Guidance: Ex-Gratia Medical Payments reviews

The UK government initiated the Ex-Gratia Medical Payments (EGMP) policy to provide support to former locally-employed staff in Afghanistan who were injured as a result of their employment with the Ministry of Defence (MOD) between 2001 and 2021. The EGMP scheme was closed to new applications in 2021.

The EGMP Review was initiated in June 2020 to enable reviews of payments under the EGMP.

As of 23 July 2026, the EGMP review is closed to new applications. Those who have already applied will also no longer be able to provide further evidence on their applications.

All applications received before the scheme closed will be processed.

This publication explains the eligibility criteria for the EGMP Review.

Between 2001 and 2021, local staff in Afghanistan who worked with the UK government played an important part in our joint efforts towards the shared goal of a more secure, stable and prosperous Afghanistan.

Extremely brave people worked alongside our soldiers on patrol, and in some cases suffered profoundly life-changing injuries as a result of enemy action. The government committed to awarding appropriate payments for these people through the EGMP.

In 2020, the MOD initiated a process for reviewing the EGMP cases relating to individuals who wish to have their cases re-assessed. Its intent was to enable those whose condition has deteriorated beyond their original prognosis, or those who have developed a late-onset condition, to receive a fair full and final payment without prejudice.

To be eligible for the EGMP Review, the applicant must satisfy all of the following criteria:

2. There must be sufficient evidence that the condition has deteriorated beyond what was assessed as the projected recovery at the time, or that a new condition has arisen as a result of the original injury;