A good healthcare system can still be hard to use in your first month after moving. You may need to register before you can see a local doctor, use a particular clinic under an insurance policy or wait for an appointment with someone who can continue existing care. Before comparing destinations, write down the care your household actually uses. Then check who will provide it, when you can start using it and what you will pay.
Do the exercise for each person. One adult may only need routine care, while a child needs a regular service and another adult needs medication every month. Eligibility, provider availability and the time needed to arrange care may differ. Use official guidance for the status and insurance questions, then contact local providers about how they take new patients. Keep a record of who answered and what they need you to do.
Start with the first day you would need care
Find out how you would access care when you arrive. Ask whether you would qualify for the public system, what registration or contributions are needed and how long the process normally takes. Where a reciprocal arrangement might apply, check the official guidance for your circumstances. A card for necessary healthcare on a temporary visit and the arrangements for living somewhere have different purposes. If you expect a gap, price appropriate cover and find out when it starts.
If insurance is part of the plan, read the terms for the person and care involved. Check which providers the policy covers, whether you need a referral or authorisation, and whether you pay first and claim it back. Ask about exclusions, excesses, waiting periods and how the insurer treats an existing condition. Make the question concrete. An insurer can more readily answer whether it covers a given type of appointment at a named clinic than whether the policy is “comprehensive”. Keep the answer and the policy wording together.
Put the timing into your cash forecast. An insurer may reimburse a bill later, while the clinic expects payment on the day. There can also be costs for transport, an interpreter or time away from work. Ask how the provider bills and who can approve treatment if your insurer needs authorisation. If two people are comparing places, make the same budget assumptions for both. A cheaper monthly premium may leave you paying more for the appointments you expect to use, while a public system may involve contributions you should include elsewhere in the household budget.
Check the care you use now
Build a short list from the previous year. Include repeat prescriptions, routine appointments, specialist reviews, therapy or support, dental and optical care, and any planned treatment. Give the expected date or frequency for each. Ask the clinician who knows your situation what information a new provider would need and whether there are arrangements to make before you travel. Confirm how you can request a summary or copies of relevant records and whether you need them translated.
For medication, ask about availability and how you can get a prescription in the new country. Check any restrictions on bringing a medicine with you through the authorities in the destination and any transit country. Ask a clinician or pharmacist about continuity and a safe plan for transport where a medicine has particular storage requirements. Work out who could prescribe the next supply if your first appointment is delayed. Take local advice on brands or substitutes through an appropriate professional.
Map access from places you could actually live
Pick a potential neighbourhood and look for the places you would use for routine care, urgent care and the specialist services you need. Check their opening hours, how they handle referrals and how you would reach them. Ask what language the appointments and written instructions are available in. A clinic’s website may be in English while some services need an interpreter. If communication would matter for safe care, confirm what support is available and whether you need to arrange it yourself.
Include the times when access matters most. What would happen if someone needed help in the evening? Where is the relevant emergency department, and how would you get there without your usual transport? Find the local emergency number from official country guidance and share it with the household. For a place on an island or a long way from a major centre, ask where people are referred when specialist care is not available nearby. Check who would arrange the travel and what you might have to pay for.
Check a destination in five steps
- List upcoming care and prescription dates. Identify anything due in the first three months and what you need from your current clinician before leaving.
- Confirm eligibility, costs and start dates. Check public registration, any private cover, and any gap between arrival and access. Establish whether the arrangements cover everyone.
- Speak to a provider. Ask about availability, referrals, what records they need and how they handle prescriptions for new arrivals. Get a realistic appointment date if continuity matters.
- Test the journey and the paperwork. Check how you would reach the clinic from shortlisted homes and where you would keep relevant information during travel.
- Identify a backup. Ask who could help if a registration, appointment or prescription is delayed. Set a date by which you need a confirmed answer before you commit to moving.
Compare two places with the same household in mind
Imagine a household that expects routine appointments for two people and regular specialist care for a child. The first city has a hospital they like, but the relevant clinic requires a referral and has no clear date for the first review. The second city has a provider willing to receive the records before the move, though living nearby would put more pressure on the housing budget. The family can ask the current clinician about the timing, compare the routes from realistic homes and find out whether the insurer covers the proposed provider. They might choose the more expensive area, change the move date or keep looking. The decisive question is the continuity of care their child actually needs.
Use the same approach if your needs are simpler. A healthy adult may care most about routine registration, prescription access and what happens if they need urgent care. The useful comparison will be more about dates, nearby services and costs than the reputation of the national system. A founder who travels often should also check whether any cover follows them on work trips and what arrangements they need when returning to the UK for a visit.
Keep the information you will need on arrival
- Eligibility and insurance confirmation, contact numbers and how to get authorisation.
- Details for routine and urgent care near your first address.
- Records, prescription information and agreed follow-up dates for each household member.
- The name of the person who can help if an appointment or registration falls through.
Review the plan when your address, insurance or move date changes. If somebody’s treatment schedule makes a particular date hard, plan around that before taking on a lease or committing to travel. It is easier to compare places when you know what each household member needs to be able to do on the first ordinary day, and who can help when the day is anything but ordinary.
ORIGINAL RESEARCH CHECKED / 9 NOVEMBER 2026
Official sources
- FCDO: Healthcare and medicines when moving abroad ↗
- GOV.UK: Healthcare and insurance when working abroad ↗
- FCDO: Medical emergencies and treatment abroad ↗
Confirm the latest guidance before acting.
YOUR NEXT STEP
Record the care your household needs and what to confirm before booking the move.
Find your Exit Plan