Insurance, choice of doctor and hospital in THE UK (LONDON)
In the United Kingdom, healthcare is primarily provided by the National Health Service (NHS), a publicly funded system that offers comprehensive medical services to all residents. However, with the rise of private healthcare and insurance options, individuals in London have more choices when it comes to selecting their doctors and hospitals. This article explores the significance of insurance and the freedom of choice in doctor and hospital selection for residents in the UK, specifically in London.
The Role of Insurance in the UK Healthcare System:
a. Understanding Private Health Insurance: Private health insurance is an optional supplement to the NHS, providing additional healthcare services and benefits. It allows individuals to access private hospitals, choose their doctors, and receive quicker consultations and treatments.
b. Coverage and Benefits: Private health insurance typically covers a range of services, including outpatient consultations, diagnostic tests, hospital stays, surgical procedures, and access to specialist consultants. It often provides shorter waiting times and more comfortable facilities.
Freedom to Choose a Doctor:
a. NHS General Practitioners: In the NHS system, patients are generally assigned a general practitioner (GP) within their local area. While patients may not have the freedom to choose their GP, they can request a change if dissatisfied. GPs act as the first point of contact and refer patients to specialists when needed.
b. Private Health Insurance and Specialist Consultants: With private health insurance, individuals can choose to bypass the GP referral process and directly access specialist consultants. This allows for more control over their healthcare journey and ensures timely access to the appropriate medical professional.
Hospital Choice:
a. NHS Hospitals: Under the NHS, patients are typically referred to NHS hospitals for specialized treatments. The choice of hospital may be limited based on geographical proximity or availability of specialized services.
b. Private Hospitals: Private health insurance grants individuals the freedom to choose from a wide range of private hospitals in London. These hospitals often offer state-of-the-art facilities, shorter waiting times, and a higher level of comfort. Patients can select a hospital based on reputation, expertise, and personal preferences.
Benefits of Choice in Doctor and Hospital Selection:
a. Personalized Care and Continuity: Choosing a doctor and hospital allows patients to establish a long-term relationship with their healthcare provider, promoting continuity of care. This personalized approach enhances trust, communication, and a deeper understanding of individual medical needs.
b. Reduced Waiting Times: One of the major advantages of private healthcare is significantly reduced waiting times for consultations, tests, and treatments. Private health insurance ensures prompt access to medical services, allowing patients to receive timely care.
c. Access to Specialist Expertise: Private health insurance enables individuals to access a vast network of specialist consultants. This choice empowers patients to seek second opinions or access specific specialists who have expertise in their medical condition.
d. Enhanced Comfort and Amenities: Private hospitals offer a more luxurious and comfortable environment, including private rooms, personalized services, and a higher staff-to-patient ratio. This can contribute to a better overall patient experience and aid in the healing process.
Considerations and Conclusion:
a. Cost and Affordability: Private health insurance comes at a cost, and it is essential to evaluate the affordability and value of the coverage provided. Factors such as premiums, deductibles, co-pays, and coverage limits should be carefully considered.
b. Balancing Public and Private Healthcare: While private health insurance offers benefits in terms of choice and convenience, it is important to recognize and support the NHS as the backbone of the UK healthcare system. Balancing public and private healthcare ensures equitable access to healthcare services for all.
Private health insurance provides residents with the freedom to select their preferred doctors and hospitals, resulting in personalized care, reduced waiting times, and access to specialist expertise. However, it is vital to strike a balance between public and private healthcare to maintain a robust and equitable healthcare system that caters to the needs of all UK residents
References:
NHS website: www.nhs.uk
Private Health Insurance: Understanding the Benefits and Choices. NHS Choices.
Private health insurance: What you need to know. Money Advice Service.
Understanding the Healthcare System in the UK
Accessing healthcare services in the UK involves understanding the functioning of the healthcare system, including doctors, dentists, emergency services, and more. UK residents are entitled to free healthcare through the National Health Service (NHS), funded by taxation. Additionally, private health insurance is available, offering benefits such as faster access to specialists, superior facilities, and reduced waiting times.
