What should I expect regarding healthcare and treatment if I return to the UK after living in Thailand for years?

Jun 28, 2024
6 months ago
Stephen *******
ORIGINAL POSTER
Hi group, after 15 yrs in the kingdom, now, due to ill health, I think I may have to go back to the UK, any help/ ideas (especially doctor/hospital) and any problems that I can expect to encounter when I get back? Thanks in advance.
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TLDR : Answer Summary
The discussion revolves around the challenges an individual might face when returning to the UK after living in Thailand for 15 years due to health issues. Several comments address the complexities of the NHS, including long waiting times for appointments and procedures, the necessity of registering with a GP, and the eligibility for NHS treatment based on prior national insurance contributions and residency duration. Many users express the sentiment that healthcare in Thailand may be more efficient and preferable compared to the current state of the NHS. Additionally, there are suggestions to bring medical records from Thailand to assist in the UK's healthcare system. Some emphasize that while there may be hurdles, British citizens retain their rights to emergency treatment upon returning.
Paul ********
As someone who was in a similar position a few years back a lot of the comments here are just rubbish, yes the NHS is overloaded but if you have a serious health concern you will stil get treated fairly quickly. It really boils down to what the health condition is and the severity. but yes if urgent you will get seen quickly. Id also say little as possible about living elsewhere just act like it didnt happen and if you somehow get pulled up on it then you make some excuses.
Stephen *******
ORIGINAL POSTER
I would like to thank the group for their response to my post. There is a lot of useful information that I will bear in mind. Thanks again 👍
Martin ********
You will almost certainly be registered at the same UK GP practice as when you left UK. You may just find it a bit harder to actually get an appointment.
Joseph **********
You are better off staying in Thailand.
Ken *****
I was there 11 years, got the kids went back to Uk.

Got my few things sorted,

Cancer found, prostate, 3-4. Very lucky 7 years now after treatment.very lucky.

But if something is telling you to return!!

Trust your self.

Go back.

It worked for me.

12 years now still not gone back.
Rok ********
Do register with a GP immediately. Everybody has a right for primary care on presentation (in person, not on presentation of documents). Hospitals may however require further documents proving entitlement to care but by then you will be likely a resident in uk for 3 months and entitled to care (GP referrals are usually not scrutinised though). We complain about the NHS however when things go wrong privately, treatments abroad, not insurance covered or uninsurable it always fall on the NHS to pick up the pieces.
Ian ********
As usual on arsebook a load of nonsense and uniformed replys. A friend of mine returned to Uk recently after living here years. Sadly riddled with cancer and was treated immediately and treated well. NHS not perfect but not as bad as the MSM and clowns on this site would have you believe. Good luck.
Gary *********
@Ian *******
well said mate
Gary *********
To be honest we’re ever your staying in the uk just phone 111 and tell them your in pain and they will take you in to AE then you will get a local go
Lynnette *******
@Gary ********
they don't always take you to a&e. They triage the caller and decide IF an ambulance is required. He's best to register with a GP and get treated appropriately.
Gary *********
It depends on what the guy I’ll with has you know most doctor only give 10 minutes one problem at a time and if serious you then get sent to hospital so I say go straight there and have all seen to at once
David ********
Lots of praise for Thai healthcare in this forum. But NONE of the health insurers will cover any pre existing condition. Hence some of us may need to use the NHS.
Jim ******
I came back from Thailand a few years ago. Initially stayed with family and registered with a GP. Did not need to see one -just got back into the system in case I did.
Jim ******
The official answer.
******************************************************************************************************************************************************************
David *******
You will get immediate access to NHS treatment once you have a U.K. address and say you have returned permanently. Health is devolved so organisation is different in England, Wales, Scotland and N Ireland.

First step wherever you are is to register with a GP, which should be easy.

After that it depends where you are. The system is pretty much on its knees after years of chronic underfunding but it does vary in different parts of each country. You’ll need to check the situation in the area you intend to live.

