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Immigration Health Surcharge meaning

What does Immigration Health Surcharge mean?
In UK immigration practice, the Immigration Health Surcharge (IHS) is the mandatory immigration health charge most applicants for limited leave to enter or remain must pay to access NHS services during their permission. It is imposed by the Immigration (Health Charge) Order 2015 (made under the Immigration Act 2014) and applies irrespective of nationality (including EEA/Swiss nationals post‑Brexit). It was introduced on 6 April 2015. The IHS is paid when submitting an application: for entry clearance exceeding six months, and for any in‑country application for limited leave. It is calculated by reference to the length of permission sought (per year and part‑year), with lower rates for students, Youth Mobility Scheme applicants and children. Health and Care visa applicants and their dependants are exempt, as are visitors, applicants for indefinite leave, diplomats and other limited categories specified in the Order. Payment is a validity requirement; refusal or withdrawal generally triggers an automatic refund of the IHS. The IHS funds the NHS and sits alongside, not in place of, the immigration application fee. Usage is consistent across England & Wales, Scotland and Northern Ireland; it does not apply in Ireland.
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View the related News about Immigration Health Surcharge

NEWS
UK immigration round-up: IHS increase, ISL review, Rwanda Bill guidance, right to work/rent penalties, offshore concession, student migration, and key case law—25 January 2024

In this issue Key developments UK immigration control: how it works Sponsored work Work sponsorship: sponsors Students EU law rights and EU settlement Challenging immigration decisions and enforcement Preventing illegal working Daily and weekly news alerts New and updated content New Q&As Key developments Future developments—Immigration calendar Our Immigration calendar sets out key forthcoming developments for business immigration advisers. UK immigration control: how it works IHS rises to come into force from 6 February 2024 The Immigration (Health Charge) (Amendment) Order 2024, SI 2024/55, was made on 16 January 2024. Under article 1(2) of the Order, it comes into effect 21 days later, on 6 February 2024. The measure increases the Immigration Health Surcharge from £470 to £776 per annum for students, their dependants, Youth Mobility Scheme applicants and children under 18. For all other applications that must pay the Health Charge, the annual IHS rises from £624 to...

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NEWS
Designing UK employer policies on visa cost support: legal limits, clawbacks, dependants and consistent application

Common fees For most UK work visa applications, statutory charges account for most of the overall outlay, typically far surpassing the professional fees paid to immigration specialists for guiding applicants through the process. Government fees may include: the visa application fee the Immigration Health Surcharge (IHS) the Certificate of Sponsorship (CoS) fee the Immigration Skills Charge (ISC) optional services to streamline and expedite the visa process By law, the ISC is the only government charge that employers cannot pass on to the visa applicant. Other disbursements can include translation costs, tuberculosis screening, English language testing, or obtaining criminal record certificates. Many of these relate to mandatory stages of the visa process and can mount up quickly, so employers should take a holistic view before deciding who will be responsible for these extra costs. The level of cost assistance provided Some employers may already have well-established policies to guide them. These could range from the...

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NEWS
UK immigration weekly: Rwanda Bill, IHS changes, Skilled Worker reforms, EUSS/EEA deportation case law, Article 8 returning residents, asylum credibility guidance, Schengen reforms, EU youth mobility, 25 April 2024

In this issue: Key developments UK immigration control: how it works Sponsored work Business, investment, and non-sponsored work EU law rights and EU Settlement Scheme Challenging immigration decisions and enforcement International Daily and weekly news alerts New and updated content Key developments Future developments—Immigration calendar Note that our Immigration calendar sets out key forthcoming developments relevant to business immigration advisers. UK immigration control: how it works Home Office publishes new version of staff guidance on Immigration Health Surcharge The Home Office has issued an updated edition of its Immigration Health Surcharge: caseworker guidance, explaining the IHS to caseworkers and how to take it into account as part of an application for immigration permission. The guidance has also been revised to include information on the IHS rates now in force from 6 February 2024 and to reflect the amendments set out in the Immigration (Health Charge) (Amendment) Order 2024, together with further...

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View the related Practice Notes about Immigration Health Surcharge

PRACTICE NOTES
Tier 1 (Investor) extensions post-closure: procedures, ILR/extension deadlines (2026/2028), entry clearance for existing holders, evidential requirements, conditions, curtailment, and administrative review (UK Immigration Rules)

Practice Note This Practice Note examines how to file extension bids under the Tier 1 (Investor) pathway. It additionally outlines the length and terms of leave, and the curtailment rules that will bite where the required investments were not put in place within the stipulated period after the initial grant of leave and then kept up. The Tier 1 (Investor) strand was shut to fresh applications, without prior notice, from 16.00 on 17 February 2022 via Statement of Changes in Immigration Rules CP 632. Individuals already holding leave in this route can still prolong their stay, including seeking entry clearance from overseas if they have held leave as a Tier 1 (Investor) migrant during the 12 months before the date of application, and can also apply for settlement. Extension requests lodged in the UK or abroad had to be filed by 17 February 2026. Settlement applications must be lodged before 17 February 2028. For precise cut-off dates for particular cohorts, consult the Practice Note: Tier 1 (Investor): applying for...

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PRACTICE NOTES
UK Home Office fees calculator: common visa routes and sponsorship (including IHS and ISC) for entry clearance, permission to stay and settlement from 16 December 2025

This Practice Note provides a spreadsheet to work out Home Office charges, including the immigration health surcharge, for applications covering entry clearance, permission to stay and settlement across a range of common business and personal immigration routes. It also details the fees for sponsoring migrant workers when the adviser is acting for the sponsor in specified routes. These comprise: the sponsor licence fee the immigration skills charge the cost of assigning a Certificate of Sponsorship (CoS) The calculator is designed to save time at onboarding and during new client enquiries, with total amounts and itemised breakdowns ready to paste into an email. Do note that the tool does not encompass every immigration route or scenario; it focuses on the frequent routes relevant to business immigration advisers in everyday practice. It is not exhaustive and is aimed at adviser use. The immigration health surcharge shown may in some routes be higher than the figure displayed, where the period of permission granted can vary...

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