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Medical Tourism

Best hospitals in london.

Introduction

London, the bustling capital of the United Kingdom, is not only a global hub for culture and finance but also a prominent destination for medical tourism. The city boasts a plethora of world-class healthcare institutions that cater to a diverse range of medical needs. In this comprehensive guide, we will explore the best hospitals in London, providing valuable insights for industry professionals and those seeking exceptional healthcare in this vibrant metropolis.

Healthcare Excellence in London

The reputation of london's healthcare.

London's healthcare system has gained international acclaim for its excellence. The city is home to some of the finest medical institutions globally, known for their cutting-edge technology, skilled healthcare professionals, and commitment to patient care.

Medical Tourism in London

The concept of medical tourism involves individuals traveling to foreign countries to receive medical treatment. London has emerged as a leading destination for medical tourists due to its top-tier hospitals and accessibility.

Criteria for Evaluating the Best Hospitals

Medical expertise and specializations.

The quality of healthcare professionals, including doctors, surgeons, and specialists, plays a pivotal role in determining a hospital's ranking. The best hospitals in London often have renowned experts in various medical fields.

State-of-the-Art Facilities

Modern medical infrastructure, including advanced diagnostic equipment, surgical facilities, and rehabilitation centers, is essential for delivering high-quality healthcare.

Patient Outcomes and Success Rates

Hospitals with consistently positive patient outcomes and high success rates are highly regarded. These statistics reflect the effectiveness of the medical treatments and overall patient satisfaction.

Accessibility and Location

Conveniently located hospitals with easy access to transportation are preferred by medical tourists. Proximity to major airports and the city center is a significant advantage.

Leading Hospitals in London

St. thomas' hospital.

St. Thomas' Hospital is renowned for its exceptional patient care and advanced medical services. It is home to some of the best medical specialists in the UK, making it a preferred choice for both locals and medical tourists.

Guy's Hospital

Guy's Hospital is a pioneer in medical research and innovation. Its state-of-the-art facilities and commitment to medical excellence have earned it a top spot among London's best hospitals.

The Royal Marsden Hospital

Specializing in cancer treatment, The Royal Marsden Hospital is a world leader in oncology. Its multidisciplinary approach to cancer care and groundbreaking research make it a top choice for cancer patients.

King's College Hospital

With a rich history of medical achievements, King's College Hospital offers a wide range of medical services. Its comprehensive care and focus on patient well-being make it a preferred destination for healthcare.

Great Ormond Street Hospital for Children

Dedicated to pediatric care, Great Ormond Street Hospital is internationally acclaimed for its expertise in treating children's health conditions. It provides compassionate care and groundbreaking treatments.

Navigating Medical Tourism in London

Researching hospital options.

When considering medical treatment in London, extensive research into hospital options is crucial. Evaluating factors such as medical expertise, facilities, and patient reviews is essential.

Legal and Ethical Considerations

Medical tourists should be aware of the legal and ethical aspects of receiving treatment abroad. Understanding healthcare laws and regulations in the UK is essential for a smooth medical journey.

Planning Your Medical Trip

Effective planning is key to a successful medical trip to London. This includes arranging travel, accommodations, and understanding the local culture and healthcare system.

London's reputation as a global healthcare destination continues to grow, thanks to its exceptional hospitals and medical expertise. This comprehensive guide has highlighted some of the best hospitals in London, offering industry professionals and medical tourists valuable insights into the city's healthcare landscape. Whether seeking specialized treatment or general medical care, London stands as a beacon of excellence in the world of healthcare. As the medical tourism industry evolves, London remains a top choice for those in search of world-class medical services in a vibrant and culturally rich setting.

To receive a free quote for this procedure please click on the link: https://www.medicaltourism.com/get-a-quote .

For those seeking medical care abroad, we highly recommend hospitals and clinics who have been accredited by Global Healthcare Accreditation (GHA). With a strong emphasis on exceptional patient experience, GHA accredited facilities are attuned to your cultural, linguistic, and individual needs, ensuring you feel understood and cared for. They adhere to the highest standards, putting patient safety and satisfaction at the forefront. Explore the world's top GHA-accredited facilities here . Trust us, your health journey deserves the best.

Unveiling the Power of Social Media Marketing in Medical Tourism

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The Medical Tourism Magazine (MTM), known as the “voice” of the medical tourism industry, provides members and key industry experts with the opportunity to share important developments, initiatives, themes, topics and trends that make the medical tourism industry the booming market it is today.

