1987 No. 371

NATIONAL HEALTH SERVICE, ENGLAND AND WALES

The National Health Service (Charges to Overseas Visitors) Amendment Regulations 1987

Made

Laid before Parliament

Coming into force

The Secretary of State for Social Services, in exercise of powers conferred upon him by section 121 of the National Health Service Act 19771 and of all other powers enabling him in that behalf, hereby makes the following regulations:—

Citation and commencement1

These regulations may be cited as the National Health Service (Charges to Overseas Visitors) Amendment Regulations 1987 and shall come into force on 1st April 1987.

Amendment of regulations2

1

The National Health Service (Charges to Overseas Visitors) (No. 2) Regulations 19822 (“the principal Regulations”) are amended in accordance with the following paragraphs of this regulation.

2

In Schedule 1 (classification of hospitals), in the entries for Classes C1, C2, D and E, in each case, after“designated” there is inserted“immediately before 15th August 1983”3 .

3

For Schedule 2 (charges for services provided to in-patients) there is substituted the Schedule set out in Schedule 1 to these regulations.

4

For Schedule 3 (charges for services provided to persons otherwise than as in-patients) there is substituted the Schedule set out in Schedule 2 to these regulations.

Revocations3

Regulation 2(3) and (4) of, and Schedules 1 and 2 to, the National Health Service (Charges to Overseas Visitors) Amendment Regulations 19864 are hereby revoked.

Signed by authority of the Secretary of State for Social Services

Tony NewtonMinister of State,Department of Health and Social Security

SCHEDULE 1SCHEDULE 2 TO THE PRINCIPAL REGULATIONS AS SUBSTITUTED BY THESE REGULATIONS

Regulation 2(3)

SCHEDULE 2DAILY CHARGES FOR SERVICES PROVIDED FOR OVERSEAS VISITORS AS IN-PATIENTS

Regulation 2(2)

Column (1)

Column (2)

Column (3)

Class of hospital in which services are provided

Single Room

Other Accommodation

£

£

Class A

(Long-stay hospitals)

83

75

Class B

(Psychiatric hospitals)

70

64

Class C1

(Mainly acute and other hospitals in non-teaching districts)

138

125

Class C2

(Acute and other hospitals in non-teaching districts)

157

142

Class D

(Hospitals in London teaching districts (other than hospitals in Classes A and B))

219

199

Class E

(Hospitals in provincial teaching districts (other than hospitals in Classes A and B))

174

158

Class F

(London Postgraduate Teaching Hospitals managed by Special Health Authorities except the Hospitals for Sick Children and the National Heart and Chest Hospitals)

238

217

Class G

(The Hospitals for Sick Children and the National Heart and Chest Hospitals)

335

305

The appropriate single room rate (Column (2)) shall be charged for any day on which a patient is occupying a room—

  1. a

    with a floor area of not less than 10 square metres (8 square metres for children under 10 years) completely enclosed by partitions and doors; and

  2. b

    which has been decorated in the past 7 years; and

  3. c

    not shared with other patient.

SCHEDULE 2SCHEDULE 3 TO THE PRINCIPAL REGULATIONS AS SUBSTITUTED BY THESE REGULATIONS

Regulation 2(4)

SCHEDULE 3CHARGES FOR SERVICES PROVIDED FOR OVERSEAS VISITORS OTHERWISE THAN AS IN-PATIENTS

Regulation 2(3)

Column (1)

Column (2)

Column (3)

Services Provided

Hospital Class A-E

Hospital Class F and G

£

£

1

For a patient on each attendance at a hospital other than attendances directlyassociated with the procedures listed in paragraphs 3-10 of this Schedule.

13.50

20.00

DAY CASES AND DAY PATIENTS2

For investigation, therapeutic test, operative procedure or other treatmentinvolving the provision of accommodation and services—per day, exclusive of charges for procedures listed in paragraphs 3—10, for a patient who attends as a non-resident patient and requires some form of preparation or a period of recovery or both—

i

where the treatment is not part of a course of treatment lasting morethan one day;

26.50

27.50

ii

where treatment is part of a course of treatment lasting more than one day.

31.00

32.00

PATHOLOGY3

For each request for pathological investigation received by the laboratory inrespect of one patient and executed in one department of the laboratory, irrespective of the number of tests involved.

7.00

13.50

RADIODIAGNOSIS, NUCLEAR MEDICINE AND ULTRASOUND4

i

Subject to (ii), for each procedure listed in Schedule 4 (charge per unit value).

0.78

1.00

ii

Minimum charge for aggregated unit value of procedures during any one visit to a radiology department.

12.50

16.00

iii

CT Scanning. For all scans.

96.00

115.00

RADIOTHERAPY5

For treatment in any one day.

18.00

44.50

PHYSIOTHERAPY AND REMEDIAL GYMNASTICS6

For each attendance.

5.00

9.00

OCCUPATIONAL THERAPY7

For treatment in any one day.

7.00

10.00

OTHER DIAGNOSTIC PROCEDURES8

i

Audiometry.

5.00

5.00

ii

Electrocardiography. For each testing session.

9.00

16.50

iii

Electroencephalography. For each testing session.

37.00

72.50

iv

Electromyography. For each testing session.

23.00

44.50

USE OF OPERATING THEATRE FACILITIES9

Operating theatre facilities booked as required:

i

For less than 10 minutes.

22.00

27.00

ii

For 10 minutes to 30 minutes.

42.50

54.00

iii

For more than 30 minutes.

64.50

81.00

DIALYSIS10

For haemodialysis or intermittent peritoneal dialysis:

i

With training or routine at a hospital—per session.

104.00

104.00

ii

Routine, at home—per session.

66.00

66.00

iii

Minimal Care Unit—per session.

85.00

85.00

For continuous ambulatory peritoneal dialysis (including continuous cycling peritoneal dialysis)—per day.

31.50

31.50

(This note is not part of the Regulations)

These regulations amend the NationalHealth Service (Charges to Overseas Visitors) (No. 2) Regulations 1982 by increasing, by an average of 17.6% for in-patients and 6.1% for out-patients, the sums prescribed as charges to certain overseas visitors for services forming part of the national health service. These regulations also effect two other amendments. First, they make it clear that hospitals are, or are not, to be treated as being in teaching districts according to the designation of the district immediately before 15th August 1983 (since when no district has had a name which incorporates the word“Teaching”). Secondly, they alter the classification of day cases to draw a distinction between those receiving treatment on one day only and other cases (day patients) where treatment takes place on more than one day. Those parts of the National Health Service (Charges to Overseas Visitors) Amendment Regulations 1986 which prescribed charges superseded by these regulations are revoked.