Key Points for Decision-Makers:
- What it is: Fast-tracked visa route for qualified healthcare professionals to work in UK NHS and adult social care
- Who qualifies: Registered nurses, doctors, midwives, pharmacists, paramedics, and allied health professionals with UK regulatory registration
- Major advantage: Lower salary threshold of £25,000 (vs £41,700 for Skilled Worker Visa) + NO Immigration Health Surcharge
- Cost savings: £3,000+ per 3-year visa period compared to Skilled Worker route
- Processing speed: Typically 3 weeks vs 8 weeks for other routes
- Critical deadline passed: Care worker sponsorships CLOSED July 22, 2025 – no new care worker hires allowed
- Current impact: NHS can hire senior nurses, doctors, and midwives; care workers must use alternative pathways
- Dependants: Family members can join (subject to eligibility criteria)
- Settlement: Available after 5 years continuous residence
WHAT IS THE HEALTH AND CARE WORKER VISA?
The Health and Care Worker Visa is a specialized immigration pathway created to address critical workforce shortages in the UK's health and adult social care sectors. It represents a government priority to attract and retain qualified healthcare professionals, particularly from overseas.
This visa sits within the Skilled Worker route framework but operates with significantly relaxed financial thresholds, expedited processing, and beneficial exemptions. It's specifically designed for the NHS, NHS-approved suppliers, and registered adult social care employers seeking to recruit international talent.
Official UK Government Source: www.gov.uk/health-care-worker-visa
HOW DOES THE HEALTH & CARE VISA DIFFER FROM STANDARD SKILLED WORKER VISA?
CURRENT SITUATION WITH CARE WORKERS AFTER JULY 2025
Understanding the Care Worker Sponsorship Closure
From July 22, 2025, the UK government implemented a significant policy change affecting the entire adult social care sector.
What changed:
- Care workers and senior care workers can NO LONGER be sponsored under any visa route for new positions
- Existing care workers can continue their visas and apply for extensions until July 22, 2028
- In-country switches remain possible until July 2028 (for individuals already in the UK on another visa)
- No dependants can be brought for NEW care worker applications from July 22, 2025 onwards
Why This Matters for Your Recruitment Strategy
Care worker roles are now completely closed to new overseas recruitment. This represents a fundamental shift for:
- Private care home operators
- Adult social care providers
- Domiciliary care agencies
- Residential care facilities
WHICH HEALTHCARE PROFESSIONS ARE ELIGIBLE FOR THE HEALTH & CARE VISA?
PRIORITY TIER - Highest Priority Healthcare Roles
NOT ELIGIBLE
- Care workers (standard/senior care worker roles)
- Social workers (unless they hold other qualifying healthcare qualifications)
- Health and wellbeing coordinators
- Support workers without formal healthcare registration
- Administrative-only healthcare roles
WHAT ARE THE SALARY REQUIREMENTS FOR THE HEALTH & CARE VISA?
Salary Threshold Breakdown
The Health and Care Worker Visa operates with job-specific salary thresholds rather than a blanket requirement.
Real Salary Examples for NHS Positions (2025)
Registered Nurse (Band 5): £27,735-£34,155 ✅ Meets requirement
Midwife (Band 5): £28,000-£35,000 ✅ Meets requirement
Senior Nurse Specialist (Band 6): £33,384-£41,787 ✅ Meets requirement
Doctor (Foundation Year): £34,850-£38,500 ✅ Meets requirement
Consultant Physician: £89,468+ ✅ Meets requirement
Pharmacist (Band 7): £45,839-£55,033 ✅ Meets requirement
WHAT ARE THE IMMIGRATION HEALTH SURCHARGE SAVINGS?
The Major Financial Advantage
One of the most significant benefits of the Health & Care Visa is the complete exemption from the Immigration Health Surcharge (IHS) – a substantial cost advantage not available on other visa routes.
Cost Comparison Over Common Visa Periods
WHAT IS THE APPLICATION FEE STRUCTURE?
Complete Pricing Breakdown
Health and Care Visa application fees are significantly lower than Skilled Worker route alternatives.
No Immigration Health Surcharge applies to any applicant or dependant.
WHAT IS THE PROCESSING TIMELINE FOR THE HEALTH & CARE VISA? ( service page)
Standard Processing Speed
The Health and Care Worker Visa benefits from expedited processing compared to general Skilled Worker routes.
WHAT ARE THE DEPENDANT RIGHTS AND FAMILY REUNIFICATION RULES?
Who Can Come as Your Dependant?
Eligible dependants:
- Spouse or civil partner
- Children (unmarried, under 18, or dependent adult children)
- Dependent elderly parents (in exceptional circumstances)
Salary Requirements for Dependants
HOW DOES SETTLEMENT (INDEFINITE LEAVE TO REMAIN) WORK?
Can You Stay Permanently in the UK?
Yes. After holding a Health and Care Worker Visa for a continuous 5 years, you become eligible to apply for Indefinite Leave to Remain (ILR), which grants permanent settlement.
ILR Eligibility Requirements
Timeline to British Citizenship
After securing ILR, you can apply for British citizenship after an additional 12 months.
Total pathway to citizenship:
• 5 years: Health & Care Visa holding
• +1 year: ILR holding
• 6 years total from initial visa approval to potential citizenship
Case Study Scenario: London NHS Trust Recruitment
- Organization: Metropolitan Hospital Trust (NHS Foundation)
- Requirement: Hire 1 Senior Nurse Specialist (Band 6)
- Candidate: Maria Rodriguez, Registered Nurse from Philippines
- Experience: 8 years nursing, current NMC registration
Recruitment Option 1: Health & Care Worker Visa Route
Timeline to Hire: 14-16 weeks
Costs:
Recruitment Option 2: Skilled Worker Visa Route (for comparison)
Timeline to Hire: 20-22 weeks (40% longer)
Costs:
Financial Comparison: 5-Year Recruitment Cost
Health & Care Visa Cost: £790Skilled Worker Visa Cost: £6,675Total Savings: £5,885 per hire (88% savings)
KEY UK GOVERNMENT RESOURCES
QUICK REFERENCE AND KEY POINTS
Why Organizations Choose Health & Care Visa
- Saves £5,000-£15,000 per international hire compared to standard Skilled Worker visa
- 3-week processing vs 8 weeks – 40% faster hiring
- Lower salary barrier – £25,000 instead of £41,700 means NHS pay scales work
- Complete IHS exemption – £1,035+/year savings per employee
- Family support included – Partners and children can join without extra visa requirements
- Settlement pathway clear – 5 years to Indefinite Leave to Remain (permanent UK residency)
- Professional pool – Access to global nursing, medical, and allied health talent
Cost Advantages Summary
Single professional (3-year visa):
- Health & Care Visa: £304
- Skilled Worker Visa: £1,200 average
- Savings: £896
Bulk hiring (10 nurses, 5-year visas):
- Health & Care Visa: £5,900 total
- Skilled Worker Visa: £66,750 total
- Savings: £60,850
Critical Timeline to Employment
- Month 1: Job offer issued; Certificate of Sponsorship prepared
- Month 2: Online application; identity checks scheduled
- Month 3: Visa decision (3-week processing)
- Month 3-4: Visa vignette issued; travel arranged
- Month 4: Start employment in UK
- Total: 10-12 weeks from job offer to first day of work
Common Questions for Health and Care worker visa
Disclaimer
Immigration laws and policies change frequently and may vary by country or nationality. While we strive to provide accurate and up-to-date information, we recommend doing your own due diligence or consulting official sources. You’re also welcome to contact us directly for the latest guidance. Jobbatical is not responsible for decisions made based on the information provided.





