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No-deal Brexit: British pensioners in EU to lose NHS healthcare cover

British retirees living in France, Spain, Italy, Germany and elsewhere in the EU will lose their free healthcare if no Brexit deal has been agreed by March 29th, the UK government said on Tuesday.

Published: 29 January 2019 15:15 CET

No-deal Brexit: British pensioners in EU to lose NHS healthcare cover

Photo: Depositphotos

At the moment British nationals who retire to the EU have their healthcare covered by the NHS but in the event of a no deal this will no longer be the case, the UK government revealed in a technical notice published on Tuesday.

The news will no doubt be met with fear and worry among the 190,000 British pensioners who are retired in France, Spain, Italy, Germany and other EU countries.

It is believed that the situation could lead to an increased burden on the NHS due to the fact that British retirees may decide it's better to return to the UK for treatment.

Currently, pensioners can benefit from the “S1” reciprocal healthcare rules if they retire in the EU, EEA countries or Switzerland.

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Brexit: What are Britons living in France supposed to do now?

Brexit: What are Britons living in France supposed to do now?

The S1 certificate helps pensioners and their dependants access healthcare in France.

“If you have an S1 certificate, it will be valid until 29 March 2019. After this date, the certificate may not be valid, depending on decisions by member states,” the government said.

Sue Wilson, chair of Bremain in Spain campaign group blasted the change.

“All along we've been told our healthcare is protected. This is a big shock to everyone and our members are really scared,” she said.

Online support groups for Britons in EU countries have been bombarded with posts in recent weeks from pensioners worried anxious about the future of their health care. Some are undergoing cancer treatment and believe any upheaval caused by Brexit could mean life or death for them.

The UK government, which previously said it is cheaper to pay EU countries to look after Britons’ medical bills than have them return home, is attempting to secure bilateral deals with EU member states regarding healthcare however none have been agreed so far.

The technical notice advises Britons in living in European countries to sign up for the local healthcare system which, in many cases, will mean paying for treatment.

Member comments

Anonymous - 29 January 2019 at 19:18 CET

This treatment, or even the threat, at the eleventh hour by a government who has promised that this would not happen is despicable and beyond contemptible; especially as a large swathe of British expats have been disenfranchised by the 15-year rule and have not been allowed a say in such an important vote that will effect their future.
Anonymous - 1 February 2019 at 13:26 CET

I wish all us anti Brexit Brits living outside the not so UK could descend on London gather outside Parliment and protest against this bloody awful government. When i saw interviews with some British Pensioners living in Spain saying they were voting yes to coming out of the EU I thought to myself dumb is too polite a word then later to see their reactions when told the pound would drop against the euro so they would loose money and they might not get the reciprocal healthcare the enjoy now and would have to pay for their healthcare the expressions on their faces were priceless. Sorry but they are dumme Idioten
Anonymous - 1 February 2019 at 14:54 CET

There was a report in the Guardian yesterday, quoting the DH&SC (Dept of Health & Social Care) that discussions were advanced with France and Spain over re-introducing reciprocal health cover under bi-lateral agreements, which will be needed if there is no deal. The point was well understood that it is cheaper for them to fund our care here, than in the UK. Basically, we were told not to worry.

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INTERVIEW: 'A lot of people think Brexit is done, but it's not for Brits in Europe'

In the early days of 2021, after the United Kingdom had left the EU and completed the final stage of Brexit, many British citizens returned to their home countries in Europe only to face a grilling at the border.

Though the Withdrawal Agreement (WA) technically guaranteed their right to live and work in the countries they’d settled in before Brexit, there was widespread confusion about these fundamental rights and many were treated like new arrivals.

Over time, the chaos at the airports subsided as border officials and airlines were given clearer guidance on the treatment of Brits. But three years later, a number of Brits who live on the continent still face problems when it comes to proving their post-Brexit rights.

This was the reason campaign group British in Europe decided to set up their new EU-funded ICE project. Starting this year in March, it aims to build valuable connections between UK citizens abroad and mentor the next generation of civil rights advocates around the continent. The acronym stands for ‘Inform, Empower, Connect’ and the project’s organisers describe it as “the first project of its kind”.

“It’s a completely innovative project – especially the fact that it’s across so many countries,” Jane Golding, chair of British in Europe and one of the project’s founders, told The Local.

Bringing together groups from 11 EU member states, the project aims to train up volunteers to understand both the Withdrawal Agreement and EU Charter of Fundamental Rights, as well as learning skills like advocacy and communication, using real-life civil rights cases that are referred to British in Europe.

“The ultimate goal is to amplify the messages across the wider group,” said Golding. “You start with the volunteers, they go back to their groups, then the people that we train, they go back and train people. Then they pass on that knowledge to the wider groups, on their Facebook accounts and through social media, and hopefully it all snowballs, not just in their countries but across the EU.”

