natgillin/translations-raw huggingface dataset:
101 Since these proceedings are, for the parties to the main proceedings, a step in the proceedings pending before the referring court, the decision on costs is a matter for that court. Costs incurred in submitting observations to the Court, other than the costs of those parties, are not recoverable.
101 Budući da ovaj postupak ima značaj prethodnog pitanja za stranke glavnog postupka pred sudom koji je uputio zahtjev, na tom je sudu da odluči o troškovima postupka. Troškovi podnošenja očitovanja Sudu, koji nisu troškovi spomenutih stranaka, ne nadoknađuju se.
1. Where a court against whose decisions there is a judicial remedy under national law considers that one or more arguments for invalidity of a Community act which have been put forward by the parties or, as the case may be, raised by it of its own motion are well founded, it must stay proceedings and make a reference to the Court of Justice for a preliminary ruling on the act’s validity.
1. Kada sud protiv čijih odluka prema nacionalnom pravu postoji pravni lijek smatra da su jedan ili više razloga nevaljanosti akta Zajednice na koje se pozovu stranke, odnosno na koje sud pazi po službenoj dužnosti, utemeljeni, sud mora prekinuti postupak i obratiti se Sudu putem postupka povodom prethodnog pitanja koje se tiče valjanosti.
16 May 2006 (*)
16. svibnja 2006. (*)
(Social security – National health system funded by the State – Medical expenses incurred in another Member State – Articles 48 EC to 50 EC and 152(5) EC – Article 22 of Regulation (EEC) No 1408/71)
„Socijalna sigurnost - Nacionalni zdravstveni sustav koji financira država - Troškovi liječenja nastali u drugoj državi članici - Članci 48. do 50. UEZ-a i članak 152. stavak 5. UEZ-a - Članak 22. Uredbe (EEZ) br. 1408/71”
In Case C-372/04,
U predmetu C-372/04,
REFERENCE for a preliminary ruling under Article 234 EC from the Court of Appeal (England and Wales) (Civil Division) (United Kingdom), made by order of 12 July 2004, received at the Court on 27 August 2004, in the proceedings
povodom zahtjeva za prethodnu odluku na temelju članka 234. UEZ-a, koji je uputio Court of Appeal (England & Wales) (Civil Division) (Ujedinjena Kraljevina), odlukom od 12. srpnja 2014. koju je Sud zaprimio 27. kolovoza 2004., u postupku
The Queen, on the application of:
The Queen, prema zahtjevu:
Yvonne Watts
Yvonne Watts
v Bedford Primary Care Trust,
protiv Bedford Primary Care Trust,
Secretary of State for Health,
Secretary of State for Health,
composed of V. Skouris, President, P. Jann, C.W.A. Timmermans and A. Rosas, Presidents of Chambers, R. Schintgen, N. Colneric, K. Lenaerts (Rapporteur), J. Klučka, U. Lõhmus, E. Levits and A. Ó Caoimh, Judges,
u sastavu: V. Skouris, predsjednik, P. Jann, C.W.A. Timmermans i A. Rosas, predsjednici vijeća, R. Schintgen, N. Colneric, K. Lenaerts (izvjestitelj), J. Klučka, U. Lõhmus, E. Levits i A. Ó Caoimh, suci,
having regard to the written procedure and further to the hearing on 4 October 2005,
uzimajući u obzir pisani postupak i nakon rasprave održane 4. listopada 2005.,
– Mrs Watts, by R. Gordon QC and J. Hyam, Barrister,
– za Y. Watts, R. Gordon, QC i J. Hyam, barrister,
– the United Kingdom Government, by E. O’Neill and S. Nwaokolo, acting as Agents, D. Lloyd-Jones QC, D. Wyatt QC and S. Lee, Barrister,
– za vladu Ujedinjene Kraljevine, E. O’Neill i S. Nwaokolo, u svojstvu agenata, uz asistenciju D. Lloyd-Jones, QC, D. Wyatt, QC i S. Lee, barrister,
– the Belgian Government, by M. Wimmer, acting as Agent,
– za belgijsku vladu, M. Wimmer, u svojstvu agenta,
– the Spanish Government, by E. Braquehais Conesa and J.M. Rodríguez Cárcamo, acting as Agents,
– za španjolsku vladu, E. Braquehais Conesa i J. M. Rodríguez Cárcamo, u svojstvu agenata,
– Ireland, by D. O’Hagan, acting as Agent, and N. Travers BL,
– za Irsku, D. O’Hagan, u svojstvu agenta, uz asistenciju N. Travers, BL,
– the Maltese Government, by S. Camilleri, acting as Agent, and S. Mifsud, avukat,
