Health Charges

Doctors of the World briefing Government Response to consultation on further NHS Charging February 2017. Doctors of the World have done a briefing note on the Government response to ‘Making a Fair Contribution’, a consultation on extending NHS charges for migrants and overseas visitors. As of April 2017 the Government intends to (1) introduce a legal obligation on hospital trusts to charge upfront for non-urgent care and (2) extend charges into community care and non-NHS providers of NHS-funded acre. Among recommendations put forward, DoTW suggests that the proposed measures are not implemented until a full evaluation of the Migrant and Visitor NHS Cost Recovery Programme has been completed, including the impact on children and pregnant women, as well as ensuring an exemption from all healthcare charges for destitute people living in the UK.

Asylum Matters – Healthcare Access Briefing, May 2017

Asylum seekers and refugees are likely to encounter increased barriers to accessing healthcare that they are entitled to as a result of confusion around who is chargeable for what service. National Aids Trust has a publication called Who has to pay? which explains how NHS overseas visitor charges apply to migrants and asylum seekers in England.
Free advice is is also available to the public/professionals from Doctors of the World’s national helpline: 020 75157534 (10am to 12pm, Mon to Fri). Outside of these times e-mail:  [email protected]

Maternity Action also provides free telephone advice to help women get the maternity care they need and on charging (0808 800 0041, Thurs. only 10am-12noon) & email advice at: [email protected].

General Resources

Resources from the Health and Sanctuary Conference

Resources from Parenting and Families Research Group at the University of Manchester – research on parenting experiences of Syrian refugee families to raise awareness and support refugees through various stages of flight.

  • Film in collaboration with independent film-maker Hafsah Naib  highlighting parents’ will and commitment to protect, engage and raise their children through war and displacement.
  • Exhibition featuring drawings from children in Syria
  • Leaflet, available in various languages, outlining the psychological impact as a result of war. While it is mainly targeted for parents with bite-size coping strategies and parenting advice, it would be useful for anyone who would like to gain a better understanding of the psychological impact of war.

NHS E-Learning Resource on Modern Slavery

Modern Slavery is the recruitment, movement, harbouring or receiving of children, women or men through the use of force, coercion, abuse of vulnerability, deception or other means for the purpose of exploitation.   Individuals may be trafficked into, out of or within the UK, and they may be trafficked for a number of reasons including sexual exploitation, forced labour, domestic servitude and organ harvesting.

This online resource provides an overview of the issue of modern slavery.  It is aimed at helping all healthcare staff recognise the signs that someone has been trafficked, and to take appropriate action with confidence.

PHE and TB Alert in partnership with NHS England TB Toolkit

The toolkit is designed to be used locally to assist programme implementation by local stakeholders as well as individual providers who may be involved in any part of the process. The intended audience includes TB control boards, health and wellbeing boards, local medical councils, primary care practitioners: GPs, practice nurses, practice managers, commissioners: CCGs, local authorities, local PHE teams, TB services, local authority departments such as public health, housing, environmental health and third sector organisations working with eligible groups.


It is an excellent resource which is written in a very useful way. The link is below, please do circulate within your networks.