What Is the NHS?
The National Health Service (NHS) is the UK's publicly funded healthcare system. It was created in 1948 with the principle that healthcare should be free at the point of use for everyone.
Is Healthcare Free?
Most NHS services are free for all UK residents:
- GP (doctor) appointments — free
- Hospital treatment — free
- A&E (emergency) — free
- Maternity care — free
- Mental health services — free
What You Pay For
- Prescriptions (England only): £9.90 per item (free in Scotland, Wales, and Northern Ireland)
- Dental treatment: £25.80 – £313.50 depending on treatment
- Eye tests: £20-30 (free if under 19 or on certain benefits)
- Wig supports and fabric supports: Partial cost
How to Access the NHS
Step 1: Register with a GP
This is your most important step. See our guide to GP registration.
Step 2: Get an NHS Number
You will receive one when you register with a GP. Your NHS number is unique to you and used across all NHS services.
Emergency Healthcare
| Emergency | What to Do |
|---|---|
| Life-threatening | Call 999 or go to A&E |
| Urgent (not life-threatening) | Call 111 |
| Mental health crisis | Call 111, select mental health option |
Immigration Health Surcharge (IHS)
If you are on a visa, you may have paid the Immigration Health Surcharge as part of your visa application (£1,035 per year). This gives you access to NHS services. If you paid IHS, you do not need to pay for NHS prescriptions or dental treatment.
Hospital Appointments
- You need a referral from your GP for most hospital appointments
- Waiting times vary — urgent cases are seen first
- You can choose which hospital to go to
The NHS is one of the most valued institutions in Britain. Understanding how it works is an important part of life in the UK.
General information only — not professional, legal, or financial advice. Always check official sources (such as GOV.UK, NHS, and the NMC) for anything official. Read our disclaimer.
Joe leads UKRoute's Life in the UK Test content and practice questions. He works from the official guide and test syllabus and checks every question against the official handbook and exam-format guidance.
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