The Committee for Employment & Social Security - P.2020/22
The States are asked to decide:
Whether, after consideration of the Policy Letter entitled 'Scheme for the funding of medical treatment for Guernsey and Alderney residents travelling in the UK', dated 10th February 2020, they are of the opinion:
1. To agree that a scheme for the funding of medical treatment for Guernsey and Alderney residents travelling in the UK should be implemented as soon as possible during 2020, as outlined in section 4 of that policy letter, and to agree that:
a. the scheme will only be available to those individuals who can demonstrate, in the manner and with the evidence required by the Committee forEmployment & Social Security, their inability to obtain medical insurance for travel to the UK, either at all, or at a reasonable cost;
b. individuals who are approved, under the terms of the scheme set out by the Committee forEmployment & Social Security, will be issued with documentation that can be provided to a UK hospital, should they require proof of ability to pay for NHS secondary care;
c. individuals will be required to pay the first £250 towards their medical costs, should they require NHS secondary care, that is compliant with the terms of the scheme, as set out by the Committee forEmployment & Social Security;
d. States expenditure shall be limited to a maximum of £250,000 per incident for an individual's medical treatment under the scheme;
e. the scheme will include the cost of repatriating a person, who was approved as being covered by the scheme, by medevac transport, should a medical professional confirm this as a necessary means of transport, and if it would be more cost effective for the States to continue, or complete, the patient's treatment in Guernsey, than it would for them to remain in the UK.
2. To direct the Committee forEmployment & Social Security and the Committee forHealth & Social Care to agree the practical arrangements for the implementation of the scheme set out in section 4 of that policy letter.
3. To note that it remains the responsibility of the Policy & Resources Committee to pursue the negotiation of a Reciprocal Health Agreement between Guernsey and the United Kingdom.
The above Propositions have been submitted to Her Majesty's Procureur for advice on any legal or constitutional implications in accordance with Rule 4(1) of the Rules of Procedure of the States of Deliberation and their Committees.