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DrRussMD
DrRussMD, Board Certified MD
Category: Medical
Satisfied Customers: 64313
Experience:  Board certified Internal medicine and Integrative medicine. Many years of experience all areas.
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In what circumstances can the NHS refuse free care to a UK

Resolved Question:

In what circumstances can the NHS refuse free care to a UK resident? Particularly with regard to self-harm or overdosing
Submitted: 3 years ago.
Category: Medical
Expert:  DrRussMD replied 3 years ago.
Hello
Free care under what circumstance exactly.
Customer: replied 3 years ago.

Attending A&E following deliberate self-harm or overdose. Inpatient treatment if required or any other follow up. Also psych support after such an incident

Expert:  DrRussMD replied 3 years ago.
Someone in a life threatening emergency can not be refused treatment.
Is that your question?
Customer: replied 3 years ago.

Yes, when can free treatment be refused?

Expert:  DrRussMD replied 3 years ago.
In that situation it can not be refused, unless the patient refuses treatment.
I still don't know the exact circumstances, but that is the basic answer.
OK, so that is an initial answer….
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Customer: replied 3 years ago.

Will give you a smiley but just to clarify this with my situation: Unfortunately I am in A&E regularly and have basically been told that they don't want to continue treating me and may impose a charge in the future. Could this happen? Situation is further complicated by psych team offering additional support on the condition I don't attend A&E

Expert:  DrRussMD replied 3 years ago.
Yes.
If you are not critical, and if you are going there for something repeatedly that is not life threatening, they can impose a charge.
But if you are critical, they can not refuse treatment.
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Customer: replied 3 years ago.

Potentially life-threatening even if unlikely? Too the point blood tests are needed to be certain?

Expert:  DrRussMD replied 3 years ago.
Correct
If they find that you were not critical, and that you are in any way abusing A&E in their view, then they can charge you.
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Customer: replied 3 years ago.

Sorry to be a pest but I need to be certain, so if bloods showed high levels of a drug that fell just below the treatment threshold would that be a valid attendance? And free?

Expert:  DrRussMD replied 3 years ago.
That depends on what they decide.
Levels to not predict exactly how critical things are.
Up to them.
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