House of Commons Library

NHS charges

Published Friday, April 20, 2018

House of Commons Library briefing on NHS charges.

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The National Health Service Act 1946, which set up the NHS in England and Wales, contained a provision that NHS services should be provided free of charge unless that Act expressly provided for a charge. This provision has been carried forward into the legislation which replaced the 1946 Act – the NHS Act 1977 and subsequently the NHS Act 2006.

Since the founding of the NHS, amendments to legislation have been made allowing charges for NHS services including prescription, dental and optical charges. There are also charges for facilities not covered by NHS legislation, such as hospital car parking.

This briefing paper sets out the provisions for various NHS charges, which groups are exempt, and explains where charges vary in the devolved nations.

It also briefly examines the future of NHS charges. In the context of financial pressure on the NHS, there have been calls for the introduction of additional charges for services, such as GP appointments, although there have been no Government plans to introduce further charges.

Commons Briefing papers CBP-7227

Authors: Elizabeth Parkin; Alex Bate

Topics: Health finance, Health services, Medicine

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