxgrinning--00xx3:

Dedworth
24th October 2013, 21:32
Not really off topic Ded.

The title was The International Health Service. Almost 99% of it is Four Nations National Health Service.

It's vital to keep the issue in perspective, in my humble opinion as a retired non-GP with a passionate interest in health :xxgrinning--00xx3:.

Sort out Health Tourism by whatever means possible !

But far greater savings could be made in other fields of healthcare without sacrificing quality. That could include greater personal responsibility for health by lifestyle choices, but I never judge those choices, merely try to offer free help and advice based on my experience :smile:.

Quite right Doc - I'm not so sure about Four Nations it seems more like United Nations to me :smile:

I'd be interested to hear what systems, checks and rules are in place in other countries (where healthcare is largely public funded) to prevent Health Tourism

Doc Alan
25th October 2013, 12:00
Although the Philippines does not fall into the category of countries “ where healthcare is largely publicly funded ” it appears to me that they ENCOURAGE health tourism. This includes procedures such as surgery ( cosmetic, weight loss, eye and orthopaedic ), dermatology and dentistry. They’re said to be aiming for $ 2 billion by 2015 ( http://investvine.com/philippines-eyes-2b-health-tourism-income/ ).




• Many British “ tourists “ now travel abroad, including the Philippines, for such purposes.

• For procedures where there is NHS entitlement that SAVES money for our NHS, and reduces waiting lists.

• For anyone considering this, the advice I’ve given before still applies.

• Do your research into the clinic / hospital, including language used / communication / costs.

• Have a full consultation with the doctor or dentist.

• Consider aftercare such as corrective treatment.

• Consider travel risks such as air travel after surgery.

• Many insurers won't cover planned treatment abroad.


It may well be that the UK is a net exporter of patients.

Not only that, but the number of foreigners coming here with the intention of using the NHS – and paying – may well outstrip the number estimated to be misusing the service (

http://www.thelancet.com/journals/lancet/article/PIIS0140-6736(13)61675-X/fulltext ).





For personal reasons, I “ tightened my belt “ several years ago , and, like every other member, I’m happy to contribute to the Forum for nothing :xxgrinning--00xx3: !

SimonH
25th October 2013, 12:18
Friend of my much better half has just come back after having some 'corrective surgery' and was very pleased with the price and 'job' :wink:

Dedworth
25th October 2013, 12:22
For personal reasons, I “ tightened my belt “ several years ago , and, like every other member, I’m happy to contribute to the Forum for nothing :xxgrinning--00xx3: !

Same here Doc but if I could have had a fiver for every post ..............:biggrin:

Interesting fact you've got on PH that is exactly how health tourism should be - you travel to the place where you are happiest with the price, medical expertise etc. Totally in contrast to the UK where the likes of naive Dr Kailash Chand want the British Taxpayer to fund free healthcare for the rest of the world.