If you ever need Social Care the situation is even worse. The elderly are warehoused and treated abysmally in many parts of the country. There can be waits of a year or more for home carers to allow people to go out of hospital.
Amanda ********
Don't go back if your health is poor, stay here. I have been waiting 10 months, so far, for a hearing test and diagnosed 13 years ago with osteoarthritis and not even on the waiting list yet for new knees. It is impossible to get a GP appointment and you can wait 17 hours plus in A&E to be seen. I am sorry to paint such a bleak picture but these are the facts, you are better off here. Best of luck with your health.
Rob *****
Don't know if this will be of much help.

After 23 years retired in Thailand I went home to Ireland for a holiday in 2020 and found myself caught up in the COVID lockdown. I got myself an address and attended a clinic for a Vaccination. It was a "Primary Health/Care Clinic"... so I registered myself with it... They asked me to return for a "Blood Test"... long story short...they discovered I had Type 2 Diabetes...a Prostate problem...High Blood Pressure...and Heart Fluctuations....

So there you have it...4 years later,... I have just received my 2nd biopsy on the prostate (2 days ago).... Am attending a hospital for Diabetic tests and retina screening...and a different hospital for ECG's on the heart.

I only return now to Thailand for holidays.

I suppose, my main advice would be...Try and get yourself registered with a "Primary Care Clinic" or similar...if they have them in the UK...They make all the appointments necessary and take care of the "smaller stuff like doctor's appointments etc., including Chiropody. I am at this point on 7 tablets a day.

All this is free...because of my age, I was able to apply for and received a Medical Card...I also get free travel on the public transport system like busses and trains all over the country (all pensioners do here).

At one point, I returned to Thailand (I missed it so much) and renewed my yearly Retirement Extension. I had intended to pack it all in and give up all the hospital appointments, tests, visits to doctors etc.,here...and ...just die over there...but luckily, I came to my senses and decided I could not look a gift horse in the mouth and instead developed an "attitude of gratitude".

To the person who made the OP... I sincerely wish you all the success in the world in your "new life"...You never know, it might lead to "new adventures"...G.B.
Paul ********
Take your chances here dude, people who are admitted to hospital in the UK rarely come out.
Russell *******
I would just visit a hospital/ doctor in the area you intend living in . Contact the local social services if you need them .
Vinny **************
Get to the back of the line

Immigrants come 1st
Lynnette *******
@Vinny *************
utter rubbish. . posted by an immigrant in Thailand.
Vinny **************
@Lynnette ******
illegal alien who had to pay my way to come into the country

