Consultation outcome

Migrant access to the NHS

This consultation has concluded

Download the full outcome

Detail of outcome

The response sets out initial decisions and next steps including:

  • introducing a new health surcharge for temporary migrants (including students and workers)
  • considering how to exempt expatriates who have paid National Insurance from being charged when visiting the UK
  • extending charging to care outside hospitals (eg to community rehabilitation) and to non-NHS providers of NHS care
  • improving recovery of the money the UK is owed by other EEA countries
  • working with the NHS and professionals to improve the identification, registration and cost recovery system

Original consultation

This consultation ran from 3 July 2013 12:00am to
28 August 2013 11:45pm

Summary

Consultation on charging migrants and overseas visitors to use NHS and how better to identify patients who should be charged.

Documents

Sustaining services, ensuring fairness: A consultation on migrant access and their financial contribution to NHS provision in England

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If you use assistive technology and need a version of this document in a more accessible format please email publications@dh.gsi.gov.uk quoting your address, telephone number along with the title of the publication ("Sustaining services, ensuring fairness: A consultation on migrant access and their financial contribution to NHS provision in England").

2012 Review of overseas visitors charging policy: Summary report

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If you use assistive technology and need a version of this document in a more accessible format please email publications@dh.gsi.gov.uk quoting your address, telephone number along with the title of the publication ("2012 Review of overseas visitors charging policy: Summary report").

Sustaining services, ensuring fairness: Evidence to support review 2012 policy recommendations and a strategy for the development of an Impact Assessment

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If you use assistive technology and need a version of this document in a more accessible format please email publications@dh.gsi.gov.uk quoting your address, telephone number along with the title of the publication ("Sustaining services, ensuring fairness: Evidence to support review 2012 policy recommendations and a strategy for the development of an Impact Assessment").

Consultation description

This consultation is about migrants’ access and financial contribution to the NHS. It is widely recognised that the NHS has a longstanding weakness in charging foreign nationals who use the NHS, and has similar problems in recovering the cost of treatment to visitors from the European Economic Area.

The consultation asks who should be charged in future, what services they should be charged for, and how we can ensure that the system is better able to identify patients who should be charged.

The consultation includes plans to:

  • make temporary residents from outside of the European Economic Area contribute to the cost of their healthcare with a levy that then enables them to access NHS services when they need them, or through health insurance or other options

  • end free access to primary care for all visitors and tourists

  • more effectively claim back reimbursement from the home countries of patients who are visiting from within European Economic Area

  • introduce more practical and easier ways for the NHS to identify whether someone is not eligible for free healthcare.

The NHS is and will remain free at the point of delivery for permanent residents.

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