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News & Publication

03-12-15 Paying for use of the NHS

Since 6 April nationals from outside the European Economic Area (EEA) who are coming to the UK for longer than six months will be required to pay an ‘immigration health surcharge’. This will also apply to non-EEA nationals who are already in the UK but are applying to extend their stay.


This is part of the government’s existing plan to recoup up to £1.7 billion over the next ten years to help pay for the cost of NHS treatment given to temporary migrants.


The NHS Confederation reports the following statistics, which may explain the intention behind the introduction of an immigration health surcharge:


1. NHS net expenditure (resource plus capital, minus depreciation) has increased from £64.173 billion in 2003/04 to £109.721bn in 2013/14. Planned expenditure for 2014/15 is £113.035bn.

2. Health expenditure per capita in England has risen from £1,712 in 2008/09 to £1,912 in 2012/13.



There are instances outlined by the UK Visas and Immigration office where individuals do not have to pay the immigration health surcharge:

1. you’re applying for a visa (from outside the UK) for 6 months or less

2. you’re applying for indefinite leave to remain

3. you’re a diplomat or a member of a visiting armed forces and not subject to immigration control

4. you’re a family member of a European national with European Union treaty rights

5. you’re applying for a visa for the Isle of Man or Channel Islands

6. you’re a British Overseas Territory citizen resident in the Falkland Islands

7. you’re an asylum seeker or applying for humanitarian protection (or you’re their dependant)

8. you’ve been identified as a victim of human trafficking (or you’re their dependant)

9. the Home Office’s domestic violence concession applies to you (or you’re their dependant)

10. being made to leave the UK would be against your rights under Article 3 of the European Convention of Human Rights (or you’re their dependant)

11. you booked a visa premium service centre appointment before 6 April 2015 (even if your appointment is after 6 April)


For anyone who believes that they may incur the immigration health surcharge, we would advise that you visit -


Sachan Gautam

Solicitor at D&A Solicitors

May 2015

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