Preparing for Brexit – information for patients and carers
Following the vote to leave the European Union in 2016, we are aware people are facing a period of uncertainty and that may of you are concerned about the impact this will have on you, family members, friends and work colleagues.
If you are concerned about the impact of Brexit on your mental health and need further advice please speak to your care co-ordinator or one of our Trust clinicians for advice and support.
Frequently asked questions about healthcare and Brexit.
There are a number of questions answered here on the NHS England website on topics including vaccines, repeat prescriptions and taking medications.
Latest update from NHS England
We understand that our patients may have concerns about issues related to their care and treatment if there is a no-deal Brexit. The government has developed a UK-wide plan and is working closely with the NHS. Below is the latest guidance which we will continue to update.
You don’t need to take any special action to keep getting your medicines and medical products after Brexit.
The NHS, the Department of Health and Social Care and medical companies are prepared for Brexit. Plans are in place to help ensure you keep getting your medicines and medical products. What you should do:
Your medicines and prescriptions
- If you or someone you care for regularly take medication you should keep ordering your prescriptions in the usual way and take your medicines as normal.
- If you are concerned about treatment, please speak to your pharmacist, GP or specialist.
- Clinical trials are expected to continue as normal in the coming months.
- If you are concerned about a clinical trial you or a family member are taking part in, please speak with the NHS organisation that is hosting the trial.
What we’re doing:
The plans developed by the NHS and Department of Health and Social Care cover all medicines and medical products. This includes:
- all prescribed medicines
- over the counter medicines (medicines you can buy without a prescription)
- medical devices eg surgical instruments, gloves and gowns
- nutritional products
- bloods, blood and transplant products (there are some medicines that are derived from blood plasma such as immunoglobulin, albumin, and clotting factors)
These plans cover the entire United Kingdom, Isle of Man & The Channel Islands.
We’ve asked GPs and pharmacists to continue to prescribe medicines and medical products as usual and avoid issuing longer than normal prescriptions.
Extra supplies already in the UK
Companies supplying the UK with medicines and medical products already have additional stocks in the UK in preparation for Brexit.
The Department of Health and Social Care has secured more warehouse space to keep the extra medicines in.
Transport to keep medical deliveries coming into the UK
The government now has contracts with transport services to keep the flow of medicines and medical products coming in to the UK.
This includes aeroplane courier services to get medicines into the UK within 24 hours if needed, as well as priority space on other routes such as ferries.
There is information for patients on www.NHS.uk/brexit-medicine
Non clinical consumables, goods and services
- National and local measures are in place to help ensure that the non-clinical goods and services, including food for hospitals, that the NHS needs to function continue to be available.
- Measures have been put in place to help the NHS to maintain staff levels following EU Exit.
- Under UK legislation, the qualifications of EU staff will continue to be recognised in the UK.
- The EU Settlement Scheme is open to all EU nationals currently resident in the UK. Irish citizens are not required to apply to the scheme, although in some circumstances they may wish to. Non-Irish family members of Irish citizens will need to apply. The process to register is simple and free to all.
- General Data Protection Regulations (GDPR) will still apply after the UK leaves the EU.
- NHS organisations are putting in place steps to ensure that any transfers of patient data are able to continue uninterrupted.
- If you would like more information on how your data is handled and processed by particular NHS organisations, you should contact their data protection team.
Reciprocal healthcare and cost recovery
This information will apply if the UK leaves the EU without a deal.
UK nationals travelling to the EU
- If you are a UK national travelling to the EEA or Switzerland, you should prepare for possible changes to how you access healthcare, if the UK leaves the EU without a deal.
- If you have an EHIC, this will be valid until the exit day but may not be accepted after this, if the UK leaves the EU without a deal.
- The latest information for UK nationals travelling to the EEA is available on nhs.uk
- The government always advises UK citizens to take out comprehensive travel insurance when going overseas, to both EU and non-EU destinations. Make sure your insurance has the necessary healthcare cover to ensure you can get any treatment you might need, for example if you have any pre-existing conditions.
EEA and Swiss residents living/visiting/moving to UK
Living in the UK
- Citizens from these countries living lawfully in the UK on or before exit day will still be eligible for free NHS care after the UK leaves the EU, as long as they remain ordinarily resident.
- Their families will also be eligible for free NHS care, as long as they meet the ordinarily resident test, even if they arrive after the UK leaves the EU.
Moving to the UK after exit day
To be eligible for free NHS care, citizens who move to the UK after exit day must:
- meet the ordinarily resident test
- comply with relevant immigration requirements, once freedom of movement ends
- Irish citizens will only need to meet the ordinarily resident test to be eligible for free NHS care.
Visiting or studying in the UK
Visitors from EEA and Switzerland will be chargeable unless either of the following applies:
- a healthcare agreement is in place with the country of residence
- an exemption within the charging regulations applies (for example if they are accessing an exempt service).
Visitors from the EEA countries and Switzerland whose visit to the UK starts before exit day will not be charged for treatment in England for as long as their temporary stay continues. For tourists, this will be until the end of their holiday. For students, this will be for the duration of their course, as long as they stay on it.
UK nationals living in the EU/EEA
- If you have an S1 certificate, it may not be valid, depending on how the UK leaves the EU and on decisions by and arrangements with your host state.
- The government encourages citizens to register for access to healthcare in the EU/EEA country they live in, as some residents may need to be a long-term resident or pay social security contributions to access free or discounted healthcare. Make sure you have all the right documentation and it is up to date.
- People already living in the EU who have their healthcare funded by the UK, including pensioners and students, will have their healthcare costs covered for six months in the event of a no deal Brexit.
- If you are living in the EU but the UK government currently pays for your healthcare, you may use NHS services in England without charge when visiting the UK.
- More information for UK pensioners, students and workers living in the EU/EEA can be found on gov.uk
Research and clinical networks
- The NHS has a long tradition of supporting cutting-edge research to ensure our patients have early to access the newest treatments available.
- The NHS and the government are working with organisations running clinical trials to help ensure that research continues as normal in the coming months. They have advised these organisations to consider their supply chains for clinical trials, and to ensure they have appropriate arrangements in place to assure the continuity of supplies for clinical trials and investigations
- Those responsible for recruiting patients for clinical trials and investigations should continue to do so. Only stop recruitment to trials where you are requested to do so by a trial sponsor, the organisation managing the trial or clinical investigation, or through formal communications, such as from Government.
- The government, NHS and Public Health England have been working closely together to ensure vaccines will continue to be available as needed after the UK leaves the EU.
- Where vaccines need to be brought in from the EU they are covered by the government’s contingency plans, which means the products can be quickly imported at short notice if necessary. This will include air freight for products which have a short shelf life and cannot be stockpiled.