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Pre-existing health conditions and the NHS: Moving to the UK from abroad

June 4, 2024

⛑️ Any new residents in the UK will have access to the NHS which will help manage any pre-existing medical conditions.

If you're relocating to the UK from abroad and have pre-existing health conditions, it can be daunting to not only manage your conditions outside of an environment that you're used to but also learn an entirely new healthcare system. The good news is that anyone living in the UK has access to the National Health Service (NHS) which provides free healthcare.

What to do to prepare for your move

Rest assured that once you're living in the UK your health conditions will be manageable through the NHS system. To get ready for this change, there are some things that every new Londoner with pre-existing conditions should do to prepare.

Get a copy of your health record

The best thing you can do to prepare to manage your pre-existing health conditions in the UK is to obtain a copy of your health record. Bringing comprehensive health records from your home country will help facilitate a smoother transition to the NHS.

Gather sufficient medication supplies

It's important to ensure you have a sufficient supply of your medication before you move to last at least a couple of months, this will give you plenty of time to get set up within the NHS system and register for a GP. Once you are registered with a GP, they can prescribe your medication. It’s helpful to bring a copy of your current prescriptions and any relevant medical documents.

Speak with your doctor

In the weeks before your move, be sure to speak with you doctor about your move and any complications that may arise when transitioning healthcare systems. This helps maintain continuity of care and ensures you're prepared for any medical needs in your new location.

Understanding the UK healthcare system

First and foremost, it's essential to have a good grasp of how the UK's system works for new residents.

The NHS

The NHS is the UK’s publicly funded healthcare system, providing comprehensive health services to residents. As a newcomer, you’ll likely have many questions about how to access care, especially for pre-existing conditions. The good news is that the NHS is equipped to handle a wide range of medical issues and offers excellent services for managing ongoing health conditions.

If you're moving to the UK on a visa, you'll have to pay the Immigration Health Surcharge (IHS) as part of your application. Paying the IHS means you have complete access to the NHS just like born British nationals do.

If you're moving to the UK with a British or Irish passport, you have full rights to access the NHS without needing to pay the IHS fees.

Registering with a GP

One of the first steps you should take upon arriving in the UK is to register with a General Practitioner (GP). GPs are the first point of contact for healthcare in the UK and play a crucial role in managing long-term health conditions.

  1. Choosing a GP: Find a local GP practice and check if they are accepting new patients.
  2. Registration process: You will need to fill out a registration form and provide proof of your address and identity. Some practices may also ask for your NHS number.
  3. Initial health check: Once registered, schedule an initial appointment to discuss your health history and any pre-existing conditions. Bring any medical records, prescriptions, and details of your treatment plans from your home country.

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Managing your pre-existing conditions

Even if you're moving to the UK with pre-existing health conditions, you will be allowed to use the NHS. You don't need any additional healthcare insurance, but have the option should you choose to do so.

NHS surcharges and access

The NHS is mostly free to access after paying the Immigration Health Surcharge (IHS) as part of your visa application. However, there are some important things to note:

  • GP services: Consultations with your GP, including routine check-ups and management of chronic conditions, are covered.
  • Hospital treatment: Access to hospital services, including specialist consultations and surgeries, is covered.
  • Prescriptions: While most NHS services are free at the point of use, prescription medications may incur a small fee. Certain categories of patients, such as those with specific chronic conditions, may qualify for free prescriptions.

Your new GP

Once you've registered for a GP in your new neighbourhood, your GP will become your primary contact for managing your healthcare conditions. GPs will be able to provide you with any specialist referrals that may be needed to help you manage your conditions.

Specialists and secondary care

For the most part, your GP (Primary care physician) will help you to manage any chronic conditions and provide referrals. If you need any specialist support or medical equipment (eg. insulin pumps), these are handled in the Secondary care hospital system.

Ongoing prescriptions and medical needs

If you move to England, ask for a medical exemption certificate when you register with a GP. This means you won’t pay for any prescriptions. In Wales, Northern Ireland, or Scotland, there are no prescription charges for anyone.

Travel insurance and health coverage

While the NHS provides comprehensive coverage, having travel insurance is advisable, especially for the initial period after your move. Travel insurance can cover unforeseen medical expenses and provide additional support in emergencies. Ensure your policy covers pre-existing conditions and includes adequate medical evacuation and repatriation coverage.

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