Moving to the UK on a spouse visa comes with many exciting opportunities but figuring out healthcare shouldn’t be a source of stress. The UK’s National Health Service (NHS) provides affordable, high-quality care for residents, including visa holders who have paid the Immigration Health Surcharge (IHS).
This guide will walk you through everything you need to know, from registering with a GP to accessing specialist care.
What is the NHS?
The National Health Service (NHS) is the UK’s publicly funded healthcare system, established in 1948. Funded primarily through taxes, it provides a wide range of services—from GP appointments and hospital treatments to maternity and mental health care. Most services are free at the point of use, although some treatments, like dental or optical care, may require payment unless you qualify for exemptions.
Tip: The NHS is one of the largest publicly funded healthcare systems in the world, serving millions of residents every year.
Who Can Access NHS Services?
If you’re living in the UK legally on a spouse visa, you can access NHS services after paying the Immigration Health Surcharge (IHS) as part of your visa application.
Key term: “Ordinarily resident” refers to individuals lawfully living in the UK on a settled basis. Paying the IHS gives you the same healthcare access as UK citizens.
Understanding the Immigration Health Surcharge (IHS):
The IHS is a fee visa holders pay to use NHS services during their stay. This contribution helps fund the healthcare system.
Current IHS fees:
- £776 per year for students and graduate route applicants
- £1,035 per year for most other visa categories, including spouse visa holders
Note: Fees are subject to change, so always check the UK Government website for the latest information.
Healthcare Services Available Through NHS:
Primary Care
Primary care is your first point of contact for everyday medical needs. It includes:
- GP consultations and advice
- Treatment for minor injuries or illnesses
- Prescriptions for medications
- Vaccinations and routine screenings
How to access: Register with a local GP practice (see next section).
Secondary Care
Secondary care is for more specialized treatments, usually via referral from a GP:
- Specialist consultations (e.g., cardiology, dermatology)
- Diagnostic services (MRIs, X-rays, blood tests)
- Inpatient care, including surgery and post-operative care
- Mental health services, including therapy and counselling
Tip: Referral times vary, but most non-urgent cases in England are seen within 18 weeks. Scotland, Wales, and Northern Ireland may have slightly different waiting times.
Check Also: UK Visa Tiers and Spouse Visa
Health Insurance for UK Spouse Visa:
Most spouse visa applicants pay the Immigration Health Surcharge (IHS) as part of their visa application, which provides access to the NHS health services across the UK. Additional private health insurance for spouse visa holders is optional for those seeking faster access or specialized treatment.
Medical Care for Dependents in UK:
Dependents on a spouse visa are entitled to medical care in the UK, including GP services, hospital treatment, and emergency care under the NHS. Coverage begins once the visa is granted and the IHS is paid.
GP Registration UK Spouse Visa:
All spouse visa holders should complete GP registration in the UK. This allows easy access to primary care, prescriptions, vaccinations, and referrals to specialists when needed.
NHS Dental Care for Spouse Visa Holders:
NHS dental care for spouse visa holders is available, with treatment costs subsidized by the NHS. Routine check-ups and essential procedures are covered at standard NHS rates, while private dental care remains optional.
Cost of Healthcare for Spouse Visa Holders UK:
Once the Immigration Health Surcharge is paid, most NHS services are free at the point of use. Additional costs may include prescriptions, dental treatment, and optometry, making it important to budget for healthcare costs for spouse visa holders.
Living in the UK on Spouse Visa and Medical Care:
Living in the UK on a spouse visa requires planning for both routine and emergency medical care. Familiarity with local GP services, pharmacies, and NHS hospitals ensures smooth access to healthcare.
Spouse Visa Holder Emergency Medical Services UK:
In emergencies, spouse visa holders can access NHS urgent care, including A&E departments and ambulance services, without additional charges beyond standard coverage.
Step-by-Step Guide:
Register with a GP
Your GP is your first contact for non-emergency medical issues. Here’s how to register:
- Use the NHS GP Finder to locate a nearby practice.
- Check if the GP is accepting new patients, their opening hours, and online reviews.
- Complete the registration form online via the NHS website, NHS App, or directly at the surgery.
- Submit the form online or in person. Some practices allow email submission.
- Once registered, you’ll receive your NHS number, essential for all other NHS services.
Emergency Care and NHS 111:
- Urgent, non-life-threatening care: Call 111 or visit 111.nhs.uk. You’ll get medical advice and directions to the nearest appropriate service.
- Life-threatening emergencies: Call 999 or go directly to the nearest A&E department.
Specialist and Hospital Care:
- Specialist care usually requires a referral from your GP.
- You can select a hospital for your first outpatient appointment through your GP or the NHS e-Referral Service.
- Appointments can be booked online or via the referral helpline.
Private Healthcare Options:
While the NHS covers most needs, some visa holders opt for private healthcare for:
- Shorter waiting times
- Specialized treatments not immediately available on the NHS
- Private dental or optical services
Conclusion:
Navigating UK healthcare on a spouse visa is straightforward once you understand the NHS, IHS, and GP registration process. Primary, secondary, and emergency services are accessible to eligible visa holders, with private options available if desired. Staying informed and prepared ensures peace of mind and smooth access to care.
Frequently Asked Questions:
Can I register with a GP before arriving in the UK?
No, you must be living in the UK and provide proof of address to register.
Can I access mental health services immediately?
You can contact your GP for referrals, or access some services via NHS 111 or local mental health support lines.
Are prescriptions free for spouse visa holders?
Most prescriptions have a standard fee (£9.35 per item in England). Scotland, Wales, and Northern Ireland may offer free prescriptions.