Health tourists jump NHS queue: Foreign patients given eye surgery while Britons wait for months
- Investigation reveals health tourists are jumping the queue for operations
- At least 300 foreign patients have been offered surgery before Britons
- Their condition has been deemed a priority and they are treated first
- The life-changing cataract treatment costs the NHS up to £2,500 a time
Cataracts occur when the lens in the
eye becomes cloudy, causing problems with reading, writing and general
vision, which gradually get worse (stock photo)
Health
tourists are jumping the queue ahead of NHS patients for life-changing
cataract operations, an investigation has revealed.
At
least 300 foreign patients flying in from countries including Nigeria
and Zimbabwe have been offered surgery before British taxpayers because
their condition is deemed a priority.
The treatment costs the NHS up to £2,500 a time including translation costs but many patients return home and never pay it back.
Yet
they are being fast-tracked by doctors as their condition is deemed
very complex and urgent, leading to lengthy delays for British patients.
Cataract surgery is the most common treatment on the NHS and 300,000 operations are performed a year, mostly on the elderly.
Yet
it is being heavily rationed due to financial pressures. Figures have
shown that at least half of health trusts currently ration cataract
surgery and some patients have been told their vision is 'too good' even
though they cannot read or write.
Some
areas including parts of Greater Manchester have average waiting times
of 222 days – nearly eight months – while others will now only do one
eye at a time.
Cataracts
occur when the lens in the eye becomes cloudy, causing problems with
reading, writing and general vision, which gradually get worse. But they
can be easily treated by a simple 30-minute operation to remove the
affected lens and replace it with a plastic implant.
Charities
have warned, however, that thousands of patients are gradually losing
their sight because NHS trusts are refusing to carry out surgery.
The
Daily Mail used the Freedom of Information Act to ask all 150 hospital
trusts in England a series of questions about overseas patients. The
replies show that in the past two years 849 overseas patients were given
cataract surgery on the NHS even though they were not eligible for free
care.
They
included 283 who were fast-tracked to the front of the queue because
doctors deemed their condition to be more urgent than others already
waiting.
Only
77 trusts managed to reply to any of our questions so the true scale of
the abuse is likely to be far higher. Thirteen admitted they never
recovered the full costs from the patients.
Professor
J Meirion Thomas, a former cancer surgeon at the Royal Marsden Hospital
in London, said: 'This investigation proves again that health tourism
is flourishing in the face of the feeble efforts of the Department of
Health.
'Why should patients who are not eligible for free NHS care be allowed treatment at a rock-bottom price?'
Foreign patients have been offered
life-changing cataract operations ahead of British taxpayers because
their condition is deemed a priority
He said government research showed that 84 per cent of health tourists never paid their debts.
Conservative
MP Peter Bone said: 'We really have to have a system which puts British
people first.' Andrew Percy, another Tory MP, said: 'The NHS is facing
extreme pressures and its unacceptable that money is being spent on
treatment for people that are ineligible.'
Last
August the Daily Mail Investigations Unit revealed that the vast scale
of health tourism in the NHS was being covered up by hospital bosses.
NHS
whistleblowers said they are told to disguise the true number abusing
the health service by bosses who 'don't want to know' – and are branded
racist if they speak out.
By
law, only patients who are 'ordinarily resident' in the UK – and have
lived here for at least six months – are eligible for free treatment,
operations and scans. But lifesaving procedures, maternity care, A&E
treatment and GP services are free for all.
Ministers
have repeatedly promised to crack down on health tourism amid
accusations that the NHS is too lax compared with other EU countries.
They
twice unveiled proposals to start charging foreign patients in A&E
although they are still 'consulting' on the plans and there is no clear
start date.
Yet most other countries in the EU demand to see patients' identity cards or passports before offering them treatment.
The Mail was alerted to the problem by a whistleblower from a hospital whose role is to charge foreign patients.
She
said many patients, mainly from Nigeria and Zimbabwe, are brought in by
relatives living here. The relatives then take them for eye tests by
opticians, who refer them to hospital, where doctors carry out cataract
surgery immediately. But they do not demand money beforehand.
The
whistleblower said that between five and 15 overseas patients arrive at
her hospital a week needing cataract treatment. 'We rarely get the
money back,' she said. 'They tend to need very complex procedures. We
have to use a translation service as well and it's a huge cost.'
The
Department of Health said: 'This Government is determined to make sure
our NHS isn't abused – we were the first to introduce tough measures to
clamp down on migrants accessing NHS hospitals and are going further
with plans to extend charging to A&E and other services, helping the
NHS to recover up to £500million a year by 2018.'
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