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Discussion Starter · #1 ·
Hello All,

My name is Gary and my wife is Sheila.I am currently sorting our register issues with this website.
Sheila & I are considering moving to Javea from Northumberland.
We will be visiting from 24 September to 8th October 2017 to get a flavour for the area. My parents lived in Alfaz del Pi for many years.
My question is concerns regarding healthcare for Sheila.She is 81,had a major heart attack 4 years ago,a minor stroke following hip surgery last year and has a pace maker for the last 4 years.
She is stable,on many medications and doing well.
I have always understood that healthcare in Spain was very good(better than the NHS!) but reading feedback it appears the local hospitals leave something to be desired?. I know people will more readily complain than praise when reviewing so I am trying to confirm whether Sheila can get good quality care, especially cardiac care. She has her full state pension,however,I at 59 do not,but I will purchase healthcare when we arrive for myself.
Hope you can help to allay our concerns.
Thank You.Gary & Sheila.
 

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I can't comment on the quality of hospitals in the Javea area as I don't live there. However, as your wife is a UK state pensioner you will not need to take out private health insurance for yourself - she can request an S1 form for you as her dependent, at the same time she requests one for herself, which will give you state healthcare cover in Spain as well.
 

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I live in Jávea. The hospital in Dénia, which is our local one, is fantastic. Both my daughters have had surgery there & they saved my younger daughter's life.

I also have several friends who have had joint replacements, cancer care, care following strokes & heart surgery.

It's clean, the staff are efficient, waiting lists for most departments aren't ridiculously long.

I'd be very interested to know where you heard otherwise?
 

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Discussion Starter · #5 ·
Thank you for your reply xabiachica. The reports have been on facebook and google reviews on the hospitals concerned but especially Hospital Marina Salud,Denia.The reports have been by both Spanish and other EU nationals.The ratings given were 3 out of 5 but some more recent reports gave 1 and some awful reviews as examples which is why I am querying this and all of the do's and don'ts so I am prepared before we come out to look around. Your reply does help in allaying those concerns though which is why I joined. One question-I assume Hospital Marina Salud in Denia is a general hospital,where is the nearest hospital that would deal with more major cardiac issues please. Thank you for your help,it is valuable to say the least
 

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Thank you for your reply xabiachica. The reports have been on facebook and google reviews on the hospitals concerned but especially Hospital Marina Salud,Denia.The reports have been by both Spanish and other EU nationals.The ratings given were 3 out of 5 but some more recent reports gave 1 and some awful reviews as examples which is why I am querying this and all of the do's and don'ts so I am prepared before we come out to look around. Your reply does help in allaying those concerns though which is why I joined. One question-I assume Hospital Marina Salud in Denia is a general hospital,where is the nearest hospital that would deal with more major cardiac issues please. Thank you for your help,it is valuable to say the least
I too have seen comments on Facebook from a friend who lives in Calpe.
According to this there are waiting lists to get on waiting lists.

http://lamarinaplaza.com/2017/07/30...gresar-en-la-lista-de-espera-de-marina-salud/
 

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I too have seen comments on Facebook from a friend who lives in Calpe.
According to this there are waiting lists to get on waiting lists.

Listas de espera para ingresar en la lista de espera de Marina Salud | Noticias La Marina Plaza
As there are in the UK, and probably every other country where austerity measures have forced spending cuts in public services.

Not just hearsay either, both my late mother (England) and my 91-year-old FIL (Wales) had to wait several months to be accepted onto NHS waiting lists.
 

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I can't speak for your area, but where I live, the hospital care is excellent. However, once you are out of hospital you are pretty much left to it. One thing you do need to consider though, is if your wife needs home care, there doesn't seem to be much in the way of this unless you pay for private nursing. This might be something you want to look into, as I think it could be quite expensive. Most Spanish people rely on family to help out, but if your wife needs something similar to what is provided by social services homecare in the UK, you may struggle.
 

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I can't speak for your area, but where I live, the hospital care is excellent. However, once you are out of hospital you are pretty much left to it. One thing you do need to consider though, is if your wife needs home care, there doesn't seem to be much in the way of this unless you pay for private nursing. This might be something you want to look into, as I think it could be quite expensive. Most Spanish people rely on family to help out, but if your wife needs something similar to what is provided by social services homecare in the UK, you may struggle.
There is an equlvalent to social services home care in Spain. You can apply through the social services department of your Ayuntamiento. However, it is means-tested and you may have to wait a while for the result of your assessment.
 

