In England, patients pay for their NHS prescriptions and NHS dental treatment. This is an important source of funding for the NHS.

Each year, the NHS loses significant funds due to people claiming free prescriptions or dental treatment they weren’t entitled to. This directly reduces the money available for core patient care.

Exemption Checking Services (ECS) carry out checks on patient claims. If they cannot confirm during a check that a patient was entitled to claim free NHS prescriptions or NHS dental treatment, they'll be sent an enquiry letter asking them to confirm their entitlement. If they do not respond within 28 days, they'll be sent a Penalty Charge Notice.

Check what help you could get to pay for NHS costs and apply online.