Overseas Visitor and Migrant NHS Cost Recovery Programme

Ipsos MORI were commissioned by the Department of Health to undertake an independent evaluation of the Overseas Visitor and Migrant NHS Cost Recovery Programme between 2014 and 2016.

Ipsos MORI was commissioned by the Department of Health (DH) in June 2014 to undertake a formative evaluation of the Overseas Visitor and Migrant NHS Cost Recovery Programme. The primary aims of the evaluation were to:

  • Determine how far the Cost Recovery Programme has led to the desired changes in culture and behaviour amongst frontline clinical and administrative staff (and other relevant stakeholders) with regard to practices for identifying and recovering costs from overseas visitors and migrants using NHS services;
  • Learn lessons about what works (and doesn’t work) in improving cost recovery, including through analysis of the Emergency Care EHIC Pilot; and,
  • Help refine the Cost Recovery Programme through continuous feedback and inform decisions before proceeding with each stage of the Cost Recovery Programme.

The report published here sets out the final results of the evaluation. which was based on evidence gathered through the following means:

  • Quantitative telephone surveys of NHS staff, conducted at three time-points during the evaluation;
  • Qualitative case study research involving in-depth interviews with frontline and administrative staff in a total of thirteen NHS Trusts;
  • Consultations with key stakeholders; and,
  • Analysis of management information collected nationally with regard to cost recovery.

Further detail of the evaluation methodology is provided in both Chapter One of the report and in the accompanying appendix document.

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