Why don't we have Health Care System like this??

Discussion in 'Current Affairs' started by Squirrel, Jun 28, 2007.

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  1. My sister has just returned from holiday touring central Spain, and whilst there she had an accident at 10 at night when one of her hard contact lenses shattered.
    She went to the local hospital in the town where they were staying that night (Avila) and although the staff there tried their best, they didn't want to go poking around in her eye to fish bits of lense out, so they phoned one of the main hospitals in Madrid, where an opthalmic specialist was on call. They told them to come down immediately, so .....get this....the hospital in Avila programmed my brother-in-law's SATNAV for him with the Madrid hospital's location, and EVEN sent an anaesthatist with them in case the pain increased. They arrived at the hospital in Madrid, who were expecting them, my sister was seen straight away, given a local anasthetic and the remaining pieces of contact lense were removed. My brother in law, who is quite up on computers, tells me that the gear they used to magnify the eye and detect pieces of lens, was absolutely state-of-the-art. When the subject of payment was mentioned, they just wanted a photocopy of my sisters passport and EU Health Card...and that was it. Get this, time from leaving hotel, to returning to hotel, after a 200 mile round trip and being seen by staff in 2 hospitals....just under 5 hours!!!

    My question, if anyone knows the answer, is; if we spent 104 Billion quid on the NHS this year, then why isn't our health system anywhere near as good as that? Before anyone mentions the burden that immigration and asylum seekers put on the NHS, Spain is greatly affected by these phenomena as well, so I doubt it's that. I just know that had she been in the UK, she'd have probably waited more than 5 hours in casualty before being seen in the first place.
  2. Answer in a nutshell?

    Spain has a two tier systems, universal provision via an 'NHS' with the option of topping up through Insurance…

    Problem solved and as your sister found, works a treat.

    The health system
    The quality of healthcare in Spain is rather good. There are as many public hospitals (belonging to the Social Security) as there are private ones.
    The basic Spanish Social Security healthcare network is organised based on consultants, ambulances and hospitals. Spain has a reciprocal healthcare agreement with a series of countries (including all the countries of the European Union). Citizens of those countries need to obtain form E-111 from their doctor to gain access to public medical services in Spain.

    Once the process of transfers to the Autonomous Communities is completed, the Instituto Nacional de Gestión Sanitaria (Institute of Health Management) is responsible for managing the rights and duties of INSALUD and health provision in the cities of Ceuta and Melilla, and performing any other activities necessary for its services to function correctly in accordance with the General Health Act in force.

    All employed and self-employed persons must join the social security system and pay monthly social security contributions through their employer. They are given a social security card which entitles them to free hospital and medical treatment. Private insurance can also be taken out but treatment costs are only reimbursed in certain emergency cases. In Spain, 40% of medical treatment is private.

    Treatment is free if you go to a doctor who works in the social security system. If special treatment is required, the doctor refers the patient to hospital and specialist services by means of an official report. Medicines are always prescribed by the doctor on an official prescription form. Some medicines are not covered by social security.

    Under the social security system, hospital treatment is provided free. Patients are also entitled to any necessary prostheses, orthopaedic parts, transfusions etc.

    Private medical coverage can be obtained from one of the many private healthcare companies in Spain, which can be found in the Yellow Pages under 'Healthcare Companies'.

    Departments of Health and Regional Health Services attached to the Autonomous Communities have taken on the corresponding competences, functions and financing. Lists of hospitals and health centres can be obtained from local offices.

    Through the National Health System, the State acts as guarantor of the quantity and quality of provision in any part of national territory.

  3. Oilslick
    That report is so out of date.
    There is no such thing as a form E111 now it is a plastic credit card sized card and to be only used in an Emergency.
    If you are of pensionable age or have a recognised disabability and retire to Spain you require a form E121 from DWP Overseas Department in Newcastle.
    If you are under pensionable age and live in Spain you may be entitled to form E106 which covers for up to 2 years health care as long as you have paid enough NI Contributions.
    As you say different Autonomous Regions have different rules,Valencia regions give all expats free heath care,the region I live in havepromised free heathcare from next year.There was a very good programme on this hosted by Sir Trevor Macdonald earlier in the year.
    Good post though and would agree that the Spanish heath service is second to none and no MRSA
  4. Besides NHS give free health care to everyone and anyone where as Tourists in Spain have to pay for it in one way or another......
  5. silverfox

    silverfox War Hero Moderator Book Reviewer

    Why do you think Patricia Hewitt's out of a job....
  6. Is'nt the health Service in Spain run principally by Doctors, not managers. If that system could be worked over here, I believe a lot better health Service would develop.
  7. Just to add a couple of points to Morse's description of Spanish Hospitals and how us ex-pats fit in. Yes the hospitals are superb and the treatment excellent, but nurses do medical things and family and friends are expected to do more of the day to day needs of the patients than in UK.

    If you are over 65 Male or 60 female you can enter the Spanish National Health Service, if you are not working. You have to obtain the Form 121 which puts you outside the British National Health Service and need to get the Spanish equivalent of the plastic card i.e. old F111, to get treatment in UK. You of course register with a local doctor in a Health Clinic. If you are married and one partner is of the eligible age then both are covered in Spain if you register but no longer covered in UK.

    Clear as MUD


  8. Don't shoot me! I just posted it off a 'Spain' site! :tongue5:

    Sounds good though them new arrangements! Mrs OS had a mind to retire to Spain but was put off by the fact I'm disabled.
  10. Oilslick
    How ironic this post has come up.Am just off to Cartagena hospital to stay overnight with a friend who has just been diagnosed with breast cancer.She has been operated on today and starts her radium treatment as well.
    I am going to do the personal care etc,bed baths etc and help feed her,from food they they supply of course.
    Just donning the nurses uniform now,do nurses still wear laggng?
    Take care
    Thanks Nutty for that
  11. I agree! MRSA is unheard of in Spain, but, thrombosis due to canulas being left in for days is all too common; this accounts for a lot of deaths.
    Some Spanish autonomous regions now accept equal parity with other EU countries.
    My own experience of Catalan health care is that it is second to none, when you finally break through the 'doctor knows best' mentality; something common with the UK.
    Back up your state health care with private health care at no great cost and you have the best of both worlds. In practice those who can afford it are already doing this in the UK.
    Spain is a country with no official retirement age, and, where people are generally used to working long hours. They do not expect anything for nothing and as a general rule don't get the same. It can be a harsh country in which to live, unless, you are prepared to work hard, then the rewards can be massive.
  12. Worked in Gib for a while and saw the excellent levels of healthcare afforded in Malaga, Marbella and Cadiz. The Spanish see their health system as an asset, whereas we in UK only ever think about it when we or ours need it, hence our real disinterest.

    Lots of folk make a lot of noise, but it's just the same as the top management of the 3 Services - healthcare and our ability to provide it is only thought about when it hits the news media. Too late then, hence the current fiasco of trying to excuse the inexcusable in the management of those returning injured from points east.

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