NHS Health and Care Worker Visa Explained

If you're a nurse, doctor, allied health professional or other health and care worker planning to move to the UK for an NHS or NHS-connected role, the Health and Care Worker visa is almost certainly the immigration route you'll come across first — it's the category built specifically for this sector, and it's the one most NHS trusts, Health Boards and HSC Trusts use to sponsor internationally recruited staff. This guide walks through what it actually requires, what it costs once you add everything up, how the process runs from job offer to decision, and how long it lasts. It's written to be genuinely useful as an orientation — but this is one of the areas where a stale or slightly-wrong detail can have real financial and personal consequences, so read the disclaimer below before anything else.

What the Health and Care Worker visa is, and who it's for

The Health and Care Worker visa sits inside the UK's Skilled Worker visa system but is treated as its own category because it's built around the specific needs of the health and social care sector. It exists to let eligible employers — NHS trusts and Health Boards, organisations providing services to the NHS, and Care Quality Commission-regulated adult social care providers in England (equivalent regulators apply in Scotland, Wales and Northern Ireland) — sponsor workers from outside the UK into roles the system defines as eligible.

In practice, that means it's the route used to sponsor internationally recruited nurses, doctors, midwives, allied health professionals such as physiotherapists and radiographers, and a range of other clinical and clinical-support roles into NHS employment. It has historically also covered adult social care roles such as care workers and senior care workers, though — as covered in detail below — that part of the route closed to new overseas applications in July 2025. If you're already holding an offer from an NHS trust for a clinical post, this is very likely the visa category your prospective employer is planning to sponsor you under, but it's still worth confirming with the trust's international recruitment or HR team rather than assuming.

The eligibility requirements, in detail

Four things generally need to line up for a Health and Care Worker visa application to succeed: an eligible, appropriately skilled job offer, a salary that meets the relevant threshold, a sufficient level of English, and sponsorship from a licensed employer. Each of these is set independently by the Home Office and reviewed on its own timetable, which is exactly why a guide like this one can only describe the shape of the requirement rather than promise the number will still be correct next year.

English language requirement

This is one of the areas that changed recently, so it's worth being precise about the timing. Until 8 January 2026, new Health and Care Worker visa applicants generally needed to demonstrate English to CEFR level B1 — a working, everyday level covering reading, writing, speaking and listening. From 8 January 2026, the requirement for new applications rose to CEFR level B2, a higher standard broadly equivalent to an upper-intermediate level of English. If you already held a Health and Care Worker visa granted before that date and you're extending or updating it rather than making a brand-new application, the previous B1 requirement may still apply to your case — this is exactly the kind of transitional detail worth confirming directly rather than assuming either way.

Regulated clinical professionals are often able to rely on the English language assessment they've already completed for professional registration — for example, meeting the NMC's English language requirements as a nurse, or the GMC's for a doctor — rather than sitting a separate test purely for immigration purposes, provided that assessment is one the Home Office accepts as equivalent. Whether you qualify for that exemption, and what evidence you need to provide it, is worth confirming with your sponsoring employer or on gov.uk before you book (and pay for) an English test you might not actually need.

Job skill level and eligible occupations

The role you're sponsored for needs to sit within the Home Office's list of eligible occupations for this route, referenced by Standard Occupational Classification (SOC) codes, and generally needs to meet a minimum skill level. Since a wider reform to the Skilled Worker system, most new sponsorship generally needs to be at graduate-equivalent skill level (RQF level 6) or above — a bar that clinical professions like nursing, medicine and the allied health professions clear comfortably, since they're graduate-entry or professionally regulated occupations in their own right. The skill-level change mattered far more for lower-skilled roles historically sponsored on this route, particularly care worker and senior care worker positions, which sat at a lower skill level and — as covered below — have since been removed from new overseas recruitment altogether.

Because the full, current list of eligible occupations and their SOC codes is a detailed schedule maintained and periodically updated by the Home Office (published as an appendix to the wider Immigration Rules), it isn't reproduced here — check the current list on gov.uk, or ask your prospective employer's international recruitment team to confirm the specific SOC code they intend to sponsor you under and whether it's currently eligible.

