UK Visitors and NHS Health Services










9














I am aware that visitors can receive emergency treatment from the National Health Service (NHS) for free. For ordinary services, the person must pay a bill, and if the total amount due is more than £500, the person can be refused visas (or removed from port).



All of that is known already. My question is whether or not the person has to (i.e., MUST) pay 'up front' before non-emergency services are provided.



Question: Will they actually charge you "up front"?



Secondarily, if a person has a payment due of less than £500, and interest on the payment eventually accrues to a amount over £500, will the same sanctions apply? I.e., is the ban subject to the original payment or to the current amount due?










share|improve this question



















  • 1




    For non-emergency procedures, ie elective procedures, yes they can charge up front (and there is a big push on at the moment to stop foreigners from skipping out on their bills).
    – Moo
    Mar 7 '17 at 19:14






  • 1




    However, you simply arent going to get on a waiting list for non-emergency procedures - you cant simply walk into an NHS hospital and ask for something to be done, you have to be referred by a GP, and those referrals can take months, even years for non-urgent procedures.
    – Moo
    Mar 7 '17 at 19:15






  • 1




    You can get emergency care without paying up after the fact?!
    – JonathanReez
    Mar 7 '17 at 21:36










  • @JonathanReez quite sure you can't, but that isn't part of the question ;). Although I may add that note to my answer.
    – Tymoteusz Paul
    Mar 7 '17 at 21:36











  • @JonathanReez primary care is always free, I am trying to find out about what happens after the person is moved out of the emergency room to a ward or what-not.
    – Gayot Fow
    Mar 7 '17 at 22:30















9














I am aware that visitors can receive emergency treatment from the National Health Service (NHS) for free. For ordinary services, the person must pay a bill, and if the total amount due is more than £500, the person can be refused visas (or removed from port).



All of that is known already. My question is whether or not the person has to (i.e., MUST) pay 'up front' before non-emergency services are provided.



Question: Will they actually charge you "up front"?



Secondarily, if a person has a payment due of less than £500, and interest on the payment eventually accrues to a amount over £500, will the same sanctions apply? I.e., is the ban subject to the original payment or to the current amount due?










share|improve this question



















  • 1




    For non-emergency procedures, ie elective procedures, yes they can charge up front (and there is a big push on at the moment to stop foreigners from skipping out on their bills).
    – Moo
    Mar 7 '17 at 19:14






  • 1




    However, you simply arent going to get on a waiting list for non-emergency procedures - you cant simply walk into an NHS hospital and ask for something to be done, you have to be referred by a GP, and those referrals can take months, even years for non-urgent procedures.
    – Moo
    Mar 7 '17 at 19:15






  • 1




    You can get emergency care without paying up after the fact?!
    – JonathanReez
    Mar 7 '17 at 21:36










  • @JonathanReez quite sure you can't, but that isn't part of the question ;). Although I may add that note to my answer.
    – Tymoteusz Paul
    Mar 7 '17 at 21:36











  • @JonathanReez primary care is always free, I am trying to find out about what happens after the person is moved out of the emergency room to a ward or what-not.
    – Gayot Fow
    Mar 7 '17 at 22:30













9












9








9


1





I am aware that visitors can receive emergency treatment from the National Health Service (NHS) for free. For ordinary services, the person must pay a bill, and if the total amount due is more than £500, the person can be refused visas (or removed from port).



All of that is known already. My question is whether or not the person has to (i.e., MUST) pay 'up front' before non-emergency services are provided.



Question: Will they actually charge you "up front"?



Secondarily, if a person has a payment due of less than £500, and interest on the payment eventually accrues to a amount over £500, will the same sanctions apply? I.e., is the ban subject to the original payment or to the current amount due?










share|improve this question















I am aware that visitors can receive emergency treatment from the National Health Service (NHS) for free. For ordinary services, the person must pay a bill, and if the total amount due is more than £500, the person can be refused visas (or removed from port).



All of that is known already. My question is whether or not the person has to (i.e., MUST) pay 'up front' before non-emergency services are provided.



Question: Will they actually charge you "up front"?



