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Guides

Reading for the decision, not for the sale

Six plain-English guides to the questions that come before a booking: whether treatment abroad is a sensible idea for you, what accreditation means, what it really costs, what happens to your records, and how to prepare.

Guide 01

Is treatment abroad right for me? Eight questions to answer first

Before the price, before the hospital, before anyone talks to you about flights — the questions that decide whether this is a sensible idea for you at all.

Reading time
7 min
Author
Sevanta HealthWritten by the coordination team, not by a clinician
Clinical review
Not yet reviewed by a clinician
A clinic waiting area. Illustration — not a specific hospital.

Start with the answer that costs us money

Some people should not have surgery four thousand miles from home, and no amount of careful coordination changes that. Before you read anything else on this site, it is worth being honest with yourself about the eight questions below. We ask every one of them on a first call, and a “no” to some of them ends the conversation — politely, and without charge.

The eight questions

One: has a UK clinician actually recommended this operation? Treatment abroad is a way of obtaining a procedure you have been told you need sooner or more affordably. It is not a way of obtaining one a specialist has advised against, and a surgeon in India will want to see the same imaging and the same reasoning.

Two: can you tolerate a nine-to-eleven-hour flight twice, the second time within a few weeks of surgery? Long-haul flight after lower-limb surgery raises the risk of a blood clot. The surgeon will decide when you are fit to fly, and that may be later than you hoped.

Three: do you have someone who can travel with you? For most surgery we strongly recommend a companion, and the cost estimator includes one as a separate line so it is visible.

Four: are your other conditions stable? Heart disease, diabetes, kidney problems and some medications change the risk calculation, and a hospital may decline to operate once it has your full history. Better to know that in week one.

Five: can you afford the total — not the headline — including flights, accommodation, a companion, insurance, our fee, and the extra nights nobody plans for? The estimator on this site is built to show you that number without asking for your email.

Six: can you afford it going wrong? Complications happen in every hospital in every country. The hospital’s complications policy covers some things and not others; travel insurance that explicitly covers planned surgery abroad covers some things and not others. Our Privacy & Safety page sets out who pays for what.

Seven: are you prepared for the NHS not to fix it? If you come home with a problem, the NHS will treat you if you are unwell. It is not obliged to correct treatment obtained abroad and it is not liable for it. That is not a reason not to go; it is a fact to go with.

Eight: do you have time for the aftercare? A joint replacement is a twelve-week recovery of which perhaps two happen in India. The physiotherapy, the check-ins and the patience happen at home.

If you got through those

Then treatment abroad may be a reasonable option for you, and the rest of this site is about doing it carefully. The next thing to read is the Privacy & Safety page, because it answers the questions every other site in this category leaves to the small print — and it tells you what their reassurances are worth.

The Privacy & Safety pageBack to the list

Guide 02

What “accredited hospital” actually means, and how to check it yourself

NABH, JCI, ISQua, entry-level certification — the vocabulary every hospital website uses, what each term does and does not tell you, and the public registers where you can look it up without trusting anybody.

Reading time
6 min
Author
Sevanta HealthWritten by the coordination team, not by a clinician
Clinical review
Not yet reviewed by a clinician
A sterilisation unit — the kind of thing we ask hospitals to show us.

A floor, not a guarantee

Accreditation tells you that a hospital met a defined standard on the day it was assessed, on the things the standard measures. That is a meaningful signal — it covers infection control, medication safety, records, consent, and whether the hospital measures its own outcomes — and we will not list a hospital without it. It is not a promise about your operation, and it is not a UK regulator. Nobody inspects these hospitals on the NHS’s behalf.

NABH, and the distinction that matters most

NABH is the National Accreditation Board for Hospitals and Healthcare Providers, a constituent board of the Quality Council of India. Full hospital accreditation involves an on-site assessment against several hundred objective elements, a surveillance visit in year two and reassessment in year four. Its hospital standards are themselves accredited by ISQua, the international body that accredits accreditors.

NABH also runs an entry-level certification aimed at organisations beginning their quality journey. It is a different assessment against a different standard, and a hospital holding it can reasonably describe itself as NABH-certified. This is the single most useful thing to know when reading any Indian hospital’s marketing: “NABH” on its own does not tell you which one. Every entry on our register names which the hospital holds.

