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Topic: What is GP and NHS?  (Read 2503 times)

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What is GP and NHS?
« on: April 10, 2010, 07:28:33 AM »
I am moving from CA to the UK in about 8 weeks, and am trying to figure everything out. We will be coming on a tier 1 visa (i believe) as my husband is being transfered for 2-3 years.

We have two children and I wanted to find out more about the healthcare system. Will we be eligible for free health care? I have read in a few posts that we need to register with a GP, is this just like a general practitioner? Will my children be able to visit a pediatrician? Also I have a congenital heart problem that we keep a close eye on with annual echocardiograms, would this be covered as well? Are you referred out to see specialists?

Lastly, how do the doctors in London compare to doctors in the USA? Is it pretty similar with modern medical practices, immunizations, prescriptions etc? Is it hard to get into doctors as well??

Sorry about so many questions, I just want to know what I am doing as this is all very sudden. Thanks for any help :)


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Re: What is GP and NHS?
« Reply #1 on: April 10, 2010, 08:06:30 AM »
A GP is a general practitioner, same as a primary health care physician. You will register your family with one near you when you arrive, however, you can see other GPs as needed if yours is unavailable. The NHS is the National Health Service. It is very modern, and I would say the majority of people on this forum who have moved from America are satisfied with the health service here. Prescriptions are usually 7.20 pounds each for adults (unless they are senior citizens), and free for children until they finish school, I believe. If you should need care from a specialist, your GP will refer you to one. Basically, they will set an appointment for you at a local hospital and you will receive a letter in the post letting you know when your appointment is. Depending on the urgency of the care needed, you may have to wait a few weeks or longer for some hospital appointments. Emergencies are seen to immediately in the ER. You can get private health insurance here if you would like to, but most people find this unnecessary, as basic services are still provided through the NHS. I believe the private health insurance just helps you get hospital appointments a bit quicker at times, as far as I know. Anyway, I've had a great experience so far, and I'm sure you will find it isn't nearly as scary as the American media makes it out to be.  :)


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Re: What is GP and NHS?
« Reply #2 on: April 10, 2010, 09:24:42 AM »
Your family will be eligible for NHS, under the tier 1-tier 1 dependent visas, as long as you've got proof you have got a job (or your husband in this case). 

http://talk.uk-yankee.com/index.php?topic=50250.0

I'm happy enough with the NHS.  I really like my GP, took me several different ones to get one that I was truly happy with.  However, this guy I have now is excellent and he's happy to help in anyway he can.   I was in hospital for a week in February 2009, and although it was a ward of 6 people, the place was clean and the nurses and doctors and technicians all were friendly and helpful,  except for the consultant surgeon, he was an arrogant a$$ and he made me cry for 3 days straight.    But I've had plenty of doctors in the US who have made me cry as well and plenty I have liked, so it all depends on their personality and skills, in either country.
 Its definitely no fun when you're waiting for a letter though, especially if you're in pain.  I'm currently waiting on a letter to see a rheumatologist and I'm going on almost 6 weeks since my referral and I don't actually expect to see it for 6 more....  In the meanwhile, my GP is reassuring and helpful.  However, if there is something very urgent (such as suspect cancer), you can get appointments pretty quickly. Bring your medical records with you from the US to show all your history and register straight away.  Don't be like me and wait until you have an issue to register. I was lucky, I could get an appointment straight away with registering, but I could have avoided the hassle if I had done so straight away. 

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Re: What is GP and NHS?
« Reply #3 on: April 10, 2010, 09:26:13 AM »
Will we be eligible for free health care? I have read in a few posts that we need to register with a GP, is this just like a general practitioner? Will my children be able to visit a pediatrician?

If your visas are valid for more than 6 months, then you should be eligible for free healthcare as soon as you arrive in the UK (with Tier 1 visas, I believe there is a stipulation that the main visa holder isn't eligible until they're working or have been in the UK for 12 months, but if your husband is being transferred, this won't be an issue).

General practitioners (GPs) are trained to deal with all ages and so there are no separate paediatricians - if your child is ill or needs a check-up, then you will need to take them to see a GP.

As Jewlz said, you can take out private cover if you like, but it's not really a benefit unless you need a non-emergency operation and there is a long waiting list on the NHS or if you want elective cosmetic surgery that is not covered by the NHS. In any case, you can't use private cover until you have first seen an NHS GP and got a referral from them. For all minor ailments, you have to see an NHS GP and emergency hospital treatment is carried out by the NHS (you have no choice in this).

An example of using private cover for an operation instead of the NHS:

My mum's friend needed a hip operation, but the waiting time on the NHS was about 4-6 months. She had some extra money from an inheritance, so decided to pay for the operation to be done privately as it would be quicker. She got the operation done a month later instead of 4-6 months, but it cost her £10,000 out of pocket.

A couple of years later, my grandmother needed a hip replacement. She also had enough money in the bank to have it done privately, but the waiting list on the NHS was only 12 weeks now, so she decided not to pay and just to wait and have the operation done for free.

The same surgeon operated on both my mum's friend and my grandmother, but my mum's friend paid £10,000 to have it done in 4 weeks, and my grandmother paid nothing and had it done in 3 months.

Lastly, how do the doctors in London compare to doctors in the USA? Is it pretty similar with modern medical practices, immunizations, prescriptions etc? Is it hard to get into doctors as well??

I haven't had much experience with US doctors (the only time I've ever visited a doctor in the US was when I was on vacation there visiting my aunt and got an ear infection... it cost almost $50 for the visit and prescription, which would have all been free in the UK), but I have been registered with a UK GP since I was born and I have no complaints at all.