Comprehensive Guide to London, UK’s Best Health Tourism Destinations: Where Healthcare Meets World-Class Service

Introduction to london, uk’s health tourism options.

Are you planning your next trip to London, UK for medical purposes? Our comprehensive guide to the top Health Tourism in London, UK is here to assist you. Medical tourism isn’t just about finding healthcare abroad; it’s an opportunity to access treatments not available in your home country, often at a fraction of the cost. It also combines recovery with the chance to experience a new culture. Whether you’re visiting London, UK for its advanced medical treatments, world-renowned specialists, or state-of-the-art facilities, choosing the right Health Tourism is crucial for your health and well-being.

Why Choose The Right Health Tourism In London, UK

London, UK is renowned for its exceptional healthcare services, combining modern medical technology with expert care. Choosing the ideal Health Tourism ensures you receive top-quality treatment, tailored to your specific health needs. Moreover, London, UK offers unique advantages such as cutting-edge procedures not yet available elsewhere, holistic healing environments, and the opportunity for discreet, private treatment.

Selecting The Perfect Health Tourism In London, UK

Consider the following when choosing your Health Tourism in London, UK:

• Specialized Treatments : Look for facilities specializing in the medical care you require.
• Accreditation and Standards : Ensure the healthcare providers adhere to international healthcare standards.
• Language and Communication : Facilities with multilingual staff can ease your medical journey.
• Proximity to Accommodation : Convenient location relative to your place of stay in London, UK.

Types Of Health Tourism Available In London, UK

• General Hospitals : Offering a wide range of medical services for various health needs.
• Specialized Clinics : Focus on specific areas like cardiology, oncology, or orthopedics.
• Holistic and Wellness Centers : For alternative treatments and wellness therapies.

How To Book Your Health Tourism In London, UK

• Online Research : Utilize trusted medical platforms to compare services, specialties, and credentials in London, UK.
• Direct Contact : Reach out to the medical facilities for detailed information and appointment scheduling.

Advance Booking Tips

• Plan Ahead : Schedule appointments and consultations in advance, particularly for specialized treatments.
• Prepare Necessary Documentation : Ensure all medical records and necessary documents are in order for a smooth experience.

Experiencing London, UK From Your Health Tourism

• Post-Treatment Care : Explore London, UK while recovering, taking advantage of the therapeutic surroundings.
• Access to Tourist Attractions : Enjoy the unique attractions London, UK offers, providing a pleasant environment for recuperation.

Lesser-Known Benefits of Health Tourism in London, UK

• Cultural Exchange : Experiencing a new culture and environment can be psychologically uplifting and aid in recovery.
• Personalized Care : Many medical tourists report receiving more personalized care and attention than in their home countries.
• Combining Treatments with Leisure : The opportunity to combine medical treatments with leisure activities can make the medical journey less stressful.

Conclusion: Embrace Your Healing Journey In London, UK

Choosing the right Health Tourism in London, UK is essential for a successful medical journey. This guide aims to align your healthcare needs with the best options available, ensuring a comfortable and effective treatment experience. Embrace your stay in London, UK, where health meets hospitality, and discover the unique, less-talked-about benefits of Health Tourism.

Discover Medical London

Find out how one of the world’s greatest cities became an international capital of medicine with our guided walks, tours and events., our walks and tours.

You can use this section of our site to find out more about the range of walks, tours and events that we offer.

This page provides a selection of routes and tours that can be booked by groups of any size subject to guide and venue availability and a minimum charge .

Many of these walks include visits to some of London’s leading medical museums and collections .

For those with an in depth interest in medical history, we are able to organise bespoke programmes . Our tailor-made itineraries can include your choice of walks, lectures, museum visits and tours.

To enquire about any of our walks or services simply email us at: [email protected]  

To discover just how much we have to offer simply click on any of the walk titles below , or use the drop down menu above to access the home page for each of our walks, tours and events.

If there’s no link at present, please be patient we’re working to get this section of the site ship shape and Bristol fashion just as soon as we can!

“ Who needs doctors anyway? ”  Find out how the biggest life savers in the story of human health come from far and wide, not just the world of physicians. Today, medical practitioners and professionals are held – quite properly – in extremely high esteem. But is the common view that the huge advances in our well being of the last 250 years come down to the role of doctors entirely true?