Secondarily, if a person has a payment due of less than £500, and interest on the payment eventually accrues to a amount over £500, will the same sanctions apply? I.e., is the ban subject to the original payment or to the current amount due?







uk health standard-visitor-visas






share|improve this question















share|improve this question













share|improve this question




share|improve this question








edited Mar 9 '17 at 8:53

























asked Mar 7 '17 at 19:09









Gayot Fow

75.1k21196379




75.1k21196379







  • 1




    For non-emergency procedures, ie elective procedures, yes they can charge up front (and there is a big push on at the moment to stop foreigners from skipping out on their bills).
    – Moo
    Mar 7 '17 at 19:14






  • 1




    However, you simply arent going to get on a waiting list for non-emergency procedures - you cant simply walk into an NHS hospital and ask for something to be done, you have to be referred by a GP, and those referrals can take months, even years for non-urgent procedures.
    – Moo
    Mar 7 '17 at 19:15






  • 1




    You can get emergency care without paying up after the fact?!
    – JonathanReez
    Mar 7 '17 at 21:36










  • @JonathanReez quite sure you can't, but that isn't part of the question ;). Although I may add that note to my answer.
    – Tymoteusz Paul
    Mar 7 '17 at 21:36











  • @JonathanReez primary care is always free, I am trying to find out about what happens after the person is moved out of the emergency room to a ward or what-not.
    – Gayot Fow
    Mar 7 '17 at 22:30












  • 1




    For non-emergency procedures, ie elective procedures, yes they can charge up front (and there is a big push on at the moment to stop foreigners from skipping out on their bills).
    – Moo
    Mar 7 '17 at 19:14






  • 1




    However, you simply arent going to get on a waiting list for non-emergency procedures - you cant simply walk into an NHS hospital and ask for something to be done, you have to be referred by a GP, and those referrals can take months, even years for non-urgent procedures.
    – Moo
    Mar 7 '17 at 19:15






  • 1




    You can get emergency care without paying up after the fact?!
    – JonathanReez
    Mar 7 '17 at 21:36










  • @JonathanReez quite sure you can't, but that isn't part of the question ;). Although I may add that note to my answer.
    – Tymoteusz Paul
    Mar 7 '17 at 21:36











  • @JonathanReez primary care is always free, I am trying to find out about what happens after the person is moved out of the emergency room to a ward or what-not.
    – Gayot Fow
    Mar 7 '17 at 22:30







1




1




For non-emergency procedures, ie elective procedures, yes they can charge up front (and there is a big push on at the moment to stop foreigners from skipping out on their bills).
– Moo
Mar 7 '17 at 19:14




For non-emergency procedures, ie elective procedures, yes they can charge up front (and there is a big push on at the moment to stop foreigners from skipping out on their bills).
– Moo
Mar 7 '17 at 19:14




1




1




However, you simply arent going to get on a waiting list for non-emergency procedures - you cant simply walk into an NHS hospital and ask for something to be done, you have to be referred by a GP, and those referrals can take months, even years for non-urgent procedures.
– Moo
Mar 7 '17 at 19:15




However, you simply arent going to get on a waiting list for non-emergency procedures - you cant simply walk into an NHS hospital and ask for something to be done, you have to be referred by a GP, and those referrals can take months, even years for non-urgent procedures.
– Moo
Mar 7 '17 at 19:15




1




1




You can get emergency care without paying up after the fact?!
– JonathanReez
Mar 7 '17 at 21:36




You can get emergency care without paying up after the fact?!
– JonathanReez
Mar 7 '17 at 21:36












@JonathanReez quite sure you can't, but that isn't part of the question ;). Although I may add that note to my answer.
– Tymoteusz Paul
Mar 7 '17 at 21:36





@JonathanReez quite sure you can't, but that isn't part of the question ;). Although I may add that note to my answer.
– Tymoteusz Paul
Mar 7 '17 at 21:36













@JonathanReez primary care is always free, I am trying to find out about what happens after the person is moved out of the emergency room to a ward or what-not.
– Gayot Fow
Mar 7 '17 at 22:30




@JonathanReez primary care is always free, I am trying to find out about what happens after the person is moved out of the emergency room to a ward or what-not.
– Gayot Fow
Mar 7 '17 at 22:30










1 Answer
1






active

oldest

votes


















11














Before I get to your question, there is one important note to make to what you've said in your question. As a non-resident, you are not entitled to free emergency treatment from the NHS. Instead, you may be invoiced (depending on nature of the emergency) after the service and will be obligated to pay it before you can return to the United Kingdom.
If you are interested in learning more, please open a separate question.



As Jeremy Hunt, current Secretary of State of Health announced every NHS trust will have to charge the non-residents upfront for the use of NHS services. Who classifies as non-resident is defined in Immigration Act 2019 s.39. As it is within his powers, granted under National Health Service Act 2006 s.175 (and similar legislation for Wales, Scotland and Northern Ireland), there is no reason to think that they will not be enforced.



Now as a matter of immigration, we have to check Paragraph 320 (22) of Part 9 of the Immigration Rules which states:




(22) where one or more relevant NHS body has notified the Secretary of
State that the person seeking entry or leave to enter has failed to
pay a charge or charges with a total value of at least £500 in
accordance with the relevant NHS regulations on charges to overseas
visitors.




Seems to suggest that only the actual charges count towards that number. But to find for sure, we must inquire into General grounds for refusal. It once again doesn't mention in any section about the interest in any form, so it sounds rather firm that only the original charges count towards the limit.