Overview of Healthcare in the UK
The Healthcare System in the UK
The UK boasts a publicly-funded healthcare system known as the National Health Service (NHS), distinct from healthcare systems in other countries due to its reliance on taxation instead of insurance. Alternatively, individuals can opt for private healthcare services, which constitute a smaller sector.
Each UK region has its own NHS body. Although this guide primarily focuses on healthcare in England, you can find more information about services in Scotland, Wales, and Northern Ireland on the respective websites of NHS Scotland, NHS Wales, and NHS Northern Ireland. The variations between regional health services mainly pertain to structural differences and service delivery methods.
NHS England, overseen by the Department of Health, is responsible for commissioning primary care services such as doctors, dentists, and pharmacists. Since 2013, Clinical Commissioning Groups (CCGs) have taken charge of commissioning secondary care services within local areas, including planned hospital care, rehabilitative care, urgent and emergency care, most community health services, as well as mental health and learning disability services.
Over the years, the NHS has undergone numerous structural changes, involving increased participation from private companies and charities in service provision. All services are publicly funded, with the government being ultimately accountable. However, in practice, there exists a public-private partnership in terms of delivery. The UK was ranked 16th on the 2018 Euro Health Consumer Index.
Eligibility for Healthcare in the UK
The NHS operates on a residence-based system rather than an insurance-based one. This implies that all UK residents, including expatriates, can access healthcare services free of charge. Individuals visiting the UK from a European Economic Area (EEA) country or Switzerland can presently receive free NHS care by presenting their European Health Insurance Card (EHIC). However, this arrangement is subject to change following the UK’s departure from the EU.
Non-EU/EEA/Swiss nationals who have settled in the UK and obtained indefinite leave to remain can access the NHS on the same basis as British citizens. Other non-EU/EFTA nationals can receive free emergency treatment and family planning services. However, to access additional services, they must obtain health insurance.
Since 2015, individuals from outside the EU/EEA/Switzerland staying in the UK for over six months must pay a health surcharge of at least £150-200. Those who have paid the surcharge, known as third-country nationals, can access NHS services on an equal footing with others. However, individuals who haven’t paid the surcharge and lack medical insurance will be charged at 150% of the standard NHS tariff for any care received. Exceptions apply if they come from a country with a reciprocal healthcare agreement with the UK or qualify for an exemption.
Healthcare Costs in the UK
The majority of NHS healthcare expenses are funded through direct taxation. In 2017, the UK allocated £197.4 billion to healthcare, which accounts for 9.6% of the annual GDP. Consequently, the UK ranks as the 10th largest healthcare spender in the EU/EEA/Switzerland in terms of GDP percentage.
Most services are provided free of charge to residents, but certain services incur fees. These include dental treatment charges, ranging from £22.70 for emergency treatment to £269.30 for Band 3 treatment, as well as prescription charges amounting to £9 per item.
Exemptions and Reductions in NHS Charges
Certain groups, such as low earners and individuals aged over 60, qualify for exemptions or reduced charges for NHS services. This applies to both dental and prescription costs.
Registering for Healthcare in the UK as an Expat
To register for healthcare in the UK, expatriates need to register with a general practitioner (GP). While you can choose your own GP practice, some practices may refuse patients who reside outside the local area or if the practice is at full capacity.
Registration takes place at the GP surgery, where you’ll need to complete the GMS1 form (also available here). The following documents are usually required:
Valid identification, such as a passport
Proof of address, like a UK utility bill
After registering, you’ll receive a medical card to document your appointments. The NHS website provides more information on the registration process, including details for temporary residents or those who are homeless.
Private Healthcare in the UK
Compared to other European countries, a relatively small percentage of UK citizens (around 10.5% of the population) choose to pay for private health insurance. However, private health insurance offers several advantages, particularly for urgent medical conditions or injuries.
Private patients can access specialists more quickly, experience shorter waiting times, and benefit from superior facilities. Private healthcare often includes private en-suite rooms instead of shared wards.
