Health and Care Worker Visa
The UK Health and Care Worker Visa allows eligible medical, healthcare and certain social care professionals to work in the UK for an approved employer. It is a specialist category within the Skilled Worker route and offers eligible applicants reduced visa fees and exemption from the Immigration Health Surcharge.
Hudson McKenzie advises healthcare professionals, health and care sector employers and international organisations on Health and Care Worker Visa applications, sponsorship requirements, Certificates of Sponsorship, salary requirements and related UK immigration matters.
The Health and Care Worker Visa is designed for eligible doctors, nurses, health professionals and qualifying adult social care professionals taking up sponsored employment in the UK.
Applicants must have an eligible role, work for an approved health or care sector sponsor, receive the required salary and satisfy the applicable English language and other Skilled Worker requirements. The correct occupation code is particularly important because it can affect eligibility, salary requirements and, in some cases, whether family members can accompany the worker.
The rules applying to health and social care recruitment have changed significantly in recent years. In particular, new overseas applications for care workers and senior care workers closed from 22 July 2025, although defined transitional arrangements remain available for certain workers already in the UK.
Hudson McKenzie can advise both employers and workers on whether the proposed role qualifies, the appropriate sponsorship arrangements and the immigration requirements that apply to the individual application.
Health and Care Worker Visa Requirements
Who Can Apply and Which Healthcare Roles Are Eligible?
An applicant will generally need a qualifying health or care sector job, a confirmed offer from an approved UK sponsor, a valid Certificate of Sponsorship, the required salary and the relevant level of English language ability.
Eligible roles include a wide range of medical and healthcare occupations such as doctors, nurses, physiotherapists, occupational therapists, pharmacists, radiographers, paramedics, social workers and other specified healthcare professionals. Eligibility is determined using the relevant occupation code, and the duties of the proposed role should correspond with that code.
Care workers and senior care workers
The position for care workers and senior care workers is more restrictive. From 22 July 2025, employers can no longer sponsor new care workers or senior care workers who are applying from outside the UK.
Transitional arrangements remain available for certain in-country applications. Current sponsor guidance allows some care workers and senior care workers already legally working in the UK to be sponsored where the detailed transitional requirements are satisfied. In England, employers sponsoring workers under the relevant care worker occupation codes must also be registered with the Care Quality Commission where required.
Employers and workers should therefore check the current rules carefully before relying on the Health and Care Worker route for an adult social care role.
Sponsor Licence, Certificate of Sponsorship and Salary Requirements
A Health and Care Worker applicant must normally have a job offer from an eligible employer that has been approved by the Home Office to sponsor workers.
The employer must assign a valid Certificate of Sponsorship (CoS) containing information about the role, occupation code, salary and proposed employment. The worker must normally apply for their visa within three months of receiving the Certificate of Sponsorship.
Where an employer does not already hold the appropriate permission to sponsor workers, Hudson McKenzie can advise on obtaining and managing a UK Sponsor Licence.
Salary requirements
There is not one salary figure that applies to every Health and Care Worker role.
GOV.UK currently states that applicants will usually need to be paid at least £25,000 or the applicable going rate, whichever is higher. However, the way the salary requirement is calculated depends on the occupation. Many eligible NHS healthcare roles are assessed using the relevant national pay scale.
A separate group of specified occupations — including certain healthcare managers, scientists, laboratory and pharmaceutical technicians, care workers and senior care workers — is subject to different salary rules. For these roles, the usual threshold is currently £31,300 or the applicable lower going rate, whichever is higher, with defined salary reductions available in certain circumstances.
The occupation code, working hours, job duties and applicant's circumstances should therefore all be considered before sponsorship is assigned.
English Language, Professional Registration and Application Documents
Health and Care Worker applicants must meet the applicable English language requirement unless an exemption applies.
For new applicants, the current requirement is generally English at B2 level in reading, writing, speaking and understanding. Different transitional requirements can apply to people who held the route before 8 January 2026 and are extending or updating their visa. Doctors, dentists, nurses and midwives who have already passed an English assessment accepted by their relevant professional regulator may also be able to rely on that assessment.
