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NHS treatment is not classed as a public fund for immigration purposes. It can be accessed regardless of immigration status, including by people who are subject to the no recourse to public funds (NRPF) condition.
However, a person’s immigration status may affect whether they have to pay for some types of treatment.
Different rules apply depending on the type of care.
Primary care, such as GP services, pharmacies and accident and emergency treatment, is generally free for everyone.
Secondary care, including most hospital treatment and some community healthcare services, may be chargeable for people who are classed as overseas visitors, unless an exemption applies or they have paid the Immigration Health Surcharge. When treatment is chargeable to a person, it must be paid for up front, unless the treatment is deemed to be urgent or immediately necessary. If a person is unable to pay, they may be denied treatment.
Different rules apply in each nation. These pages explain entitlements in England regarding:
Separate pages cover healthcare entitlements and NHS charging rules in:
Page updated: 16 June 2026