JCI, and whether it is “better”

Joint Commission International is a United States-based accreditor and is more widely recognised outside India, which is why some hospitals pursue it alongside NABH. The two are different rather than ranked. A hospital holding both has been assessed twice against two different standards, which is worth something. Neither tells you how many of your specific operation the unit performs, which is why we ask for that figure separately and in writing.

How to check it yourself

NABH publishes a searchable directory of accredited and certified organisations. JCI publishes a list of accredited organisations by country. Individual doctors are listed on the Indian Medical Register maintained by the National Medical Commission. All three are public and free, and the links are on our Privacy & Safety page under “Don’t trust us. Check us.” If a hospital or a coordinator cannot point you at the entry, treat the claim as unverified — including ours.

The Privacy & Safety pageBack to the list

Guide 03

The true cost of surgery abroad: the lines that are usually left out

A hospital quotation is one number among nine. The others — flights, a companion, extra nights, insurance, the coordination fee, UK physiotherapy — are where most estimates quietly go wrong.

Reading time
6 min
Author
Sevanta HealthWritten by the coordination team, not by a clinician
Clinical review
Not yet reviewed by a clinician
A patient monitor. Illustration.

Why the headline number is never the number

The figure a hospital quotes is for the treatment package: the surgeon, anaesthetist and theatre, the implant as specified, the inpatient stay, medication and physiotherapy on the ward. It is a real number and it is the biggest line. It is also, in our experience of reading quotations, rarely more than two thirds of what a patient actually spends.

The other eight lines

Return flights for you, and for your companion. Visa fees for both of you. Accommodation before admission and after discharge — most people spend several nights in a hotel near the hospital after they leave the ward and before the surgeon clears them to fly. Airport and hospital transfers, which are often included by the hospital but should be confirmed in writing. Travel insurance that explicitly covers planned surgery abroad, which is more expensive than holiday cover and is a condition of us proceeding. Our coordination fee, fixed and stated in advance. UK physiotherapy after you are home, itemised per session. And a contingency for extra nights, because the discharge date is a clinical decision and it slips more often than anyone plans for.

What a quotation deliberately excludes

Treatment for complications outside the hospital’s own package terms. Medication to take home. Any revision surgery. Anything that happens after you are discharged and before you land. These exclusions are not hidden — they are printed in every hospital’s terms — but they are rarely printed next to the price, which is where you need them. The cost estimator on this site puts them there.

How to use the estimator honestly

Choose the treatment and the city, add a companion, and be generous with the nights: the estimator lets you add up to three weeks because that is the realistic upper end for an orthopaedic trip. Then compare the total — not the hospital line — with the private quotation you were given at home. If the difference is still large enough to justify the risk of travelling, treatment abroad may be worth pursuing. If it is marginal, it probably is not, and we will say so.

The Privacy & Safety pageBack to the list

Guide 04

Your medical records, India, and the law: what actually happens to your data

Sending your scans and history to a hospital in India is a “restricted transfer” under UK data protection law. Here is what that means, what safeguards apply, and what you can insist on.

Reading time
5 min
Author
Sevanta HealthWritten by the coordination team, not by a lawyer
Clinical review
Not yet reviewed by a clinician
Scans of the kind a surgeon reviews before quoting.

Health data is special category data

Under UK GDPR your medical history, imaging and even the fact that you are enquiring about a knee replacement are “special category” personal data, which can only be processed with an extra lawful condition — in our case, your explicit consent. That is why a first call with us collects no medical information at all, and why the enquiry form on this site asks only for your name, contact details and the treatment you are interested in.

What “restricted transfer” means

India has no UK adequacy decision, which means UK law does not treat its data protection regime as equivalent. Sending your records there is permitted, but only with safeguards: a written international data transfer agreement with each hospital, a transfer risk assessment, and your informed, explicit consent given after you have been told exactly where the data goes and who sees it. We put those in place before the first record leaves the country, and we will show you the agreement if you ask.

Who sees what

Your coordinator at Sevanta. The surgeon and clinical team at the hospitals you have chosen to be considered by — not every hospital on our register. Our partner organisation in India sees your travel and admission details, not your clinical records, unless you ask us to share them. Nobody else, and nobody for marketing.