If I want to see a doctor quickly, I just need to call the surgery (doctor's office) or pop into the reception early that morning (8 a.m.) and ask for an appointment. Each day, they keep a few slots free for emergency appointments and if you call early enough you can get one that day. If the slots have already filled up for that day, you may get an appointment for the next day instead.

I don't visit the doctor very often, so usually I will call to make an appointment a couple of weeks in advance (i.e. for a new prescription or for travel vaccinations) - this is no problem and I often have a choice of appointment times.

When I arrive at the surgery, I give my name at the reception and then take a seat in the waiting room. Usually I will be called in by the doctor within 5-10 minutes of my appointment time, but once or twice I have had to wait 20 minutes or so.

When I get inside, I take a seat in the chair by the doctor's desk and he asks me why I have come in. I tell him ('I would like a repeat prescription', or 'I think I may have a chest infection') and he asks a couple of questions, maybe takes my temperature or listens to my chest, then writes a prescription and I'm on my way out of there 5-10 min later.

All NHS appointments are free at point of service, so I just walk straight out of the building without paying anything and take my prescription to a pharmacy to be filled. Prescriptions in England are £7.20 per item (in Wales, they are free to all and in Scotland they are only about £4 per item), but children under 16, or 16, 17 and 18 in full-time education get them free, as do people over 65, people with certain conditions (i.e. diabetes, thyroid problems, pregnant women) etc.
« Last Edit: April 10, 2010, 05:01:04 PM by ksand24 »


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Re: What is GP and NHS?
« Reply #4 on: April 10, 2010, 04:58:50 PM »
Oh, also, if you do get lots of prescriptions, the amount you pay in the year is capped at £104 with the PPC. That's a saving for 14+ prescriptions a year.
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Re: What is GP and NHS?
« Reply #5 on: April 10, 2010, 08:08:44 PM »
Thank you SO much everyone, this info was REALLY helpful!! :)

there is a lot to learn! in some ways there are so many similarities but i am finding lots of differences too and i want to be as prepared as possible for this new adventure.


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Re: What is GP and NHS?
« Reply #6 on: April 10, 2010, 08:12:50 PM »
Oh yeah, one last thing...what about immunizations? Do they do those over there? Like from birth to about 5 years I have to take my girls into the doctor for well child check ups and to get their shots. My older daughter is 4 1/2 and is done with her shots but my younger one is only 2 and still has some to go...

thanks :)


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Re: What is GP and NHS?
« Reply #7 on: April 10, 2010, 08:20:23 PM »
Oh yeah, one last thing...what about immunizations? Do they do those over there? Like from birth to about 5 years I have to take my girls into the doctor for well child check ups and to get their shots. My older daughter is 4 1/2 and is done with her shots but my younger one is only 2 and still has some to go...

Immunisations are given to children in the UK, similar to in the US. They don't give Hep B vaccinations to children in the UK though (I understand that Hep B vaccination is given to children in the US).

This link gives immunisation schedule information for children from birth up to 18 years old, so you can see how it differs from/is the same from what your 2-year-old has had so far:

http://www.immunisation.nhs.uk/Immunisation_Schedule


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Re: What is GP and NHS?
« Reply #8 on: April 10, 2010, 08:46:37 PM »
I believe you can ask for the Hep B vaccine here, as DH just got his (we are traveling a LOT this year) and the nurse mentioned that she'd been giving it to more kids lately as well (it could just be for travel, but I didn't get that impression). (since DH is a total wimp about shots and the kid who went before us was a STAR, we were all teasing him :) ).

I've had very positive experiences with the NHS, and I think it's like anything else--if you have a question or concern, speak up! Which is sometimes hard to do when you feel out of your depth or unsure.



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Re: What is GP and NHS?
« Reply #9 on: April 10, 2010, 09:15:49 PM »
Oh yeah, one last thing...what about immunizations? Do they do those over there?

I mean this in the nicest way possible.  The UK is different from the US but that doesn't equate to 3rd world country.  OF COURSE the UK gives immunizations.

The UK is going to have differences and it is good you are education yourself on those, to give you a level of comfort.  But like mosts things -- Some things are different, some are the same.  There are good doctors and bad doctors.


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Re: What is GP and NHS?
« Reply #10 on: April 12, 2010, 12:34:41 AM »
Tierney,

The knowledge and skill levels of physicians in the US and UK are, in general, quite comparable for similar levels of training.  While there are good and bad ones in either country, as Sara Smile pointed out, you should in general expect that you'll receive the same care you'd receive in the US--we read the same journals, get similar curricula in medical schools, both have MRI machines to use when required, etc.

Procedural differences aside, my advice to you is to select a physician in the UK in the same way you would in the US: ask neighbors and friends for their recommendations, visit them, and judge for yourself how the physicians treat you.  If you find your GP responsive and helpful, then great!  If you don't, pick someone else.

Regarding your congenital heart condition, I recommend you do the following:

1) Go to your US cardiologist (the one who did the echocardiogram, if you have multiple ones) and obtain a copy of the echocardiographic images obtained burned onto a CD (tell them you want a UK cardiologist to see the 'M-mode and 2D images and measurements involving your [congenital condition]') and bring it with you to the UK.  Do not settle for a written report only--a written report is simply one person's interpretation of the images--but do obtain supporting documents to confirm authenticity of the images.  Have the US cardiologist tell you the make and model of the echo machine used (this information will help your UK cardiologist obtain the correct viewing software).

2) Go to your GP and ask for a referral to a cardiologist.  If he/she balks at your request, let the GP know that whoever is going to follow you for your condition must be able to interpret the echocardiographic images you possess (which, 99% of the time is a cardiologist).

3) Provide the CD with your echo images to your UK cardiologist.

Best of luck to you with your upcoming move.


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