Not like coming from France in a boat getting free everything .I should no.i was there 2 months ago
Vinny **************
@Lynnette ******
shut up karen
John **********
You can’t be serious about going back to UK for medical attention, you’ll wait 3 weeks for a GP appointment, assuming you can get through on the phone!! Then you’ll jump through hoops seeing a variety of specialists, starting with the least expensive option, then if you need surgery you’ll probably wait 3 years, after which you’ll be discharged after a day and left to fend for yourself no matter how incapacitated you are!! Forget it, stay here!! Go back there, dead within a year!!
Ken ***********
Best wishes on returning to good health.
Andy **********
Im sorry to say , but all of the answers above are true !., i would stay in thailand if you can.👍😁
Mark *********
I’ve recently just been to the A&E Emergency here in the UK from the start to finish took by the time that they know their tests and results. I was admitted to hospital which was 14 hours but then I was told there was 55 people in front of me waiting for a bed so then I had to wait another 16 hours to get a bed. Personally, if you can afford the Treatment in Thailand, stay there.
Stephen *******
@Mark ********
I've been in a state hospital in Thailand I paid money but very little and the service was brilliant I'm going to take my chances with no health care you only live once and you only die one
Peter *******
Cancer diagnosis is poor in UK it seems but treatment is good, so get tests in Thailand first
John ********
@Peter ******
If you get diagnosed in another country, the NHS won't offer you treatment based on diagnosis from a foreign country.So your back at square one if you come back to the UK.
Peter *******
@John *******
I can't imagine they'd ignore a cancer diagnosis, i know one recent example where someone was treated straight away
John ********
@Peter ******
They wouldn't ignore it, but they wouldn't start giving you treatment until the NHS had diagnosed it.
Peter *******
@John *******
obviously they would confirm the diagnosis
Andy **********
@Peter ******
nonsense. It's a mixed picture when compared to other peer countries. Eg, if you have cancer, you are better off having cancer in Australia or Canada than UK or New Zealand. Breast cancer survival rate in the UK 81%, Thailand 71%, stomach cancer 18% and 12%, prostate cancer 83% and 57%. Yes, there are better places to be diagnosed and treated for cancer, but UK v Thailand, it's no contest. Global averages for these cancers: breast: 78%, stomach; 26%, prostate: 78%
Peter *******
@Andy *********
loads of unnecessary info, I'm quoting a top cancer specialist in UK. Diagnosis in UK is taking too long due to waiting lists
Andy **********
@Peter ******
yeah, right, says the fake account.
John ********
The least you tell them the better. Just prove where your staying, address. I presume your over UK retirement age. So you must be getting a UK state pension. First thing you'll need to do is phone the DWP and tell them your back living in the UK, they'll ask for your address and you should get some sort of correspondence from them fairly quickly, which will have your UK address on the letter head. That is proof to a GP surgery of where you are now living.
Clive *********
The criteria is if you’ve not used the system for three years you have lost entitlement anyway. Best bet is to re-enter in a small dinghy on the south coast
John ********
@Clive ********
So if your fit and healthy, registered with a GP and don't use it for three years or more, then your struck out of the system? Find that hard to believe and if it's true there must be a valid reason. Oh! just had a thought, maybe it's because of those that move overseas and do not tell the NHS that they have moved.
Clive *********
@John *******
yes that’s what I meant
Andy ********
Unfortunately the NHS is strangled due to mismanagement and outdated systems. You will need to register with a Dr andbthen get referred which can take 6 months or more and expect multiple appointments before any sort of meaningful treatment. They are however very good for the terminally ill.
Andy **********
@Andy *******
well, that depends on what's wrong with you. If it's cancer, you are put on a 2 week pathway. If its a gippy knee, yes, you might wait longer for the referral. I went to a GP for a complaint, got the invite letter for scan and endoscopy within 2 days, appointments 5 days later. A lot of utter nonsense in this thread, the same rubbish no doubt fed to Kev from Thailand, who instead had his bank account emptied by a Thai hospital, receiving pretty primitive treatment from doctors who did not speak English. All because someone told him he couldn't go back to the UK.
Andy ********
@Andy *********
i complained about pain in my leg to the NHS who gave me blood thinning tablets, it got worse so after 6 months they did a test ans said i was ' borderline' low blood flow in my leg, it got worse and they said they would arrange a scan....no scan ever happened. When i got to Thailand i went to see a Dr who with 5 minutes used an ultrasound to see very little flow in my leg and arranged for a MRA scan 3 days later which showed a huge restriction in my main leg artery. 2 weeks later I had a stent fitted and i can walk properly again. I have countless similar tales to tell after having cancer in 2016 whlist working in the USA and the terrible follow up by the NHS...... As i said, they can be good but so disorganised.
Andy **********
@Andy *******
mate of mines dad died on a us operating taking out haemorrhoids because the surgeon didn't know he was on warfarin. Bleed out. Countless tales of medical malpractice around the world. Of course you did not use the Thai state service. You were wealthy enough to pay for treatment thais can only dream of. Sounds like need to address your morbid obesity. Blood clots like that are signs of lifestyle induced ill health.
Andy ********
@Andy *********
Yes, I agree. A lot of my ongoing issues are a result of the radiotherapy given in the USA damaging my insides. The Thai hospitals ive found are excellent and yes I'm lucky i can pay for them.
Andy **********
@Andy *******
or your experience of Thai hospitals has been lucky. Obviously if you died you woukdnt be here chatting on fb about how wonderful it was. Thai medical malpractice law is under developed, and doctors are typically under insured. When thais go to hospital, they depend on relatives to bring them food. Not uncommon in the developing world.
John ********
If your a British citizen and regardless of how long you've lived abroad, coming back to live in the UK you are entitled to emergency treatment, be it hospital or at a GP surgery. Having said that if you require emergency treatment your going to need a hospital not a GP surgery. Also after you register with a GP surgery, as I believe if you see a doctor and it's not for emergency treatment, supposedly you have to pay a charge, plus pay for prescriptions. Now I came back to the UK after 15 years living abroad. At first I stayed at my niece's home and just went into the GP surgery she uses. Asked if they had any places, was told they had. All I had to do was show id drivers licence or passport, or a letter from the DWP with my name and my niece's address. Job done, straight back into the system.
Brian ********
Remember if you have been out of the UK for more then 3 months you are no longer entitled to free NHS, or GP treatment until you have stayed in the UK for a set period of time