‘Far-reaching repercussions’

So many years after Brexit, it’s hard to believe that there’s still a need for a project like ICE that empowers Brits to protect their rights. Indeed, the future of groups like British in Europe and regional groups like British in Germany and British in Spain felt uncertain just a year or two ago.

But Golding says there are still serious issues cropping up for Brits in several countries around Europe – they just have a different quality to the problems that arose at the start.

“In some ways it’s needed even more because as we predicted right at the beginning, at the first stage of implementation, you’ve got the more routine cases,” she explained.

“What we’re seeing now is not as many cases, but when the cases come up, they’re complex. They can have such far-reaching repercussions on people’s lives. And of course, memories start to fade. A lot of people think Brexit is already done, but it’s not.”

Volunteers in British in Europe ICE project

The volunteers of the British in Europe ICE project pose for a photo at the kick-off meeting in Brussels on May 21st, 2024. Photo courtesy of Jane Golding

Though the rights set out in the Withdrawal Agreement apply across the continent, different countries have taken different approaches to implementing them.

That means that while in Germany, for example, UK citizens simply had to declare that they lived in the country, people in neighbouring Denmark had to apply for their rights.

This led to a notorious situation in Denmark in which as many as 2,000 Brits were threatened with deportation after not applying in time or completing the right application process. According to Golding, this had a lot to do with the fact that people who arrived in 2020 weren’t given the same information as other UK migrants who arrived before.

In Sweden, meanwhile, the situation is still difficult for many Brits who lived there prior to Brexit.

“There have been issues with an anomalously high numbers of refusals compared to other countries, and they seem to be taking a very strict approach on late applications,” Golding explained.

Portugal has been another difficult case. Although the country opted for a declaratory system where Brits could simply exchange old residence documents for a new ID card after Brexit, reports suggest that the authorities have taken years to issue these cards, leaving many of the some 34,000 Brits in the country in limbo.

“While people are still waiting to have their status confirmed and have their card in their hand, it’s difficult to access a whole range of services, like health services, or applying for jobs or dealing with the authorities, or even going to the bank,” Golding said. “All of these problems just affect people’s lives.”

A French border guard checks a passport at the border

A French border guard checks a passport at the border. Photo by DENIS CHARLET / AFP

There are also concerns about the EU’s new exit and entry system (EES), due to come into force in October, which is based on biometric documentation.

“We still do not have clear data on how many people in declaratory countries like Germany, where it wasn’t compulsory to apply for the card, don’t actually have a card,” Golding said. “How is that going to play out if it’s a document-based digitalised system?”

A lack of support

In the immediate aftermath of Brexit, funding from the UK’s Foreign, Commonwealth and Development Office (FCDO) was still available to support NGOs in Europe helping Brits with their migration and civil rights issues. But that temporary funding soon expired, leaving groups like British in Europe largely on their own.

“The whole point is people’s lives change at very different paces,” Golding said. “And now this project is really going to start to pick up some of those cases and report on those issues, which is really crucial and exciting for the precedent that it sets, and it’s very clearly necessary still, because people don’t just sort their lives in the 18 months that the FCDO chose to supply that funding.”

This feeling of being left alone and increasingly isolated from the UK is one that many Brits in Europe have felt in the aftermath of Brexit. But the upcoming UK election on July 4th could be a game-changer.

This time, following a change in the law, Brits who have lived abroad for more than 15 years will be able to vote for the first time.

Polling station in the UK

A polling station in the UK. Photo by Elliott Stallion on Unsplash

When it comes to the election, the message from British in Europe is clear: “Make your voice count now, make your vote count, make sure you use it,” Golding said.

With the June 18th registration deadline fast approaching, BiE is advising UK citizens abroad to apply for a proxy vote as soon as possible, rather than relying on a postal vote from abroad. Since the 15-year rule was abolished on January 16th, more than 100,000 British citizens have registered to vote, according to official statistics. It is unclear how many were registered before the change in the law.

With an estimated 5.5 million Brits currently living abroad – 1.3 million of whom are in the EU – this could have a significant impact on the electoral landscape, Golding says. But most significantly, the change is creating a feeling of connection and belonging that wasn’t there before.

Nurturing this sense of belonging is one of the main goals of ICE.

With these bridges being built, British in Europe hopes to create a network of support that spans across borders.

“Now we’ve met. We’re going to meet,” said Golding. “We know we’re going to meet again in Berlin in October and then we’ll meet again in the new year in 2025 as well. It means a huge amount because even British in Europe, our steering team, we’ve only met physically three times.”

This opens up the possibility of people sharing their knowledge from country to country, Golding explained.

“There is crossover and the reassurance of having that EU wide view and knowing that you’re not alone and knowing that in this country, we managed to get this solution,” she said. “And then you can go back and say to the authorities in your country, well, in that country they did that – all of that helps. It’s really good.”

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