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NHS: Migrant Workers

Question for Department of Health and Social Care

UIN 51576, tabled on 20 September 2021

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.

Answered on

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.

Named day
Named day questions only occur in the House of Commons. The MP tabling the question specifies the date on which they should receive an answer. MPs may not table more than five named day questions on a single day.