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OPINION AND ANALYSIS

‘Extremely strict’: What it’s like to travel from the UK to Germany right now

Germany put in tough entry restrictions for UK arrivals back in May when the Delta variant began to push up the number of cases there, with exceptions for residents and citizens. Here's what it's like to travel between the two countries.

'Extremely strict': What it's like to travel from the UK to Germany right now
A sign for a Covid test centre in Berlin airport. Photo:picture alliance/dpa/dpa-Zentralbild | Jens Kalaene

After not seeing my family in about 18 months, I booked a flight to Scotland for early June when the Covid situation looked like it would be much improved in both the UK and Germany. 

As my family and I were fully vaccinated, it felt like the best time to visit, spend time with everyone and sort out some admin I needed to do in my home country. 

I knew there were risks – and I had to pay a lot for testing and quarantine for 10 days when arriving in Scotland – but for my own reasons it was the right time to head back. 

But as we’ve come to expect during this pandemic, nothing stays the same for long. Unfortunately the Delta variant, which was first discovered in India, began to spread in the UK in May.

And on May 21st, Germany announced it was making the UK a ‘virus variant area of concern’ – effectively banning travel –just two weeks after it had declared the UK ‘risk free’.

It plunged people’s plans into uncertainty. Those who were already in the UK worried that they wouldn’t be able to return to Germany, or stressed out over the two-week quarantine period – which is how long you have to self-isolate when returning from a ‘virus variant area of concern’ under German rules. 

We’d also been in this situation before. Germany banned travel from the UK in December just before Christmas when the Alpha variant was running rampant, leaving people – including German citizens and Brits who lived in Germany, controversially, – stranded on the border or refused entry onto flights.

READ ALSO: ‘Utter nightmare’: Brits barred from flights home to Germany amid travel chaos

Quickly, though, exceptions were put in place to allow certain groups of people – such as residents and citizens and their close family – to be able to return to Germany even if there was a general entry ban. 

As the situation can change quickly, I decided to take the risk and still travel to the UK in early June, hoping that the situation might look better later on in the month. 

The UK has a high vaccination rate – and Germany’s jabs were picking up – so for me it felt different and safer to travel in June than, for example, at Christmas when we were all much more exposed to the virus. 

Unfortunately, the restricted entry was still in place when I travelled back to Germany – although it could be lifted soon, as we learned from Health Minister Jens Spahn on Thursday. 

READ ALSO:

Expensive tests

Germany relaxed travel rules, particularly for vaccinated people and those who’ve recovered from Covid, in May. 

For instance, anyone travelling by air into Germany has to show a negative Covid test before boarding the flight. But if you’re vaccinated or have recovered from Covid you can show evidence of that instead. 

In general, different rules are required for arrivals from countries around the world depending on their risk status, although quarantine restrictions were eased recently – particularly for fully vaccinated people.

However, the rules are still tough when coming from a virus variant area, such as the UK, India and Brazil, and – most recently – Portugal and Russia. 

Even if you’re fully vaccinated, you have to show a negative PCR test (taken within 72 hours before you’re due to land in Germany) or a rapid antigen test (taken within 24 hours before landing).

A flight leaving London Heathrow. Photo: picture alliance/dpa/PA Wire | Steve Parsons

The issue in the UK is that there are not many places to get tested for Covid easily, especially in smaller cities and rural areas. 

And you’ll have to pay a lot for a test. Some places charge up to £150 for a PCR test. It’s a far cry from Germany’s testing network that allows for free antigen tests and much cheaper PCR tests. 

This is, of course, on top of what you paid for the day two and day eight testing when arriving in the UK. 

What happens before travel to Germany?

Once you have your negative test, you have to register online and upload it to www.einreiseanmeldung.de.

Then you may be asked – depending on your carrier – to upload the documents before you check in online. I uploaded my negative test and the PDF of the German registration to the British Airways site on my booking page. It’s usually only after these are verified that you can check in. 

My flight down to London from Scotland wasn’t overly complicated although I was asked my reason for travelling to Germany. When I explained I was a German resident, I was told evidence of this would be checked before boarding.

It got intense when we began boarding for the flight to Berlin.

The staff put out a call asking people to get their documents ready. Passengers stood around with folders of paper and their phones at the ready. 

The airline staff checked people’s documents thoroughly, and anyone that didn’t have the right papers or an out-of-date test certificate was asked to stand aside. 

A family of three who said they were coming to Germany for a wedding were not allowed on the plane.