Salary threshold

As a general floor, a sponsored role on this route generally needs to pay at least around £25,000 a year, or the published "going rate" for the specific occupation, whichever is higher. For NHS roles that sit on Agenda for Change pay scales, the going rate is generally assessed against the relevant national pay band for the role rather than a single flat number, which means the effective salary floor for, say, a Band 5 nursing post and a Band 7 specialist post won't be identical. Some occupations also carry a going rate that's already above £25,000, in which case that higher figure is the one that applies.

Salary thresholds are reviewed periodically and can be increased — sometimes with only limited notice — so a specific number you've read elsewhere, including on this page, should be treated as indicative rather than definitive. Ask your sponsoring employer to confirm that your specific job offer clears the current threshold for your specific occupation code, and check gov.uk's eligibility page for the figure the Home Office currently publishes.

Sponsorship by a licensed employer

You cannot apply for this visa without a job offer from an employer that holds a Home Office sponsor licence for this route, and that employer needs to issue you a Certificate of Sponsorship as part of the process — covered in full in our companion guide, NHS Certificate of Sponsorship Explained. Most large NHS trusts and Health Boards hold this licence, given how central international recruitment has become to NHS workforce planning, but licensing status can vary and change, so it's still worth confirming directly with the specific trust or care provider you're applying to, rather than assuming every employer — or every role at a licensed employer — is automatically sponsorable.

How long the visa lasts, and whether it leads to settlement

A Health and Care Worker visa is generally granted for up to 5 years at a time, matching the length stated on your Certificate of Sponsorship, and you can apply to extend it — generally requiring a new Certificate of Sponsorship — if you're still in an eligible sponsored role when it's due to run out. Time spent on this visa (and its predecessor Tier 2 category, for anyone who's been in the UK a long time) has historically counted toward eligibility for indefinite leave to remain (settlement), generally after 5 years of continuous, qualifying residence, subject to meeting other requirements at that point, including a "Life in the UK" test and further English language evidence.

Here's where you should be especially careful about relying on anything you read, including this page: a UK government white paper published in May 2025 proposed extending the general qualifying period for settlement from 5 years to 10 years for most migrants on work visas, as part of a wider "earned settlement" policy. As of this page's last update, that change had not yet been fully implemented, and there had been reports — not confirmed in law at the time of writing — that Health and Care Worker visa holders specifically might be treated differently from the general 10-year proposal, given the government's stated aim of remaining an attractive destination for international NHS recruitment. None of that is settled policy at the time of writing.

If long-term settlement in the UK is a significant part of your decision to take an NHS job on this visa, treat the settlement timeline as genuinely uncertain right now rather than assuming the historical 5-year route still applies unchanged, and check gov.uk's settlement guidance for the current position before making decisions that depend on it.

The application process, step by step

The process generally runs in a fairly consistent order, though the exact detail of each step can vary depending on where you're applying from and your specific circumstances:

Because the exact evidence requirements, forms and digital processes involved can change — the shift toward digital eVisas and UKVI accounts is a relatively recent development, for instance — always follow the current step-by-step instructions on gov.uk for your specific application rather than assuming a process described here (or anywhere else outside gov.uk) is identical to what you'll actually be asked to do.

Realistic total costs — and where the Health and Care Worker visa is actually cheaper

Cost is where this visa route is genuinely more favourable than the general Skilled Worker route, and it's worth being specific about why, while still hedging on the exact figures since they're reviewed and changed periodically by the Home Office.

The visa application fee

The Health and Care Worker visa carries a reduced application fee compared with the standard Skilled Worker visa. Following the fee changes that took effect from 8 April 2026, the fee has generally been reported at around £324 for a visa of up to 3 years, and roughly double that for a longer grant. This is paid by the applicant as part of the online application. Because visa fees are set by the Home Office and reviewed at least annually, confirm the exact current fee on gov.uk's fees page before budgeting around a specific figure.

