Accessing Free NHS Services
Guide to accessing NHS services that are free to everyone regardless of immigration or residence status. Always-free services include GP consultations and primary care, A&E initial visits, diagnosis and treatment of communicable diseases (HIV, TB, MERS, COVID-19), STI diagnosis and treatment, family planning services (excluding abortion and infertility), treatment for conditions caused by torture/FGM/domestic violence/sexual violence, palliative care, and NHS 111 telephone advice. The process covers registering with a GP (no documentation required), using NHS 111, accessing communicable disease treatment, using sexual health services, and applying for help with health costs through the NHS Low Income Scheme if on low income. Understanding these free services is crucial for new arrivals to ensure they can access essential healthcare without worrying about charges or documentation requirements.
Step-by-step guide
Identify Always-Free Services
Understand which NHS services are free regardless of immigration status or residence: GP consultations, A&E services (initial visit), diagnosis and treatment of communicable diseases (HIV, TB, MERS, COVID-19), STI diagnosis and treatment, family planning services (excluding abortion and infertility), treatment for conditions caused by torture/FGM/domestic violence/sexual violence, palliative care, and NHS 111 telephone advice.
Access GP Primary Care Services
Register with a GP for free primary care. All GP consultations, nurse consultations, and treatment provided by GP are free regardless of immigration status. See GP Registration process for detailed steps.
Use NHS 111 for Advice
Call NHS 111 for free telephone medical advice. This service is available to everyone without charge.
+ 3 more detailed steps
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Sign Up for Full AccessCommon questions about this process
Healthcare
Who does not have to pay the IHS?
Exemptions include Health & Care Worker visa holders and dependants, people applying for indefinite leave to remain, and some humanitarian routes — but visitors and short-stay visas are excluded.
What is the Immigration Health Surcharge (IHS)?
The IHS is a visa-linked charge paid as part of many UK visa applications; paying it usually gives access to NHS healthcare on the same basis as UK residents from your visa start date.
Do I get free NHS healthcare in the UK?
Most people living lawfully in the UK with settled status or who have paid the Immigration Health Surcharge (IHS) with their visa application can use NHS services free at the point of use.
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