“Fire! Plague! Revolution! London 1666: capital of calamities” Explore the history of London’s most terrible decade through the eyes of a doctor! In a nation where the reverberations of a bloody civil war could still be felt, it was the darkest of years for its greatest city. Divided across lines of class and religion, still feeling the after effects of The Great Plague, The Great Fire came and seemed unstoppable, engulfing everything before it in flames for days on end.

“Medicine at the Movies” Lights! Scalpel! Action! Film and the invented lives of physicians and clinicians. Since its earliest days the cinema has been obsessed with playing at ‘doctors and nurses’. Sometimes it has taken its stories from fact, sometimes it has created fictions. The results have been both tragic and comic, and all too often ‘romantic’.

“Sex and The City”   Take a walk on the wild side to explore both the streets of London’s former red light district and the complex history of medicine’s sometimes troubled relationship with human sexuality, sexology and the treatment of sexually transmitted diseases. 

“Women and Medicine” Join us for a journey in search of the pioneers at the forefront of medical advancement and female emancipation as we tell the the tale of women’s involvement in the medical world both as practitioners and patients across the centuries.

“Medicine at War”    A walk to mark the centenary of the outbreak of World War I examining the ever-changing role of medics at the front line from the mediaeval battlefield to The Western Front. 

“Fit to Rule”    Meander around fashionable Marylebone’s ‘Medical Mile’ and finish up by taking the air in ever so Royal Regent’s Park. On the way find out if those in charge were well enough to hold the reigns of power. 

“Homes for Healing”    A tour of healthy open spaces and London’s amazing architectural curing places. From fashionable town houses to squalid workhouses, lost priories to Princes’ palaces discover these dazzling gems. 

“Harley Street: Healers and Hoaxers”    Stroll along and around one of the best known medical streets in the world! Meet some of the most famous and infamous figures from from the history of healing. 

“One for the Road!”    Take a trip through the heart of London to explore the Capital’s drinking culture and the long and complex relationship between healing and imbibing, excess and distress.

“The Making of Thoroughly Modern Medicine”  Cut across  the city’s  medical quarter learning all the way how a murky world of mercury cures and caffeine enemas, leeches and blood letting galore was transformed into one of the most respected professions at the cutting edge of science.

“From the Surgeons’ Theatre to Shakespeare’s” Travel along London’s Southbank and discover the secrets of the sacred and profane world of mediaeval and Renaissance medicine.

“Body Snatchers,Sex Maniacs and Spectacle Makers: an improbable history of medicine in London’s West End.”   From pioneering anatomists with dubious suppliers, to quacks with eminent clients, and craftsmen restoring the miracle of sight uncover how London’s entertainment district has been a place of cure and the impure for centuries.

“The Intoxicating Walk Down Gin Lane”:     Go in search of the site of Hogarth’s legendary Gin Lane, epicentre of Georgian alcoholic excess. En route encounter the scale of society’s infatuation with all manner of intoxication over the centuries and uncover the attempts of the abstemious few to restrain their fellow man and woman. 

“Dr Dee & The Magic of Medicine”   A special  study tour celebrating the extraordinary collection of works once owned by Dee now contained in the Royal College of Physicians magnificent library. During the course of a day explore the life and legacy of one of Tudor England’s most enigmatic and extraordinary figures.

“Path-ologies: A capital’s contagious geography” : Explore the connection between some of London’s most famous places and the most virulent of pestilences as we seek out the scenes of many of the City’s greatest sicknesses. From the ‘French Disease’ to the ‘Irish Fever’, mediaeval leprosy to ‘The Great Plague’ and Victorian cholera these infections have occupied surprising locations from Royal Palaces to Pest Houses, Gentleman’s Clubs to Animal Markets. 

“MOMA: Modernism Optimism Medicine Architecture”   Travel from the Southbank to The Regent’s Park, taking in some of the capital’s greatest buildings and discover how architectural experimentation, medical progress and social reform went hand in hand throughout the 20th century and before.

Can’t find what you’re looking for?

Not to worry.   We’re happy to accept commissions to develop new walks and would be delighted to talk to you about putting together a programme that suits your needs.

Equally, if you’re a group leader or travel industry professional please contact us directly to discuss how we can meet your specific requirements. We are experts in developing short and extended itineraries to meet the most exacting specifications.

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DESTINATION

United kingdom.