– za maltešku vladu, S. Camilleri, u svojstvu agenta, uz asistenciju S. Mifsud, avukat,
– the Polish Government, by P. Sadowy, acting as Agent,
– za poljsku vladu, P. Sadowy, u svojstvu agenta,
– the Swedish Government, by K. Norman and A. Kruse, acting as Agents,
– za švedsku vladu, K. Norman i A. Kruse, u svojstvu agenata,
– the Commission of the European Communities, by D. Martin and N. Yerrell, acting as Agents,
– za Komisiju Europskih zajednica, D. Martin i N. Yerrell, u svojstvu agenata,
after hearing the Opinion of the Advocate General at the sitting on 15 December 2005,
nakon saslušanja prijedloga odluke nezavisnog odvjetnika na raspravi održanoj 15. prosinca 2005.,
"1 This reference for a preliminary ruling concerns the interpretation of Articles 48 EC to 50 EC and Article 152(5) EC, as well as Article 22 of Council Regulation (EEC) No 1408/71 of 14 June 1971 on the application of social security schemes to employed persons, to self-employed persons and to members of their families moving within the Community, as amended and updated by Council Regulation (EC) No 118/97 of 2 December 1996 (OJ 1997 L 28, p. 1; ‘Regulation No 1408/71’)."
1 Zahtjev za prethodnu odluku odnosi se na tumačenje članaka 48. do 50. UEZ-a i članka 152. stavka 5. UEZ-a, kao i članka 22. Uredbe Vijeća (EEZ) br. 1408/71 od 14. lipnja 1971. o primjeni sustava socijalne sigurnosti na zaposlene osobe, samozaposlene osobe i članove njihovih obitelji koji se kreću unutar Zajednice, kako je izmijenjena i ažurirana Uredbom Vijeća (EZ) br. 118/97 od 2. prosinca 1996. (SL L 28, str. 1., u daljnjem tekstu: Uredba br. 1408/71) (SL, posebno izdanje na hrvatskom jeziku, poglavlje 5., svezak 7., str. 7.-235.).
2 The reference was made in the course of proceedings arising from the refusal of Bedford Primary Care Trust (‘Bedford PCT’) to reimburse the cost of hospital treatment received in France by Mrs Watts, who resides in the United Kingdom.
2 Zahtjev je upućen u okviru spora koji je nastao zbog odbijanja Bedford Primary Care Trust (u daljnjem tekstu: Bedford PCT) da nadoknadi troškove bolničkog liječenja koje je u Francuskoj dobila Y. Watts, britanska državljanka.
3 Article 22 of Regulation No 1408/71, entitled ‘Stay outside the competent State – Return to or transfer of residence to another Member State during sickness or maternity – Need to go to another Member State in order to receive appropriate treatment’, states:
3 Članak 22. Uredbe br. 1408/71 pod naslovom „Privremeno boravište izvan nadležne države – povratak u ili promjena boravišta u drugu državu članicu za vrijeme bolesti ili majčinstva – potreba za odlaskom u drugu državu članicu radi odgovarajućeg liječenja" navodi:
‘1. An employed or self-employed person who satisfies the conditions of the legislation of the competent State for entitlement to benefits, taking account where appropriate of the provisions of Article 18, and:
"1. Zaposlena osoba ili samozaposlena osoba koja ispunjava uvjete zakonodavstva nadležne države za ostvarivanje davanja uzimajući, prema potrebi, u obzir odredbe članka 18. i:
(c) who is authorised by the competent institution to go to the territory of another Member State to receive there the treatment appropriate to his condition,
(c) koju je nadležna ustanova ovlastila za odlazak na državno područje [druge] države članice kako bi tamo dobila odgovarajuće liječenje,
shall be entitled:
ima pravo na:
"(i) to benefits in kind provided on behalf of the competent institution by the institution of the place of stay ... in accordance with the provisions of the legislation which it administers, as though he were insured with it; the length of the period during which benefits are provided shall be governed, however, by the legislation of the competent State;"
"(i) davanja u naravi u korist nadležne ustanove koje pruža ustanova mjesta privremenog boravišta ili boravišta u skladu s odredbama zakonodavstva koje primjenjuje, kao da je tamo osigurana; trajanje razdoblja za vrijeme kojeg se pružaju davanja ravna se pak prema zakonodavstvu nadležne države; [...] 2. [...]"
