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The government is expected to miss its target of recovering £500m a year from overseas visitors treated in NHS hospitals in England.
The Department of Health has “refined” to £346m its target for 2017-18, says the National Audit Office. Some £289m was paid in 2015-16; £73m in 2012-13.
A new “surcharge” for non-EU patients accounts for much of the rise, but less than half of money owed is recovered.
The Department of Health said the increase showed “very good progress”.
NHS Trusts in England are legally obliged to check whether patients are eligible for free non-emergency NHS treatment and to recover any costs from any non-EU patients.