Brief Introduction to the Country and its Reputation in Medical Tourism

The United Kingdom (UK), comprising England, Scotland, Wales, and Northern Ireland, is known worldwide for its high standards in healthcare. With a long history of medical research, innovation, and a robust National Health Service (NHS), the UK has become a leading destination for medical tourism. While the NHS primarily serves UK residents, the private healthcare sector has garnered significant attention for its premium services, cutting-edge technology, and highly skilled medical professionals. Medical tourists often seek the UK for specialized treatments and procedures that are either unavailable or have long waiting lists in their home countries.

Historical and Cultural Significance in Medicine

The UK has been a pioneering force in the field of medicine for centuries. It is the birthplace of many significant medical discoveries, such as the structure of DNA and the development of various vaccines. Furthermore, British universities are known for their medical research programs, contributing significantly to global advancements in healthcare. This rich history imbues the medical tourism sector with an aura of trust and expertise that few other countries can match.

Medical Research and Innovation

The UK's commitment to medical research and innovation ensures that it remains at the forefront of new treatments and technologies. Investment in research is significant, with world-class universities and private institutions continuously working on breakthrough medical advancements. These factors make the UK an attractive destination for medical tourists who are looking for the latest, most effective treatments.

Global Influence and Reputation

The country's reputation extends beyond its borders, attracting patients from Europe, North America, the Middle East, and other parts of the world. Many come for specialized treatments, the high standard of care, or second opinions from renowned experts in their field. Moreover, the UK has several international collaborations, showcasing its commitment to improving global health standards.

Popular Medical Procedures

List and brief descriptions of procedures.

Medical tourists primarily visit the UK for specialized and complex procedures, including but not limited to:

• Oncology Treatments
• Cardiovascular Surgeries
• Orthopedic Procedures
• Cosmetic and Reconstructive Surgery
• Infertility Treatments

Specializations and Pioneering Treatments

The UK is particularly noted for its advancements in oncology and cardiovascular care. The country offers some of the most modern cancer treatments, including immunotherapy and targeted therapies. Moreover, in the field of cardiovascular health, it provides specialized surgeries that use cutting-edge technology, often less invasively, thus reducing recovery time.

Top Hospitals & Clinics

A list of renowned hospitals and clinics.

Some of the top healthcare institutions for medical tourists include:

• The Harley Street Clinic, London
• The Wellington Hospital, London
• Spire Healthcare Hospitals
• Nuffield Health Hospitals

Accreditation and Affiliation Details

These facilities are usually accredited by the Care Quality Commission (CQC) in England and their respective regulatory bodies in Scotland, Wales, and Northern Ireland. They often have affiliations with world-class universities and medical research institutions.

Special Features, Awards, or Recognitions

Many hospitals have been recipients of various national and international awards for their exceptional service and innovations in healthcare. Features like state-of-the-art medical equipment, patient-centered care, and specialized units for various treatments make them attractive options for medical tourists.

Cost Comparison

Comparative data.

While the cost of medical procedures in the UK may be higher compared to countries like India, Thailand, or some Eastern European nations, many patients find the higher cost justified by the quality of care and expertise available. For instance, a knee replacement surgery that might cost around $40,000 in the United States could be 20-30% less expensive in the UK.

Price Ranges

The prices for medical procedures can vary widely depending on the hospital, location, and the specific needs of the patient. However, the UK’s private healthcare sector is generally transparent about costs, and you can expect detailed billing that accounts for the procedure, anesthesia, hospital stay, and any additional tests or treatments required.

Quality & Safety

Medical standards and practices.

The United Kingdom maintains rigorous medical standards, governed by various regulatory bodies including the General Medical Council (GMC) and the Nursing and Midwifery Council (NMC). These institutions ensure that medical professionals are highly qualified and adhere to the latest best practices in medical care.

Patient Safety and Rights

UK hospitals are committed to patient safety, with clearly defined protocols for various treatments and procedures. Moreover, the UK has strict patient confidentiality laws, assuring visitors that their medical information will be securely managed.

Medical Visa Information

Guidelines and requirements.

Non-EU/EEA nationals typically need to apply for a visa to enter the UK for medical treatment. The primary requirements usually include a detailed medical diagnosis from a healthcare professional in your home country, a letter from the UK medical facility confirming your treatment plans, and proof of sufficient funds to cover your medical and other expenses.

Duration and Documentation

The duration of a medical visa can vary but is usually granted for the length of the treatment plus recovery time. The documentation needed can include medical records, treatment plans, and financial statements, among other things.

Cultural Considerations

Local customs and etiquette.

The UK has a diverse cultural tapestry, but manners and politeness are generally highly valued. When in medical settings, it is standard to address healthcare professionals by their titles, such as “Doctor” or “Nurse.”