It also raises an interesting point:




Refusal on the basis of NHS debt is discretionary rather than
mandatory. You must consider the following before refusing on the
basis of NHS debt:



you must be satisfied that there are no
compelling or compassionate circumstances or human rights
considerations that would make refusal inappropriate because
discretion should be exercised in the person’s favour




Which means that while having NHS debt will most likely warrant a refusal, if there are extenuating circumstances severe enough to counterbalance this fact a person may be granted entry despite the debt.






share|improve this answer


















  • 1




    V nice answer +1
    – Gayot Fow
    Mar 7 '17 at 22:29






  • 1




    @GayotFow so I didn't fall into the bear trap that is hidden somewhere?
    – Tymoteusz Paul
    Mar 7 '17 at 22:31










Your Answer








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1 Answer
1






active

oldest

votes








1 Answer
1






active

oldest

votes









active

oldest

votes






active

oldest

votes









11














Before I get to your question, there is one important note to make to what you've said in your question. As a non-resident, you are not entitled to free emergency treatment from the NHS. Instead, you may be invoiced (depending on nature of the emergency) after the service and will be obligated to pay it before you can return to the United Kingdom.
If you are interested in learning more, please open a separate question.



As Jeremy Hunt, current Secretary of State of Health announced every NHS trust will have to charge the non-residents upfront for the use of NHS services. Who classifies as non-resident is defined in Immigration Act 2019 s.39. As it is within his powers, granted under National Health Service Act 2006 s.175 (and similar legislation for Wales, Scotland and Northern Ireland), there is no reason to think that they will not be enforced.



Now as a matter of immigration, we have to check Paragraph 320 (22) of Part 9 of the Immigration Rules which states:




(22) where one or more relevant NHS body has notified the Secretary of
State that the person seeking entry or leave to enter has failed to
pay a charge or charges with a total value of at least £500 in
accordance with the relevant NHS regulations on charges to overseas
visitors.




Seems to suggest that only the actual charges count towards that number. But to find for sure, we must inquire into General grounds for refusal. It once again doesn't mention in any section about the interest in any form, so it sounds rather firm that only the original charges count towards the limit.



It also raises an interesting point:




Refusal on the basis of NHS debt is discretionary rather than
mandatory. You must consider the following before refusing on the
basis of NHS debt:



you must be satisfied that there are no
compelling or compassionate circumstances or human rights
considerations that would make refusal inappropriate because
discretion should be exercised in the person’s favour




Which means that while having NHS debt will most likely warrant a refusal, if there are extenuating circumstances severe enough to counterbalance this fact a person may be granted entry despite the debt.






share|improve this answer


















  • 1




    V nice answer +1
    – Gayot Fow
    Mar 7 '17 at 22:29






  • 1




    @GayotFow so I didn't fall into the bear trap that is hidden somewhere?
    – Tymoteusz Paul
    Mar 7 '17 at 22:31















11














Before I get to your question, there is one important note to make to what you've said in your question. As a non-resident, you are not entitled to free emergency treatment from the NHS. Instead, you may be invoiced (depending on nature of the emergency) after the service and will be obligated to pay it before you can return to the United Kingdom.
If you are interested in learning more, please open a separate question.



As Jeremy Hunt, current Secretary of State of Health announced every NHS trust will have to charge the non-residents upfront for the use of NHS services. Who classifies as non-resident is defined in Immigration Act 2019 s.39. As it is within his powers, granted under National Health Service Act 2006 s.175 (and similar legislation for Wales, Scotland and Northern Ireland), there is no reason to think that they will not be enforced.



Now as a matter of immigration, we have to check Paragraph 320 (22) of Part 9 of the Immigration Rules which states:




(22) where one or more relevant NHS body has notified the Secretary of
State that the person seeking entry or leave to enter has failed to
pay a charge or charges with a total value of at least £500 in
accordance with the relevant NHS regulations on charges to overseas
visitors.




Seems to suggest that only the actual charges count towards that number. But to find for sure, we must inquire into General grounds for refusal. It once again doesn't mention in any section about the interest in any form, so it sounds rather firm that only the original charges count towards the limit.



It also raises an interesting point:




Refusal on the basis of NHS debt is discretionary rather than
mandatory. You must consider the following before refusing on the
basis of NHS debt:



you must be satisfied that there are no
compelling or compassionate circumstances or human rights
considerations that would make refusal inappropriate because
discretion should be exercised in the person’s favour




Which means that while having NHS debt will most likely warrant a refusal, if there are extenuating circumstances severe enough to counterbalance this fact a person may be granted entry despite the debt.






share|improve this answer


















  • 1




    V nice answer +1
    – Gayot Fow
    Mar 7 '17 at 22:29






  • 1




    @GayotFow so I didn't fall into the bear trap that is hidden somewhere?
    – Tymoteusz Paul
    Mar 7 '17 at 22:31













11












11








11






Before I get to your question, there is one important note to make to what you've said in your question. As a non-resident, you are not entitled to free emergency treatment from the NHS. Instead, you may be invoiced (depending on nature of the emergency) after the service and will be obligated to pay it before you can return to the United Kingdom.
If you are interested in learning more, please open a separate question.