Some prominent health insurance companies in the UK include:
Allianz Care
Cigna Global
Private healthcare is available for individuals and families. Premiums are determined by the level of coverage, lifestyle, age, and pre-existing medical conditions.
Healthcare plans typically involve an excess, requiring you to pay a portion of the cost when using your insurance. Many UK employers offer subsidized or tax-only healthcare coverage as part of their benefits packages.
It’s also possible to pay for private healthcare on a one-off basis if you require specific treatments or surgeries with long waiting times on the NHS. However, this option can be costly, potentially amounting to thousands of pounds depending on the required treatment.
Doctors and Specialists in the UK
For non-emergency medical queries, your local general practitioner (GP) is the initial point of contact. GPs can provide assessments, offer advice for various illnesses and complaints, prescribe medication, and refer patients to specialists when necessary.
Most GP surgeries operate by appointment, although some also offer a ‘walk-in’ service for a limited period in the morning. Online booking services are available in many practices. GP hours are typically Monday to Friday, and for more urgent care, you can call an out-of-hours number or dial 111 for non-emergency advice.
GP appointments in the UK are usually short, lasting between 8-10 minutes, so it’s essential to be concise when discussing your health concerns. If a specialist referral is required, your GP will provide a referral letter. Waiting times for specialist appointments vary significantly across practices.
Women’s Healthcare in the UK
The NHS offers a range of healthcare services for women, accessible through GPs or well woman clinics. Services for women’s healthcare include:
Access to gynecology services
Free sexual health services
Free contraception
Maternity care services
IVF treatment for women under 40 meeting specific criteria
Screening programs for cervical and breast cancer
In most parts of the UK, abortion is legal if carried out within the first 24 weeks of pregnancy. There are stricter regulations in Northern Ireland, where abortion is permitted only if the mother’s life or health is at serious risk.
For information on childbirth and maternity care, refer to our guide on having a baby in the UK.
Children’s Healthcare in the UK
The NHS collaborates closely with local authority children’s services and various specialized agencies to provide healthcare services aimed at improving children’s health. Pediatricians are available through the NHS, and details about pediatric services can be found online. Registering your child with a family GP enables access to specialist children’s healthcare services when needed.
Community healthcare services for families and children are available through local Children’s Centers. NHS nurses and other children’s healthcare professionals offer care and advice on topics such as nutrition, healthy weight, and breastfeeding. Programs focusing on healthy eating, physical activity, and mental well-being are delivered through schools (e.g., Mytime Active).
The UK offers a free vaccination program for children, including:
6-in-1 vaccine (diphtheria, tetanus, whooping cough, polio, hepatitis B, and haemophilus influenzae type B)
Measles, mumps, and rubella (MMR) vaccine
Children’s flu vaccine
Find more information on children’s health in the UK and vaccinations in the UK in Expatica’s dedicated guides.
Dentists in the UK
Dental care in the UK is available through the NHS or privately, and both options usually involve costs. Free dental care is provided for individuals under 18 (or under 19 if in full-time education), pregnant women, and those who have given birth within the last 12 months.
The cost of dental care depends on the specific band of treatment required. In England, the structure is as follows:
First band (£22.70): Dental examinations and necessary scale and polish
Second band (£62.10): Includes fillings, root canal work, and tooth extractions
Third band (£269.30): Covers crowns, dentures, bridges, and laboratory work
Emergency treatment (£22.70): Includes emergency care like pain relief or temporary fillings
Price variations for dental care in the UK are significant across different regions. In Scotland, prices range from £5.00 to £157.60, while in Wales, they vary from £14.30 to £199.10. In Northern Ireland, prices range from £3.44 to £152.98. To access detailed pricing information for each country, please click on the respective links provided.
For a comprehensive overview of dental care in the UK, we recommend referring to our guide, which offers detailed information on this topic.
The healthcare system in the UK primarily relies on hospitals to provide secondary care services. In most cases, you will require a referral from your GP to receive non-emergency treatment at hospitals. There are two types of hospitals in the UK: NHS hospitals, which are free of charge, and independent hospitals operated by private companies or charities that typically charge for their services. NHS hospitals are managed by NHS Trusts.
