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Immigration Health Surcharge

We’re calling on the Government to waive the surcharge for nursing staff across the UK

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Email your MP

On Wednesday 21 November, MPs voted in favour of increasing the Health Immigration Surcharge from £200, up to £400.

Email your MP and ask them to write to Sajid Javid MP, Home Secretary of the United Kingdom, urging him to waive the surcharge for non-EEA nursing staff. 

Email your MP

The Immigration Health Surcharge is a fee paid by international nursing staff who are coming to work in health and care services across the UK, and each member of their family.

On Wednesday 21 November, MPs voted in favour of increasing the Health Immigration Surcharge from £200, up to £400.

A nurse, midwife or health care assistant must pay the surcharge for each family member for every year of their working visa. What’s more, the surcharge cannot be paid in instalments throughout the year – it has to be upfront.

This is a crippling price to pay – especially for those who are working in our health and care services.

Non-EEA nursing staff already pay national insurance and Income Tax, as well as directly contributing to our health and social care services through their work. It is unfair to ask them to pay the Immigration Health Surcharge.

This short-sighted decision has come when nursing staff shortages are threatening the quality and safety of patient care and nursing vacancies are increasing. 

We know that since 2016, EU nurses joining the NMC register have fallen by 91% causing us to further rely on our international nurses.

The UK Government’s decision to increase the Immigration Health Surcharge doesn’t value the contribution of overseas nursing staff to keeping our patients safe or their skills and knowledge.

The UK Government must take action to recognise the valuable contribution international nurses make to the NHS and health and social care and drop this policy immediately.


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Email your MP

Email your MP and ask them to write to Sajid Javid, Home Secretary of the United Kingdom to tell him that urgent action needs to be taken to waive the Immigration Health Surcharge for non-EEA nursing staff. 

The campaign so far

Friday 9 November

It was announced that MPs would vote on the increase to the Immigration Health Surcharge on Wednesday 14 November. We immediately launched an action calling on RCN members and members of the public to email their MP to vote against increasing the surcharge. 

Wednesday 28 November

The House of Lords laid a Motion of Regret sending a clear message to the Government that they do not support this short-sighted measure.

Christmas 2018

The UK Government are expected to publish their White Paper, and Immigration Bill which will set out their plans for a future immigration system. We will be influencing these new laws to include a commitment to waive the Immigration Health Surcharge for non-EEA nursing staff. 

Immigration health surcharge advice

Find more information and advice about the immigration health surcharge.

Page last updated - 10/12/2018