Sustaining services, ensuring fairness: A consultation on migrant access and their financial contribution to NHS provision in England

Closed 28 Aug 2013

Opened 3 Jul 2013


This consultation is about migrants’ access and financial contribution to the NHS. It is widely recognised that the NHS has a longstanding weakness in charging foreign nationals who use the NHS, and has similar problems in recovering the cost of treatment to visitors from the European Economic Area.

The consultation asks who should be charged in future, what services they should be charged for, and how we can ensure that the system is better able to identify patients who should be charged.

The consultation document is available at the link below and includes plans to:

  • make temporary residents from outside of the European Economic Area contribute to the cost of their healthcare with a levy that then enables them to access NHS services when they need them, or through health insurance or other options

  • end free access to primary care for all visitors and tourists

  • more effectively claim back reimbursement from the home countries of patients who are visiting from within European Economic Area

  • introduce more practical and easier ways for the NHS to identify whether someone is not eligible for free healthcare.

The NHS is and will remain free at the point of delivery for permanent residents.

The consultation document is available at the link below. You can respond to the consultation questions using the online survey available below.



  • Voluntary groups
  • Community groups
  • Charities
  • Civil society
  • Advocacy or support organisations
  • GPs
  • Nurses
  • Health visitors
  • Clinicians
  • Managers
  • Commissioners
  • Directors of Public Health
  • Pharmacists
  • Doctors
  • Midwives
  • Healthcare scientists
  • Paramedics
  • Dentists
  • Art therapists
  • Dramatherapists
  • Music therapists
  • Chiropodists/ podiatrists
  • Dieticians
  • Occupational therapists
  • Orthotists
  • Orthopists
  • Prosthetists
  • Physiotherapists
  • Diagnostic radiographers
  • Therapeutic radiographers
  • Speech and language therapists
  • Childcare providers
  • Allied Health Professionals
  • Care-Givers
  • Ophthalmic Practitioners
  • Responsible Officers
  • Foundation Trusts
  • NHS Commissioning Board
  • Tribunal Service
  • Clinical Commissioning Groups
  • Regulatory body
  • Academic/ Professional institution
  • Employer representatives
  • Employee representatives
  • Trade union
  • Deaneries
  • Higher Education institutions
  • Royal Colleges
  • Members of the public
  • Patients
  • Patients
  • Carers
  • Service users
  • Suppliers
  • Information providers
  • Information professionals
  • Informatics professionals


  • Primary care
  • Maternity services
  • GP consortia
  • Funding
  • Commissioning