Jim Murphy

Minister for Europe

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Thursday 24 January, 2008

Decision on healthcare in France

Good news. Late last night it was confirmed that the French government has now decided that all inactive EU nationals who were resident in France before 23 November 2007 will be able to access healthcare via the Couverture Maladie Universelle (CMU), both those who were registered in the CMU and those who were an E106 holder at the time.
 
I very much welcome this decision - it follows a lot of contact with the French government about the retrospective nature of their earlier proposals on the implementation of Directive 2004/38EC. I will be speaking to the French Europe Minister again today.
 
I appreciate the lobbying efforts many of you have made, which helped to highlight the significance of this issue for the European expatriate community - an issue which has understandably caused considerable anxiety for many of you. I know that those people directly affected by these changes have been seeking greater reassurance before now. The British Embassy in Paris has been passing on the most up-to-date official information we have received from the French government, but of course they couldn't pre-empt the outcome of our continuing discussions with the French authorities.
 
You can see the reply from French Health Minister Mme Bachelot to our Ambassador in Paris here.

For further sources of information, please contact the following: (also listed on the British Paris Embassy's website www.ambgb.com)
 
CNAM - The French Health Service (English language service): +33 8 20 90 42 12
 
CLEISS - (France's helpdesk for international mobility and social security):

11 rue de la tour des Dames
75436 Paris cedex 09
Tel: +33 1 45 26 33 41
www.cleiss.fr

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Comments:

Mr Murphy, well done to you! I know that I have not been alone in criticising the length of time that this has taken, but I withdraw anything I said which might have intimated that nothing was being done. It is now very clear to FHI what a massive role you and the Embassy staff have played in all this. We understand that the delays in the announcement were due to finely balanced negotiations which were being undertaken on our behalf.brFrom all of us at FHI we say thanks once again - we do appreciate what has been done here.brIt says a lot for people power too, and anybody who has been involved in this long tussle should give themselves a huge pat on the back today for all that has been achieved. Now, I'm off to open the champers!brCheers to everbody who has given their time and effort to the struggle.

Posted by Deborah Dudley on January 24, 2008 at 11:33 AM GMT #

What absolutely stupendous news - entirely justified from the outset of course, but the natural justice of the outcome had to be fought for every inch of the way.brbrI’m sure heartiest congratulations need to be passed to the British Embassy staff in Paris & most especially to all those “French Health Issues FHI” volunteers who so selflessly and tirelessly gave so much of their time, so professionally and so effectively. In my view, without their commitment it may well be that the retrospective proposals will have passed into law without challenge.brbrSo - a great day; but as a good friend has suggested, maybe the next campaign starts here - the one for official recognition of the FHI team, for it is they who are the real victors here today. Do I hear MBEs for Deborah Dudley, Frank Murphy et al…..

Posted by NICK GREENWOOD on January 24, 2008 at 11:52 AM GMT #

I wish to add my thanks also - although this latest decision did not affect me directly having been in the CMU for over two years - I was very worried that some one would become seriously ill or even die without health care, Thank you to all those who worked so hard to resolve this

Posted by Sara on January 24, 2008 at 11:57 AM GMT #

I wholeheartedly agree with Nick and I shall be raising a glass in my little local bar tonight to all the tremendous people at FHI.brbrBest wishes to everyone involved in this campaign. You have gone some way to restoring my faith in human nature.brbrDerek

Posted by Derek Wood on January 24, 2008 at 01:35 PM GMT #

I wholeheartedly agree with Nick and I shall be raising a glass in my little local bar tonight to all the tremendous people at FHI.brbrBest wishes to everyone involved in this campaign. You have gone some way to restoring my faith in human nature.brbrDerekbrbrbrPS M. Graham. Ihope you are managing to get the care you need and deserve. Please let us know how you have got on.

Posted by Derek Wood on January 24, 2008 at 01:40 PM GMT #

What a relief for everyone. Let's hope it doesn't take too long to brief the CPAM staff because time is running out fast and some poor folks need help pdq.brbrI, like thousands of others, would like to say a big, big thank you from the bottom of my heart to the team at French Health Issues for all their efforts. What a team. Ever thought of managing England?!! . And thanks to many thousands of others who, like me, did their bit to stand up and fight for our rights. brbrIt's good to know your voice still counts - as long as you shout loud enough!brbrbr

Posted by Liz on January 24, 2008 at 02:26 PM GMT #

I wish to express my thanks to you Mr Murphy and to all of your team for working tirelessly on this issue.You and your team have been the subject of a great deal of criticism from people who do not know how sensitive diplomatic and political negotiations are and have unjustifiably miscalled you saying that you were doing nothing when it was evident that you were.brThe FHI website may have contributed in a small way to the final decision but I am sure that it is actually thanks to you and the diplomatic staff in Paris that we have this result.brOnce again my thanks

Posted by Ian on January 24, 2008 at 02:50 PM GMT #

I have been vociferous in my criticism of Jim for seemingly doing nothing. I now wish to be vociferous in my appreciation of what has been achieved. Well done Jim, Well done to the British Embassy and, Ian, Well done to French Health Issues. I think their contribution has been than 'small'. A big Well Done to anyone who played a part in righting this wrong.

