Towards true universal care: Reforming the NHS charging system
Article
The system of charging migrants for healthcare in England has become increasingly stringent in recent years.
Since the introduction of the new rules, there is a growing body of evidence highlighting their adverse impacts. Through interviews with people with direct experience of NHS charging, healthcare workers and policy professionals, we found further evidence of systemic problems with the current charging system.
Other countries in Europe operate fairer systems to provide healthcare for residents without immigration status. Drawing on these examples from other countries, we tested out alternatives to the current system with our expert interviewees. Based on our interviews, we drew up a shortlist of five alternatives to the current charging system.
Related items

Reimagining lawmaking: How to rebuild trust in parliament
People feel that politics is something that is done to them, not with them. This must change.
Constructive coalitions? What the election means for the seventh session of the Scottish parliament
What do the results of the 2026 Scottish parliament election tell us about how Scottish politics is changing? What do progressive parties need to do to get back on track?
Work isn't working: Family, work and progression on a low income
Most children in poverty in the UK are in working households, a phenomenon that has emerged since the early 2000s.