Information on Cross-Border Healthcare for the NHS in England and Wales

Guidance for people in England looking for information on cross border services for the NHS in England.

Borders between Clinical Commissioning Groups within the NHS in England

Who Pays? Establishing the Responsible Commissioner: This document sets out the circumstances which determine which clinical commissioning group is responsible for paying for a patient’s care within the NHS in England.

Responsible body guidance for the NHS in Wales:  This is the relevant guidance for the NHS in Wales.

England/Wales border

Cross border protocol
This protocol sets out the arrangements between the NHS in England and the NHS in Wales. It helps support patients who live on the England/Wales border and make sure they receive healthcare without confusion or delay.

International Borders

For any queries regarding treatment abroad please visit:

For more information see the England/Wales Cross Border Frequently Asked Questions