If you have been referred by your Local Health Board to a hospital in England, and are given an English prescription, you will have to pay the current rate set by the Department of Health and Social Care, even if you take it to a Welsh pharmacy. However, provided you are a Welsh resident, you may claim this fee back from the NHS Wales Shared Services Partnership as long as you have proof of payment. Arrangements vary, but you would normally be seen and assessed regardless of where your GP practice is based. If you live in England and you are registered with a GP surgery based in Wales that is not part of the new referral scheme then you will default to being treated in Wales to Welsh standards. However, if you wish to be treated to English standards by an English provider then you will need to speak to your GP or contact your integrated care system (ICS) to arrange for this to happen. You will not experience any delay in treatment by choosing this option. However, it is possible that you may have to change your GP. If you live in England and you are registered with a GP surgery based in Wales and you wish to receive your care in a hospital or clinic in Wales then you can do so and you will receive high quality treatment under Welsh NHS standards and policies. The RAS acts as a single point of contact for Welsh border GP practices to refer English cross-border patients to England for consultant-led secondary care. The RAS offers English residents the choice of secondary care in England in line with NHS Constitutional rights or to be referred back to NHS Wales, to be treated under Welsh standards and policies if the patient wishes. This change will not make any difference to emergency ambulance services. You will still get an ambulance no matter where you live if you need one by calling 999. If you think you need urgent treatment, contact your usual dental practice and ask to be seen as an emergency. If you require out-of-hours emergency NHS dental treatment or do not have a regular dentist, you can still access urgent care by calling NHS 111. If you require in-hours emergency NHS dental treatment you should contact the dental practice where you receive your regular NHS dental care. This means that it is separate from the NHS in England. The existing cross-border protocol between England and Wales sets out an agreement for the care of patients living along the border who reside in one country, but are registered with a GP practice in the other country. Due to changes to the law brought about by the NHS Act 2006 (as amended by the Health and Social Care Act 2012), if you live in England and are registered with a GP practice in Wales along the border then the choice of secondary healthcare and services provided in England needs to be offered to you. The referral assessment service (RAS) is a referral system to enable English residents (registered with a Welsh GP practice) to access choice of secondary care provider in England. NHS 111 currently only holds information about services in England. If you need information about services in Wales, they can transfer you to NHS Direct Wales, (who currently provide information to people who live in Wales). If you live in Wales you can contact NHS Direct Wales on 0845 46 47 or 111 (if available in your area). NHS 111 in Wales is a non-emergency helpline that is being rolled out nationally across Wales over a period of three years from 2018. NHS 111 in Wales provides a free treatment and advice service helpline managed by a team of professionals and is available via telephone 24 hours a day, seven days a week. If you have a medical emergency or critical life threatening problem then please call 999 irrespective of where you reside or are registered with a GP. Is living in Wales significantly different from living in England? Wales vs England: World Cup 2022 prediction, kick-off time What TV channel is England v Wales on? Free live stream and England vs. Wales live stream: How to watch 2022 World Cup