Do I lose access to NHS if I live abroad?

Your entitlement depends on if you want to live abroad permanently or work outside the UK for a set period only. You might get help within the EU if you receive a UK State Pension or some other UK benefits. You'll not be entitled to state-provided medical care paid for by the UK if you move outside the EU.
Stephen *******
@Brian *******
it's not six months it's 3 months
John ********
I don't know about any NHS areas in the UK apart from the area I live in. Although appointments do take awhile, I've found it not too bad. Having said that I do not have any underlying health problems that need regular GP hospital appointments. I had an issue with Atrial fibrillation back in June 2013 They wanted to prescribe tablets for the rest of my life. I wasn't happy about that as I'm a very fit guy for my age, so I requested to see a different cardiologist than the three or four I'd seen before. I saw a different cardiologist in February 2014, who recommended me to a heart centre with a view to having a cardio ablation, which I had in August 2014, which was successful. Binned the tablets and have been in regular heart rhythm since. The NHS isn't perfect at this moment, but it's surprising how many millions use it because of conditions that bad lifestyle choices have had a bearing on their health. There are some poor folk who have health issues that have no bearing on lifestyle, but there are hundreds if not millions whose health issues are a direct consequence of lifestyle choices. ie., smoking, unhealthy eating habits, junk food, alcohol consumption, too much of it and lack of physical exercise. People should take responsibility for their health and not just rely on the NHS all the time to fix things that were preventable in the first place.
Brian ********
@John *******
agree 100%
John ********
@Brian *******
Might get help in the EU? We've been out of the dreaded EU for six years, so unless you've got permanent residency in an EU country, your entitled to nothing apart from being able to visit EU countries for ninety days.
Brian ********
@John *******
it's this kind of situation that people don't take into consideration when choosing to move to another country basically they have turned their back on the UK but as soon as their health deteriorates they can't wait to come home and let other people look after them
Stuart ***********
@Brian *******
I think that most people will consider healthcare before leaving the UK, I certainly did.

Having paid into the uk system all of my working life without a break (45 years) and barely used it as I am fit, healthy a non smoker, moderate drinker and never take drugs, why shouldn't I be allowed to return whenever I choose and get treatment?

There is nothing in the rules that prevent me from doing this.

There are plenty of UK people that have never worked or contributed a penny to the system that have unhealthy lifestyles that get treatment every day.

I think a better idea would be a 2 tier system; 1. Priority for those who contribute 2. For people that do not contribute enough and/or have unhealthy lifestyles. I realise that will be a controversial thing to suggest, but something needs to change and it's not expats returning during their well earned retirement.
Brian ********
@Stuart **********
this is not my personal view, it's only what the UK government say to be honest I agree with you
John ********
@Brian *******
I reckon most of them that come scurrying back to the UK for health reasons, are those living in places, especially Spain. There's a program on TV in the UK called Bargain loving Brits in the sun. There all mostly older retirees and they all are obese and have health issues be them mild or not so mild issues. I suspect many of these Brits are living in Spain, have given a relatives address in the UK as their place of abode and use the NHS in emergencies. The fiddling that goes on with Brits abroad on the social system in the UK is horrendous. Retirees living in countries where their UK state pension isn't up rated annually, so they use relatives addresses in the UK and tell the DWP that is where they are living, so they get their pension increased annually, which their not legally entitled too. Having said that it is discrimination of the worst kind, when you can retire to some countries, Philippines, USA and many other countries that have nothing to do with the UK previously, but the UK government has a social security agreement with these countries, so your state pension gets increased annually. Absolute discrimination of the worst kind. But if you climb out of a dinghy at Dover you get 5* or 4* hotels, full board, spending money and a mobile to replace the ones they throw into the English channel along with any other forms of identification, so the authorities in the UK cannot boot them out because under the useless UN charters unless you have proof of where they are Nationals of, you can't boot them out. I worked and paid into the UK system for forty two years and it wasn't until I retired that I realised how badly British retirees are treated by the UK governments.
John ********
Also, these illegal economics that come across the Channel if and when they are sent to Rwanda, each one of these scroungers will be given a lump sum of £3,000 and have their accomodation in Rwanda paid for, for five years FFS. Not much good about being British retirees.
Jim ******
If you can afford to I think you would get much better treatment in Thailand.