General hospitals offer a wide range of services such as accident and emergency (A&E) care, maternity services, surgery, elderly care, and outpatient services. Additionally, there are specialized hospitals focusing on areas such as ophthalmology and orthopedics. For more detailed information, please consult our guide on hospitals in the UK.
Health centers and clinics across the UK play a vital role in providing accessible healthcare. Approximately 80 NHS walk-in centers operate throughout the country, ensuring year-round access to healthcare services outside of regular office hours. These centers are designed to address minor injuries and illnesses, although not all of them provide full GP services or treat young children. Services available at walk-in centers include treating infections, fractures, minor cuts requiring stitches or dressing, burns, bruises, as well as addressing issues like vomiting and diarrhea. To locate your nearest NHS walk-in center, please follow the provided link.
Pharmacies in the UK are easily accessible, often located in town centers or adjacent to GP surgeries. In addition to independent pharmacies, large retail stores and supermarkets like Boots and Tesco often have their own pharmacy services. Certain medications require a prescription from an NHS doctor, for which you may be charged a standard fee unless you are exempt. It’s important to note that prescription fees only apply to England, as Scotland, Wales, and Northern Ireland have abolished them. Pharmacies typically operate until late evening, with some larger city pharmacies providing 24-hour service. To find a local pharmacy, you can refer to the NHS website.
Mental healthcare in the UK has made significant progress compared to many other countries. However, a recent review by the NHS highlighted deficiencies in mental health services in England when compared to those for physical conditions. Studies indicate that 1 in 4 adults and 1 in 10 children in the UK experience mental illness. NHS provides free access to mental health services, which may require a referral from a GP or allow self-referral, depending on the specific service. Services available include psychological therapy and counseling, drug and alcohol support, children’s mental health services, and eating disorder services. For more information on available mental healthcare and how to access it, please visit the NHS website. Our informative guide on mental healthcare in the UK can also provide valuable insights.
Alternative therapies are available in the UK, although their availability through the NHS is limited. It is advisable to seek treatments from therapists affiliated with regulatory bodies such as the Federation of Holistic Therapists. Osteopathy, chiropractic treatment, acupuncture, reiki, and herbal medicine are among the various alternative therapies offered. Additionally, numerous charities are involved in delivering healthcare services in the UK, with some of them commissioned by the NHS. You can find a list of health charities by following the provided link. Our guide on alternative medicine in the UK offers further information on this topic.
In the event of an emergency, healthcare services in the UK are provided free of charge under health insurance. In case of an emergency, dial 999 to report the situation and request an ambulance if necessary. If you are able to do so, you can personally visit an Accident and Emergency (A&E) department at a hospital, which operates 24 hours a day. Upon admission to an NHS hospital, you will typically be placed in a specialized ward corresponding to your condition, with shared rooms for individuals of the same gender.
For additional resources and information, we recommend referring to the National Health Service (NHS) and relevant government departments such as the England NHS, Scotland NHS, Wales NHS, Northern Ireland Direct, and Department of Health. The Citizens Advice Bureau can also provide useful guidance.
UK Healthcare Facts: Despite criticisms regarding long waiting times and shortages of staff and supplies, a healthcare systems analysis conducted by the Commonwealth Fund health think tank found that the NHS is the best, safest, and most affordable among 11 affluent nations.
UK residents are entitled to receive NHS care, but they have the option to pay for private healthcare or use a combination of both.
GP (General Practitioner) serves as the primary point of contact for health-related matters for NHS patients. GP appointments are typically brief, lasting between 8 and 10 minutes. If specialized care is required, the GP will refer the patient to a specialist.
Free public healthcare is available in the UK even for non-residents. However, the UK’s healthcare system has faced challenges in recent years due to underfunding. A smaller private sector also exists for those who can afford it and choose to use it.
