[Osem]

I wonder whether the NHS ethos is partially to blame here. Staff within the NHS who're entirely wedded to the idea that it's 'free' and 'universal' might not be too keen to assist in anything which might lead to an effective and efficient charging system. In times gone by, health tourism wasn't a major issue but the world's a lot smaller now and there's no doubt people are coming here specifically to use the NHS knowing with a fair degree of certainty that they won't be asked to pay for it, let alone forced to.