Guidance

COVID-19: migrant health guide

Advice and guidance for healthcare practitioners on the health needs of migrant patients.

No charges for coronavirus (COVID-19) testing, treatment and vaccination

Overseas visitors to England, including anyone living in the UK without permission, will not be charged for:

  • testing for COVID-19 (even if the test shows they do not have COVID-19)
  • treatment for COVID-19, including for a related problem called multisystem inflammatory syndrome that affects some children
  • vaccination against COVID-19

No immigration checks are needed for overseas visitors if they are only tested, treated or vaccinated for COVID-19.

Charges for hospital treatment of secondary and subsequent illness

While COVID-19 testing and treatment is exempt from charges, this exemption is not intended to cover hospital treatment of any secondary or subsequent illness. Secondary or subsequent illness refers to:

  • conditions or complications which arise from the initial COVID-19 infection, including long COVID
  • any co-existing conditions a patient may have

These conditions remain chargeable. Under the Charging Regulations, the duty is on NHS Trusts to assess, based on the views of clinicians, what treatment for COVID-19 is exempt or chargeable.

Accessing COVID-19 vaccination without an NHS number

Individuals do not require an NHS number or GP registration to receive the COVID-19 vaccination and should not be denied vaccination on this basis. Individuals who do not have an NHS number or are not registered with a GP are still entitled to free COVID-19 vaccinations.

While registration with a GP is encouraged to access the vaccine, individuals can access walk-in vaccinations or request to book COVID-19 vaccination appointments as an unregistered patient through a local GP practice.

Local outreach services are available in some areas to provide COVID-19 vaccination to those who are eligible but have difficulties accessing vaccination.

If an individual has an NHS number, they can find it through this online tool.

Doctors of the World, in partnership with the British Red Cross, has produced translated animated videos with key information on how to register with a GP and book COVID-19 vaccines.

NHS England and NHS Improvement have created a letter to help people without an NHS number access the COVID-19 vaccine and register with a GP. The letter is available in 25 languages and can be shared with service users and service providers.

If someone is denied care because they do not have an NHS number, they can contact NHS England’s customer contact centre.

COVID-19 translated advice and guidance

The above guidance on COVID-19 testing, treatment and vaccination free of charge (MS Word Document, 92.1KB) has been translated into 40 different languages by the Department of Health and Social Care.

The following resources are also available in various languages:

The following translated resources may not have been updated since changes to government guidance on 19 July 2021:

Shareable social media cards to promote uptake of COVID-19 vaccinations have been developed for use in digital campaigns nationally and in London. Translations are available in 25 languages.

The British Society for Immunology has translated some public engagement resources, including infographics, that explain how vaccines work and answer common questions about COVID-19 vaccines.

COVID-19 general advice and guidance

Health information and advice about COVID-19 is available on the NHS website.

Doctors of the World UK has produced a COVID-19 Vaccine Confidence Toolkit to support communities and voluntary, community and social enterprise organisations to deliver their own vaccine confidence events.

COVID-19 guidance for providers of accommodation for asylum seekers

The UK Health Security Agency (UKHSA) has produced COVID-19 guidance for providers of accommodation for asylum seekers. It is aimed at all staff involved in providing support to asylum seekers in all accommodation settings.

Overseas travel advice during the COVID-19 pandemic

Find out the latest government advice on travelling abroad, including the latest information on coronavirus, safety and security, entry requirements and travel warnings.

The NaTHNaC (National Travel Health Network and Centre) also provides up to date overseas travel health information.

Mental health during the pandemic

A World Health Organization report published in December 2020 found that the COVID-19 pandemic has had a highly negative impact on the living and working conditions of migrants, particularly in terms of housing and access to other basic services. This is compounded by limited access to multilingual information and exclusion. It increases the risk of depression, anxiety, fear and loneliness.

Refer to the migrant health guide mental health page for information on supporting migrants’ mental health and wellbeing.

Many undocumented migrants do not seek healthcare, including for COVID-19, due to fear of data sharing and deportation and concerns about charging. Ensure that they are provided with information about no charges for COVID-19 testing, treatment and vaccination.

Vitamin D

There have been some reports about vitamin D potentially reducing the risk of coronavirus (COVID-19). NICE (The National Institute for Health and Care Excellence), PHE and the Scientific Advisory Committee on Nutrition have undertaken robust assessments of the available evidence on vitamin D and COVID-19. They have concluded that currently, there is not enough evidence to solely treat or prevent COVID-19, except as part of a clinical trial. For further information, see the NICE COVID-19 rapid guideline on vitamin D.

In addition to existing guidance on vitamin D supplementation, adults, young people and children over 4 years should consider taking a daily supplement containing 10 micrograms (400 units) of vitamin D throughout the year if they have little or no sunshine exposure because they are spending most of their time indoors during the COVID-19 pandemic.

Published 17 February 2021
Last updated 15 November 2021 + show all updates
  1. Added links to new translated guidance on booster doses and lateral flow tests, translated letters from the government to patients on the end of the shielding programme, and a vaccine confidence toolkit.

  2. Under 'COVID-19 translated advice and guidance', added links to translated guidance on antibody testing, face coverings and COVID-19 vaccination resources for children and young people.

  3. Added guidance about charging for hospital treatment of any secondary or subsequent illness, including long COVID.

  4. Added new translated letters and videos with information for people with no NHS number about how to register with a GP and book COVID-19 vaccines.

  5. Added links to new translated government guidance about how to stay safe and help prevent the spread of COVID-19 and to translated vaccine infographics from the British Society of Immunology.

  6. Added links to guidance for providers of accommodation for asylum seekers and to COVID-19 vaccine social media cards.

  7. Added downloadable NHS England and NHS Improvement letter to help people without an NHS number access the COVID-19 vaccine and register with a GP.

  8. Updated information about the mental health of migrants during the pandemic.

  9. Added new links to translated guidance on how to stop the spread of COVID-19.

  10. Added links to translated resources about COVID-19 vaccination and blood clotting, and phase 2 of the vaccination programme.

  11. Added new links to translated resources about COVID-19 home test kits and vaccination status confirmation letters.

  12. Added translated resources about COVID-19 restrictions and vaccination guidance.

  13. Updated guidance on COVID-19 vaccinations for individuals who do not have an NHS number.

  14. Added additional translated resources for COVID-19 vaccine.

  15. Updated translations from the Department of Health and Social Care about charging exemptions for COVID-19 testing, treatment and vaccination. Additional information added about vitamin D

  16. First published.