The Immigration Health Surcharge — where this route differs from most others

On most UK work visas, applicants also have to pay the Immigration Health Surcharge (IHS) upfront, for the whole length of the visa, at a rate that's generally been around £1,035 per year for most adults (with a lower rate for some categories, such as under-18s and students). On a standard 5-year Skilled Worker visa, that adds up to a genuinely significant cost — plausibly several thousand pounds — on top of the visa fee itself.

The Health and Care Worker visa route is different: main applicants and their dependants on this specific route have generally been exempt from paying the IHS since 2023, in recognition of the fact that they're coming to work in or alongside the health service itself. This is a genuinely valuable feature of the route and one that's easy to underestimate the importance of if you're comparing headline visa costs across categories without accounting for it. That said, an exemption set by policy can, in principle, be narrowed or withdrawn in future, so confirm the current IHS exemption position for this route on gov.uk as part of your own budgeting, rather than assuming it will automatically still apply by the time you submit an application.

The Certificate of Sponsorship fee

Assigning a Certificate of Sponsorship costs £525, and this is generally paid by the sponsoring employer as part of their Home Office sponsor duties, not charged directly to the applicant in the ordinary course of events. See our dedicated guide, NHS Certificate of Sponsorship Explained, for exactly how this fee works, who's legally on the hook for it, and what it's a warning sign if someone asks you, the applicant, to cover it instead.

Other costs to budget for

• • A criminal record certificate from countries you've lived in, if required for your specific role and country — costs and processing times vary considerably by country
• • A tuberculosis (TB) test certificate, if you're applying from a country on the UK's TB test list — required before you can apply, not after
• • Document translation costs, if any of your supporting evidence isn't already in English or Welsh
• • Your own travel, relocation and initial accommodation costs, which this visa doesn't cover and which can be substantial depending on where you're moving from
• • Optional costs such as a priority visa service, if you choose to pay extra for a faster decision

Because every one of these figures is set independently — the Home Office for visa and IHS fees, the employer for the Certificate of Sponsorship fee, individual countries for criminal record certificates, and the market for translation and relocation costs — there's no single "total cost of the visa" figure that will be accurate for everyone. Our International Relocation Calculator lets you plug in your own quotes for each of these line items alongside your expected NHS take-home pay, rather than relying on a generic total that won't match your actual circumstances.

Processing times

Published processing times for this route have generally run to around 3 weeks for applications made from outside the UK (measured from your biometric appointment, not from when you first submit the application), and somewhat longer — sometimes cited at around 8 weeks — for applications made from inside the UK, such as extensions or switches from another visa category. A paid priority service has often been available to reduce the decision time significantly for applicants who need a faster answer, subject to an additional fee and availability.

These are general, historical patterns rather than guarantees, and UKVI publishes and updates its own current processing time estimates by application type and location. Before you make a decision that depends on a specific date — resigning from a current job, booking flights, or agreeing a start date with a new employer — check the current published processing times on gov.uk rather than relying on a historical average.

Bringing your family

In most cases, eligible dependants — a partner and children — can apply to accompany or join the main applicant on a Health and Care Worker visa, generally subject to a relationship and, in some cases, a financial requirement being met. One specific and important exception: since 11 March 2024, new care workers and senior care workers on this route have generally not been able to bring dependants — a restriction that predates, and is narrower than, the later closure of new overseas applications in those occupation codes altogether. This dependant restriction has not generally applied to nurses, doctors, allied health professionals or other clinical roles on the route.

Dependant eligibility, evidence requirements and any associated visa fees for family members are set independently and reviewed periodically, so check the current dependant rules on gov.uk before making firm plans around bringing family with you.