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Discussion Starter · #11 ·
Thank you Steveng,

That is good to know,I'll be the nurse in this case as I have been in the UK apart from the 6 monthly visits to the specialist cardiac nurse.Is there an equivalent system in Spain where you attend bi-annual/annual check ups with a specialist nurse?.
thanks
 

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There is an equlvalent to social services home care in Spain. You can apply through the social services department of your Ayuntamiento. However, it is means-tested and you may have to wait a while for the result of your assessment.
Agreed. I see lots of the uniformed carers provided under the Ley de Dependencia going about their work in the community here.

Naturally enough, all the information about the service is in Spanish, and I'm sure the application forms and assessment process would be in Spanish too, which is something which could well be problematic for lots of elderly English speaking residents.

Junta de Andalucía - Servicio de ayuda a domicilio

Whether there are sufficient resources to meet the demand I don't know, but then the same could be said for the UK, I believe.
 

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Discussion Starter · #14 ·
Thank you for your response Lynne R. I can manage the nursing side,which I do now for my wife.It was the follow up I was wondering about.
In the UK my wife sees a cardiac specialist nurse every 6 months for blood tests,BP,ECG etc.I suppose this would be done by the local GP clinic in the area we lived?.
 

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Thank you for your response Lynne R. I can manage the nursing side,which I do now for my wife.It was the follow up I was wondering about.
In the UK my wife sees a cardiac specialist nurse every 6 months for blood tests,BP,ECG etc.I suppose this would be done by the local GP clinic in the area we lived?.
I can't tell you, I'm afraid, as neither of us has had that kind of treatment in the state health system. I do see a cardiologist every 6 months, or more often if necessary, and have those tests, but that's in the private system.

In your case it might be worth getting a summary of your wife's medical history before you leave the UK and having it translated into Spanish, to give to your new GP (called medico familiar here) once you are allocated to one.
 

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Gary

http://http://healthcareinspain.eu/living-in-spain/

Extract:
If any of your family members need to receive healthcare as your dependent because they may not be entitled to any healthcare cover in Spain in their own right, then they will also need to apply for a separate S1 form as*your dependent.

I have not been able to find what 'dependent' is defined as.

My wife is my dependent, as she does not work She is under UK retirement age but I get extra on my OAP and she gets free S1 cover.

You may not be a 'dependant' within the rules.

I would call DWP Overseas Branch so you know where you stand
 

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Discussion Starter · #17 ·
Thank you Lynne R,that is very helpful,I'm slowly getting my head round the many questions I have.It is much appreciated!.Gary.
 

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Discussion Starter · #18 ·
Thank you Juan C,

I have been told by DWP I am a dependant(a person who relies on another as the primary source of income,I gave up work to care for her.) of my wife as a carer for her.We receive attendance & carers allowance in the UK. Also because she receives a UK state pension,as a dependant I can also access free S1 cover. But I will take your advice and check with DWP overseas branch to confirm.
Thank you for your help Juan C!.
Gary.
 

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Gary

http://http://healthcareinspain.eu/living-in-spain/

Extract:
If any of your family members need to receive healthcare as your dependent because they may not be entitled to any healthcare cover in Spain in their own right, then they will also need to apply for a separate S1 form as*your dependent.

I have not been able to find what 'dependent' is defined as.

My wife is my dependent, as she does not work She is under UK retirement age but I get extra on my OAP and she gets free S1 cover.

You may not be a 'dependant' within the rules.

I would call DWP Overseas Branch so you know where you stand
A dependant in this sense is a husband or wife, child under 18, or elderly relative who lives with you and you are caring for. It doesn't matter whether they are working or not.
 

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Gary, given that the NHS is still the number one health service in the world
https://www.theguardian.com/society/2017/jul/14/nhs-holds-on-to-top-spot-in-healthcare-survey

and given your wife's age and medical issues are you really sure you want to move country? No offence meant but as a retired Ward Manager I felt I needed to ask the question. Moving country is a very stressful event in a life and not one I'd take on if I were you.

Good luck with the future whatever you both decide to do.
 
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