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What to do if you receive an NHS hospital bill

If you have received a bill for NHS hospital treatment, you don’t have to deal with it alone. Some people are charged when they shouldn’t be, and others are charged correctly but can’t afford to pay or can only pay a small amount. These resources can help you work out which applies to you and what to do next.

You can check whether you should be charged, understand your rights to NHS care, write to the hospital using our letter templates, and find free immigration and debt advice.

Guidance If You’ve Received an NHS Bill

This leaflet explains what to do if you receive an NHS bill, and where to get support.

NHS Debt Template Letters

How to use our NHS debt template letters

Step-by-step guidance on how to use our NHS debt letter templates. It explains which letter to choose, how to complete it, what evidence to add, and where to send it.

Destitution letter template

A letter template for people who cannot afford to pay an NHS hospital bill. It asks the hospital to carry out an affordability assessment, and requests that they stop debt collection.

Repayment plan letter template

A letter template for people who can afford small regular payments towards an NHS bill. It proposes a repayment plan based on what you can realistically pay.

Section 17 letter template

A letter template for families supported by Children’s Services under Section 17. It asks the hospital not to pursue your NHS bill, or to agree a repayment plan.

Your NHS Access Rights

This card explains your rights when accessing A&E and NHS services.

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