A Nigerian health tourist, Bimbo Ayelabola, 37, who had a caesarean section while in UK in 2011 at Homerton Hospital, east London, has returned back to Lagos without paying the £145,000 bill she was charged. Through the surgery, she delivered five babies.
The
operation and neo-natal care for the five babies cost the Health
Service in excess of £145,000 – but Miss Ayelabola never paid a penny
towards the bill.
And now it has emerged the hospital involved will not chase her for the money.
Miss Ayelabola has since returned to her home city of Lagos, where she is a successful make-up artist who drives a £17,000 car.
When confronted by the Daily Mail about the NHS bill, she said: ‘I have never received my bill. If I had it, I would pay it.’
The
hospital involved yesterday admitted it sent only one request for
payment, more than six months after Miss Ayelabola left the hospital –
and had failed to take any further action when it was returned unpaid.
It said it would not be pursuing Miss Ayelabola for the money, even after the Daily Mail offered to pass on her address.
The
case follows a series of revelations by the Mail on the true scale of
health tourism in Britain. NHS whistleblowers have told how bosses are
instructing them to turn a blind eye to health tourists because it is
‘too much trouble’ to chase them for money.
Only around 16 per cent of the cost of treating health tourists is ever clawed back, according to NHS estimates.
The
Nigerian mother obtained a visitor’s visa soon after discovering she
was pregnant in 2010, travelling to the UK to stay with her younger
sister, Stella, early in her pregnancy.
She gave birth to two
boys and three identical girls at Homerton Hospital in Hackney, East
London, in April 2011 – seven weeks premature. She had a complex
caesarean and remained in hospital for almost two weeks after the birth
at a cost of £145,000 to UK taxpayers.
Despite having an expired
visa, Miss Ayelabola continued living in her sister’s flat in Poplar,
East London, after the births. She didn’t return home until February
2013.
Miss Ayelabola’s children are now four years old and
attending a private school. When she was tracked down by the Mail to the
small salon she shares with other beauticians, she said she did not
understand what she had done wrong. ‘What is it that’s my fault? I don’t
understand,’ she said.
‘They blamed me that I came to the UK and I just came to use the system. Which I did not do.
‘If
it (health tourism) is a problem in the UK, you should talk to the NHS.
I have never received my bill. If I had it, I would pay it.’
She added that she was allowed to stay in the UK without needing to ask and without having to apply.
‘I did not want to stay… it was just my situation,’ she said.
MPs
and campaigners last night described the case as ‘galling’ and called
for an inquiry into the hospital’s failure to recoup the money.
Conservative
MP Peter Bone said: ‘If people have failed to do what they should, then
at the very least they need to put in a robust system to ensure it
doesn’t happen again.’
Roger Goss, of Patient Concern, added: ‘No wonder the NHS has such financial problems.’
Miss
Ayelabola runs a successful make-up business at the Elderberry Salon in
east Lagos. Her two boys, Tayseel and Samir, and three girls, Aqeelah,
Binish and Zara, attend a respected private school nearby. Fees are at
least £8,000 a year for the five of them.
She is thought to live
alone with them and when they are not in school, she takes them with her
to work. She charges £40 per hour for a full face of make-up and
advertises through her Instagram account, called ‘Otse Beauty’. On the
account she posts photographs of herself and others in dramatic eye
make-up.
It is understood Miss Ayelabola is separated from her
wealthy husband, Ohi Nasir Ilavbare, but he is still involved in the
children’s lives and is believed to pay for their education.
The
university-educated civil engineer runs two successful logistics firms,
Spry and Radija, whose clients include British American Tobacco and DHL.
In
an interview in 2011 Miss Ayelabola said: ‘I had already had
miscarriages and couldn’t bear the stress another pregnancy would cause.
So I decided to visit my family in London.
‘I thought I would stand a much better chance of avoiding another miscarriage in a calmer place with friends and family.’
However,
when speaking to the Mail she denied coming to the UK to give birth.
She claimed she had no idea she was expecting more than one child and
was planning to return to Nigeria to have the babies – until she had
medical complications. ‘I stayed after my children were born because my
kids were sick,’ she said.
The multiple births are likely to be a
result of double doses of fertility drug Clomid, which she took for
eight times longer than recommended after buying the pills over the
counter in Lagos.
Miss Ayelabola is understood to have left the
UK voluntarily in February 2013, following contact with the Home Office.
It is believed she has been banned from returning to Britain for five
years.
The UK’s system for flagging up foreign patients sees them treated before hospital staff try to claw back costs.
In
France, Germany and Scandinavia, patients must pay in advance. It means
hospitals across England are targeted by thousands of health tourists a
year.
Official estimates of the cost range up to £2billion
but experts say the true figure is likely to be far higher because there
is no proper recording system in place.
Homerton Hospital said
it would not be contacting Miss Ayelabola for the payment, despite her
assertion that she would pay up if she received a bill. ‘If she wishes
to contact us, we would urge her to do so…. But we will not be
contacting her,’ a spokesman said.
He added that Miss Ayelabola
received a bill more than six months after she was discharged in 2011,
which was returned to the hospital unopened. No further attempts were
made to bill her, it is understood.
A Department of Health
spokesman said: ‘It is completely unacceptable that people living
outside the UK think they can abuse our NHS. We expect and are
supporting the NHS to make every effort to reclaim money owed to it.’
A
spokesman for Homerton University Hospital NHS Foundation Trust said:
‘We hope the five children have prospered and are healthy. We would be
pleased to reopen dialogue with Miss Ayelabola about her outstanding
bill.’