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Patients Travelling Abroad - FAQs

Provision of medical care

European Health Insurance Card (EHIC)

By law, the NHS ceases to have responsibility for the medical care of patients when they leave the UK.

As part of Brexit the UK and the EU agreed that the EHIC cards can still be used until their expiry dates.

It is anticipated that the government will issue a new Global Health Insurance Card (GHIC) which will replace the EHIC for the majority of UK citizens.

Global Health Insurance Card (GHIC)

  • The GHIC is free of charge
  • The GHIC will not be valid in Norway, Iceland, Liechtenstein or Switzerland.
  • The government website says that the GHIC is not an alternative to travel insurance  and everyone is advised to purchase travel insurance which includes health cover
  • GHIC and the EHIC do not cover any private medical healthcare such as mountain rescue in ski resorts or being flown back to the UK
  • Every family member requires a GHIC. You can make an application for yourself and on behalf of your partner and any dependent children under the age of 16.
  • Under the age of 16, a parent or guardian will need to apply.
  • Boarding school teaching staff can apply on behalf of any children in their care
  • If someone is planning to study in an EU country, they need to apply for a GHIC that’s time limited to the length of their course. You cannot apply for this online. They also need a letter from their university or college

 

What the GHIC covers

“You can use a GHIC to get "necessary healthcare" from state services when visiting an EU country.

Necessary healthcare means healthcare which becomes medically necessary during your stay, and you cannot reasonably wait until you’re back in the UK to get it.

This includes things like:

Healthcare in non-EU countries

The UK has reciprocal health deals with for example Australia and New Zealand, under which visitors can receive urgent treatment at a reduced cost or for free but do not cover pre-existing conditions. Everyone is advised to check their travel policies depending on their travel destination.

 

Travel advice during Covid

  • The GOV.uk web site provides up to date travel advice including,
  • Foreign travel advice for each country, people can sign up for email alerts
  • Travel health advice for travellers NaTHNaC -
  • Current Red list travel ban countries

 

Covid passport

There have been no official announcements yet as to whether travellers will need to provide evidence that they have had both doses of the Covid vaccine. It has been suggested that the NHS app could be used as a Covid passport for travel.

A decision on international travel will be made on May 17th when the government are likely to announce a ‘traffic light’ system for travel to categorise different destinations. The advice is also likely to include which countries UK residents can travel to without needing to quarantine though it is likely that they will still be required to undergo a Covid test prior to departure and on return to the UK.

We need to avoid the expectation that people can secure evidence of vaccination or testing by obtaining a letter from their GP practice.

Prescriptions for patients travelling out of the country

Patients should be advised to check specific entitlements prior to travel.

As GPs you do need to be aware of your responsibilities in signing FP10's for patients' travelling abroad, i.e., the resultant monitoring and treatment of the patient's condition and any adverse effects of doing so.

You may be committing fraud in prescribing to patients that are leaving the UK - please note this information carefully.

Travelling with Prescribed & Controlled Drugs

The rules concerning travellers who are carrying prescribed drugs controlled under Schedules 1, 2, 3 and 4 Part 1 of The Misuse of Drugs Regulations 2001 changed. 

Historically until December 2007, those travelling for a period of up to 28 days were automatically covered under the provisions of a Home Office general, or blanket, licence - irrespective of the amount of drug they had been prescribed to cover such a period.

For periods longer than 28 days the patient needed to apply for and be in possession of an individual licence.

As from January 2008 the validity of this Home Office general licence was extended to a period of up to three months.

Any person whose absence from the UK is likely to be longer than three months will, in normal circumstances, be expected to make arrangements to have their medication prescribed by a practitioner in the country they are visiting.

Travellers in possession of prescribed controlled drugs are strongly advised to carry a letter of confirmation from their doctor or drug worker. The letter should include:

Further information is available on https://www.gov.uk/travelling-controlleddrugs

GOV.UK Controlled drugs list

Advice for patients whilst abroad

Patients travelling abroad may contact their practice for a variety of reasons. This may include:

Any requests for information from the medical records should be handled in accordance with GDPR.

If a patient cannot consent, then the GP may have to decide if they feel that the transfer of information is in the persons best interest. BMA

There is no reason why a practice cannot deal with administrative requests such as repeat prescription ordering or appointment booking pending the patients return home.

Where a patient is requesting medical advice while abroad it is very important that clinicians are aware of the risks associated with giving such advice. MDU GMC

As well as the difficulties of adequately assessing the patient to make a proper diagnosis, it is likely that the clinician would not be covered in terms of medical indemnity if actions were taken against them in another country where harm had arisen because of their provision of advice. Please check with your indemnifiers for further clarification. BMA

Because of this, we would advise clinicians not to offer any medical advice to a patient who is overseas. They should instead be encouraged to seek local medical advice in the country in which they are travelling.

Useful links

 

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Updated on Wednesday, 5 May 2021 13647 views