What can go wrong — and how to plan around it

• ✕ A CoS lapses before you apply — a Certificate of Sponsorship generally has to be used within a limited window (see our CoS guide for detail), so don't sit on one indefinitely once it's issued
• ✕ Your salary or job details on the CoS don't match reality — the role, salary and working hours on your Certificate of Sponsorship need to genuinely reflect the job, and mismatches can cause delays or refusals
• ✕ You change employer before your visa is granted or shortly after starting — moving employer generally requires a new Certificate of Sponsorship and, in many cases, a fresh application, so time job changes carefully around your immigration status
• ✕ Your sponsor's licence is suspended or revoked — this is rare for established NHS trusts, but it's a risk worth understanding rather than assuming can't happen; the Home Office generally allows a period of time for sponsored workers to find a new sponsor in this situation
• ✕ You assume a figure from an old article (or an old version of this page) is still current — the single most common way people get tripped up on this route is treating a fee, threshold or requirement as fixed when it's actually been updated since

Before you apply: a practical checklist

• ✓ Confirm the current salary threshold and going rate for your specific occupation code on gov.uk, not a figure from an older article
• ✓ Confirm which English language level currently applies to your application, and whether your professional registration already satisfies it
• ✓ Ask your sponsoring employer to confirm they currently hold a valid sponsor licence covering your role
• ✓ Check the current Certificate of Sponsorship validity window once one is assigned to you, and don't let it lapse unused
• ✓ Confirm the current visa application fee and whether the Immigration Health Surcharge exemption still applies to your route
• ✓ Budget separately for a criminal record certificate, TB test (if applicable), translation costs, and your own relocation costs
• ✓ If your situation involves a previous refusal, a criminal record, or anything unusual, get advice from an OISC-regulated adviser or immigration solicitor before applying

Get notified when Health and Care Worker visa rules change

Salary thresholds, English requirements and settlement rules on this route have moved more than once in the last two years. We'll email you when something material changes.

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The bottom line

The Health and Care Worker visa is a genuine, well-established route into NHS employment for eligible clinical and clinical-support staff, and it comes with real advantages over the general Skilled Worker visa — most notably a reduced application fee and, for now, an exemption from the Immigration Health Surcharge. But nearly every specific number that matters to an actual application — the salary threshold, the English language level required, the settlement timeline, and the eligible occupation list itself — has changed at least once in the last two years, and some of these are under active review right now. Use this page to understand how the system fits together and what to check, not as the final word on any figure you're about to rely on. The Health and Care Worker visa pages on gov.uk are the only source guaranteed to reflect the current rules, and an OISC-regulated adviser or immigration solicitor is the right call if your situation is anything other than straightforward.

Frequently asked questions

Is this page immigration advice? +

No. Nothing on this page is immigration advice, and it isn't a substitute for checking gov.uk directly or speaking to a qualified adviser. Health and Care Worker visa rules — salary thresholds, English language requirements, eligible occupations and settlement rules in particular — have changed more than once in the last two years, and getting a detail wrong on an actual application can cost you the application fee, months of delay, or the job offer itself. Always verify the current position on gov.uk, or with an OISC-regulated immigration adviser or immigration solicitor, before you rely on anything here.

Do I need to speak English to a particular level for this visa? +

Yes, but the required level changed on 8 January 2026. New applicants now generally need to demonstrate English to CEFR level B2 (up from the previous B1 requirement), covering reading, writing, speaking and listening. If you already held a Health and Care Worker visa before that date and are extending or updating it, B1 may still apply to you. Regulated clinicians — nurses, midwives and doctors, for example — are generally exempt from a separate English test if they've already met their regulator's own English language requirement (the NMC or GMC, for instance) as part of registration. Because this changed recently and could change again, confirm the exact requirement that applies to your situation on gov.uk before you book or pay for any English test.

What's the minimum salary for a Health and Care Worker visa? +

As a general floor, most roles need to pay at least £25,000 a year or the 'going rate' for the specific occupation code, whichever is higher — and for NHS roles on Agenda for Change pay scales, the going rate is generally read against the relevant national pay band rather than a flat figure. Some occupations carry a higher going rate than £25,000, so the salary your specific job offer needs to clear depends on the role, not a single number that applies to everyone. Salary thresholds are reviewed and can be increased by the Home Office, so confirm the current threshold for your specific occupation code on gov.uk before assuming a job offer clears the bar.