“Sorry, the rules have changed,” said the staff member turning the family of three away and back into the departure lounge. “Only residents and citizens are allowed.”

Other people, including a group of three women, and another group of three young men, were also refused entry onto the plane. 

A few people were told that they didn’t have the correct documents but if they filled in the online entry form they might be able to get on.

There were several heated discussions with desperate travellers at the boarding gate as others – including many native German speakers – boarded with no problems.

I don’t have my Brexit residence card yet but I’d taken my Anmeldung (address registration document) for travel. It was accepted and I was able to board the plane. 

‘The rules have changed’

Once on, the pilot said we would be late in departing because staff needed to remove luggage from the hold belonging to the people who didn’t get on the flight. 

One passenger, whose documents were scrutinised before boarding, was sitting comfortably with his seat belt on when an air steward came over and asked him to leave the plane. 

“I don’t get it,” he said in an American accent as he followed the steward down the aisle and had to get off the plane. 

Some passengers, who had come from the US and were transferring through London to Germany said they recommended avoiding the UK in future. 

“It’s more trouble than it’s worth,” said one man. 

Germany says in general travel bans from countries affected by variants also apply for transit, but check official advice from the German Foreign Office and your airline for more information. 

Back in Germany I’ve had to complete a 14-day quarantine with no option of ending it earlier. My local health office contacted me by email on the first day of isolation offering a PCR test seven to 10 days into the isolation period. They also offered the option of entering into a hotel quarantine if I lived with a high risk person.

The rules are extremely strict and not to be taken lightly. But with the announcement from the Health Minister that Germany could downgrade the risk status of the UK soon. it will likely be a very different experience for others down the line.

Another thing to keep in mind is that flights are likely to be cancelled at the moment. My original flight home to Germany was cancelled, and I know people who’ve had to find other routes back to Germany because their flights were cut from the schedule. 

A British Airways spokesman told The Local: “Like other airlines, due to the current Coronavirus pandemic and global travel restrictions we are operating a reduced and dynamic schedule. 

“We advise customers to check the latest UK Government travel advice at gov.uk and their latest flight information at ba.com.”e

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OPINION AND ANALYSIS

OPINION: Why it’s becoming harder to get a doctor’s appointment in Germany

Germany's health service is known as one of the best in the world but securing a timely appointment with a doctor is getting harder. A creaking system and the culture around excessive doctor visits are part of the problem, argues Brian Melican.

OPINION: Why it's becoming harder to get a doctor's appointment in Germany

Germans have always been known for being health-conscious – some would even say hypochondriacs. That has its down-sides (see Covid…), but also some notable advantages. One is the ability to go to any doctor’s practice and request treatment, skipping general practitioners, referrals, and all of the attendant bother.

As a result, in any well-to-do area of a major German city, you’ll have a bewildering array of medical practitioners within walking distance, from general physicians (Allgemeinmedizin) and orthopaedic practices (Orthopädie) to ones that will have you Googling (HNO stands for Hals-Nase-Ohren – ears, nose, and throat – by the way. You’re welcome.)

The strength of this patient-choice system is that it allows people to manage their own care. So if one doctor can’t see you, you go and find another. And if you’ve moved towns or fall ill away from home, you can still access care. In theory, this spreads demand and keeps people with non-urgent complaints out of casualty wards. Yet in practice, the system is now creaking audibly. 

In recent months, I’ve tried to get appointments for several routine procedures with doctors’ offices I have been visiting for years – and the earliest I could get anything was, to my surprise, now several months off. Both dentists and dermatologists are currently, it would seem, planning their schedules for September and October. And when a rather unpleasant case of shoulder pain struck earlier this year (fittingly, just ahead of my 39th birthday…), the earliest appointment I could get at any of the three(!) local orthopaedic practices was at least a month off.

This isn’t just me getting unlucky here. In a recent representative survey, only 25 percent of respondents reported having no trouble getting a doctor’s appointment. The rest are having to wait anything between two weeks and two months – and I’m clearly now one of the 15 percent who report even longer delays. 

I’m not alone in thinking – knowing – that it didn’t used to be this way. So what has gone wrong? 

READ ALSO: Seven things to know about visiting a doctor in Germany

Structural changes in medical practice: fewer doctors working fewer hours

First off, there are changes afoot among Germany’s niedergelassene Ärzte – literally ‘settled doctors’ with surgeries, called so in order to distinguish them from hospital medics. For one, these doctors are getting old and retiring – just like the population they serve (or rather: have served). And as younger cohorts are less numerous, physicians looking to pass on their practices are having difficulty finding takers – especially in disadvantaged urban areas or out in the sticks.