Posted by Alain in France on January 24, 2008 at 03:30 PM GMT #

At last we have a decision that we all like.brbrThanks to the Embassy Staff , and to FHI .brbrWith all the blog comments and frustrations expressed on FHI site and others , does it not prove that regular updates of the status on the matter would have helped everyone concerned.brbrHow many times were we told that we need to communicate more effectively to our customers when we were employed in the UK ??brbrThanks to everyone who may have had a part in this change of heart.

Posted by Paul Dannatt on January 24, 2008 at 05:37 PM GMT #

Thank you and many congratulations; relief all round.brbrThe Embassy staff have clearly worked hard with you behind the scenes and have been exemplary in responding to emails and generally keeping us up-to-date.brLife can now carry on and once we have our Carte Vitales we will be holding a party. We fully appreciate that there will be a certain amount of delay before the local CPAMs are fully informed and so won't be rushing to brandish the Embassy letter in their faces just yet. brbrSeriously, the result is a vindication of the diplomatic approach; some of the attitudes displayed by other Brits, although understandable in the circumstances, seemed gratuitiously offensive.brbrReiterated thanks and congratulationsbrbrFionna Ashmorebrbr.br brCan I also suggest that official recognition be given to the French Health Issues team. br

Posted by Fionna Ashmore on January 24, 2008 at 06:14 PM GMT #

Thanks to all - professional and otherwise - who have brought about a common sense conclusion to this aspect.

Posted by Frank on January 24, 2008 at 07:17 PM GMT #

Actions have spoken louder than words and all involved are to be commended. I don't want to be churlish but although Ian's comments may be partly correct no one can doubt that Deborah Dudley and all at FHI deserve a big pat on the back as they have burnt the midnight oil without any reward. Without 'people power' things do not get done. Congratulations to all who played a part and that includes government representatives on both side of the channel. Can someone now tell all the CPAM's please?

Posted by Denis Turner on January 24, 2008 at 07:44 PM GMT #

Although this business did not affect me I pitched in anyway and made some critical comments on this blog which I now regret and withdraw, with apologies for any offence caused. In a previous existence a substantial part of my duties involved formal negotiations with the French and I know how difficult things can get. The Interior Ministry were pretty easy to get along with but the Ministry of Health was a bit more challenging. Was it a really big gunboat?brbrYou and the embassy staff did well.brbrRegardsbrbrbrGeorge Smithbr

Posted by George Smith on January 24, 2008 at 09:55 PM GMT #

IANbrAre you the same Ian that wrote this?:br-------------------------------------------------------------br# 13 January 2008 23:32 Ian wrote: brre: Healthcare in France - E106 holders brFrom contact with the British Embassy in Paris it is now totally clear that you are not representing people with expired E106's but just trying to clarify what the French intend to do. What is needed is a bit of pressure to get those who have been hit by short or no notice retrospective changes to be allowed to join the CMU. I never appreciated how subservient the British government can be when faced with a pretty easy problem.brbrAND THISbrbr# 19 January 2008 10:04 Ian wrote: brre: Healthcare in France - E106 holders brThe British government are either unable or unwilling to sort this out. The French government are either unwilling or unable to sort this out. In both cases it speaks volumes on the attitudes of politicians to their citizens and people legally living in their country to whom they have a duty of care. It is where the whole point of politicians fails and the system breaks down. Whilst they do nothing now, come next elections they will be asking us to vote for them as "they have done such a good job". brbrBritish government could sort it out by doing more than "waiting for clarification" and starting to tell the French government about things a bit more forcefully. They could start representing people suffering hardships on an individual basis, etc. loads of ways without needing to extend E106's. brbrThe French government could sort it out by obeying EU law, by telling the regional/local CPAMs how to implement the rules, by not applying retrospective legislation, by notifying people affected before the rule change - basically by treating people with just a little consideration. brbrThese governmental bodies can do this stuff easily. Its what they are there for. If they cannot then they should elect/employ people who can do it - after all it is their job. brbrPoliticians are elected and have a responsibility to their citizens and people who fall under their jurisdiction. When they ignore this duty the entire system fails. In the UK politicians all talk about greater involvement by everybody but then just ignore everybody. Pretty soon people are going to start asking why we pay so much tax, etc. for these people who then do and achieve nothing.brbrAND THISbrbr# 22 January 2008 11:59 Ian wrote: brre: Healthcare in France - E106 holders brOf course anybody whose E106 has expired and they have followed FCO advice and not taken out Private Insurance is now illegal - and as such and residency under an E106 does not count towards their 5 years for Permanent residence as you need to have 5 years continuous legal residence to become a permanent resident and be allowed into the CMU. Become illegal and you go back to square one - thanks for the advice FCO. brbrI now doubt that the UK has the capability to do anything. If they did not already realise it the French authorities must now have noticed how they can just run rings round the British government. Give a reassurance one day e.g. AMF and then change their minds the next day and UK gov just "overlooks it all" and keeps waiting. brbrThere is a trick question: "What is always coming and never arrives ?" answer: "Tomorrow"brbr______________________________________________brbrIf so, as one of those you accuse of ignorance of the subtleties of diplomatic manoeuvrings, I can't square your last fawning contribution with your earlier more robust ones.brbrI for one am happy that we appear to have some kind of recognition of basic human decency and respect for the rights of EU citizens who have played by the rules. We were asking for no more than was due to us. Jim Murphy could have responded at any time and in a coded 'diplomatic' manner to the pleas of those who were in a state of utter desperation. He didn't. They/we were left in limbo. I am sure that, without the pressure from FHI we would still be in that state. More power to them and I hope they have the stamina and will continue to apply their skills to remaining unresolved issues. brbrDerek Woodbr