English is the primary language spoken in medical institutions, and many healthcare professionals are fluent in multiple languages, making communication easier for tourists.

Travel & Accommodation

Popular areas to stay.

London, Manchester, and Edinburgh offer a range of accommodation options close to major hospitals and clinics. Prices can range from budget hotels to luxurious suites.

Transportation Facilities

The UK boasts an extensive public transportation network, including buses, trams, and an efficient train system, making it easier for tourists to navigate between their accommodation and medical facilities.

Legal & Ethical Considerations

Legal rights of patients.

Patients in the UK have the right to confidential and high-quality care, as well as the right to complain if the service does not meet their expectations.

Medical Malpractice Laws

The UK has a well-defined medical malpractice law framework. Patients who believe they have been subjected to negligent care have the right to legal recourse.

Benefits & Risks

One of the major advantages of choosing the UK for medical treatment is the high standard of care and the availability of specialized treatments. Hospitals are well-equipped and staff are highly trained.

While the risks are generally minimal due to high medical standards, they can include high costs and longer wait times for some procedures compared to other medical tourism destinations.

Post-procedure Care

Post-operative care.

UK medical institutions offer exceptional post-operative care, including specialized rehabilitation services when necessary.

Frequently Asked Questions (FAQs)

Typical questions.

• Is healthcare in the UK free for tourists? No, the National Health Service (NHS) is for UK residents. Tourists will generally use the private healthcare sector.
• Do I need insurance? It is highly recommended to have a comprehensive medical and travel insurance policy when coming to the UK for medical treatment.
• How long will it take to get a medical visa? The process can take several weeks, so it’s advisable to apply well in advance of your planned trip.

Global Provider Members

British Pound

The United Kingdom has a temperate climate, with plentiful rainfall all year round. The temperature varies with the seasons, seldom dropping below −11 °C (12 °F) or rising above 35 °C (95 °F). The prevailing wind is from the southwest and bears frequent spells of mild and wet weather from the Atlantic Ocean, although the eastern parts are mostly sheltered from this wind, since the majority of the rain falls over the western regions.  

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London, United Kingdom

Lancashire, United Kingdom

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Featured Treatments

MedicalTourism.com

MedicalTourism.com is a free, confidential, independent resource for patients and industry providers. Our mission is to provide a central portal where patients, medical tourism providers, hospitals, clinics, employers, and insurance companies can all find the information they need. Our site focuses on patients looking for specific knowledge in the fields of medical tourism, dental tourism, and health tourism.

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Medical Tourism London, United Kingdom

108 Medical Chambers

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108 Medical Chambers is a private clinic which is comprised of The London Breast Clinic, The London Skin Clinic, The Gilmore Groin and Hernia Clinic, The London Rectal Clinic, The London Thyroid Clinic and the 108 Xray and Imaging clinic.

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Came for an annual health check. I booked prior to the visit, and that was such a great idea for weekend visit. The staff and nurses were great, very polite, friendly and fast on their feet.

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We got excellent treatment at excellent speed and everything was well explained for us.

This is a five-star hospital with top medical specialists, latest and modern medical equipment that provides a full range of care. Efficient, reliable, and fast. The staff and nurses were helpful, especially for Foreign patients, and the doctors were good and explained well.

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Medical tourism — prices and best hospitals

The best countries for medical tourism.

Hospitals on the website — 10

Hospitals on request — 35

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Hospitals on request — 98

Hospitals on request — 92

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Hospitals on the website — 3

Hospitals on the website —1

TOP-10 best hospitals in the world for medical tourism

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• South Korea

Top 3 best countries for medical tourism

Turkey, South Korea and Germany remain top 3 countries for treatment abroad through the years.

Medical specialists from international clinics select the best treatment for our patients, using ultra-modern diagnostic technologies and vast experience of working with foreign patients. You can also check out other treatment options abroad below .

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See all health tourism options, medical tourism — recommended hospitals, why medical tourism always brings positive results.

• The highest level of educational system. As a result, doctors have excellent qualifications, there are a large number of scientists in medicine, biology and many research institutes.
• The availability of university hospitals which are centres of medical competence in their region, include dozens of specialised departments and medical centres.
• Research funding. For example, the Mayo Clinic in Rochester, USA, spends more than 660 million US dollar annually on research and has a staff of 3,000 research scientists. The research results are then applied in practice in the form of new methods of treatment and slowly spread to the rest of the world.
• Public and private investment in health infrastructure. This includes not only the financing of the hospitals themselves, but also the technological medical companies that develop and produce modern medical equipment used to treat patients.
• International accreditation of hospitals and commitment to quality assurance and transparency.

