Skilled worker: Health and Care Visa
The Health and Care Visa is a sub-type of the Skilled Worker Visa available for those who are taking on a role in eligible health or social care jobs or who are a qualified doctor, nurse, healthcare professional or adult social care professional.
Latest updates
- From 9 April 2025, care providers in England seeking to recruit care workers and senior care workers from overseas, or those switching from another visa route, must first provide proof that they have attempted to recruit a worker resident in England through working with regional partnerships.
- Minimum salary thresholds increased to £25,000 (£12.82 per hour), which applies to Skilled Worker and Health and Care visa holders on Agenda for Change pay scales.
- Deductions from a sponsored worker’s salary for business costs, immigration costs or business investment will need to be considered when determining salary thresholds.
- Certificate of Sponsorship fees increased to £525 for new work visas as well as renewals, and immigration and visa fees increased by 7 per cent.
Key points for Health and Care Visa
- The Health and Care Visa is a sub-type of the Skilled Worker Visa.
- Overseas care workers (SOC 6135) and senior care workers (SOC 6136) are unable to bring dependents for new applications from 11 March 2024. Care workers and senior care workers already in route prior to the new rules being implemented will not be subject to the changes.
- Only CQC-registered providers in England can sponsor Health and Care Visa applicants.
- Increased the general salary threshold to £29,000 or £25,000 for occupations on national pay scales where applicable.
- For Health and Care Visa occupations (including care workers and senior care workers) on the Immigration Salary List (ISL), the salary threshold is set at either £25,000 or the occupation-specific threshold, whichever is higher.
- The Immigration Health Surcharge does not apply.
- 70 points are required.
You can read our latest guidance and illustrative examples on how the immigration policy changes impact the NHS.
The visa includes a dedicated support service from UK Visas and Immigration which supports individuals and their family member applications, UKVINHSteam@homeoffice.gov.uk.
Eligibility
You as the employer, will first have to issue the overseas recruit with a defined out of country COS.
The overseas recruit must be able to demonstrate that they are:
- a qualified doctor, nurse or health professional
- have been offered an eligible health or social care job with an approved UK sponsor
- have a certificate of sponsorship which includes information about the role offered
- meet the minimum salary threshold or going rate for the occupation. The salary threshold only includes guaranteed basic gross pay, and no other benefits such as overtime, bonus pay or golden hellos. High-Cost Area Supplement (HCAS) can be included as long as it is considered as basic gross pay for tax and pension purposes and is in line with resident workers.
- Deductions from a sponsored worker’s salary for business costs, immigration costs or business investment will need to be considered when determining salary thresholds.
- meet the necessary English language requirements.
50 of the required points are fixed and 20 are tradeable. This table outlines the characteristics and points.
| Characteristics | Fixed/tradeable | Points |
| Job offer by approved sponsor | Fixed | 20 |
| Job at the appropriate skill level (RQF 3 and above) | Fixed | 20 |
| English at the required level | Fixed | 10 |
| Salary criteria - one can be chosen from the following: | ||
Salary of at least £25,000 - applies to: eligible health and care role on national pay scale eligible health and care role on the ISL | Tradeable | 20 |
Salary of at least £26,100 - applies to: relevant PhD | Tradeable | 20 |
| Salary of at least £29,000 for all other roles | Tradeable | 20 |
| Other Criteria - one can be chosen from the following: | ||
| Education qualification: PhD in subject relevant to the job and has a salary of £26,100 or above | Tradeable | 20 |
| Education qualification: PhD in a STEM subject relevant to the job and a salary of £25,000 or above | Tradeable | 20 |
*The salary of a new entrant will depend on their occupation code, qualification level, age, and other factors. New entrants on a health occupation code based on the national pay scale will need to meet the requirement of £25,000.
Application timescales
A Health and Care Visa can be applied for up to three months before an individual is due to work in the UK. Applications are fast-tracked and if successful, decided within three weeks. Faster decisions can be processed if an individual chooses to attend an appointment either in or outside of the UK.
The Home Office fast-tracked priority visa services is available for those on the Skilled worker, Health and Care worker, and Student Visa routes. This can be done via the UK immigration: ID Check app or a face-to-face appointment.
Cost and maintenance requirements
The cost of a health and care visa is the same when applying from in or outside of the UK:
| Visa - up to three-years | £304 |
| Visa - three years or more | £590 |
Individuals should also have £1,270 in their bank account (for at least 28 days prior to application) to demonstrate they can support themselves when in the UK, unless you are content to support them during the initial period. If so, you need to detail this on the certificate of sponsorship within the additional data section and select sponsor certifies maintenance.
Length of stay in the UK and securing permanent residency
Individuals who successfully secure a health and care visa can live and work in the UK for up to five years and can extend their visa if they continue to meet eligibility requirements with the same employer. Individuals may also qualify for indefinite leave to remain after five years if they continue to meet eligibility requirements for example, job offer, salary and can demonstrate continuous residence (not having been out of the UK for more than 180 days in any 12-month period). Some concessions have been made in the Immigration Rules which enables time with permission in any other route while waiting for a decision on their skilled worker application to count towards the five years needed to be eligible for Indefinite Leave to Remain.
