The correspondence in question has been received in my Department. It refers to medical treatment obtained in another EU country. It is a matter for the health board to determine if the treatment is to be authorised in such circumstances.
Where an individual requires specific treatment which is necessary and which is not available in Ireland, a health board may authorise the provision of treatment in another EU member state under EU Regulation 1408/71, which provides for the co-ordination of health and social security arrangements between members of the EU. The E112 is the relevant EU liaison form issued by the health boards in such cases. The issue of the E112 form involves a commitment by the health board to pay the cost of treatment and in issuing the form the health board should specify the nature and extent of treatment to be covered.
It is a matter for the health board to assess each application and to certify criteria by a medical consultant that the treatment is not available in this country; there is an urgent medical necessity for the treatment; there is a reasonable medical prognosis; the treatment is regarded as a proven form of medical treatment; and the treatment abroad is in a recognised hospital or other institution and is under the control of a registered medical practitioner.
The regulations cover public treatment only and it is important to understand that any person who opts for private treatment is liable for any expenses incurred. Each of the Community countries has its own rules regarding public health services. Under the circumstances, a copy of the documentation has been forwarded to the chief executive officer of the North Western Health Board with a request that he should investigate the issues raised and reply directly to the Deputy.