Your medical travel can be organized by professionals

A medical travel ㅡ where to start, about all stages of the organization of medical tours with uniclinicsⓡ in details, security of your medical data, did not find an answer to your question about medical tourism.

Medical Tourism

Medical tourism is defined as the travelling for health purposes and is a combination of two main themes. these are the importance of getting the best possible medical treatment while having an enjoyable leisure time..

There has been historical evidence of travelling for medical reasons since the 6th Century BC in countries such as Greece, India or Persia (now Iran). Particular environments have fascinated people who combined travel with the need to address their health issues. Examples include the spas of the city of Bath in England that attracted a large number of visitors leading to the city’s prosperity or the Asklepeion in ancient Epidaurus.

In modern times, technology has allowed more people than ever to travel to many destinations in a short period of time that would not have thought to be possible in the past. In addition, there is a financial strain in the national health system of many countries, as well as the private health sector, making health services quite expensive and not affordable by all. This certainly applies in preventive medicine (Check-Ups) as well as other areas (e.g. Dentistry or Plastic Cosmetic Surgery) that are not always covered by Insurance Plans or, if they are, there are long waiting times.

Visitors can now combine their holidays with a visit of/to a health professional for simple tests such as blood tests and receiving a health report as part of a check-up or even to have a surgical procedure and then spend the post-operative recovery period in a nearby resort on an island.

Our aim is to facilitate the process for people who wish to have a medical visit while being away in a manner that leads to affordable, accessible and top-quality certified services. We, at London Health Services , have created a network of physicians who are highly regarded in their fields with very good communication skills and excellent feedback from patients to deliver outstanding medical services. Furthermore, we have partnered with reliable Travel Agents who can provide the visitor an unforgettable exprerience.

London Health Services (LHS) is a UK-based start-up company in the area of health-related services which has been found and managed by Dr Konstantinos Charitopoulos & Professor Dimitris Petmezas

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Health tourists: How much do they cost and who pays?

• 'Deliberate' use of the NHS—use by those who come here specifically to receive free treatment or who come for other reasons but take advantage of the system when they're here—is hard to quantify. It's thought to be very roughly between £110 million and £280 million a year.
• 'Normal' use of the NHS—by foreign visitors who've ended up being treated while in England—is estimated to cost about £1.8 billion a year.
• The majority of these costs aren't currently charged for. Only about £500 million is thought to be recoverable or chargeable at the moment.

Who do you think of when you hear the term 'health tourist'? A Spaniard who breaks a leg while on holiday in the UK? An American travelling here deliberately to use the NHS for free? What about a British expat who comes home every now and then to see their old, trusted GP?

All of them can be seen as 'health tourists' in that they've come from somewhere else and may have received healthcare in the UK for free. But for some the cost of their treatment is recoverable and for others it isn't. Keeping track of these cases is exceptionally difficult and so is working out the cost to the country.

We can split the estimated costs into two categories:

Normal use: The estimated cost of normal use of the NHS—by foreign visitors who've ended up being treated while in England—is £1.8 billion a year ( including a small number of European visitors treated in the rest of the UK). This includes the cost of treating them in A&E, though visitors aren't currently charged for this, and the cost of treating some foreigners resident in England who currently don't incur charges.

Only around £500 million per year is estimated to be recoverable or chargeable according to the Department for Health . In reality only £100 million was recovered in 2013/14.

Deliberate use: This is the estimated cost of treating those travelling to England  deliberately for free treatment, or those who take advantage of the health system while here (which means using it more intensively than they might have done otherwise). This group is particularly difficult to quantify as we don't really know who most of them are. It's thought they could cost the NHS somewhere between £110 million and £280 million a year, on top of the £1.8 billion a year.

Only hospitals are required to charge overseas visitors

The NHS was founded on the principle that it's a service "free at the point of use" for those ordinarily resident in the UK. But foreign or migrant patients usually need to pay a fee for their treatment.

Only services provided in or linked to a hospital in England are required to  charge for overseas visitors . This excludes services like A&E and walk-in centres.

GPs in England  have the discretion to register overseas patients in theory, and once registered they can be treated just like any other resident. But in reality they can only refuse a patient from their list if, say, it was closed to new patients, rather than because they don't have leave to remain. The situation is similar in the rest of the UK .

