Tier 5

Hand gel

Tier 5 of the points-based system allows UK employers to recruit individuals from outside the European Economic Area (EEA) and Switzerland for up to 24 months under the temporary worker or youth mobility categories.

The employer is not the sponsor for either Tier 5 (temporary workers) or Tier 5 (youth mobility). An NHS organisation that employs an individual who has Tier 5 status must check the individual has been issued with an appropriate visa to allow them to undertake that category of work. Employers must apply the NHS Employers Employment Check Standards and be compliant with the preventing illegal working legislation.

The aim of these two strands of the system is for individuals to extend their knowledge and skills by gaining experience in an NHS setting that they could not gain within their own country. There must be an overarching body managing the scheme ensuring compliance with the requirements.

This tier replaced a number of the old immigration routes and the following categories are generally used by NHS organisations.

Temporary workers

Medical Training Initiative (MTI)

The MTI scheme provides one possible entry route for overseas doctors/dentists wishing to work in the NHS. The scheme enables suitably qualified overseas postgraduate medical and dental specialists to undertake a fixed period of training in the UK.

The MTI scheme is administered by the following bodies:

Details of the operation of the Medical Training Initiative can be found on our dedicated pages.

The temporary worker category of Tier 5 does not include short-term skilled worker posts such as locums, these fall within Tier 2 of the system.

Youth mobility

Working holidaymaker scheme

Working holidaymaker/youth mobility visas will be issued to the individual through the migrant's home government agreeing to sponsor the individual.

Switching from Tier 5

Switching from Tier 5 into other tiers is not permitted and the temporary nature of this tier means that there is no route to settlement from either of the sub-categories of the tier.

Why Register?

Great reasons to register with NHS Employers

  • A personalised website
    Manage your profile and select topics of interest to you
  • Access your dashboard
    Bookmark useful content to help you quickly find what you're looking for
  • Get involved
    Contribute to our Talking Points discussions, comment on and rate our webpages
  • Keep up to date
    Receive the latest newsletters and media summaries

Log In