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In order to reduce health inequalities in communities, the following changes are required:

  • Scrap upfront charging for secondary NHS care in England
  • Amend the Overseas Visitors (NHS) Charging Regulations 2015 to exempt anyone who is receiving local authority support (s17 Children Act 1989, Care Act 2014, leaving care provisions of the Children Act 1989) from charging for secondary and community NHS care in England
  • Scottish and Welsh governments to consider introducing a similar exemption for people receiving the equivalent local authority support

In this section we set out what the issues are for people accessing NHS care and councils when they are providing support to people who are charged for treatment, how the government can reduce the impact of charging policiesand what we are doing to help achieve change.