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The below Parliamentary question was asked by Lord Marlesford on 2016-03-22.

To ask Her Majesty’s Government what has been the cost to the public purse in each of the last five years of the winter fuel allowance; and what would be the tax receipt if it were subject to the same tax as retirement pensions.

Baroness Altmann

The Government has committed to keeping the Winter Fuel Payment for the lifetime of this Parliament. The cost over the last five years is as follows:

2010/11	2011/12	2012/13	2013/14	2014/15
£m 2,759	2,149	2,144	2,140	2,117

The Government has not estimated the corresponding tax receipts had the Winter Fuel Payment been taxable.

There is a total of 11.4 million pensioners in the UK.

National Statistics, published by HMRC, show that in 2013/14, there were 6.12 million taxpayers whose main source of income is from pensions, of which 90 per cent pay the basic rate of tax and 6 per cent pay the higher rate of tax.

The below Parliamentary question was asked by Lord Marlesford on 2016-03-22.

To ask Her Majesty’s Government what NHS facilities are available for proton beam treatment for cancer in the UK; where the facilities are located; and when each became operational.

Lord Prior of Brampton

In 2012, the Government provided £250 million to build two high energy proton beam therapy (PBT) facilities at The Christie NHS Foundation Trust in Manchester and University College London Hospitals (UCLH) NHS Foundation Trust in London. Work has already started and is proceeding as quickly and safely as possible, with the first facility due to become operational in 2018.

NHS England is committed to continuing the Proton Beam Therapy Overseas Programme until the centres being built at The Christie and UCLH are in a position to undertake the treatment currently being commissioned from overseas providers.

The below Parliamentary question was asked by Lord Marlesford on 2016-03-22.

To ask Her Majesty’s Government how much has been collected for treatment of foreign nationals by the NHS in each of the last three years; and how much has been paid to EU governments for medical treatment of UK citizens during the same period.

Lord Prior of Brampton

It is not possible to provide data on the amounts collected for treatment of directly chargeable foreign nationals and residents of countries outside the European Economic Area (EEA) by the National Health Service prior to financial year 2013-14. Since then the Department has been collecting data from NHS trusts on the amount of cash payments received in-year relating to invoices raised in current and previous years.

Figures for financial years 2013-14 and 2014-15 are shown in the table below.

	Cash payments received in-year (relating to invoices raised in current and previous years) 2013-14	Cash payments received in-year (relating to invoices raised in current and previous years) 2014-15
	£millions	£millions
NHS Trusts	8.5	11.4
NHS Foundation Trusts	11.1	13.7
Total	19.6	25.1

Source:

NHS Trust data – NHS Trust Development Authority
NHS Foundation Trust Data – Monitor

Since 6 April 2015 , temporary , non-EEA migrants coming to the United Kingdom for more than 6 months, or who apply to extend their stay in the UK, are required to pay the Immigration Health Surcharge (IHS) (unless an exemption applies) . In cash terms between 6 April 2015 and 14 March 2016, the Home Office collected IHS income, net of refunds and transferred £117.8 million to the Department for spending on the NHS.

EEA countries and Switzerland reimburse the UK for the cost of the NHS providing treatment to people they are responsible for under EU law, including UK nationals insured in another EEA country or Switzerland. This information is available for the last three financial years in the attached table.

The Department on behalf of the UK Government reimburses other EEA countries and Switzerland for the cost of providing treatment to people we are responsible for under European Union law, irrespective of nationality. This information is available for the last three financial years in the attached table.

General practitioners (GPs) have discretion to register anyone as an NHS patient, including a person not ordinarily resident in the UK, for primary medical care free at the point of delivery. Being registered with a GP does not in itself mean that the person is entitled to free NHS hospital treatment. Practices are strongly encouraged to provide NHS providers with any relevant information when they refer a patient they believe may be chargeable for secondary care.

The below Parliamentary question was asked by Lord Marlesford on 2016-03-22.

To ask Her Majesty’s Government what progress they are making in introducing the requirement for non-UK citizens newly registered with general practitioners under the NHS general practice to inform hospitals to which they may be referred of the need to recover the cost of that treatment.

Lord Prior of Brampton

It is not possible to provide data on the amounts collected for treatment of directly chargeable foreign nationals and residents of countries outside the European Economic Area (EEA) by the National Health Service prior to financial year 2013-14. Since then the Department has been collecting data from NHS trusts on the amount of cash payments received in-year relating to invoices raised in current and previous years.

Figures for financial years 2013-14 and 2014-15 are shown in the table below.

	Cash payments received in-year (relating to invoices raised in current and previous years) 2013-14	Cash payments received in-year (relating to invoices raised in current and previous years) 2014-15
	£millions	£millions
NHS Trusts	8.5	11.4
NHS Foundation Trusts	11.1	13.7
Total	19.6	25.1

Source:

NHS Trust data – NHS Trust Development Authority
NHS Foundation Trust Data – Monitor

Since 6 April 2015 , temporary , non-EEA migrants coming to the United Kingdom for more than 6 months, or who apply to extend their stay in the UK, are required to pay the Immigration Health Surcharge (IHS) (unless an exemption applies) . In cash terms between 6 April 2015 and 14 March 2016, the Home Office collected IHS income, net of refunds and transferred £117.8 million to the Department for spending on the NHS.

EEA countries and Switzerland reimburse the UK for the cost of the NHS providing treatment to people they are responsible for under EU law, including UK nationals insured in another EEA country or Switzerland. This information is available for the last three financial years in the attached table.

The Department on behalf of the UK Government reimburses other EEA countries and Switzerland for the cost of providing treatment to people we are responsible for under European Union law, irrespective of nationality. This information is available for the last three financial years in the attached table.

General practitioners (GPs) have discretion to register anyone as an NHS patient, including a person not ordinarily resident in the UK, for primary medical care free at the point of delivery. Being registered with a GP does not in itself mean that the person is entitled to free NHS hospital treatment. Practices are strongly encouraged to provide NHS providers with any relevant information when they refer a patient they believe may be chargeable for secondary care.