People are being harmed – and even dying – because of upfront NHS charges introduced as part of the “hostile environment”. The policy, introduced as guidance in 2017, then made compulsory last year, charges patients from outside the EU 50 per cent more than cost to the NHS, which means up to £15,000 for certain operations. Hospitals were ordered to demand utility bills, bank statements or pay-slips from patients, in order to prove their entitlement to free healthcare.
Doctors, MPs and campaign groups have condemned the policy, warning cancer patients, pregnant women and children are among those denied vital treatment because of the fees. Health minister Stephen Hammond is rejecting pleas from MPs to recognise the mounting evidence of harm.
Hammond first argued a government review had taken place, before backtracking after being corrected by his top civil servant then denied it was the responsibility of the Department of Health and Social Care.
“Those affected are not rich tourists, taking advantage of our NHS, they are members of the community..." Dr Paul Williams, a Labour member of the Commons Health Committee, explained.
Doctors, MPs and campaign groups have condemned the policy, warning cancer patients, pregnant women and children are among those denied vital treatment because of the fees.
In one case, a man with cancer and unable to leave the country was refused care and subsequently died – while a second woman died after not seeking help for a rare eye cancer because the NHS would not treat her.
* An English-born 60-year-old, who had lived abroad for 20 years was “left distraught” after being told “immediately before an operation it would cost her £6,000”.
* A man who had lived in the UK for nine years deemed ineligible for a heart transplant needed to save his life. His family were sent bills for the treatment he received, including after his death.
* A man who moved to the UK from The Gambia 10 years ago denied palliative chemotherapy after being diagnosed with two brain tumours and lung cancer and subsequently died.
* An asylum seeker initially given chemotherapy for leukaemia at a London hospital, before being told he had to leave and would not receive any more treatment.
Lucy Jones, director of programmes at the group Doctors of the World, told the committee: “We have seen children denied surgery and a destitute woman being chased for debts incurred during a pregnancy as a result of sexual violence, and subsequent miscarriage.”
And the organisation Maternity Action said: “One woman had a miscarriage and swiftly received a bill for her care, which she could not pay. She did not attend for follow-up care because of the charges.”
It has been condemned by the British Medical Association. Dr John Chisholm, chairman of its Medical Ethics Committee, said: “The role of doctors – and all of their healthcare colleagues – must be to treat and care for patients, not to act as border guards, policing patients’ access to and payment for treatment.”
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