RT Journal Article SR Electronic T1 Patients or passports? The ‘hostile environment’ in the NHS JF Future Healthcare Journal JO Future Healthc J FD Royal College of Physicians SP 28 OP 30 DO 10.7861/fhj.2021-0007 VO 8 IS 1 A1 Kitty Worthing A1 Marta Mojarrieta Galaso A1 Johanna Kellett Wright A1 Jessica Potter YR 2021 UL http://www.rcpjournals.org/content/8/1/28.abstract AB Throughout the pandemic, the NHS has continued to charge certain patients for their care based on their immigration status and to report patients with outstanding debt to the Home Office. Research has consistently shown that these policies act as a significant barrier to healthcare access for already minoritised communities, and that during the pandemic patients have remained fearful and reluctant to seek care due to charging, including care for ‘exempt’ conditions such as COVID-19. Charging policies, and associated data sharing, represent only one of the myriad ways in which structural and ‘every day’ racism operate to impact health; however, they undoubtedly form a part of the picture as to why COVID-19 has disproportionately affected many minoritised communities.