British Expats

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-   -   Moving back to UK from USA and Heathcare (https://britishexpats.com/forum/moving-back-uk-61/moving-back-uk-usa-heathcare-915064/)

fiona stanfield Jul 18th 2018 4:15 pm

Moving back to UK from USA and Heathcare
 
I have been living in the USA since 1978 but I am thinking of moving back to the UK in the near future. The only thing that is holding me back is healthcare. How would I go about getting established back on the NHS system. Would it make any difference if I was to marry over there? this is the only thing that is stopping me from going back home, the healthcare side of it. Can anyone help me?

SanDiegogirl Jul 18th 2018 6:17 pm

Re: Moving back to UK from USA and Heathcare
 
As a Brit you will be able to access the NHS as soon as you set foot back in the UK. The NHS eligibility is based on residency.

BritInParis Jul 18th 2018 11:10 pm

Re: Moving back to UK from USA and Heathcare
 
Turn up and register with a GP. That's it.

fiona stanfield Jul 19th 2018 11:51 am

Re: Moving back to UK from USA and Heathcare
 
Thanks for your replies. So as soon as I get there I just need to go to a doctors office and register? I don’t even think I have a healthcare number any more.

BritInParis Jul 19th 2018 11:58 am

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by fiona stanfield (Post 12535501)
Thanks for your replies. So as soon as I get there I just need to go to a doctors office and register? I don’t even think I have a healthcare number any more.

It’s that simple. You will have a NHS number if you were born in the UK. Your new GP surgery will be able to search for you. If you can’t be found then you’ll just be given a new number.

durham_lad Jul 19th 2018 3:55 pm

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by fiona stanfield (Post 12535501)
Thanks for your replies. So as soon as I get there I just need to go to a doctors office and register? I don’t even think I have a healthcare number any more.


Originally Posted by BritInParis (Post 12535507)
It’s that simple. You will have a NHS number if you were born in the UK. Your new GP surgery will be able to search for you. If you can’t be found then you’ll just be given a new number.


Exactly as BritInParis says.

We moved back in 2016 after 29 years living in the USA. We did actually have our old NHS number but it was not useful to our local GP office. The GP office gave us a form each to complete, which we did in the waiting room and handed in, and the new numbers came through the post a couple of weeks later. I had a prescription I wanted to get transferred so made an appointment that same day for the following week and when I saw the Doc I hadn't received notice of my new NHS number but that didn't matter. The doctor simply looked at the prescription and said it was exactly what she prescribed for the same condition and did me a repeating prescription.

fiona stanfield Jul 20th 2018 1:42 am

Re: Moving back to UK from USA and Heathcare
 
Thank you so much, you have helped me out a lot and I will take care of it as soon as I get back to the UK. this time I am coming for 9 weeks but I have a feeling that I am going to be moving back for good probably after the new year.

MidAtlantic Jul 20th 2018 11:46 am

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by fiona stanfield (Post 12535853)
Thank you so much, you have helped me out a lot and I will take care of it as soon as I get back to the UK. this time I am coming for 9 weeks but I have a feeling that I am going to be moving back for good probably after the new year.

That is a different scenario. In your first post you made no mention of moving back temporarily so the answers do not relate to that. If you are going back just for nine weeks then you will not be covered by the NHS, apart from emergencies. If you have US insurance you should check what coverage that provides and, depending on the answer, you may need travel insurance.

