Residents of Guernsey, Alderney, Herm and Jethou who have been registered with Social Security for the payment of contributions and hold a valid Social Security number may be able to claim benefit during times of sickness and injury.
Benefits can include a grant towards the cost of your consultation with a registered doctor or nurse, benefit if you are unable to work due to sickness or injury or assistance with travel expenses for medical appointments in Jersey or the UK as well as for Alderney patients requiring treatment in Guernsey. Please click on the headings below for more information about the types of benefit available.
Grant for doctor and nurse consultations
- If you are feeling unwell and need to see a doctor or nurse then you may be able to claim a health benefit grant towards the cost of your appointment. A health benefit grant is payable if your appointment is with a registered doctor at the surgery, in your home, at the Primary Care Centre, at the Accident & Emergency Department at the Princess Elizabeth Hospital or at the Mignot Memorial Hospital in Alderney. Grants are also payable if you have a consultation with a registered nurse.
- Usually you will be asked to sign in when you arrive for your doctor or nurses' appointment or you will be asked to sign to say that you have seen a doctor if they visit you at home.
- You will still need to pay for your appointment but the full charge should be reduced automatically by your doctor's surgery so that you benefit from the grant.
- If you have been asked to pay for your consultation in full, you may still be able to claim your grant if it is within 6 months of your appointment. Please keep your doctor's receipt and have a look at the Health Benefit Medical Consultation Grants leaflet (HB2) which is available to download from this page. More detailed information about this benefit can also be found in that leaflet.
Sickness and injury benefits
- If you aren't able to work because of a physical or mental health illness, you may be able to claim sickness benefit. To receive sickness benefit you must be unable to work for at least 4 days and meet certain rules about the payment of contributions.
- Hopefully any sickness will only last for a short period, but if you are still unable to work after 6 months, you may receive invalidity benefit instead. Invalidity benefit is paid at a different rate to sickness benefit.
- To make a claim for sickness benefit you will need to submit a medical certificate which will be supplied by your doctor or medical professional if they feel you are unable to work. The medical certificate should be sent into the Social Security within 28 days - this is your claim for sickness benefit. If your claim is received late you may lose some or all of the benefit.
- On the medical certificate your doctor may say that you are able to return to work earlier if your employer can make certain workplace adjustments. For example, by providing some special equipment or allowing you to work different hours or duties. If this is the case, Social Security will write to your employer to see if they are able to support these adjustments.
- The amount of benefit payable depends on the number of Social Insurance contributions you have paid or been credited with in the relevant contribution year. The current rates are set out in the Benefit Payment and Contribution Rates leaflet (Leaflet 50), which is provided in the downloads section.
- Further information can be found in the Sickness and Invalidity Benefits leaflet (Leaflet 16), available in the downloads section of this page.
Accidents at work
- If you are unable to work because of an accident at work or because you developed certain diseases or conditions while at work, you may be able to claim industrial injury benefit. To get industrial injury benefit you must be unable to work for at least 4 days.
- If the Administrator agrees that your claim can be treated as an accident at work you will be able to get help with the cost of treatment connected with your accident.
- To make a claim for industrial injury benefit you will need to submit a medical certificate which will be supplied by your doctor or medical professional if they feel you can't work.
- You will also need to provide details about your accident on the medical certificate. The medical certificate should be sent into Social Security within 28 days - this is your claim for sickness benefit. If your claim is received late you may lose some or all of the benefit.
- When completing your medical certificate, your doctor may say that you are able to return to work earlier if your employer can make certain workplace adjustments, for example, by allowing you to work different hours, carry out different duties or by providing some special equipment. If this is the case, Social Security will write to your employer to see if they are able to support these adjustments.
- If you have a long-term disability as a result of your accident at work you may claim industrial disablement benefit. To make a claim, you should fill in a claim form (IDB100) which is available from the office by phoning the Incapacity Benefit helpline on 732507. Before your claim can be decided you will need to be seen by a Medical Board who will assess the impact of your disability. This assessment is used to decide whether you can receive benefit and if so, how much can be paid.
- The current rates are set out in the Benefit Payment and Contribution Rates leaflet (Leaflet 50), which is provided in the downloads section.
- Further information can be found in the Industrial Injuries Benefits leaflet (Leaflet 6), available in the downloads section of this page.
Travelling Allowance Grant (TAG)
- If you need to travel off-island for medical treatment that is not available in the Bailiwick of Guernsey you may be able to claim for your off-island travel expenses through the Travelling Allowance Grant (TAG).
- Once you have received a date for your medical appointment in the UK or Jersey you should let your local medical specialist know. Your specialist will then complete an application form in order for your travel to be funded under the Travelling Allowance Grant.
- Generally, the Travelling Allowance Grant is able to fund flights as well as off-island ground transport for any consultation or in-patient appointments required in the UK at the relevant NHS Hospital. (If you choose to receive treatment under private medical insurance then TAG will fund the cost of travel to the equivalent NHS hospital and you will be required to pay for any extra costs involved).
- Alderney patients are also able to claim for the Travelling Allowance Grant if they are referred by their local GP to Guernsey as well as any referrals from a Guernsey specialist to the UK. This can be done by taking a copy of their referral letter to the Alderney States Office and completing a claim form, taxi travel in Guernsey cannot be funded though.
- For patients under 18 the Travelling Allowance Grant will fund one adult to travel with the patients (an escort), whilst patients under the age of 6 are able get funding to travel with two adult escorts.
- Further information is available in Travel Grants leaflet (Leaflet 58), available in the downloads section of this page.
Travelling Expenses Assistance Scheme (TEAS)
- If you are facing financial hardship, the Travelling Expenses Assistance Scheme (TEAS) may be able to assist with additional travel costs incurred when travelling for NHS medical appointments. TEAS is a mean-tested benefit that is assessed on a case-by-case basis depending on your incomings, outgoing and savings.
- TEAS may be able to assist you with costs incurred for the following:
- Travel expenses of a non-medical escort authorised by your doctor or specialist in order to assist you from/ to your medical appointment in Jersey or the UK.
- Accommodation costs that may be necessary due to the timing of your appointment that cannot be covered by other means.
- If you are travelling as a private patient or do not wish to apply for TEAS then you will need to fund the cost of travel for your escort or accommodation yourself.
- If you require a copy of the means test form please contact the Health Benefits team at Social Security on 732510.
- Further information can be found in the Travel Grants leaflet (Leaflet 58), available in the downloads section of this page.