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The NHS and the eligibility for free healthcare in UK
June 21, 2015
11:36 am
VIP Member
Forum Posts: 276
Member Since:
April 28, 2015
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Multumes, Ella.
E cam cum banuiam si e normal sa fie asa.
Oricum sunt surprinsa ca accesibilitatea la seevicii medicale a unui non(long term) rezident este relativ facila.
Am fost uimita insa cand am auzit in jur comentarii revoltate ale unor persoane venite in UK de putina vreme, carora li s-au refuzat interventii elective. Erau suparati ca nu li se acorda drepturi. N-as vrea sa interpreteze cineva ca sunt lipsita de empatie si umanitate, dar nu cred ca exista vreun sistem in lumea asta sa poata suporta, financiar vorbind, accesul liber si egal al tuturor la sanatate. E firesc sa protejezi intai proprii-ti rezidenti.

Monica

June 21, 2015
9:40 am
ella carmaciu
Guest

Draga Monica, din pacate (sau din fericire) termenul de "ordinarily resident" care este foarte important pentru accesul la free healthcare nu este foarte clar in UK si poate fi atacat in curte si cred ca are sanse bune de succes pentru un roman care vine sa locuiasca la rude. Inteleg ca aceasta definitie se aplica de la caz la caz cand se discuta daca o persoana este eligible pentru NHS funding si in functie de cat de costisitoare pare problema.
Orice roman care vine in UK are dreptul la urgent care. Pentru a fi inregistrat cu un GP trebuie sa declari ca intentionezi sa stai mai mult de 3 luni. Cine intentioneaza sa stea in UK pentru mai putin de 3 luni poate fi inscris ca "temporary patient".
Intrarea in sistemul gratuit NHS pentru accesarea de ingrijiri gratuite pe termen lung nu se poate face decat prin trimitere de la un NHS GP.
GPul are obligatia de a asigura ingrijiri medicale atat pentru temporary cat si pentru registered patients, dar are si datoria de a tine cheltuielile NHSului local sub control. GPii sunt sub constant scrutiny de catre autoritatile sanitare locale (care acum sunt conduse de catre GP).
Deci ce este urgent nu este o problema, insa ceea ce este un pic non-urgent iar pacientul vrea trimitere la specialist va fi destul de probabil ca GPul va refuza. De exemplu, daca mama ta vine sa stea la tine pentru doua luni si i se termina medicatia, poate merge ca temporary patient la GPul tau cu cutia goala de medicamente si acesta ii va da o reteta NHS. Mentionez ca decizia de a scrie reteta este la latitudinea GPului. El/ea va prescrie doar daca medicatia ceruta face parte din medicatia obisnuita a GPului in UK si daca situatia clinica a pacientului din fata lui face sens.
Insa, daca mama ta are o durere la genunchi si vrea sa isi faca in UK un knee replacement, GPul va refuza trimiterea la specialist in acest scop pentru un temporary patient.
Insa daca mama dovedeste ca este in UK pentru o perioada mai lunga, probabil 6 luni ar fi ok, si ca intentioneaza sa stea cu tine ca sa aiba grija de copilul tau pentru cativa ani, atunci ar beneficia si de knee replacement ori orice alt treatment sau investigatie NHS care este considerata non-urgent.
Mama trebuie sa aiba cu ea pasaportul si cardul european de sanatate.
Totusi, mai exista si multe situatii care sunt mai complexe si care sunt analizate de autoritatea medicala locala cand este necesar.
Ma bucur sa iti raspund cu parerea mea personala daca mai ai intrebari.

June 20, 2015
2:49 pm
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Forum Posts: 276
Member Since:
April 28, 2015
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Ella, stii cumva care ar fi definitia pentru "visitors"?
Am prieteni ai caror parinti, desi nu locuiesc in UK, sunt inscrisi aici la GP si, prin urmare, eligibili sa primeasca ingrijiri medicale in mod gratuit (e surprinzator ca NHS-ul e mai permisiv decat sistemul romanesc; acolo trebuie sa platesti spitalizarea/consultatia daca nu esti cetatean roman sau asigurat in sistem).
Concret: daca o aduc pe mama sa stea doua luni aici si o inscriu la GP, se cheama ca e visitor sau rezident?

Multumesc,
Monica

June 20, 2015
1:50 pm
ella carmaciu
Guest

http://www.nhs.uk/NHSEngland/A.....u-eea.aspx

Visitors from the EU/EEA

If you are a visitor from the European Economic Area (EEA) then you are strongly advised to bring a valid European Health Insurance Card (EHIC) with you, otherwise you may be charged for your healthcare.
Your EHIC lets you get state healthcare at a reduced cost or sometimes free. It will cover you for treatment that is needed to allow you to continue your stay until your planned return. It also covers you for treatment of pre-existing medical conditions and for routine maternity care, as long as you're not going abroad to give birth.
Bear in mind that the UK’s healthcare system may be different from your home country’s and therefore your EHIC might not cover everything that you would expect to get free in your country.
Also, the EHIC is not an alternative to travel insurance. It will not cover any private medical healthcare or costs such as mountain rescue in ski resorts, being flown back home, or lost or stolen property. Therefore, it is important to have both an EHIC and a valid private travel insurance policy.
If your EHIC has been lost or stolen whilst visiting England, you should speak to the relevant organisation in your home country about a Provisional Replacement Certificate (PRC).

The following sections will help you when accessing health services in England:
NHS services explained
Help with health costs
Find services near you
Your choices in the NHS
Planned treatment in England

If you are coming to England for planned treatment, you will need to make arrangements yourself in advance. Planned treatment is not covered by the EHIC and unless you have valid documentation (for example an S2 form), you may be charged for your treatment. You may be eligible for reimbursement, but this will depend on the treatments available to you in your country of residence. For more information about entitlements and funding for planned treatment in your circumstances, please contact the relevant organisation in your home country.

These general tips can be useful to anyone considering treatment outside their home country:
The risks of treatment abroad
Cosmetic surgery abroad
Photodynamic therapy (PDT), 'next-generation' PDT and sonodynamic therapy

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