Posted by Derek Wood on January 24, 2008 at 10:25 PM GMT #

Great News! Lets hope that the CPAMs are brought swiftly up to date with this new decision. Thanks to everyone who has worked so hard to bring this about especially the folk at FHI for trying to keep us informed.brWell done Jim....... you have had lots of criticism..... now you can enjoy the well deserved praise!

Posted by Kath on January 25, 2008 at 08:45 AM GMT #

In response to Derek.brNo I am not that Ian brI am this Ianbr 04 December 2007 12:25 Ian wrote: brre: Announcement expected from French Ministry of Health brWhile I appreciate that Neville has a problem I do not see why Jim Murphy should be blamed for the lack of info coming from the French Government. brIt is for the Securite Sociale in France to make an announcement,not the British Government. brPerhaps if people were to reflect that if it was not for the efforts being put in by the British Embassy we would all be thrown out of the health system,as it is there appears to be a slight chink brbrSo I have maintained a consistent approach and have always supported the work being done while pointing out the misinformation being banded about on French forums

Posted by Ian on January 25, 2008 at 09:24 AM GMT #

Dear JimbrWhat an amazing outcome!!brMy thanks go to all who have worked so hard over the last few months.brThanks Jim for leting this site continue despite many comments which must have been difficult for you. Thanks for all you have done.brSpecial thanks to the British Embassy in Paris who have done an outstanding job...well done Sara and Georgina......fantastic communication and support.brI do believe that without FHI the outcome could well have been different, so a massive thanks to them all.brThe original French decision was always wrong and I hope Jim you will continue the fight to make the EU a fair place for all its citizens to reside.brThanks and Best Wishes to youbrNevillebrbrbr

Posted by Neville on January 25, 2008 at 09:29 AM GMT #

Brilliant work by French Health Issues and the Embassy! However, do not rejoice too soon. I have been in contact with my CPAM office this morning who were very quick to point out that the letter from the minister did not constitute the law and they were waiting for confirmation.Bizarrely they asked me to sign a copy of the ministerial letter I had downloaded from the Embassy website and send it with a copy of the letter from England which they already have confirming that no extension of my E106 is available.I was told they would be in touch. I then rang the CPAM helpline who told me that the latest decision should become law before the end of March and to start up my application for admission into the system now. How much longer can they make us wait?

Posted by Christine Dept. 58 Nièvre on January 25, 2008 at 11:08 AM GMT #

IanbrThis is a real victory for people power, without FHI and the continued lobbying by those affected and those that weren't , these changes would have become fixed. However, that is not to say that a big big thank you is warranted to Mary Honeyball and MEPs, Jim Murphy and the British Embassy staff.

Posted by Sarah on January 25, 2008 at 02:44 PM GMT #

I was delighted to read of the French change of heart for E106 holders. This is a great day for Anglo-French relations. Well done to the negotiating staff at the British Embassy, and congratulations to Deborah Dudley and her team at FHI. What an achievement!

Posted by Penny on January 25, 2008 at 04:13 PM GMT #

Great news. Even better if it is confirmed that other groups E121s on incapacity benefit, E109 holders already legally resident, but specifically not mentioned by the French, will be also allowed to join CMU.

Posted by Mark on January 26, 2008 at 08:47 AM GMT #

re: Decision on Healthcare in France brMr. Murphy,brI'm not sure what all the excitement is about but to this date we have not received a word concerning the reversal of the decision to expel us from the national health insurance system. brMaybe the celebrations were premature.

Posted by Paul Wood on February 04, 2008 at 02:17 PM GMT #

Much ado about nothing. Prefecture in Tulle, La Correze informs we wre OUT of CPAM for ever. Not what some folks expected I assume.

Posted by Paul Wood on February 26, 2008 at 01:04 PM GMT #

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