On this page you will find useful information on:
- General medical care
- What medical care is free to everyone?
- What medical care might you have to pay for? (depending on immigration status)
- Medical evidence of your torture
Torture is inflicted on the body and the mind and can have lasting impacts on both. It is therefore important that you discuss any health problems with your local doctor, also known as a General Practitioner (GP). They can assist you in obtaining specialist support and help you cope with the psychological and physical effects of torture. Everyone, regardless of immigration status, is entitled to free primary healthcare from a GP. You can register at a GP surgery in your local area and should do this as soon as possible. You can find your local GP on NHS Choices.
The following treatments are free to everyone, regardless of immigration status:
- Accident and emergency services, such as those provided at an A&E department, walk-in centre, minor injuries unit or urgent care centre
- services for treating a physical or mental condition caused by torture, female genital mutilation, domestic violence, or sexual violence
- services provided for the diagnosis and treatment of some communicable diseases, including HIV, TB and Middle East Respiratory Syndrome (MERS)
- NHS services provided for COVID-19 investigation, diagnosis and treatment
- services provided for diagnosing and treating sexually transmitted infections
- family planning services (does not include termination of pregnancy or infertility treatment)
- palliative care services provided by a registered palliative care charity or a community interest company
- services that are provided as part of the NHS 111 telephone advice line
Depending on the treatment that you need (for example, physiotherapy, surgery, counselling), your GP may need to refer you to specialist treatment which is known as “secondary care”. Specialists in hospitals may recommend tests or treatment and provide more complex services, compared with those provided at GP surgeries.
Access to secondary health care is residence-based. This means that you need to be living lawfully in the UK to be entitled to free specialist treatments. All refugees and asylum seekers with an active application or appeal can access the full range of secondary care services free of charge in the UK. In Northern Ireland, Scotland and Wales, any person who has previously made a formal application for asylum, regardless of the outcome, is entitled to access secondary care free of charge.
If you do not fall within these categories of people entitled to free secondary care services, you may be expected to pay a fee to access these services. However, the following groups are exempt from charges for secondary care which would normally apply to overseas visitors:
- people with indefinite leave to remain
- refugees and their dependents
- asylum seekers and their dependents
- some refused asylum seekers that are supported by the Home Office
- children looked after by a local council
- victim or suspected victim of modern slavery or human trafficking
- prisoners and immigration detainees
For more information on what you are entitled to, click here.
If a hospital doctor believes that you need treatment for a life-threatening disease or injury, or for an injury or illness that may become critical if left untreated, they should not wait for payment before treating you. If you are not a resident of the UK or do not fall into one of the categories above, you may still receive a bill after your treatment. The NHS can also pass information on your treatment and any outstanding debt to the Home Office. Owing money to the NHS may impact any application to remain in the UK, therefore, you should consult an immigration advisor to discuss this further.
If a healthcare professional has refused you access to healthcare, not provided interpreting services, or you think you have been incorrectly charged, you can seek advice from your immigration advisor or from one of the following organisations:
|Doctors of the World||International organisation that empowers excluded people to access healthcare||
0808 1647 686
|Refugee Council||Nationwide organisation supporting refugees and asylum seekers||
0808 196 7272
Some treatments may require medication. Medication must be taken only in the way prescribed by your doctor. There are usually charges for prescriptions, but there also exemptions. These exemptions are based on your age, whether you are pregnant or had a baby in the last 12 months, in receipt of certain benefits or have a continuing physical disability. For the full list, see here.
If you have a low income, the NHS Low Income Scheme [insert link] could help pay for NHS prescription charges. You will need to complete a HC1 Form that can be found online.
For more information click here.
You may be worried about how you will be able to prove that you have been tortured. In the UK, medical evidence is often required for asylum, immigration, and accountability claims. This type of medical evidence can include a statement from a doctor confirming your injuries and the impact of torture on your state of health, or the evidence could take the form of an official “medico-legal report” (MLR).
The MLR will involve a detailed analysis by medical doctors, psychologists or psychiatrists of any injuries or scars you may have as well as your mental health. It normally means explaining details of the torture, describing psychological symptoms, and having a physical examination of the parts of the body affected by the torture. Usually, such a report can provide important evidence, and if your legal advisor does not mention getting one, you should raise the issue with them.
The cost of an MLR may be covered by Legal Aid if you have an ongoing asylum case. If the MLR is not obtained during the asylum process, or if you did not seek asylum (because you are a British national, for example) NGOs working with you on your case may be able to help you obtain an MLR and possibly cover the cost of the report.
If you are struggling to obtain independent evidence of torture or are unhappy with a report that has been made about you, you should contact your legal advisor.