Overseas NHS visitors: framework to support identification and upfront charging

Operational framework on upfront charging, supporting identification and charging of overseas visitors.



This document supplements the existing guidance on implementing the overseas visitor charging regulations, and has been developed with input from NHS Improvement. It sets out a framework on the practical steps and key considerations necessary for providers to implement cost recovery and meet the legal requirement to charge upfront.

Published 1 August 2018
Last updated 15 January 2019 + show all updates
  1. The framework has been updated throughout. The main change is to emphasise that the longer a patient is expected to remain in the UK, the greater the range of their treatment needs that are likely to be regarded as urgent and therefore not subject to upfront charging (see 6.1). The framework has also been changed to emphasise the importance of clinicians being told by the overseas visitor manager the date on which the patient can reasonably be expected to leave the UK, so that the clinician can decide the urgency of treatment. Four case studies have been added to show this (see 6.3).
  2. First published.