Currently, foreigners who are 'ordinarily resident' in the UK—those who are seen as settled in the UK—are exempt from charges. Full time students and some others are too. The definition of 'ordinarily resident' was tightened in last year's Immigration Act  to include only those who have Indefinite Leave to Remain (ILR), but this hasn't come into force yet.

Most Europeans don't have to pay for treatment themselves. Charges for patients from countries in the European Economic Area are claimed back by the NHS from their country of residence. The NHS also has reciprocal agreements with some other countries  such as Australia, where visitors can receive free urgent treatment if they find they need it when visiting the UK. These agreements are currently being reviewed .

Deliberate health tourism—a very rough estimate

Research commissioned by the Department for Health has  estimated the gross cost of 'deliberate' health tourism for urgent treatment in England to anywhere between £110 million and £280 million. Which barely compares to the £1.8 billion gross cost for 'normal' use of the NHS. But these figures are rough, as the report makes clear : "[it's] impossible to estimate with confidence".

The research splits the 'deliberate' health tourists into  two sub-groups :

• Deliberate intent: Those travelling to the UK for urgent, acute expensive surgery where they'll go straight to A&E:   £60-80 million
• Taking advantage: Those accessing more routine treatments, having been able to register with a GP and visiting on a regular basis. This includes British expats who may be chargeable but who have an active GP registration: £50-200 million

To get a number for those coming with 'deliberate intent' to receive treatment the researchers calculated the risk of people coming from different countries. This 'abuse rate' is based on how close their country of origin is to the UK and the quality of publicly-funded healthcare there. It guessed an abuse rate of about 1 in 100 visitors from high risk countries being health tourists, and about 1 in 1,000 visitors from medium risk countries.

To work out the cost, the research assumes all health tourists will be receiving more expensive treatment—they're unlikely to travel to the UK for a flu jab—settling on about £7,000 per case using (incomplete) data on previous unpaid bills owed to the NHS.

So combining the abuse rate and the cost data, the report estimates the cost of providing care for this first group of deliberate health tourists could be anywhere between £20 million and £100 million.

For the second group of health tourists 'taking advantage' of the NHS, the researchers say:

"... we feel it would be potentially misleading to come up with an estimate".

Nevertheless it has a rough stab at it, suggesting a range of between £50 million and £200 million a year for these routine NHS users.

'Normal' use of the NHS by visitors

Gross costs to the NHS for the wider group (excluding the 'deliberate' health tourists) have been estimated  by the same report as:

• £260 million per year for visitors and non-permanent residents from the European Economic Area (EEA) to England
• £1,400 million per year for visitors and temporary migrants from outside the EEA to England, and irregular migrants
• £95 million per year for English expats living abroad

A further £100 million a year could be added to this if you include UK-wide figures for use of the NHS by Europeans, according to the Department of Health.

The vast majority of the costs for non-EEA visitors and migrants are not recoverable, because they're related to GP, A&E or other services that don't charge or are exempt for some other reason. About £300 million also relates to irregular migrants who the report says are likely to have no means to pay.

About £500 million 'recoverable' currently

About £150 million can be invoiced to individuals living outside the EEA. Of this, it's thought  that health Trusts get back about 15%. That's based on about 40% of people being identified, 85% of those being invoiced, and 40% of those invoiced actually paying.

About £340 million is recoverable from European (EEA) visitors (including those using the NHS in the rest of the UK ), mostly under the European Health Insurance Card scheme .

The report is again at pains to point out  that these are 'uncertain estimates' because of the full complexity of the eligibility rules.

Is it even worth the trouble to recover the money?

The Department of Health has  previously estimated  that the costs of recovering what's owed could be more than £18 million. That was compared to the costs being recovered at the time of about £15-25 million per year.

The money has to be recovered by the NHS bodies that provided the treatment and NHS Trusts don't have any incentive to identify overseas visitors. That's because, by flagging concerns about a patient's entitlement to free treatment, it'd be rejecting money that it would otherwise receive from the government. Once an overseas visitor is identified, the Trust instead has to recover its own debt, which will also run up administration costs.

To tackle this recovery problem the Government announced in July 2014 that it was introducing measures which would recoup an estimated £500 million a year by 2017/18. This is based on:

• £200 million  from better identification of EEA patients and recharging to their home countries
• £200 million  via a 'health surcharge' for non-EEA migrants with a visa to stay for over six months
• £100 million  from better identification and recovery directly from non-EEA migrants

NHS Trusts will be paid 75% of the cost of non-EEA patients by health service commissioners, and will then be able to charge double that to the patient in fees.