Can care workers still get this visa? +

Not from overseas, as new applications. Since 22 July 2025, care workers and senior care workers (occupation codes SOC 6135 and 6136) can no longer make new overseas applications on this route. There's a transitional arrangement allowing some in-country extensions and employer switches for people already sponsored in these roles, expected to run to around 22 July 2028, subject to specific conditions — but it does not open the route back up to new overseas recruitment in these two occupation codes. This restriction is specific to care worker and senior care worker roles — it does not apply to nurses, doctors, allied health professionals or other clinical and clinical-support occupations, which remain eligible in the normal way, subject to meeting the usual requirements. Confirm the current position on gov.uk, since the transitional cut-off date is described as being kept under review.

Do I have to pay the Immigration Health Surcharge on this visa? +

Generally, no — this is one of the genuine advantages of the Health and Care Worker visa over the standard Skilled Worker route. Main applicants and their dependants on this route are generally exempt from the Immigration Health Surcharge, which otherwise runs to roughly £1,035 per year for most adults on other visa categories, paid upfront for the whole length of the visa. This exemption is a rule set by the Home Office and it has applied since 2023, but exemptions like this can be narrowed or removed, so don't assume it will still apply by the time you actually submit an application — check the current IHS exemption rules on gov.uk as part of budgeting for your move.

How much does the whole process cost in total? +

For the applicant specifically, the main out-of-pocket costs are generally the (typically) reduced Health and Care Worker visa application fee itself, plus costs like the overseas criminal record certificate some applicants need, a tuberculosis test certificate if you're applying from a country on the TB test list, translation of documents, and your own travel and relocation costs. The £525 Certificate of Sponsorship fee is generally paid by the sponsoring employer, not the applicant, and — as above — the Immigration Health Surcharge is generally not payable on this route at all. Because every one of these figures is set independently and reviewed at different times, add them up from current gov.uk figures for your own circumstances rather than trusting a total quoted anywhere else, including this page.

How long does the visa last, and does it lead to settlement? +

The visa itself is generally granted for up to 5 years at a time, and you can apply to extend it if you're still in an eligible sponsored role when it's due to expire. Historically, 5 years of continuous, qualifying time on this kind of visa has been the route to indefinite leave to remain (settlement) in the UK. However, a May 2025 government white paper proposed extending the general qualifying period for settlement from 5 to 10 years for most migrants, and — as of this page's last update — that change had not yet been brought fully into force, with reports (not yet confirmed in law) that Health and Care Worker visa holders specifically might be treated differently from the general policy. This is exactly the kind of rule that could change the practical value of the visa to you, so check the current settlement rules on gov.uk, especially if long-term settlement is a major part of your decision to come to the UK.

How long does a decision take once I apply? +

As a general guide, applications made from outside the UK have often been decided within around 3 weeks of the applicant's biometric appointment, and in-country extensions or switches have often taken longer — sometimes around 8 weeks — though individual cases vary and a paid priority service is sometimes available to speed a decision up for an extra fee. Processing times are published and updated by UKVI and can lengthen or shorten depending on volumes, so check the current published processing time for your specific application type and location before you rely on a particular date — for example, before resigning from a current job or booking travel.

Can my partner and children come with me? +

In most cases, yes — eligible dependants such as a partner and children can generally apply to accompany or join the main applicant on this route, subject to meeting the relevant requirements (including, in some cases, a financial requirement). One specific exception: since 11 March 2024, new care workers and senior care workers on this route generally cannot bring dependants, which is a narrower restriction than the later closure of new overseas applications in those two occupation codes altogether. Dependant eligibility, evidence requirements and any associated fees are set by the Home Office and reviewed periodically, so check the current dependant rules on gov.uk before making firm family relocation plans.

What should I do if a recruiter asks me to pay for my visa sponsorship or Certificate of Sponsorship? +

Treat it as a serious warning sign and stop before paying anything. The Certificate of Sponsorship fee is a cost the law places on the sponsoring employer, not the worker, and reputable NHS trusts and regulated care providers do not typically ask candidates to reimburse it. The UK's statutory Code of Practice for the International Recruitment of Health and Social Care Personnel exists specifically to prevent exploitative recruitment practices in this sector. If an agency or individual asks you for money in connection with sponsorship, a job offer, or a Certificate of Sponsorship, verify the request independently with the employer directly and consider reporting it — don't rely on reassurances from the person asking for the payment.