NHS is 'over-reliant' on migrant cash and losing £100m a year now that immigration is falling, think tank warns

Income from the immigration health surcharge slid from £2.42bn in 2024-25 to about £2.32bn in 2025-26, and the Nuffield Trust expects further falls. The annual fee has risen from £200 a decade ago to £1,035. It now makes up about 1 per cent of the NHS budget, up from 0.1 per cent. The think tank warns the drop 'threatens to further destabilise already precarious NHS finances'.
Health Secretary Yvette Cooper's plea for Treasury cash to plug the gap was rejected.
The Nuffield Trust claims surcharge-payers are charged 60 per cent more than the care they use.
