London Daily

Focus on the big picture.
Tuesday, Oct 20, 2026

Call to scrap £625 fee for foreign doctors and nurses to use the NHS

Call to scrap £625 fee for foreign doctors and nurses to use the NHS

Health professionals back King’s Fund thinktank after ‘perverse’ rise in fee
The government should stop charging overseas doctors and nurses hefty fees to use the NHS in order to help tackle the service’s deepening staffing crisis, Britain’s leading health thinktank has urged.

The King’s Fund warns that the charges – which are about to go up from £400 to £625 a year for foreign workers and their dependants – are a “perverse” deterrent to the very staff the government admits it needs to attract to plug holes in the NHS workforce. The rise means a health professional from abroad with a partner and two children will have to pay £2,500 a year.

Boris Johnson has come under fire for deciding to increase the immigration health surcharge for migrants from outside the European Economic Area and to extend it to EU staff for the first time after Brexit, despite acknowledging that the NHS will need to recruit even more personnel from around the world if he is to deliver his key election pledges of 50,000 more nurses and 6,000 extra GPs by 2024.

Richard Murray, the chief executive of the King’s Fund, fears the move may exacerbate staff shortages that are causing widespread problems for the overstretched NHS. The charge should also be lifted for people coming to work in social care, he said.

“Treating hard-working healthcare staff as a burden on the very services they provide is perverse. It sends out the wrong message and could discourage recruitment at a time when we should be warmly welcoming every healthcare professional who wants to work here,” Murray said. “Removing the surcharge for health and social care staff would support the government’s own targets for the health services and support struggling social care.”

The NHS in England is already struggling with about 100,000 vacancies, according to the most recent official figures. In a vivid illustration of the problem, the Royal Stoke hospital admitted last week it had not been able to open 102 extra beds as planned on 1 December to help it cope with the winter surge in demand because it did not have enough staff.

Foreign health workers coming to the UK for at least six months, but not permanently, are required to pay the surcharge upfront for themselves and each family member on top of the £464 cost of a visa. It “represents the most cost-effective and fair means of ensuring temporary migrants make a financial contribution to the operation of the service”, the government says.

The fees raised about £200m a year when they were introduced in 2015, though initially costing £200 a head. Doubling that to £400 last December was due to bring in a further £220m a year, the Home Office said. Ministers argue that raising it again to £625 next year is justified as it costs the NHS on average £470 a year to treat a surcharge payer who needs care.

Critics say it is unfair and wrong to charge overseas-born health professionals for using a service which they help to fund by paying income tax and national insurance.

“While the new government says it wants to make it easier for international staff to come to work in the health service, they are doing the exact opposite by charging them to use the very service they are contributing their skills to,” said Chaand Nagpaul, who chairs the British Medical Association, which represents doctors.

The rise to £625 “is sending the completely wrong message to talented staff from around the world, who the NHS vitally depends on, and who could as a result be dissuaded from coming here,” he added.

Dame Donna Kinnair, chief executive of the Royal College of Nursing, said: “It cannot be acceptable that nurses that come from overseas to work in the NHS face these charges whether they access NHS services or not. This charge goes against efforts to hire professionals. A new nurse from overseas with two children would have to work for 116 hours just to pay off the charge – hardly an incentive for coming to work in our NHS.”

The government welcomed the “vital contributions which doctors, nurses and other health or care professionals make to the NHS”, a spokesperson said. “We are delivering on the people’s priorities by increasing the immigration health surcharge for those coming to live in the UK and will be setting out detailed plans shortly. The vast majority of income collected by the Immigration Health Surcharge goes back into frontline services across the UK.”
Newsletter

