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Providing treatment for patients from abroad

Basic information relating to the eligibility for primary care treatment for visitors from overseas is contained in Health Service Circular HSC 1999/018, although this has been modified by subsequently issued DoH guidelines.

There are two types of overseas visitors - those on holiday or short visits of up to 6 months, and those who can be classed as 'ordinarily resident', i.e. in the UK for more than 6 months.

Those in the UK for up to 6 months from anywhere worldwide are entitled to free primary care treatment that a GP or other clinician determines is "immediately necessary". Persons visiting from the European Economic Area are also entitled to free routine or ongoing primary care services provided they can produce a Form E112, E119, E128 or the new EHIC (European Health Insurance Card); or a passport only for Irish nationals.

Those persons who satisfy the 'ordinarily resident' rules are entitled to free primary care, and this includes asylum seekers and refugees (for whom there are no residency time limits).

Practices can accept an overseas visitor for primary care treatment as a temporary resident (typically for short-term visitors), or can accept visitors onto the Practice's list (this would usually be the case for visitors who satisfy the 'ordinarily resident' rules). Practices can provide, on a private fee basis, any treatment to which visitors are not entitled to receive free of charge.

The most up to date guidance is contained in the following documents:

BMA/GPC guidance: Treatment of overseas visitors (April 2006)

DoH Guidance: EU enlargement and overseas visitors' rights to primary care treatment in the UK

Providing treatment for patients from abroad (Scotland)
This document is available: http://www.scotland.gov.uk/Publications/2008/03/14162503/0

There is a draft Patients from abroad (entitlements to treatment) procedure in the Patient & Community Services index of the Members Library. If you are not a Member, click here for information about the benefits of membership and how to subscribe.

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Asylum seekers and refugees

Information about providing treatment for asylum seekers and refugees