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Treatment within the European Union: What if it goes wrong?

Since you have chosen to move outside of the NHS system, you have no legal redress in the UK, and if anything goes wrong you are on your own. You will be covered by the laws of the country you have been treated in, and you will need to make any compensation claims or sue for negligence under that legal system.


Post-treatment problems

You should always ensure that you thoroughly research your chosen treatment centre, as the onus is on you to select an appropriate provider. Under the Directive, prior authorisation will only be refused if there is a well-evidenced risk of unsafe treatment, of risk to public safety. However, even in the best facilities, things can go wrong.


Naturally, if you suffer any problems following your treatment overseas, you can obtain treatment or emergency care under the NHS in exactly the same way as if you had been originally treated here in the UK. You will not be turned away as someone else’s problem.


Similarly, if you experience problems overseas, you will be entitled to obtain treatment or emergency care that will be covered by the NHS, either as part of your S2 or Directive route funding, or as part of the European Health Insurance Card (EHIC) system in the case of an emergency admission.


When you are researching where to travel to for your treatment, it is important to not only find out about the facilities for your specific treatment, but also to research what happens should anything go wrong.


Your legal position

Although the NHS will support you with appropriate care if you experience problems, they have no legal responsibility for your original treatment overseas. It is your choice to step outside the NHS system, and so they have no duty of care or legal obligation to you for this treatment. Instead, your treatment will be covered by the legal system of the country where you were treated, and you will have to seek legal redress and compensation through their courts. If you need to consider legal action, neither the legal expenses section of your travel, or medical travel insurance , nor any stand-alone legal expenses insurance , will provide cover. Specialist after the event insurances will not cover medical negligence claims.


Insurance policies for medical travel

There are specialist insurance policies available that have been specifically designed to cover the potential risks and complications of having an operation abroad.  Details of these can be found on the Treatment Abroad web site (www.treatmentabroad.com). 


Travel insurance

If you are travelling overseas and the primary reason for your travel is medical, then it is very likely that your annual travel insurance policy, or an “off the shelf” travel insurance policy will not cover you. So, for example, you travel abroad for treatment and you are hospitalized as a result of a car accident. Your travel insurance may well not cover you, as there will be an exclusion in your policy for any travel undertaken for medical treasons.


So, you must check with your travel insurance company, before travelling abroad for treatment.  

There are various specialist travel insurance policies available that have been specifically designed for people who are travelling abroad for medical reasons. Details of these can be found on the Treatment Abroad web site (www.treatmentabroad.com).


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Download the guide to the European Directive on Cross Border Healthcare
The EU Directive on patient rights in cross border healthcare provides the framework by which EU citizens can travel to other countries for treatment. Our guide to EU treatment explains patient rights from a UK patient's perspective.
Download the guide