As Jeremy Hunt, current Secretary of State of Health announced every NHS trust will have to charge the non-residents upfront for the use of NHS services. Who classifies as non-resident is defined in Immigration Act 2019 s.39. As it is within his powers, granted under National Health Service Act 2006 s.175 (and similar legislation for Wales, Scotland and Northern Ireland), there is no reason to think that they will not be enforced.



Now as a matter of immigration, we have to check Paragraph 320 (22) of Part 9 of the Immigration Rules which states:




(22) where one or more relevant NHS body has notified the Secretary of
State that the person seeking entry or leave to enter has failed to
pay a charge or charges with a total value of at least £500 in
accordance with the relevant NHS regulations on charges to overseas
visitors.




Seems to suggest that only the actual charges count towards that number. But to find for sure, we must inquire into General grounds for refusal. It once again doesn't mention in any section about the interest in any form, so it sounds rather firm that only the original charges count towards the limit.



It also raises an interesting point:




Refusal on the basis of NHS debt is discretionary rather than
mandatory. You must consider the following before refusing on the
basis of NHS debt:



you must be satisfied that there are no
compelling or compassionate circumstances or human rights
considerations that would make refusal inappropriate because
discretion should be exercised in the person’s favour




Which means that while having NHS debt will most likely warrant a refusal, if there are extenuating circumstances severe enough to counterbalance this fact a person may be granted entry despite the debt.






share|improve this answer














Before I get to your question, there is one important note to make to what you've said in your question. As a non-resident, you are not entitled to free emergency treatment from the NHS. Instead, you may be invoiced (depending on nature of the emergency) after the service and will be obligated to pay it before you can return to the United Kingdom.
If you are interested in learning more, please open a separate question.



As Jeremy Hunt, current Secretary of State of Health announced every NHS trust will have to charge the non-residents upfront for the use of NHS services. Who classifies as non-resident is defined in Immigration Act 2019 s.39. As it is within his powers, granted under National Health Service Act 2006 s.175 (and similar legislation for Wales, Scotland and Northern Ireland), there is no reason to think that they will not be enforced.



Now as a matter of immigration, we have to check Paragraph 320 (22) of Part 9 of the Immigration Rules which states:




(22) where one or more relevant NHS body has notified the Secretary of
State that the person seeking entry or leave to enter has failed to
pay a charge or charges with a total value of at least £500 in
accordance with the relevant NHS regulations on charges to overseas
visitors.




Seems to suggest that only the actual charges count towards that number. But to find for sure, we must inquire into General grounds for refusal. It once again doesn't mention in any section about the interest in any form, so it sounds rather firm that only the original charges count towards the limit.



It also raises an interesting point:




Refusal on the basis of NHS debt is discretionary rather than
mandatory. You must consider the following before refusing on the
basis of NHS debt:



you must be satisfied that there are no
compelling or compassionate circumstances or human rights
considerations that would make refusal inappropriate because
discretion should be exercised in the person’s favour




Which means that while having NHS debt will most likely warrant a refusal, if there are extenuating circumstances severe enough to counterbalance this fact a person may be granted entry despite the debt.







share|improve this answer














share|improve this answer



share|improve this answer








edited Mar 7 '17 at 22:33

























answered Mar 7 '17 at 21:28









Tymoteusz Paul

1,924416




1,924416







  • 1




    V nice answer +1
    – Gayot Fow
    Mar 7 '17 at 22:29






  • 1




    @GayotFow so I didn't fall into the bear trap that is hidden somewhere?
    – Tymoteusz Paul
    Mar 7 '17 at 22:31












  • 1




    V nice answer +1
    – Gayot Fow
    Mar 7 '17 at 22:29






  • 1




    @GayotFow so I didn't fall into the bear trap that is hidden somewhere?
    – Tymoteusz Paul
    Mar 7 '17 at 22:31







1




1




V nice answer +1
– Gayot Fow
Mar 7 '17 at 22:29




V nice answer +1
– Gayot Fow
Mar 7 '17 at 22:29




1




1




@GayotFow so I didn't fall into the bear trap that is hidden somewhere?
– Tymoteusz Paul
Mar 7 '17 at 22:31




@GayotFow so I didn't fall into the bear trap that is hidden somewhere?
– Tymoteusz Paul
Mar 7 '17 at 22:31

















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