The answers above relate to moving back permanently.

fiona stanfield Jul 20th 2018 2:20 pm

Re: Moving back to UK from USA and Heathcare
 
Yes I had no idea that I would change my mind and maybe come back for good. This is a trial as I have a long distance relationship and to make it work I am going to do this trial run and if all goes well I am going to come back to the USA and get my things in order and return to the UK. But I had to know first if I could sign up again for NHS and if I would have any problems if I came back to live. So it is no good if I get the forms now then? Or should I wait until I come back. I was just scared that they would not let me go back on the NHS if I moved back over to the UK. But I have a better perspective on it now, it does not scare me as much. Thank you.

durham_lad Jul 20th 2018 3:53 pm

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by fiona stanfield (Post 12536086)
Yes I had no idea that I would change my mind and maybe come back for good. This is a trial as I have a long distance relationship and to make it work I am going to do this trial run and if all goes well I am going to come back to the USA and get my things in order and return to the UK. But I had to know first if I could sign up again for NHS and if I would have any problems if I came back to live. So it is no good if I get the forms now then? Or should I wait until I come back. I was just scared that they would not let me go back on the NHS if I moved back over to the UK. But I have a better perspective on it now, it does not scare me as much. Thank you.

Wait until you are back for good before signing up for the NHS as the form does require your permanent address and your statement that you are resident in the UK, your British passport is not proof that you are entitled to the NHS service at no charge.

By coincidence, today I received an appointment to my local hospital skin specialist department (referral from my GP to look at a suspicious couple of moles) and there is a separate sheet informing me that I will be asked if I am entitled to free NHS and may be asked to provide proof (e.g. passport + bank statement or utility bill to address of residence). I have been several times to this same hospital for other issues (sigh....) and have always been asked how long I've lived here but have never yet had to provide proof.

BritInParis Jul 20th 2018 4:03 pm

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by fiona stanfield (Post 12536086)
Yes I had no idea that I would change my mind and maybe come back for good. This is a trial as I have a long distance relationship and to make it work I am going to do this trial run and if all goes well I am going to come back to the USA and get my things in order and return to the UK. But I had to know first if I could sign up again for NHS and if I would have any problems if I came back to live. So it is no good if I get the forms now then? Or should I wait until I come back. I was just scared that they would not let me go back on the NHS if I moved back over to the UK. But I have a better perspective on it now, it does not scare me as much. Thank you.

There's little point in registering with a GP until you have a permanent address. Your GP surgery will often request proof of address to ensure you are within their catchment area.


Originally Posted by durham_lad (Post 12536140)
Wait until you are back for good before signing up for the NHS as the form does require your permanent address and your statement that you are resident in the UK, your British passport is not proof that you are entitled to the NHS service at no charge.

Only you want secondary care, e.g. being an in-patient at a hospital. Primary care, which includes seeing a GP, is free to all, including visitors.

fiona stanfield Jul 21st 2018 12:55 pm

Re: Moving back to UK from USA and Heathcare
 
Hi, so I have two questions.
Durham_lad, you stated that when I return permanently and pick up a form from the GP. I will have a permanent address but how to you get a statement showing that you are a resident in the UK? I also hope that everything goes ok with your visit to the specialist.
Will I have to get a bank account started also?
On this trip I am coming on next week I did buy travel insurance, and I also learnt after the fact that I could also use my military insurance. But if I had not have had these and I had got sick while I am over there could I have gone to see a GP? Thanks all!

durham_lad Jul 21st 2018 1:12 pm

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by fiona stanfield (Post 12536448)
Hi, so I have two questions.
Durham_lad, you stated that when I return permanently and pick up a form from the GP. I will have a permanent address but how to you get a statement showing that you are a resident in the UK? I also hope that everything goes ok with your visit to the specialist.
Will I have to get a bank account started also?
On this trip I am coming on next week I did buy travel insurance, and I also learnt after the fact that I could also use my military insurance. But if I had not have had these and I had got sick while I am over there could I have gone to see a GP? Thanks all!

As per the NHS website the proof of permanent address is ONE of the following,

Rental agreement with your name and the address of the property
Utility or council tax bill to you at the address
Bank Statement to you at the address.