... 2. ... The authorisation required under paragraph 1(c) may not be refused where the treatment in question is among the benefits provided for by the legislation of the Member State on whose territory the person resides and where he cannot be given such treatment within the time normally necessary for obtaining the treatment in question in the Member State of residence taking account of his current state of health and the probable course of his disease.
Suglasnost potrebna na temelju stavka 1. točke (c) ne mora biti odbijena ako to liječenje spada [ulazi] u davanja koja pruža zakonodavstvo države članice na čijem državnom području je dotična osoba imala boravište i tamo gdje ne može ostvariti liječenje u vremenskom razdoblju potrebnom za poduzimanje takvog liječenja u državi članici boravišta, uzimajući u obzir njezino trenutačno zdravstveno stanje i vjerojatni tijek bolesti.
4 As is apparent from Decision No 153 (94/604/EC) of the Administrative Commission of the European Communities on Social Security for Migrant Workers of 7 October 1993 on the model forms necessary for the application of Council Regulations (EEC) No 1408/71 and (EEC) No 574/72 (E 001, E 103 to E 127) (OJ 1994 L 244, p. 22), Form E 112 is the certificate necessary for the application of Article 22(1)(c)(i) of Regulation No 1408/71.
4 Kako proizlazi iz Odluke br. 153 (94/604/EZ) Administrativne komisije Europskih zajednica o socijalnoj sigurnosti radnika migranata od 7. listopada 1993. o obrascima modela nužnim za primjenu Uredbe Vijeća (EEZ) br. 1408/71 i (EEZ) br. 574/72 (E 001, E 103 do E 127) (SL L 244, str. 22.), obrazac E 112 je potvrda potrebna za primjenu članka 22. stavka 1. točke (c) alineje (i) Uredbe br. 1408/71.
5 The National Health Service Act 1977 (‘the NHS Act’) states that the Secretary of State for Health is required to provide a National Health Service in England and Wales.
5 Zakon iz 1977. o nacionalnoj zdravstvenoj službi (National Health Service Act 1977, u daljnjem tekstu: NHS Act) predviđa da ministar zdravlja treba osigurati nacionalnu zdravstvenu službu u Engleskoj i Walesu.
6 That duty is laid down in sections 1 and 3 of the NHS Act, which are worded as follows:
6 Ova se obveza navodi u člancima 1. i 3. NHS Acta, koji glase kako slijedi:
‘Section 1
„Članak 1.
1. (1) It is the Secretary of State’s duty to continue the promotion in England and Wales of a comprehensive health service designed to secure improvement
1. (1) Ministar je dužan u Engleskoj i Walesu promicati sveobuhvatnu zdravstvenu službu čija je namjena osigurati poboljšanje
(a) in the physical and mental health of the people of those countries, and
(a) tjelesnog i duševnog zdravlja državljana tih zemalja, i
(b) in the prevention, diagnosis and treatment of illness, and for that purpose to provide or secure the effective provision of services in accordance with this Act.
(b) sprečavanja, dijagnoze i liječenja bolesti, te u tu svrhu priskrbiti ili osigurati učinkovito pružanje usluga u sladu s ovim zakonom.
(2) The services so provided shall be free of charge except in so far as the making and recovery of charges is expressly provided for under any enactment, whenever passed.
(2) Tako pružene usluge su besplatne osim u slučaju kada su plaćanje i povrat troškova izričito predviđeni na temelju nekog zakona, bez obzira na vrijeme njegovog donošenja.
Section 3
Članak 3.