So if treating a patient has cost £100, the provider will get £75 from the commissioning group and then will try to recoup £150 from the patient or their insurer. If successful, they'll pay the £75 back to the commissioning group. We've got more information on this here .

Medical tourism 

None of these measures consider the money the NHS actually brings in from medical tourists, that is overseas visitors coming here to pay for treatment. According to an independent review on overseas use of the NHS for the Department for Health, it's a "growing market".

• By Amy Sippitt
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Here’s What to Do in London With Your Family, According to a Top Travel Advisor

Whether you’re a movie buff or an aspiring historian, the city of London has something to offer for every member of the family. Here's how one travel expert recommends you see the city.

How to Get Around London

• For Culture Lovers

For Sports Enthusiasts

• For Conscientious Travelers

For Foodie Families

For history lovers, for those craving a local experience.

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Traveling in and of itself is a whole ordeal. Add your family to the mix, and planning the itinerary quickly becomes complicated as you try to find something for everyone to enjoy. Being prepared for the destination you're visiting is important — and that's where a travel advisor can come in handy.

Here's exactly what I, a professional travel advisor, would do on a trip to London with my family.

London can be cost-effective, with most of the city’s museums being free (exceptions include entry fees at some exhibitions). You can soak up the city’s atmosphere best by ditching the car and traveling on foot. Not only will you see more and spend less time in traffic, but you'll also benefit from the walk. Lastly, invest in a guide to help you make the most of your time; London is a big city, and an expert can ensure you get the best of it all.

For Culture Lovers 

London has been the setting for many movies, including several that kids of all ages will know well. While in the city, immerse yourself in these famous films through custom experiences.

One option is to have Mary Poppins pop by the hotel to put on a performance for the entire family. She can conduct a sing-along and offer treats from her magic carpet bag. Fans of wizardry, meanwhile, may be interested in a Harry Potter tour that visits some of the film’s most iconic sites, including Platform 9 ¾ at King's Cross Station, the Ministry of Magic, or Diagon Alley. And for youngsters, NoteWorthy offers an exclusive experience at the filming locations of "Paddington." On the private tour, guests will go behind closed doors and explore the tunnels of the London Underground that Paddington famously trotted in. 

NoteWorthy provides a variety of sports experiences. Polo lovers, for example, can meet with a top player from England in a private West Sussex club, followed by a lesson that teaches the basics of the game.

For Conscientious Travelers 

Educate your children on how they can leave a long-lasting legacy on the destinations they visit. By giving donations and exploring historical attractions throughout the city, visitors ensure local and national monuments are maintained, developed, and preserved for future generations to enjoy. For example, NoteWorthy’s exclusive changing of the guards experience benefits The Guards Museum, which tells the story of the five regiments of foot guards from the 17th century to present day. 

Visit one of the largest and oldest food markets in London, learn about its history, and taste samples from the various artisan stalls. Top stalls include Bath Soft Cheese, a family-owned operation, and Ginger Pig, a farm that offers an array of rare, native livestock, with an emphasis on animal welfare.

Or, take a trip to Fortnum & Mason — a department store that has held a Royal Warrant since 1910 — for a masterclass on how to create the traditional British Scotch egg. 

Go beyond looking at artifacts in a museum and interact with them, too.

At NoteWorthy’s new exclusive experience at the Churchill War Rooms, you can step behind the scenes of Room 58. Marked on official maps as “special accommodation,” it's speculated this is where Churchill met his top advisors and members of the Secret Service.  

Visit London’s finest Royal Warrant stores, where the royals shop. Royal Warrants are a mark of recognition for those who have supplied goods or services to the royal family. These special warrants are held by a wide range of organizations, from tailors and hat shops to chocolatiers and delicatessens. 

The best way to see the city is to visit less-populated neighborhoods. Skip the West End’s busy museums and royal palaces and head north to Marylebone village to be immersed in local life as you walk the high street and picnic in nearby Regent's Park. Or, explore the charming neighborhood of Chelsea, known for its small boutiques, restaurants, and the annual Royal Horticultural Society’s Flower Show (best known as the Chelsea Flower Show). 

Nicola Butler is a member of Travel + Leisure's A-List and specializes in Ireland and the U.K. trips. You can create a tailor-made itinerary with Butler by contacting her at nicola@noteworthy.co.uk.

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