Related Articles

0:00
0:00
Close
British Government Reallocates Twenty-Five Per Cent of International Climate Finance to Global Biodiversity Projects
Initial British Carbon Border Taxes Set to Undercut Parallel European Union Tariffs on Industrial Imports
Whitehall Prepares National Zero-Interest Loan Initiative to Accelerate Domestic Heat Pump and Solar Adoption
European Union Offers British Automakers Access to Hybrid Vehicle Trade Protections Subject to Strict Regulatory Alignment
British Probation Officers Threaten Widespread Industrial Action After Rejecting Five Per Cent Government Pay Offer
Microsoft Abandons Major British Artificial Intelligence Data Centre Citing Severe National Grid Power Constraints
United Kingdom Inflation Accelerates to Three Point Four Per Cent Ahead of Chancellor John Healey's Inaugural Autumn Budget
Surging Cloned Number Plates Severely Complicate Traffic Enforcement and Police Investigations
Mounting Opposition Challenges Planned Rollout of Autonomous Taxis Across London
Influential Think Tank Urges Rejoining European Union to Navigate Geopolitical Crises
Government Review Recommends Slashing Benefits to Fund Youth Employment Initiatives
Senior Minister Shabana Mahmood Seeks New Law Enforcement Pact With European Union
Airbus Executive Warns Britain Risks Losing Crucial Role in European Space Industry
Exorbitant Electricity Costs Push British Steelmakers to Worst Competitive Position in Three Years
British Food and Beverage Exports to European Union Collapse by Over a Third Since Brexit
Up to Twenty English Maternity Units Face Impending Closure Due to Safety and Staffing Crises
Government Declares Severe Drought Across Southern England Following Record Dry Spell
Corporate Profit Warnings Reach Two-Year High Amid Middle East Conflict and Rising Costs
International Monetary Fund Warns Chancellor John Healey Against Proposed Bank Tax Raid
Northern Ireland Secures Favorable Agricultural Export Agreement with European Union
Scottish Government Approves Major Offshore Floating Wind Farm Near Aberdeenshire
High Speed Two Rail Project Faces Three Billion Pound Cost Escalation on Initial Phase
National Health Service Warns of Winter Capacity Crisis Across English Hospitals
Tata Steel Confirms Two Thousand Job Cuts at Port Talbot to Fund Green Transition
Global Microchip Developer Announces Three Billion Pound Semiconductor Plant in Cambridge
United Kingdom Artificial Intelligence Safety Institute Proposes Mandatory Licensing for Generative Models
United Kingdom Commits Additional Long-Range Weapons and Air Defenses to Ukraine
British Chancellor Overhauls Infrastructure Financing to Bypass Borrowing Constraints
Bank of England Holds Benchmark Interest Rate at Four Point Five Percent
First Minister Rhun ap Iorwerth Confirms Constitutional Discussions Over Welsh Independence During Initial Bilateral Call with Prime Minister
Labour Party Instructs Local Council Groups to Sever Power-Sharing Accords with Green Party Over New Controversial Policy Positions
Institute for Fiscal Studies Warns of Thirty-Five Billion Pound Fiscal Gap Ahead of Chancellor John Healey Upcoming Autumn Budget
House of Lords Backs Landmark Legislative Amendment to Decriminalize Abortion Across England and Wales
United Kingdom Defence Secretary Wes Streeting Travels to Pentagon for High-Level Strategic Talks Amid Escalating Tensions Over Ukraine and United States Policy Shifts
Bank of England and International Monetary Fund Officials Issue Urgent Warnings Regarding Potential Artificial Intelligence Financial Market Shocks
Reform UK Faces Severe Political Fallout and Scrutiny After Undercover Media Investigations Reveal Systemic Racism Among Candidates
Former Democratic Unionist Party Leader Jeffrey Donaldson Sentenced to Fifteen Years in Prison Following Landmark Child Sexual Abuse Trial
House of Lords Votes to Amend Schools Bill Implementing Comprehensive Social Media Ban for Children Under Sixteen Years of Age
International Monetary Fund Upgrades United Kingdom Growth Forecast for Two Thousand Twenty-Six While Warning of Energy-Driven Inflation Pressures
Competition and Markets Authority Launches Formal Inquiry Into Corporate Artificial Intelligence Partnerships
Automotive Industry Leaders Urge Westminster to Accelerate Electric Vehicle Charging Infrastructure Rollout
Home Office Expands Digital Border Security Framework With Mandatory Electronic Travel Authorizations Across United Kingdom
Northern Ireland Executive Reaches Final Consensus on Public Sector Pay Reform and Budget Allocations
Welsh First Minister Secures Additional Funding for Rural Agricultural Transition and Sustainable Farming Schemes
Scottish Government Unveils Accelerated Regional Infrastructure Strategy to Boost Clean Energy Manufacturing
National Health Service England Launches Emergency Recruitment Drive to Alleviate Severe Acute Care Winter Backlogs
Bank of England Monetary Policy Committee Signals Cautious Approach to Interest Rate Reductions Amid Persistent Wage Growth
British Government Finalizes Emergency Energy Support Package to Protect Households From Winter Price Surges
Russell Brand Trial Begins at Southwark Crown Court
UK Parliament to Debate Climate Risks and Council Tax Following Public Petitions
×