3. (1) It is the Secretary of State’s duty to provide throughout England and Wales, to such extent as he considers necessary to meet all reasonable requirements,
3. (1) Ministar je dužan osigurati na čitavom državnom području Engleske i Walesa, u mjeri u kojoj to smatra potrebnim za zadovoljenje svih razumnih zahtjeva,
"(a) hospital accommodation;"
"(a) bolničku infrastrukturu;"
"(b) other accommodation for the purpose of any service provided under this Act;"
"(b) drugu infrastrukturu u svrhu pružanja bilo koje usluge predviđene ovim zakonom;"
"(c) medical, dental, nursing and ambulance services;"
"(c) medicinsku, stomatološku i njegovateljsku službu, te službu hitne pomoći;"
"(d) such other facilities for the care of expectant and nursing mothers and young children as he considers are appropriate as part of the health service;"
"(d) svu drugu infrastrukturu za brigu o trudnicama i dojiljama te dojenčadi koju smatra primjerenom u okviru zdravstvene službe;"
"(e) such facilities for the prevention of illness, the care of persons suffering from illness and the aftercare of persons who have suffered from illness as he considers are appropriate as part of the health service;"
"(e) svu infrastrukturu za sprečavanje bolesti, skrbi o oboljelima i naknadnoj skrbi o oboljelima koju smatra primjerenom u okviru zdravstvene službe;"
(f) such other services as are required for the diagnosis and treatment of illness.’
(f) sve druge usluge potrebne za dijagnosticiranje i liječenje bolesti.”
7 According to the information provided by the order for reference, the National Health Service (‘NHS’) has the following principal characteristics.
7 Prema informacijama navedenim u zahtjevu za prethodnu odluku, nacionalna zdravstvena služba (National Health Service, u daljnjem tekstu: NHS) ima sljedeće glavne značajke.
8 Hospital care is provided free of charge by the relevant NHS bodies to all persons ordinarily resident in the United Kingdom, on a non-profit-making basis.
8 Bolničku skrb besplatno pružaju relevantne ustanove NHS-a svim osobama s uobičajenim boravištem u Ujedinjenoj Kraljevini na neprofitnoj osnovi.
9 Treatment is funded directly by the State, essentially from general taxation revenue which is apportioned by central government between the various Primary Care Trusts (‘PCTs’) according to the relative needs of the populations of the geographical area covered by them.
"9 Takvo liječenje izravno financira država, u bitnome iz prihoda od oporezivanja koje vlada raspoređuje različitim zavodima osnovnog zdravstvenog osiguranja (Primary Care Trusts; u daljnjem tekstu: PCT) sukladno odgovarajućim potrebama stanovništva njihovog zemljopisnog područja."
10 No employee or employer contributions are payable. No patient co-payments are charged.
10 Ni radnik ni poslodavac ne uplaćuju nikakve doprinose u NHS. Nikakva suplaćanja pacijenta se na zaračunavaju.
11 There are no national lists of medical benefits to be provided.
11 Ne postoje nacionalni popisi medicinskih davanja koje treba osigurati.
12 Access to hospital treatment is generally dependent on referral by a general practitioner.
12 Upućivanje na bolničko liječenje u pravilu ovisi o odluci liječnika obiteljske medicine.
13 As the budget allocated by the government to the NHS is not sufficient to allow for the swift provision of treatment to all patients, regardless of urgency, the NHS makes use of the available resources by setting priorities, which results in some quite lengthy waiting lists for less urgent treatment. NHS bodies determine, within the limits of the budgetary provision made available to them, the weighting of clinical priorities within national guidelines.
13 S obzirom da proračun koji vlada dodjeljuje NHS-u nije dovoljan da se svim pacijentima omogući brza medicinska skrb, bez obzira na hitnost, NHS se koristi raspoloživim sredstvima određujući prioritete, što dovodi do poprilično dugih lista čekanja za liječenje za manje hitne slučajeve. Tijela NHS-a određuju, u granicama proračuna koji im je dodijeljen, ponderiranje kliničkih prednosti u okviru nacionalnih smjernica.
14 The waiting lists are intended to ensure the provision of hospital care in accordance with priorities and decisions made by the NHS bodies as to the use of available resources and to maintain fairness between patients who require hospital treatment for differing conditions and with different degrees of urgency.