Pros and cons of the UK healthcare system include higher standard of care reported by patients compared to other systems, attributed to lower patient numbers and larger spending budgets. Consider these advantages and disadvantages if you are considering permanent relocation. As an NHS patient, you have access to all services provided by the NHS, minimizing healthcare costs. Opting for private medical insurance can provide faster access to specialists, better facilities, and reduced waiting times.
Public healthcare in the UK covers a wide range of services, from doctor’s appointments to emergency surgeries. However, dental and eye care treatments typically involve fees. Non-residents can receive healthcare services as long as they did not specifically travel to the UK for free treatment. Free primary care services, such as GP consultations, and emergency treatments are available to everyone, but registration as an NHS patient is required for accessing secondary care services, including specialist care.
The National Health Service (NHS) operates as the central pillar of healthcare in the UK. Upon registering with the NHS, your first point of contact for medical issues is usually a GP. Patients have the right to choose their GP, and the registration process involves completing a GMS1 form and providing valid identification and proof of address.
NHS provides a comprehensive range of free services to UK residents, including consultations with GPs and nurses, treatment at accident and emergency (A&E) departments, treatment for minor injuries in clinics, maternity services, sexual health services and contraception, and specialist treatment if referred by a GP.
With some exceptions (e.g., individuals with chronic illnesses or cancer patients), patients are obligated to cover the costs of the following healthcare services in the UK:
Medication prescriptions
Dental care
Eye care
Wigs and fabric supports
UK Healthcare Expenses While patients are required to pay for prescriptions, the cost remains fixed regardless of the type or quantity of medication needed for treatment. The current fee for a prescription is £9 per item (approximately $11.50 USD). In the UK, pharmacies are commonly referred to as chemists, with Boots being the major chain, although many supermarkets also house pharmacies. Online alternatives, such as Lloyds Pharmacy and Chemist Direct, are also available.
All ordinary UK residents are entitled to receive hospital treatment, but non-emergency cases require a referral from a general practitioner (GP) or qualified healthcare professional. Emergency services are provided free of charge to everyone, including non-residents. However, non-residents must possess the relevant health insurance to access non-urgent free hospital care (primary care) at NHS hospitals in the UK.
Once registered with a GP, patients can book consultations free of charge. Same-day appointments are typically uncommon. There are three main methods to book or change an appointment at a GP practice:
Online
Phone
In person (directly scheduling an appointment at the reception)
Other Healthcare Services in the UK While a GP is usually the first point of contact for medical issues, minor ailments may not require a doctor’s visit. The UK offers health services where appointments are unnecessary and can provide assistance in such cases. Pharmacists, who are trained professionals, can offer advice on minor conditions that do not necessitate a prescription, such as sore throats, stomach aches, or minor burns.
For urgent medical issues that are not life-threatening, individuals can call NHS 111, where trained advisers provide instructions on the next steps. By visiting 111.nhs.uk and answering questions about symptoms online, individuals receive advice on appropriate actions based on their circumstances. Sexual health services are free and available to everyone, without the need for GP registration or sharing personal information. These services include testing for sexually transmitted infections and contraception advice.
Is Health Insurance Required in the UK? Unless there are specific reasons not to utilize the NHS, individuals relocating to the UK generally do not require private medical insurance. It is important to consider that opting for private treatment without insurance can be expensive, particularly for serious conditions, resulting in substantial medical bills. Individuals should carefully weigh these factors before deciding whether to obtain private medical insurance.
UK residents usually opt for private health insurance for the following reasons:
Provided by their employer as part of an employment package
To avoid waiting times
To have more control over the medical treatments received
Quick Facts About Private Health Insurance in the UK:
Approximately 13% of UK consumers claim to have some level of private medical insurance.
Most private policies exclude mental health, maternity services, emergency care, and general practice.
The price of medical insurance in the UK may be influenced by one’s postcode, as providers base their premiums on the claims made by specific groups of people associated with their residential area and age.
What is the Average Cost of Health Insurance in the UK? The actual cost of health insurance depends on various factors. However, as an approximate estimate, the average premium for private health insurance is £1,450 per year (around $1,900 USD).