To open a bank account a utility bill is easiest from my experience. When our son opened his bank account last year he was living with us so he had to provide a letter from us stating that he lived at our address plus one of our utility bills to prove we lived where we said we lived.

fiona stanfield Oct 9th 2018 4:31 pm

Re: Moving back to UK from USA and Heathcare
 
I just got back from the UK on the 30th September after spending 9 weeks over there with my partner. I also had to use the GP 3 times while I was there so I am on record at that office. I am on my way back on a one way ticket at the beginning of December. I have already sent for my British passport so I am hoping that I do not have any problems with that. As soon as I arrive I will set up a bank account and I will also leave the one that I have over here open. I will also sign up with the local GP. I will take some of my medical records and my Rheumatology records and enough of my meds to last 3 to 6 months. I did accomplish one thing while I was over there. I managed to get my Nino number which I am happy about. I never drove before I left the UK back in 1978 so I guess I will have to learn how to maneuver the British roads. Last time I was on here I was told that I could drive on my US license for up to a year, should I also renew my international drivers license just to be on the safe side. I do have two questions. Will the doctors office renew my American medications or will I have to start from scratch with them? also How do you go about shipping a few odds and ends over to the UK and is it very expensive?
Thank you for listening and I look forward to any help I can get as this is a big move for me.

fiona stanfield Oct 9th 2018 4:32 pm

Re: Moving back to UK from USA and Heathcare
 
I just got back from the UK on the 30th September after spending 9 weeks over there with my partner. I also had to use the GP 3 times while I was there so I am on record at that office. I am on my way back on a one way ticket at the beginning of December. I have already sent for my British passport so I am hoping that I do not have any problems with that. As soon as I arrive I will set up a bank account and I will also leave the one that I have over here open. I will also sign up with the local GP. I will take some of my medical records and my Rheumatology records and enough of my meds to last 3 to 6 months. I did accomplish one thing while I was over there. I managed to get my Nino number which I am happy about. I never drove before I left the UK back in 1978 so I guess I will have to learn how to maneuver the British roads. Last time I was on here I was told that I could drive on my US license for up to a year, should I also renew my international drivers license just to be on the safe side. I do have two questions. Will the doctors office renew my American medications or will I have to start from scratch with them? also How do you go about shipping a few odds and ends over to the UK and is it very expensive?
Thank you for listening and I look forward to any help I can get as this is a big move for me.

durham_lad Oct 9th 2018 5:33 pm

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by fiona stanfield (Post 12575066)
I just got back from the UK on the 30th September after spending 9 weeks over there with my partner. I also had to use the GP 3 times while I was there so I am on record at that office. I am on my way back on a one way ticket at the beginning of December. I have already sent for my British passport so I am hoping that I do not have any problems with that. As soon as I arrive I will set up a bank account and I will also leave the one that I have over here open. I will also sign up with the local GP. I will take some of my medical records and my Rheumatology records and enough of my meds to last 3 to 6 months. I did accomplish one thing while I was over there. I managed to get my Nino number which I am happy about. I never drove before I left the UK back in 1978 so I guess I will have to learn how to maneuver the British roads. Last time I was on here I was told that I could drive on my US license for up to a year, should I also renew my international drivers license just to be on the safe side. I do have two questions. Will the doctors office renew my American medications or will I have to start from scratch with them? also How do you go about shipping a few odds and ends over to the UK and is it very expensive?
Thank you for listening and I look forward to any help I can get as this is a big move for me.

Congratulations on getting your NINO.

You will be able to drive for up to a year on your US licence. I don’t know about the international driving licence.

I only had 1 prescription that I brought over from the USA and the GP said that it was exactly what was used in the UK to treat my condition so wrote a repeat prescription immediately. If you go to the NICE site you may be able to look up either your drugs or your conditions and see if they are recommended for use by the NHS.

https://www.nice.org.uk/

BritInParis Oct 9th 2018 6:49 pm

Re: Moving back to UK from USA and Heathcare
 
No point in updating your international driving licence unless you intend to drive on the continent. It’s just a translation of your existing licence which is already in English. Depending on how much you intend to ship you may find it cheaper to take it as excess luggage. Alternatively use a shipping service like Seven Seas: https://www.sevenseasworldwide.com

scot47 Oct 9th 2018 7:11 pm

Re: Moving back to UK from USA and Heathcare
 
To register with a GP you will need a passport or other proof of identity and some document showing your address.