14 Liste čekanja namijenjene su, s jedne strane, osiguranju ostvarivanja bolničke skrbi u skladu s prioritetima i odlukama tijela NHS-a s obzirom na korištenje raspoloživih sredstava i, s druge strane, očuvanju jednakosti među pacijentima kojima je potrebno bolničko liječenje zbog različitih zdravstvenih problema i prema različitim stupnjevima hitnosti liječenja.
15 NHS patients are not entitled to receive a specific treatment at a specific time. The type, location and timing of hospital treatment are determined on the basis of clinical priority and the resources of the relevant NHS body, and not the choice of the patient. Decisions of the NHS bodies can be challenged by judicial review, but such challenges usually fail.
15 Pacijenti u okviru NHS-a nemaju pravo na posebno liječenje u određenom trenutku. Priroda, mjesto i vrijeme bolničkog liječenja određuju se na osnovi kliničke prednosti i sredstava dotičnog tijela NHS-a, a ne prema izboru pacijenta. Na odluke tijela NHS-a mogu se uložiti tužbe sudskim putem, ali takve se tužbe najčešće odbacuju.
16 Given that NHS treatment is provided free of charge, the question of its reimbursement does not arise and is not regulated. Therefore there is no set tariff for reimbursement in United Kingdom legislation.
16 S obzirom da je liječenje u okviru NHS-a besplatno, pitanje nadoknade troškova liječenja pacijentu se ne pojavljuje i nije regulirano. Stoga u zakonodavstvu Ujedinjene Kraljevine ne postoji određena tarifa za nadoknadu troškova.
17 NHS patients are not entitled to obtain hospital treatment in the private sector in England and Wales at the expense of the NHS.
17 Pacijenti u okviru NHS-a nemaju pravo na bolničko liječenje u privatnom sektoru u Engleskoj i Walesu na trošak NHS-a.
18 PCTs are statutory bodies established under section 16A of the NHS Act, as inserted by section 2 of the Health Act 1999 and amended by the National Health Service Reform and Health Care Professions Act 2002. Their membership is determined in accordance with regulations. Some of their members are appointed by the Secretary of State for Health. The role of PCTs is to manage and deliver healthcare locally, including general medical services. All areas of England are covered by a PCT. In each financial year, the Secretary of State pays the different PCTs an amount, which is subject to a cash limit, designed to cover expenditure on hospital treatment and administration costs.
18 PCT su javne ustanove osnovane na temelju članka 16A. NHS Acta, kako je bio umetnut s člankom 2. Zakona o zdravlju iz 1999. (Health Act 1999) i izmijenjen Zakonom o reformi nacionalne zdravstvene službe i djelatnika u zdravstvu iz 2002. (National Health Service Reform and Health Care Professions Act 2002). Članstvo u njima određuje se u skladu s propisima. Neke njihove članove imenuje ministar. Uloga PCT-ova je planiranje i osiguranje zdravstvene skrbi na lokalnoj razini, uključujući usluge opće medicine. Svaka regija je pod okriljem jednog PCT-a. Svake financijske godine ministar zdravlja dodjeljuje različitim PCT-ima maksimalni iznos namijenjen pokrivanju troškova bolničkog liječenja i općih troškova.
19 ‘NHS trusts’ are separate legal bodies, which were set up under the National Health Service and Community Care Act 1990. Section 5(1) of that Act, as amended by section 13 of the Health Act 1999, provides that the purpose of the NHS trusts is to provide goods and services within the framework of the NHS. The functions of the trusts are conferred by ministerial order. Nearly all UK hospitals are run by an NHS trust. NHS trusts receive their funding through payments made by PCTs in respect of the treatments and medical services commissioned by them.
19 „Trustovi NHS” su zasebne pravne osobe, osnovane na temelju Zakona iz 1990. o nacionalnoj zdravstvenoj službi i skrbi u zajednici (National Health Service and Community Care Act 1990). Članak 5. stavak 1. toga Zakona, kako je izmijenjen člankom 13. Zakona o zdravlju iz 1999., predviđa da je svrha trustova NHS osigurati robu i usluge u okviru NHS-a. Funkcije tih trustova dodjeljuju se odlukom ministra. Gotovo svim britanskim bolnicama upravlja trust NHS. Trustovi NHS financiraju se putem uplata PCT-a s obzirom na liječenja i zdravstvene usluge koje naručuju.
