Ali Hussain
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to The Sunday Times
RECORD numbers of Britons are expected to pack their bags and head off abroad this year for everything from a tummy tuck to a hip replacement.
Medical tourism is booming as long waiting lists on the NHS and costly private health care increase the allure of cheap and effective surgery abroad, where treatment can can cost less than half what it does in Britain. The spread of MRSA, the so-called “super-bug”, is also driving Britons overseas as the belief spreads that NHS hospitals are unsafe.
Last year more than 50,000 Britons went abroad for surgery; this year the number is expected to soar to at least 75,000, according to Treatmentabroad, a web-site for medical tourists.
Most will go to the Continent for dental work. However, growing numbers are venturing further afield to countries such as India or Thailand, and opting for more ambitious procedures like knee operations and heart by-passes.
The savings can be huge, even if the operation requires a long stay. A hip replacement in a private hospital in Britain will set you back £10,000, but in India about £3,500. The procedure usually requires a five-day stay in hospital and a month in bed with regular physical therapy. Flights to India are about £370 and accommodation for a month, including ongoing treatment, £3,800 – still a saving of £2,330.
However, after factoring in flights and accommodation, not all procedures are value for money. A heart bypass in Britain might cost £5,000 compared with about £2,400 in Thailand. The procedure requires about a week in hospital, including three days in intensive care. You will need to recover for another three weeks or so before flying back – a minimum stay of a month.
The cost of flights is about £600, and one-night’s five-star accommodation is £140. The total cost of having the treatment in Thailand could be £6,900 – £1,900 more than in Britain.
If you can combine an operation with a holiday, though, it might still be worthwhile. Laser teeth whitening might cost £550 in a British private hospital but as little as £150 in Thailand. Add in the costs of flight and accommodation, if you went for the treatment alone, and it works out at about £890. However, as it requires no more than a two-hour visit to the clinic and little recovery time, it would still be value for money as part of a holiday.
Keith Pollard, of Treatmentabroad, said: “You can’t just compare the cost of a procedure here and abroad. But with the pound so strong against other currencies you can get some stunning deals.”
Belgium is a popular destination because it’s only a couple of hours away from London and accessible via Eurostar for less than £60 return. The average cost of a gall bladder removal is £4,650 in Britain but only £2,500 in Belgium. A full knee replacement costs about £12,000 in this country but only £6,100 in Belgium.
If it is cosmetic surgery you are after, most countries charge about half what you would have to pay in Britain. A tummy tuck costs about £4,450 in Britain and £2,400 in Belgium.
Some agencies, such as the Taj Medical Group, provide “sun and surgery” packages which include flights, accommodation, all medical fees and taxis from the airport to the hospital. It also offers follow-up appointments with a consultant in the UK.
Northampton-based People Logistics specialises in sending patients to France, where a hip replacement and two-week stay costs £6,850. This includes transport between home and hospital.
Doctors warn that having an operation is never risk-free and there can be additional dangers in travelling abroad for treatment. You should check your surgeon’s credentials and whether action has ever been taken against him or her.
No specific travel insurance is available for patients going abroad for surgery and most general policies exclude cover for trips where the policyholder is undergoing a planned operation, which means that cover will not apply for any part of the trip, even if an accident is unrelated to the surgery.
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To address Kate Blundell's comment. I went to Rovinj Croatia for dental implant surgery and the aftercare has been exceptional. My NHS dentist told me beforehand he wouldn't provide maintenance and he wasn't qualified to do so anyway. The chances of anything going wrong are no more than they would be in this country and are unlikely if you choose a competant dentist. I was quoted £2500 for one implant in the UK and paid just less than a £1000 in Rovinj. I've since been back for my amalgam fillings replacing and next month I return for another implant. I go to Rovinj and have a holiday as well as my dental treatment and still save money on a trip to my local dentist. http://www.thedentaltourist.co.uk
Chris Sparks, Wakefield, West Yorkshire
We have just published a report into the effects of complications from Cosmetic tourism and their impact on the NHS.
All of the NHS plastic surgery units in the London area had seen an treated up to 60 patients over a six month period, all of whom had recieved cosmetic surgery abroad and suffered acute complications, many requiring admission to hospital.
Patients are often poorly counselled about the complications that can arise from recieving surgery abroad and are rarely able to return to the clinic for treatment. The bill for such treatment ends up with local NHS hospitals.
See Journal of Plastic Reconstructive and Aesthetic Surgery (2007) Vol 60 No 9 (Sept) 1075-1077
Jeremy Birch, Oxford, OXON
i live in the philippines, and they are trying to make this a health and medical destination,all i can say is be aware, most expats here go to singapore or hong kong, if they want operations, and the blood supply here is not good at all, most people would have a doner available should they have to go into hospital, and everyweek we have emails asking for blood for some poor person, Most trained medical staff also leave the philippines to work abroad, wherethey can earn more money .. So be aware of any cheap deal, because in the end you could pay more than money for it .. and certainly dont do anything here in the philippines
tracey, manila,
From a dental point of view.. we are seeing an increasing number of patients going abroad for cosmetic and implant treatment (which aren't available on the nhs). What concerns me is the aftercare of these patients; should nhs dentists be providing maintenance? or worse still if complications arise, should nhs dentists be attempting to, or be expected to, fix things ? when they may not be familiar with the implant system used (they may not even know what system it is in the absence of clinical notes). Would the patient end up then having to travel abroad for maintenance or further surgery? There may be hidden costs when one considers this.
Surely it would be a better investment to see someone whose qualifications and competence you are sure of, who is closer to home?
Kate Blundell, Liverpool, Merseyside