Giantaxe Oct 9th 2018 8:54 pm

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by fiona stanfield (Post 12575066)
I never drove before I left the UK back in 1978 so I guess I will have to learn how to maneuver the British roads. Last time I was on here I was told that I could drive on my US license for up to a year, should I also renew my international drivers license just to be on the safe side.

As already pointed out an "International Drivers License" is merely a translation of an existing license. If you don't already have a UK license you'll have a year to pass the UK test before you'll be subject to UK provisional license restrictions. Given how many Americans find the UK test difficult to pass, I would make it a priority to deal with this.

fiona stanfield Oct 9th 2018 9:17 pm

Re: Moving back to UK from USA and Heathcare
 
Thank you all so much for all the answers to my questions. it definitely makes it easier for me to deal with.

fiona stanfield Oct 21st 2018 3:18 pm

Re: Moving back to UK from USA and Heathcare
 
I have a quick question. Does anyone remember when you first got back to the UK and signed up with the GP, did you have to fill out a GMS1 form? If you did was there a part about patient declaration for patients who are not ordinarily residents in the UK. Did you fill it out? Or because you are going to be there permanently I thought you would be classed as a resident. I am just wondering as I am leaving for the UK next month and I need all the insight I can get on the medical aspect of it. Thank you so much.

durham_lad Oct 21st 2018 7:12 pm

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by fiona stanfield (Post 12580928)
I have a quick question. Does anyone remember when you first got back to the UK and signed up with the GP, did you have to fill out a GMS1 form? If you did was there a part about patient declaration for patients who are not ordinarily residents in the UK. Did you fill it out? Or because you are going to be there permanently I thought you would be classed as a resident. I am just wondering as I am leaving for the UK next month and I need all the insight I can get on the medical aspect of it. Thank you so much.

My wife and I did fill out GMS1.

https://www.nhs.uk/Servicedirectorie...ments/GMS1.pdf

we each filled it out classed as residents because from the day we landed our intent was to remain as residents. We did enter our last UK address from 29 years earlier but couldn’t remember the name and address of our doctor at that time, so just put “can’t recall”.

Squibs51 Oct 22nd 2018 3:36 am

Re: Moving back to UK from USA and Heathcare
 
I’m thinking about moving back home after living in the US for 30 years. It is mainly for medical reasons. Am I able to get prescriptions filled immediately when I get back once I have established a GP or do I have to wait for a period of time. Any info would be appreciated. Thank you

durham_lad Oct 22nd 2018 8:18 am

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by Squibs51 (Post 12581096)
I’m thinking about moving back home after living in the US for 30 years. It is mainly for medical reasons. Am I able to get prescriptions filled immediately when I get back once I have established a GP or do I have to wait for a period of time. Any info would be appreciated. Thank you

No waiting period for me returning after 29 years away, but it is always worth bring extra with you if you can.
I got my one prescription filled immediately. The Doc said it was exactly what the NHS prescribed for the condition I have and didn’t need to send me for tests or exam me to see if I still had the condition.

Squibs51 Oct 22nd 2018 5:26 pm

Re: Moving back to UK from USA and Heathcare
 
hi durham_lad, thank you for responding.
Did you move back recently? Like in 2018? Was wondering if rules have changed.
I do have driving license ( old but still valid) NIC , brutish passportetc
is there anything I should be aware of ?
Thx

durham_lad Oct 22nd 2018 6:11 pm

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by Squibs51 (Post 12581428)
hi durham_lad, thank you for responding.
Did you move back recently? Like in 2018? Was wondering if rules have changed.
I do have driving license ( old but still valid) NIC , brutish passportetc
is there anything I should be aware of ?
Thx

My wife and I moved back in 2016 and our son moved back in 2017. I’m pretty sure the rules haven’t changed since last year.