20 The relationship between PCTs and NHS trusts is based, by virtue of section 4 of the 1990 Act, on a system of ‘NHS contracts’, which are not contracts enforceable at law, but which have attaching to them a special form of internal arbitration by the Secretary of State. NHS contracts generally record agreement as to the amount of services anticipated and their relative funding.
20 Na temelju članka 4. Zakona iz 1990., suradnja između PCT-a i trustova NHS temelji se na sustavu „ugovora NHS”, koji nisu pravosnažni ugovori, već sadržavaju poseban oblik unutarnje arbitraže pred nadležnim ministrom. Ugovori NHS su u pravilu oblikovani na osnovi sporazuma o količini predviđenih usluga i njihovom odgovarajućem financiranju.
21 PCTs and NHS trusts are not profit-making bodies. Any budget which is allocated, but not spent, can in some circumstances be carried forward. Otherwise, it must be returned to central government.
21 PCT-ovi i trustovi NHS su neprofitna tijela. Sva dodijeljena proračunska sredstva koja nisu potrošena mogu se u određenim okolnostima prenijeti u sljedeće razdoblje. U protivnom, trebaju se vratiti vladi.
22 Patients not ordinarily resident in the United Kingdom may receive medical treatment under the NHS, though in principle not free of charge. The NHS (Charges to Overseas Visitors) Regulations 1989 provide for the making and recovery of charges for NHS treatment provided to overseas visitors. The PCTs are required to provide such treatment unless the patient satisfies any of the exemption criteria in those regulations. Those regulations provide exceptions inter alia for treatment within hospital accident and emergency departments, and to reflect the rights of persons insured in other Member States.
22 Pacijenti koji nemaju uobičajeno boravište u Ujedinjenoj Kraljevini mogu dobiti liječenje u okviru NHS-a, u načelu uz naknadu. Uredbom NHS-a iz 1989. o naplaćivanju troškova pacijentima iz stranih zemalja [NHS (Charges to Overseas Visitors) Regulations 1989] predviđeni su načini plaćanja i povrata troškova liječenja takvim pacijentima u okviru NHS-a. PCT-ovi su dužni osigurati takvo liječenje osim ako pacijent zadovoljava bilo koje kriterije izuzimanja navedene u toj uredbi. Ova uredba predviđa između ostaloga izuzimanja, s jedne strane, za liječenja u okviru bolničkih odjela za nesreće i hitne službe i, s druge strane, za poštovanje prava osoba koje su socijalno osigurane u drugoj državi članici.
23 The order for reference states that since Regulation No 1408/71 is directly applicable in all Member States there is no legislation implementing it in the United Kingdom. An NHS patient ordinarily resident in the United Kingdom may receive hospital treatment in another Member State pursuant to Article 22(1)(c) of that regulation, in which case reimbursement of the costs associated with that treatment is made in accordance with that regulation directly to the competent institution in the Member State in which the treatment was obtained at the rate of reimbursement applicable in that Member State.
23 Iz zahtjeva za prethodnu odluku proizlazi da s obzirom da se Uredba br. 1408/01 izravno primjenjuje u svim državama članicama, ona nije bila predmet provedbenih mjera u britanskom pravu. Pacijent NHS-a s uobičajenim boravištem u Ujedinjenoj Kraljevini može ostvariti bolničko liječenje u drugoj državi članici u skladu s člankom 22. stavkom 1. točkom (c) navedene uredbe. U takvom slučaju nadoknada troškova povezanih s takvim liječenjem provodi se u skladu s tom uredbom izravno u korist nadležne institucije države članice u kojoj je liječenje obavljeno po stopi nadoknade troškova koja se primjenjuje u toj državi članici.
24 Suffering from arthritis of the hips, Mrs Watts made enquiries of Bedford PCT as to the possibility of her undergoing surgery abroad under the E 112 scheme.
24 Y. Watts, koja je patila od artritisa kukova, raspitivala se u Bedford PCT-u o mogućnosti operacije u inozemstvu u okviru obrasca E 112.