Nothing new.Ten years ago, when my Mum lived in Montgomery, just on the Welsh side of the border.Her Doctor could not treat her so she went to Shrewsbury.The doctors there were quite open about the problems they had with Welsh patients as NHS Wales was notorious for late payments.
Think if your state tax paid for the hospitals and your treatment in your state only, and you go for treatment in the next state which has the same system, that state will bill your home state. Your home state then doesn't pay the bill, so the other state refuses to treat others from yours until they start coughing up what they owe.
The backstory is this has kicked off because the Welsh hospitals like my local one are only paying for patients at Welsh rates which are lower than the rates in England, and hence the Chester hospital thinks it's owned money
North Wales outpatients will no longer be able to access services at the Countess of Chester Hospital in a row over funding.
Rates for operations in NHS England are slightly higher than those in Wales and the chairman of the Countess of Chester Hospital NHS Foundation Trust, Sir Duncan Nichol, has previously said it is "not being paid for all its work".
It stopped non-emergency admissions from Wales on April 1, despite the Welsh Government saying negotiations on payment rates were still ongoing between them and their English counterparts.