How the NHS works
A tax-funded public system, free at the point of use, where everything starts with the GP. Private care sits alongside, mainly to go faster or to consult in French.
Good to know
- With a visa, free NHS access comes from the health surcharge (IHS) paid with the application: no insurance is compulsory and there is no reimbursement, care is either free or it is not. Adults still pay for prescriptions, dentistry and eye care. Source
- Everything goes through the GP: they treat children, prescribe, and refer to a specialist or hospital. There is no direct-access community paediatrician as in France; babies are followed by the GP and a health visitor, a nurse specialised in early years. Source
- In England, prescriptions are charged per item for adults and free for under-16s, as well as 16 to 18-year-olds in full-time education. Source
- NHS dentistry is free for under-18s, for pregnant women and for 12 months after a birth; adults pay a banded charge. Finding a practice taking new NHS patients sometimes takes patience. Source
- Many families add private insurance, often through an employer, to shorten specialist waits or consult in French. For French speakers without insurance and in difficulty, the Dispensaire français offers consultations at a token price with volunteer doctors. Source
Addresses
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Dispensaire Français, Société Française de Bienfaisance
184 Hammersmith Road, W6 7DJ
Charity: volunteer French-speaking GPs and specialists (paediatrics, psychiatry, dermatology), physios, speech therapists and psychologists, by appointment Monday to Friday; free listening service for 13 to 25-year-olds; admin and social support.
Languages spoken : FR, EN