To ask the Secretary of State for Health and Social Care, for what reason working families without permanent residence in the UK, who pay income tax and National Insurance, are also required to pay NHS surcharges.
This answer is the replacement for a previous holding answer.
24 September 2021
The National Health Service is a residency-based healthcare system, meaning that people who do not live here on a lawful, settled basis must contribute to the cost of their care, regardless of individual tax status. All temporary migrants of more than six months are subject to the Immigration Health Surcharge (IHS) at the point of visa application. This allows them to access NHS services without further charge while they are here with some exceptions. The IHS ensures that individuals do not face unexpected treatment bills and reduces the administrative burden on frontline staff of identifying chargeable patients and recovering charges.