Types of Health Insurance Plans Generally, individuals can choose between personal or family insurance packages, with premiums based on factors such as the level of coverage, age, pre-existing medical conditions, and lifestyle choices (e.g., smoking, alcohol consumption). When utilizing insurance, an excess fee is typically required, meaning that a percentage of the total cost is paid by the insured. The type of medical insurance chosen significantly impacts the coverage provided.
There are two main types of medical insurance plans:
Moratorium: Excludes most pre-existing medical conditions experienced in the past five years.
Full medical underwriting: Also excludes any medical conditions experienced in the last five years. However, after two years on the policy, the insurer may start covering the condition.
In certain cases, individuals can also acquire one-time private healthcare, such as when specific treatments or operations have long waiting lists in the public service. However, this option can be very expensive.
What is Health Insurance Coverage for Hospital Treatment Like in the UK? The costs of private treatment in UK hospitals vary depending on factors such as the type of treatment, the hospital provider, and the location. “Hospital cover” within an insurance plan pays for some or all of the costs of hospital treatment as a private patient, while “general treatment cover” contributes a percentage or covers the entire cost of services like physiotherapy or optical care.
UK Private Health Insurance Costs To provide a rough idea of private treatment costs, here are some average price ranges:
Consultations: Approximately £200 (around $250 USD)
Surgical procedures: £1,000 to £10,000 (around $1,300 to $13,000 USD)
Nuffield Health, one of the major private hospital providers in the UK, provides itemized pricing lists for its 31 hospitals.
Private Health Insurance Providers Several health insurance companies widely used by expats cover treatments in the UK. The main ones include:
Allianz Care
BUPA Global
Cigna Global
How to Get Health Insurance in the UK? Once you have a clear understanding of your needs and requirements, you can find many online comparison sites that assist in making an informed decision based on specific needs. However, navigating the different types of insurance, levels of coverage, pricing, and benefits can be overwhelming. Seeking expert guidance in health insurance, protection, and wellbeing services can be beneficial. Such assistance is available as part of settling-in services, ensuring you don’t have to tackle all the complexities of international relocation on your own.
Best Private and Public Hospitals In England, the Care Quality Commission (CQC) monitors, inspects, and regulates the performance of care centers, including private and public hospitals. In March 2020, they released a new care directory containing ratings for health and social care services in the UK.
How to Find a Doctor or Dentist Knowing how to find a doctor and dentist upon arriving in the UK is crucial for prioritizing your health. Asking colleagues or friends for recommendations is a good starting point. However, it’s important to note that GPs and dental practices are only obliged to accept patients residing within their service area, unless they are at full capacity.
How to Find a Family Doctor in the UK When it comes to safeguarding your family’s health, knowing how to find a family doctor quickly is essential. The National Health Service (NHS) in England provides a search engine for medical services, allowing individuals to find a General Practitioner serving their community. Reading reviews can help identify the most suitable practitioner. Similar search engines exist for Northern Ireland, Wales, and Scotland.
Registering with a GP in the UK Once you find a practice that meets your needs, you must register with them as an NHS patient. This involves visiting the practice and filling out a form with your details. While some practices may have their own version of the form, the standard form called GMS1 can be downloaded from GOV.UK. The NHS runs a Child Health Promotion Program for newborns and children under five, designed toensure their health and developmental progress. For more detailed information, you can inquire with your GP.
Your GP is available to assist with non-emergency medical inquiries. NHS England states that approximately half of all GP visits are scheduled on the same day or within 24 hours.
After arriving at your GP appointment, the doctor will evaluate your condition, prescribe medications if necessary, discuss how to take the medications, and provide information on available options or refer you to specialist care or more urgent care if required.
Average Waiting Time to See a Doctor in the UK: Since GP appointments are based on an appointment system and primarily for non-emergency care, the waiting time varies. Some practices offer a “walk-in service” for a few hours in the mornings, but they are often busy with scheduled appointments. On average, GP appointments are short, lasting around 10 minutes. If your problem requires more detailed attention, the GP will guide you on finding a specialist related to your issue.
