Appendix Child Joining a Non-Parent Relative, also known as Appendix CNP, allows for extended family with protection status in the UK to sponsor children to join them where there are serious and compelling circumstances. This can be in situations where a child has no parents or relatives to care for them, or where the parents or relatives in their own country cannot safely care for the child.

Simplification of the Immigration Rules, by inserting Appendix CNP on 12 April 2023, did not impose different Immigration Health Surcharge requirements, but replicated the existing provisions contained under paragraph 319X.

There were no policy changes made to the requirements of this route and it was solely formatting changes in line with the wider simplification format. Decision makers have been instructed to consider all applications made before and after 12 April 2023 under Appendix CNP. This means that all applications submitted prior to, and after, 12 April 2023 must pay the Immigration Health Surcharge. The requirement to do so may be waived where the sponsor is determined to be destitute, but it is in the best interests of the child to come to the UK.

Applicants who have been granted entry clearance under paragraph 319X on the Immigration Rules or Appendix Child Staying with or joining a Non-Parent Relative (Appendix CNP) for more than 6 months, are required to pay the Immigration Health Surcharge which covers the period of leave to enter they have been granted.

Applicants who have been granted entry clearance under paragraph 319X on the Immigration Rules or Appendix Child Staying with or joining a Non-Parent Relative (Appendix CNP) for 6 months or less are not required to pay the Immigration Health Surcharge.

Applicants who have been granted entry clearance under paragraph 319X on the Immigration Rules or Appendix Child Staying with or joining a Non-Parent Relative (Appendix CNP) for more than 6 months, are required to pay the Immigration Health Surcharge which covers the period of leave to enter they have been granted.

Applicants who have been granted entry clearance under paragraph 319X on the Immigration Rules or Appendix Child Staying with or joining a Non-Parent Relative (Appendix CNP) for 6 months or less are not required to pay the Immigration Health Surcharge.

The Home Office does not hold the information in the format requested. Amounts received in Immigration Health Surcharge fees are not recorded or categorised by visa type.

Total Immigration Health Surcharge income data is published annually in the Home Office Annual Report and Accounts. See page 161 of the Home Office 2020-21 Annual Report and Accounts for the most recent disclosure of Immigration Health Surcharge income.

HO annual report and accounts 2020-21 (publishing.service.gov.uk). Reports relating to previous financial years are available at the following link HO annual reports and accounts - GOV.UK (www.gov.uk)

The Department does not collect data on tax or National Insurance payments that migrants and their family members make in the United Kingdom. Since 2015, the Immigration Health Surcharge (IHS) has raised almost £2 billion for the National Health Service. The Department estimates that the average cost to the NHS of care provided to an IHS payer is £646 per year.

The National Health Service is a residency-based healthcare system, meaning that people who do not live here on a lawful, settled basis must contribute to the cost of their care, regardless of individual tax status. All temporary migrants of more than six months are subject to the Immigration Health Surcharge (IHS) at the point of visa application. This allows them to access NHS services without further charge while they are here with some exceptions. The IHS ensures that individuals do not face unexpected treatment bills and reduces the administrative burden on frontline staff of identifying chargeable patients and recovering charges.

The latest figures available taken from page 137 of the Home Office Annual Reports 2018/19 state “other income” (expressed in £000s) of £251,220 for Core Department and Agencies and £46,707 for Core Department and Agencies (payable to Consolidated Fund) for 2018/19.

Data are available at the following link:

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/807126/6.5571_HO_Annual_Report_201920_WEB.PDF

This information is not currently available in the format requested.

The Home Office does not routinely publish volume data relating to Immigration Health Surcharge payers. Income data for the Immigration Health Surcharge is published annually in the Home Office Annual Report and Accounts.

Please see page137 of the Home Office 2018-19 Annual Report and Accounts for the most recent disclosure of Immigration Health Surcharge income https://assets.publishing.service.gov.uk/government/uploads/system/uploads