You will be able to exchange your old driving licence for a new one easily enough. Ours were 29 years old and we got new ones easily and quickly. I suggest you register to vote as soon as you are back, get onto the voter registration role.

opening a bank account might be tricky. We had kept our old account open so no problem for us.

fiona stanfield Oct 22nd 2018 6:45 pm

Re: Moving back to UK from USA and Heathcare
 
Thank you for that answer on the GMS1 card, I will leave the Supplementary questions at the end of the form blank.
I have another question I just got my new British passport today (it feels great) and I wondered. Do I use that to go into England and then when I come back in May to attend my grandsons high school graduation use my American one to enter the USA?
Thanks in advance.

durham_lad Oct 22nd 2018 7:13 pm

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by fiona stanfield (Post 12581476)
Thank you for that answer on the GMS1 card, I will leave the Supplementary questions at the end of the form blank.
I have another question I just got my new British passport today (it feels great) and I wondered. Do I use that to go into England and then when I come back in May to attend my grandsons high school graduation use my American one to enter the USA?
Thanks in advance.

you have it right. Use your British Passport when entering the UK and your US passport when entering the USA.

fiona stanfield Oct 22nd 2018 7:31 pm

Re: Moving back to UK from USA and Heathcare
 
Thank you so much.

fiona stanfield Oct 28th 2018 2:45 pm

Re: Moving back to UK from USA and Heathcare
 
Well I am back again with another big question.
When I leave for the UK next month and I use my British passport for the first time, I was reading on Lindkin that when you get to the airport I need to show my US passport to Immigration first then check in to the airline with my British passport. This I don't understand because you only go through Immigration when you get to where you are going. Then when you come back to the US for any reason you just reverse the process. If anyone has used two passports going and coming from US to UK can you please give me a step by step on what you did or what to do. Its really doing my head in as I don't want anything to go wrong.
Thank you,
Fiona Stanfield

BritInParis Oct 28th 2018 2:51 pm

Re: Moving back to UK from USA and Heathcare
 
Use your US passport in the US for check in and departure and your British passport on arrival at the UK border. You can use your British passport with the ePassport gates to avoid queuing.

fiona stanfield Oct 28th 2018 5:05 pm

Re: Moving back to UK from USA and Heathcare
 
Thank you Brit in Paris for the info.

Perth Oct 29th 2018 3:24 pm

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by BritInParis (Post 12584285)
Use your US passport in the US for check in and departure and your British passport on arrival at the UK border. You can use your British passport with the ePassport gates to avoid queuing.

This was always how it used to be for me for ages.
But on the last couple flights, check-in only wanted the passport that corresponded to the country I was heading for.
So, American for flight from London to Atlanta, and British for flight from Atlanta to London.
It can't hurt to offer them both and let them sort it.

durham_lad Oct 29th 2018 5:33 pm

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by Perth (Post 12584724)
This was always how it used to be for me for ages.
But on the last couple flights, check-in only wanted the passport that corresponded to the country I was heading for.
So, American for flight from London to Atlanta, and British for flight from Atlanta to London.
It can't hurt to offer them both and let them sort it.

I always have both if needed and letting the airline choose which one they want will always work. If it is a one way ticket to the UK then if you simply present your US passport they should be asking when and how you are returning because they are legally required to check you have the correct documentation for entering the country. They are also supposed to check that if you are a USC that you are leaving on your US passport.

when we moved back to England in 2016 on a repositioning cruise out of Houston I presented both passports to the cruise line at check in but she had only space on her check-in screen to enter the details for one passport so took our UK passport information. I had looked myself online and already had entered the details so she had nothing to do except check that the information I had entered matched the passport she had in her hand. She was not interested in seeing our US passports.