How to Find a Dentist in the UK: Dental care in the UK is available privately or through the NHS. To receive private treatment, you need to find a dentist offering private care. Some dentists provide both private and NHS treatments. You can use the NHS website’s service finder to locate NHS dentists. When choosing between private or NHS-based treatment, consider the following:
Benefits of private dental care:
Longer appointments for more detailed and relaxed service
Easier access to services without delays
Consideration of health and cosmetic care
Higher quality treatment materials
Advantages of NHS dental care:
Affordable treatment for dental issues affecting oral health
Not-for-profit basis, ensuring treatment is in your best interest
Only provides clinically necessary services for maintaining good oral health
Possible wait for non-urgent appointments
Once you find a dental practice that suits your needs, you will need to register with them by filling out a form with your history and medical questions. It’s recommended to do this before any emergencies occur to ensure prompt treatment.
Costs Involved with Dental Care: Free dental care is available for individuals aged under 18 (or under 19 if in full-time education), pregnant women, and those who have had a baby in the last 12 months. The cost of dental treatment under the NHS depends on the level of treatment and the work required. In England, the structure is as follows:
Band 1: £22.70 ($29.30 USD) for dental examinations, polish, and scaling if required.
Band 2: £62.10 ($80 USD) for fillings, root canal work, and tooth removal in addition to Band 1 services.
Band 3: £269.30 ($347 USD) for crowns, dentures, bridges, and laboratory work in addition to Band 1 and 2 services.
Emergency treatment: £22.70 ($29.30 USD) covers emergency care such as pain relief or temporary fillings.
NHS dental care prices vary across different regions in the UK. In Scotland, prices range from £5.00 to £157.60 GBP ($6.50 – $203 USD), in Wales from £14.30 to £199.10 GBP ($18.40 – $257 USD), and in Northern Ireland from £3.44 to £152.98 GBP ($4.43 – $197 USD).
Giving Birth in the UK: Giving birth in the UK as a non-resident is similar to giving birth as a permanent resident. Some benefits include:
Clear communication from midwives, doctors, or staff.
Free dental care during pregnancy and one year after birth.
Free prescriptions during pregnancy and one year after birth.
Choice of delivery place for non-complicated births, with specialist treatment requiring specific hospitals.
52 weeks of maternity leave, with Statutory Maternity Pay available for 39 of those weeks if eligibility criteria are met.
Giving Birth in the UK Without Health Insurance: Costs: For most expats, the NHS covers the costs of childbirth in the UK. To qualify for free NHS treatment for childbirth, you must meet certain criteria, such as being “ordinarily resident” or meeting specific exemptions. Maternity care is classified as “immediately necessary treatment,” and no one should be refused care due to inability to pay. Overseas visitors’ managers can help discuss payment options, waive charges, or arrange repayment plans.
The NHS offers a wide range of maternity services, including GP and gynecological care, cervical screenings, and caesarean sections. It’s advisable to consult with your GP or check the NHS website to find the services best suited to your needs.
Giving Birth in the UK for Citizenship: Giving birth in the UK does not automatically grant citizenship. To register a child as a British citizen at birth, one or both parents must have settled status or British citizenship. Children born in the UK to non-British nationals can register for citizenship once their parents acquire Indefinite Leave to Remain (ILR) or Settlement Status. Detailed information on visas, work permits, and citizenship requirements can be found in the Visa & Work Permits section.
What to do in a Medical Emergency in the UK: In case of a medical emergency requiring an ambulance, dial 999 immediately. Paramedics will provide appropriate treatment on the spot and transport you to the nearest suitable NHS hospital. If you’re in the US and need to call UK emergency services for someone in the UK, dial 011 44 999.
In the UK, the emergency room is called Accident and Emergency (A&E). If you have a medical emergency requiring A&E treatment and can get to the hospital without an ambulance, it is recommended to do so. You can find A&E locations in England, Wales, Northern Ireland, and Scotland through the respective links provided. For urgent medical problems without clear guidance, you can call 111 or visit 111.nhs.uk.