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Gold, incentives and meh

What can we do with ex-pats who live in Spain, but still come to our practice for free NHS services?

Increasingly we have patients who we know/strongly suspect live full time in Spain but keep an address in the UK and stay registered with us. They consult (very tanned/blinged) every so often but get regular repeat prescriptions and want NHS referrals.

What is the legal position – should they be getting all their care in Spain? Should we deregister them and then treat them privately for routine problems when they visit the UK? In other words, is their NHS entitlement the same as any other Spanish tourist?

GP in Essex

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