Jerseygirl Oct 29th 2018 7:48 pm

Re: Moving back to UK from USA and Heathcare
 
No matter what PP an airline or cruise line wish to use...USCs have a legal obligation to leave and enter the US using an US PP. It is your choice what PP you use to enter or leave a different country...but your US PP must be used to enter/leave the US.

Perth Oct 30th 2018 9:40 am

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by Jerseygirl (Post 12584883)
No matter what PP an airline or cruise line wish to use...USCs have a legal obligation to leave and enter the US using an US PP. It is your choice what PP you use to enter or leave a different country...but your US PP must be used to enter/leave the US.

As I said before, this is how I understood it until recently. I always say I am a dual citizen at checkout and offer both passports, But it seems to irritate Virgin Atlantic when I do.

Perth Oct 30th 2018 9:52 am

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by durham_lad (Post 12584796)

I always have both if needed and letting the airline choose which one they want will always work. If it is a one way ticket to the UK then if you simply present your US passport they should be asking when and how you are returning because they are legally required to check you have the correct documentation for entering the country. They are also supposed to check that if you are a USC that you are leaving on your US passport.

when we moved back to England in 2016 on a repositioning cruise out of Houston I presented both passports to the cruise line at check in but she had only space on her check-in screen to enter the details for one passport so took our UK passport information. I had looked myself online and already had entered the details so she had nothing to do except check that the information I had entered matched the passport she had in her hand. She was not interested in seeing our US passports.

Virgin Atlantic also out of Atlanta

Richard8655 Oct 30th 2018 1:11 pm

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by Jerseygirl (Post 12584883)
No matter what PP an airline or cruise line wish to use...USCs have a legal obligation to leave and enter the US using an US PP. It is your choice what PP you use to enter or leave a different country...but your US PP must be used to enter/leave the US.

Just to add a note, it’s also illegal for a dual US/Polish citizen to enter Poland on their US passport. Their Polish passport must be used, not US passport. So this requirement also exists in some other countries.

durham_lad Oct 30th 2018 2:35 pm

Re: Moving back to UK from USA and Heathcare
 

Originally Posted by Richard8655 (Post 12585170)


Just to add a note, it’s also illegal for a dual US/Polish citizen to enter Poland on their US passport. Their Polish passport must be used, not US passport. So this requirement also exists in some other countries.

It is like this in Australia, plus Australia has proper exit controls. When leaving Australia the airline first checks that the passport you present is valid for the country you are traveling to, then border control checks your passport to see that you have been in the country legally. For tourists it is usually the same passport but for people like my SIL who is a dual citizen, then on leaving Australia he has to present his US passport to the airline and Australian passport to border control.

Britain used to have proper exit controls, I used to often travel out of Newcastle airport in the 90's and all travelers went through border control on their way to the gates prior to boarding. For a year or 2 they even took your photograph when they checked your passport as you left.

kevinhpainter Nov 2nd 2018 12:49 pm

Re: Moving back to UK from USA and Heathcare
 
Dear all,

rather than start a new threat I also have a question about moving back to the UK and NHS cover.I am currently preparing to return to the UK in 2020 together with my wife. We plan to retire to the UK (although not yet as state pensioners). My wife and I do not plan to work, at least not initially, but to live from my occupational pension. My wife is Polish, and for the sake of this post, let’s assume there will be a Brexit agreement and a transition period until the end of 2020 when my wife can still move to the UK. If there isn’t a deal and transition period that’ll be a different story. We understand that but that’s not the subject of this post. So let’s assume for the purposes of this post that my wife can still move to the UK in 2020. Now here’s the point of my post: I am British, have a National Insurance number, am fully paid up with NI contributions etc and my wife and I already jointly own our own home in the UK which is currently rented. Once we arrive in the UK, have moved in to our home, started paying council tax etc, I personally don’t anticipate having any problems myself registering with a local GP. But what about my wife? She has never lived or worked in the UK. She doesn’t have a National Insurance number or an NHS number. Will she simply be able to register with a GP like I will?Thanks for reading Kevin


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