NHS is in a really bad way and you also have to consider if you would qualify for free treatment after such a long time overseas
John ********
@Jim *****
rubbish as long as he is a British citizen it doesn't matter he will be ok, its just it will take a lot longer than before as the NHS is run down
Stephen *******
@Jim *****
don't tell them
Jim ******
When registering with a GP you will need to complete a questionnaire so you have to tell them or lie.
Colin *********************
For health care, better to stay in Thailand. As with many of the comments above, the system in uk has deteriorated massively. No appointment, doctors always on strike. Waiting lists are ridiculous. If coming back you may need to consider private health care. At least in Thailand, despite the procedures making little sense, it works.
Phill *********
Have you paid your national insurance that entitles you to have NHS treatment 🤔🤔
David *******
@Phill ********
There is no link between NI contributions and NHS treatment. It is a residence based system. The NI contributions only decide how much state pension you have.
John ********
@Phill ********
If you were born in the UK and have proof, ie , birth certificate it doesn't matter whether you've paid NI or not, you are entitled to treatment. All you need is your National Insurance number to prove to the system who you are. Also you should have a NHS Number, which I presume goes with your NI number.
Lynnette *******
@John *******
of course you're entitled if you have a NI number. I believe some non British people working in UK have to pay a fee to have access to NHS.
Stephen *******
@Phill ********
all these people coming over on boats from the channel haven't paid the National Insurance and they will get treated on the NHS I live in England and it will cost me money to get after care if I go into hospital this country is a disgrace
Andrew **********
@Stephen ******
How dare you speak the truth, shame on you 😉
Phill *********
People who haven't paid into the system shouldn't be treated
Stephen *******
@Phill ********
I've just come out of hospital after Breaking My leg I think it's called your FEMA I've been our hospital week now I have two people every day coming to my house which I told Leeds City Council I didn't want I cancelled them yesterday because I don't need them and now they sent me some forms to fill in to say how much I the cost of them coming to my house is when I told them I didn't need them so I've sent the letter back say you won't get a penny out of me I never asked for your services and the lady who come to my house told me it was free so I have put on this letter shove your letter where the sun don't shine
Phill *********
@Stephen ******
exactly 💯
Marcus **********
I came all the way back because I thought I was going to get better care when I got here they wanted to do way less to help than the doctors in Thailand were going to do for me.
John ********
It will be 14 months before I have a appointment with the hospital for my problem with my back and hip the country has gone to the dogs 😒😒
Dale ***********
Nhs full of immigrants clogging up the system even AE have waiting times over 5 hours
Douglas ************
@Dale **********
Don’t you think that it’s because we can’t get immigrant nurses, doctors and other staff into the country, that waiting times are up.
Dale ***********
Douglas ************
James ***********
@Dale **********
how long have you been full of fear, judgement, racism ?
Dale ***********
@James **********
is that a question if it is it makes no sense
Steve **********
@Dale **********
immigrants need Dr's as well as non, Dr's treat patients, not nationalities.
Lynnette *******
@Steve *********
and many of our doctors are not British. But hey, why not blame foreigners/immigrants for the state of the NHS.
Steve **********
@Lynnette ******
ya know, people need to recognize, There are Dr's and Patients....period !
Dale ***********
@Steve *********
yes Steve they do, was just advising him the state of the nhs, some people on here can’t seem to understand the point of his question
Lynnette *******
@Dale **********
the NHS isnt in a state because of non British born people. In fact if it wasn't for so many non-British doctors, surgeons, nurses, ancillary staff it would be in a worse crisis. If you want to blame anyone, blame the govt.
Steve **********
John **********
@Dale **********
stupid response!!
Sheen ************
@John *********
only to be expected from him.
Dale ***********
@John *********
not really just making him aware of the state of the uk, he would be better off staying in Thailand if possible
Kate *********
@Dale **********
Are you residing in Thailand?