A patient undergoes a consultation with his doctor.

A patient undergoes a consultation with his doctor. Photo: picture alliance/dpa/AbbVie Deutschland GmbH & Co. KG | AbbVie Deutschland GmbH & Co. KG

Even where there is no shortage of potential successors, ever fewer of them actually want to set up in business for themselves. For most young medics’ taste, there’s too much paperwork, too much commercial risk, and far too much work involved in running their own surgery. Instead, they prefer to merge with others or sell on to management companies who will, in turn, employ them (often part-time, with no annoying evenings or weekends on call). 

The results of all of this are as follows. Within the space of just one year, between 2022 and 2023, the number of surgeries fell by 1,987 – a drop of over two percent. Meanwhile, in 2023, for the first time ever, more than one third of Germany’s 150,000 non-hospital doctors were employees, not self-employed. That’s twice the number in 2013. Moreover, over the same period, the number of medics opting to go part-time has gone up by 235 percent to 60,000. This means that, if your local surgeries haven’t closed, the likelihood is that the doctors there are now working fewer hours – and so there are fewer appointments left to go round.

READ ALSO: Do doctors in Germany have too little time for their patients?

This would be bad news for any society, but it hits particularly hard in Germany. As a rapidly-ageing society with a relatively unhealthy population (high rates of smoking and obesity), our demand for medical services – often for complex chronic illnesses – is rising just as provision is declining.

Cultural differences in consulting doctors

Another problem is that Germans are accustomed to a historically high number of available doctors – and as serial worriers (and passionate sick-note seekers) make excessive use of them. Your average German racks up almost 10 consultations a year – not including visits to the dentists! The OECD average is closer to six. And the stoic Swedes, strong silent types that they are, go the doctor’s just 2.3 times a year.

Even if I wanted (or needed) to, I simply couldn’t to get to the quack’s almost once a month: I don’t have the time and they don’t have the appointments. But in conversation, I notice that others clearly do manage to find both. Increasingly, I’m wondering how many of them, unlike me, have private health insurance. 

This brings us to the third major issue facing non-hospital care in Germany. When the figures in the representative survey I quoted above are broken down, it transpires that almost 60 percent of people who are insured in the state system (gesetzlich versichert) are now waiting longer than two weeks for an appointment; among those who are privately insured (privat versichert), that figure is only 37 percent.

Doctors ‘keen on private patients’ 

Doctors are keen on private patients because their insurers pay more for the same procedures and will also cover all sorts of supplementary stuff – from the clinically-proven through to the just plain wacky. As such, practices reserve as many appointments as possible for private patients and try to keep the rest of us at bay.

Given that around four in five people in Germany are in the state system, however, this leaves the majority of patients competing for the minority of slots. If you want to see how the other fifth live, try “accidentally” clicking privat on surgeries’ online booking tools: you will now see a range of appointments available within days while the rest of us are being fobbed off for weeks or even months.

Not only is this, as my grandmother used to say, enough to make you want to join the Communist Party – it’s wildly inefficient. By restricting the hoi-polloi to slots often months off, doctors are creating their own appointment-management problems: sometimes, the complaint in question will have disappeared by the time the consultation rolls around; more often, it will have actually been dealt with – not infrequently by the same physician – if the patient presents as an acute case earlier.

As such, slots weeks away are booked, only to be cancelled later by conscientious patients (and left blocked by others), while those same patients crowd into waiting rooms begging to be seen urgently at an open surgery. (That’s how I got my shoulder looked at.)

A German health insurance card.

A German health insurance card. Photo: picture alliance/dpa | Jens Kalaene

The cynic in me says that, in the long run, this might not be such a bad thing. If the increasing scarcity of doctor’s appointments gets Germans thinking about whether they really, really need to be seen for yet another case of the common cold (“No, Christian, it isn’t pneumonia this time, either!”) or various nebulous self-diagnosed ills (Kreislaufbeschwerden (circulatory problems) is the day-off-work-one I love to hate), maybe it’s not a bad thing.

Swedes don’t die unnecessarily because they avoid the doctor’s: in fact, they live a good year longer than us on average. The German in me, though, says: “My shoulder hurts. Maybe I’ve got early-onset arthritis. I should probably go and get it checked out…” And even though I don’t go too often, I’ve got used to being able to see a specialist when I need one. It’s a shame that this is becoming markedly more difficult.

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