What you can insist on

A copy of everything we hold about you. Deletion of your enquiry at any time before you contract with us. Withdrawal of consent to the transfer at any time, which stops further sharing though it cannot recall what a hospital already holds under its own obligations. A stated retention period, which is printed in our privacy notice. And a route to complain to the Information Commissioner’s Office if you think we have got any of it wrong.

The Privacy & Safety pageBack to the list

Guide 05

Twelve questions to ask any medical travel company — including us

The questions that separate a coordinator you can hold to account from a sales funnel with a nice website. Ask them of everyone. Here are our answers.

Reading time
6 min
Author
Sevanta HealthWritten by the coordination team, not by a clinician
Clinical review
Not yet reviewed by a clinician
A hospital corridor. Illustration — not a specific hospital.

About the company

What is your registered company name and number, and where? Ours is Sevanta Health Ltd, 17407709, registered in England, and you can check it on the Companies House register. Who pays you, and does any of it come from hospitals? You pay us a fixed fee; no hospital pays us anything; our Indian partner is paid commission by hospitals and we say so. Does my treatment money pass through you? No — you pay the hospital directly. What professional indemnity insurance do you hold and does it cover coordination of overseas treatment? Ask to see the certificate. We will show you ours.

About the hospital and surgeon

Which accreditation does the hospital hold, full or entry-level, and where can I check it? Can I see the surgeon’s entry on the Indian Medical Register? How many of my specific operation did this unit perform last year, in writing? What is the hospital’s complications policy, and can I have it before I pay a deposit? Will I speak to the surgeon who will operate before I commit? Any company that cannot answer all five is asking you to take its recommendation on trust.

About the practical questions

What happens if I need revision surgery, and who pays? What does the travel insurance you recommend actually exclude? What will the NHS do and not do when I am home? If a company answers these with reassurance rather than specifics, that is your answer. Our specifics are on the Privacy & Safety page, in plain language, which is the point.

The Privacy & Safety pageBack to the list

Guide 06

Preparing for surgery abroad: the six weeks before you fly

What to gather, who to tell, what to pack and what to stop — a practical timeline from the day you decide to the day you travel.

Reading time
8 min
Author
Sevanta HealthWritten by the coordination team, not by a clinician. Follow your surgeon’s instructions where they differ.
Clinical review
Not yet reviewed by a clinician
A single room of the kind used for recovery. Illustration.

Six weeks out: records and people

Ask your GP surgery for your summary care record and any recent blood results, and ask the hospital that did your imaging for the scans themselves, not just the report. Tell your GP what you are planning; you do not need their permission, but you will want them informed and, ideally, willing to receive the record when you are home. If you have a companion, confirm their dates now. Passports need six months’ validity for an Indian e-visa.

Four weeks out: the surgeon’s list

After your video consultation the surgeon will give you a pre-operative list, and it overrides anything here. It usually covers which medications to continue and which to stop and when — blood thinners, some diabetes and blood pressure medication, supplements — and whether any UK tests are needed first. Stopping smoking, if you smoke, is the single change with the most evidence behind it for surgical recovery, and four weeks is enough to matter.

Two weeks out: money and paper

Travel insurance that explicitly covers planned treatment abroad should be in place before any deposit is paid to the hospital. Print the hospital’s written quotation, its complications policy and its cancellation terms, and take them with you. Arrange how you will pay the hospital — most accept card or bank transfer on an invoice, and your bank may need warning about a large overseas payment. Your UK physiotherapy should be booked by now; we do that with you.

The week before: packing for a hospital, not a holiday

Loose clothing that goes over a dressing or a brace. Slip-on shoes with a closed heel. Your own medication in its original packaging, with a printed list. Reading glasses, a phone charger with an Indian adaptor, and something long to read. A copy of every document above. For joint replacement, compression stockings if the surgeon has asked for them. Leave the ambitions for the trip at home: you will spend most of it in or near the hospital, and that is the plan working.

The day you land

A named member of our partner team meets you in arrivals. Drink water on the flight and walk the aisle; the clot risk is real in both directions. Admission is usually the following day. If anything about the hospital, the room or the plan differs from what you were told in writing, tell your coordinator before you sign anything — that is what the UK-hours number is for.

The Privacy & Safety pageBack to the list

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Ask the question the guides did not answer

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  3. 3Nothing is booked, nothing is soldA first conversation ends with an honest answer, including "not for you".

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