Have a UK resident client that is non-UK domiciled. He is a sole trader and low profits mean he has the option to pay class 2 NIC. I advised to pay because of state pension but he asked about NHS treatment and being able to go to the hospital? Does it affect that?
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Access to NHS is not contingent on payment of NI.
Guidance aimed at medical practitioners here
https://www.gov.uk/guidance/nhs-entitlements-migrant-health-guide