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Expats returning to Britain could put a huge strain on NHS

Currently, British pensioners living as expats in EU member countries receive healthcare through a European Union agreement – the EU reciprocal “S1” scheme – which allows them to have the same healthcare rights as the country’s local population.

But this could all change after Brexit. If this reciprocal agreement is dropped, which is likely, it will mean expats would have to return to the UK for healthcare – a far costlier option for the Department of Health.

In fact, unless a deal can be reached that will allow expats to continue receiving their care abroad, then the cost of treating them in Britain could be £1 billion each year – a figure twice the current £500 million it takes to run the S1 scheme.

Financial and human strain

The additional strain on medical resources in the UK is another major concern. It is believed an extra 900 hospital beds (the equivalent of two hospitals) will be needed to accommodate returning expats. Plus, Brexit is set to worsen the staffing problems; an influx of patients would require an extra 1,600 medical professionals to care for them and yet the flow of EU migrant workers, which health and social care services rely heavily upon, is likely to dry up .

The BBC estimates that around 190,000 British pensioners live abroad in EU member countries. One EU member country with a large population of expat pensioners is Spain, where there are approximately 70,000 retired UK citizens using the country’s healthcare system.

Speaking to The Independent, the head of Bremain in Spain, Sue Wilson, was fearful of those living on low incomes who, post-Brexit, would not be able to afford healthcare under the Spanish system and therefore be forced to move back to the UK.

“The biggest fear for people here, many who have been here for a long time, is that they would be forced to go home against their wishes because of the finances,” Wilson said, adding that it’s not a decision many expats would “gladly make”.

The author of the report, Mark Dayan, voiced concerns regarding how this extra cost would cause even more pressure to an already struggling NHS, noting that the healthcare system was already faced with “tight funding settlements and growing staffing problems well before the EU referendum last year”.

Dayan went on to stress how important it is for the government to recognise the NHS as a “significant priority” during Brexit negotiations.

Expat financial care

The years following Brexit are bound to be tough for the NHS, and both expats returning to the UK and those who’ve lived in the UK all their lives are sure to feel the effects. At times like these, when the future is uncertain, one of the best ways you can give yourself peace of mind is by ensuring your finances are well protected.

One of the best ways to do this is by contacting a Blacktower financial adviser. Whether you need help safeguarding your finance in Spain against the uncertainty of Brexit negotiations or require assistance in reaching another financial goal, our advisers will give you all the expert guidance and advice you need to make your money go further.

This communication is for informational purposes only and is not intended to constitute, and should not be construed as, investment advice, investment recommendations or investment research. You should seek advice from a professional adviser before embarking on any financial planning activity. Whilst every effort has been made to ensure the information contained in this communication is correct, we are not responsible for any errors or omissions.

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This arrangement works nicely for many expats, allowing them to enjoy the best of both worlds as they set up a new life in an new location while still being able to retain a taste of home. But it’s not without complication, and it is wise for all expats moving between countries to understand their rights regarding healthcare in every place they visit. Otherwise, they may be left to face the financial consequences if their health take an unexpected turn.

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RTC Deadline Looms

Clocks and TimepiecesTime is fast approaching for UK taxpayers and expats with UK tax obligations to ensure they meet the 30 September 2018 deadline laid down by HMRC for the declaration of all UK tax liabilities on overseas income and assets that fall under the auspices of the Requirement to Correct (RTC) legislation, Finance (No 2) Act 2017.

Non-compliance, even if it is inadvertent, has the potential to be met with uncompromising penalties, so anyone who is any doubt about their tax obligations regarding offshore investments – if you have expat regular savings or wealth management concerns outside of the UK – should contact their financial adviser immediately as a matter of urgency.

The penalty for most breaches is 200% of the tax that has been avoided. However this may be reduced to 100% depending on the taxpayer’s perceived level of compliance. That said, the minimum is 150% in cases where disclosure has been prompted by HMRC. Larger non-disclosures may be punished by further penalty of 10%

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