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No it doesn't. The IHS is held in a fund, which is then claimed from by a hospital who gave the treatment to a person with an IHS, to save their own Trust's budget having to fund that treatment.
I doubt that. I would imagine that the average British citizen thinks the IHS fee should have a couple more zeros on the end. But they would rather have the type of immigration systems that other countires have, to protect their healthcare system for their own citizens. Medicals to pass, for those family members not migrating too; and even when a medical is passed, not all visas having access to their full healthcare system and these must buy private insurance too...