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GPs can refer overseas visitors for free in cases of violence, says DH



GPs who identify overseas visitors who are victims of torture, female genital mutilation or sexual or domestic violence should inform hospitals to treat them without charge, DH guidance has said.

New Government guidance published yesterday said that migrants not ordinarily resident in the UK who were from outside the European Economic Area (EEA) or a country with a reciprocal agreement with the UK – who are normally charged for secondary care – would be exempt from charging in these ‘special circumstances’.

The guidance, which focuses on the new hospital charging regime for migrants, says that ‘GPs have a duty to provide free of charge treatment which they consider to be immediately necessary or emergency, regardless of whether that person is an overseas visitor or registered with that practice.’

Further, GPs are ‘encouraged to’, but not responsible for, determining the charging status of patients referred in any circumstance, it said.

This comes as the Government is due to pilot a system of GP practices asking all patients to present an European Health Insurance Card (EHIC), if they have one, when registering at the practice.

The guidance said: ‘GPs should not be discouraged from referring their patients to the relevant NHS body. It is the relevant NHS body’s duty, not the GP’s, to establish entitlement for free NHS hospital treatment.’

It added that GPs are ‘encouraged to help inform this process by indicating on referral letters when they understand a patient is not OR, or is an EHIC holder, and inform patients that they may be chargeable for some hospital services’.

On special circumstances, it added: ‘An overseas visitor who has been subjected to certain types of violence will not be charged for treatment or services needed to treat conditions caused by that violence.’

As for how this could be determined, the guidance suggesteed as one option ‘confirmation from a medical professional, including a referring GP, who could most appropriately identify signs and symptoms’.

As previously revealed by Pulse, the Government is also still looking at how it could introduce standardised NHS charging for ineligible overseas migrants not usually resident in the UK for primary care services, but this will be subject to consultation later in the year.

Note: This article was amended at 11.34 on 27 March to better reflect the wording regarding when GP practices have a duty to provide treatment free of charge