Wednesday, April 24, 2024
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Medical colleges criticise charging migrants upfront for NHS care

Representatives of more than 70,000 doctors have urged ministers to suspend regulations that force hospitals to charge overseas visitors upfront for NHS care. Three royal medical colleges and one faculty say the charging regime is harming people’s health by deterring them from seeking NHS help when they fall ill. Payments in advance are “a concerning barrier to care”, they say. They have voiced particular concern about pregnant women being denied care and children missing out on treatment for life or death illnesses. Their plea is the strongest opposition yet from the medical community to hospitals in England being compelled to charge migrants up to tens of thousands of pounds before they treat them. The statement has been signed by the Royal College of Physicians, the Royal College of Paediatrics and Child Health, the Royal College of Obstetricians and Gynaecologists and the Faculty of Public Health. They want Matt Hancock, the health and social care secretary, to suspend regulations brought in in 2015 and 2017 that specify when overseas visitors should be charged for receiving NHS care. Charges should not be enforced until a full independent review is undertaken of how they are affecting migrants’ access to healthcare, the four groups say. Citing evidence of mothers-to-be and children being left without medical aid, the colleges say: “We do not believe that regulations that lead to such situations are appropriate. They are having a direct impact on individual health and have potential implications for wider public health. “Early diagnosis and treatment are vital to improve patients’ outcomes and – in the case of infectious diseases such as tuberculosis and HIV – to protect public health.” Some patients have been wrongly charged because they could not prove they were entitled to free care, the statement adds.