If so, check a mirror, you're an immigrant

Quit relying on the Daily Fail for truth

Oh and 40% of health care providers in the UK, immigrants, left the system because of government regs no longer allowing family members to tag along without exorbitant, extortionate Visa fees, negative attitudes, and extremely low pay scales

Also, immigrants pay a NIS fee in addition to Visa fees, after showing their UK sponsor has an income over 26k/yr, an MIR, (minimum income requirement) higher than the average UK income for almost
***
the population of the UK
Lynnette *******
@Kate ********
don't confuse anti-immigrant numpties with facts. They can't process facts. 🤦
Dale ***********
@Kate ********
no I’m not
Dale ***********
@Kate ********
no, you shouldn’t make things personal it’s just a true fact
Iain ******
Jamie *********
The healthcare system is much easier in Thailand. Since I came back after 1 year this time, I can’t get an appointment and pharmacists here will not help like

They do in Thailand, the waits have gone up massively over 15 years and a lot is remotely or phone call explaining symptoms, just get registered and book appointment and ask for your information maybe from Thailand about your condition to pass over?
Steve **********
@Jamie ********
have been here 20+ years and have had same Thai Dr and Pharm for the duration.

Would never think of returning ( in my case US ) costs, schedules , tests, delays etc ) would be prohibited.

If need my Dr, I call Jim, see him same day. If pharm doesn't have something, they will next day. Very affordable.
Jamie *********
Also A&E just very long waits, whereas over there you can get seen quite quick as I’m sure you know. There are less doctors at the moment so it’s difficult, but the NHS is free so use it, maybe go for a private quick appointment and the information can be passed to GP and NHS if you require immediate or expensive treatment
Jamie *********
*GP/clinic waits, will offer phone call if u call early enough for appointment.
Jamie *********
Are you not registered with one GP? No need to fill a form unless you’re an outpatient. I’ve been going back and fourth for years for conditions I won’t place here but I know the system now, only time you need to do a form is if new registration or if outpatient at different to your local GP clinic. Most is online now too, the portal lets you book your appointment
Lynnette *******
@Jamie ********
many GPS do not offer appointments made by phone call. Mine require a long form to be filled in and it's sent for a decision whether to see you.
Jamie *********
@Lynnette ******
depends tje area then as Bristol (Avon) if you xall at 8 they will offer phone or in person, often the phone is quick and at the end of the day or around lunch, but maybe different other locations. Depends on the severity of the appointment I’m sure.
Lynnette *******
@Jamie ********
regardless of severity, my GP surgery does not offer appointments if you call them. It's the on line form that's several pages long. It can be difficult for some to explain what's wrong. It's then triaged, and if they decide what you've said needs an appointment then they call or email.
Jamie *********
@Lynnette ******
where are you?
Lynnette *******
Jamie *********
@Lynnette ******
where abouts?
Jamie *********
Normally your surgery has an online site you can get a log in and book appointments after you’ve gone in initially and registered. But I’m Bristol Avon way so I don’t know rest of the country. I want to get back to Thailand asap because the treatment is spot on
Marcus **********
Lynnette *******
@Marcus *********
I was offered an appointment that way. It can work but you need to know how to explain symptoms well.
Marcus **********
@Lynnette ******
yes I used google translate to help me but yes it was still a struggle and that front.
Lynnette *******
Once you have an address in UK you should be able to register. Waiting times for referrals/ consultations can be lengthy.
John ********
@Lynnette ******
Correct, address and some sort of proof of your address, letter from any government department, utility bill, or a mobile phone contract with your address. If you've got a UK driving licence with your new UK address that is acceptable also to register at a GP surgery.
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