Many healthcare professions also require separate professional registration before the individual is permitted to practise. Depending on the profession, this may involve bodies such as the General Medical Council, Nursing and Midwifery Council or Health and Care Professions Council. Immigration permission and professional registration are separate requirements.
Applicants will normally need their Certificate of Sponsorship reference, evidence of English where required, a valid passport, details of their job and salary, their occupation code and their employer's Sponsor Licence information. Additional documents may be required depending on the applicant's circumstances.
Criminal record certificates
Many Health and Care Worker applicants applying from outside the UK are required to provide a criminal record certificate. Depending on the applicant's age and residence history, certificates may be required from countries where they have spent significant periods of time. Certain occupation codes are exempt from this requirement.
Dependants, Changing Employer and Settlement
Eligible Health and Care Worker Visa holders may be able to bring a partner and children to the UK as dependants, but the rules vary according to the worker's occupation and immigration history.
Specific restrictions apply to care workers and senior care workers. There are also restrictions affecting certain other jobs classified as medium-skilled, with transitional exceptions depending on when the worker began sponsored employment and their previous immigration permission.
A Health and Care Worker Visa is linked to the sponsored employment. A worker will normally need to update their visa where they move to a different employer or where their job changes to a different occupation code. A new Certificate of Sponsorship and a fresh assessment of the new role may therefore be required before the worker starts the new sponsored employment.
The route can also lead to settlement. A qualifying Health and Care Worker may be able to apply for Indefinite Leave to Remain after five years, provided the relevant residence, employment, salary and other settlement requirements are satisfied at the time of application.
Eligible applicants and qualifying dependants are exempt from paying the Immigration Health Surcharge. The current visa application fee is £324 for permission of up to three years and £628 for permission of more than three years.
How Hudson McKenzie Can Help
Hudson McKenzie's UK healthcare immigration lawyers advise healthcare professionals and employers on Health and Care Worker Visa applications and sponsorship matters.
For employers, we can advise on Sponsor Licence requirements, eligible healthcare roles, occupation codes, salary assessments, Certificates of Sponsorship and ongoing immigration compliance.
For individuals, we can advise on eligibility, application documents, English language requirements, dependants, changes of employer and longer-term settlement planning.
Because the Health and Care Worker Visa forms part of the wider Skilled Worker system, we can also advise where an alternative sponsored work route may be more appropriate.
For a broader overview of immigration options for employers and individuals, visit our United Kingdom immigration services page.
If you are a healthcare professional considering work in the UK, or an organisation seeking to sponsor an eligible overseas healthcare worker, speak to Hudson McKenzie for advice based on your circumstances.
Frequently Asked Questions About the Health and Care Worker Visa
The Health and Care Worker Visa is a specialist category within the Skilled Worker route for eligible medical, healthcare and qualifying social care professionals working for approved UK sponsors.
Eligible applicants benefit from reduced application fees and exemption from the Immigration Health Surcharge.
The Health and Care Worker route remains available in 2026, but new overseas applications for care workers and senior care workers closed on 22 July 2025.
Certain workers already in the UK may continue to qualify under transitional arrangements, subject to meeting the applicable requirements.
Eligible occupations include specified medical, nursing, therapy, pharmacy, healthcare science and social care roles.
Eligibility depends on the applicable occupation code, and some lower-skilled occupations are only available for extensions, updates or qualifying in-country applications under transitional arrangements.
Yes. Applicants generally need a qualifying job with an employer approved by the Home Office to sponsor workers and a valid Certificate of Sponsorship.
Where an employer does not yet have the necessary Sponsor Licence, it may need to obtain one before sponsoring the worker.
The salary requirement depends on the occupation.
Applicants will usually need at least £25,000 or the applicable going rate, while certain specified occupations are assessed under separate salary rules where £31,300 or the relevant lower going rate may apply. Many healthcare occupations paid according to national pay scales are assessed using the applicable pay scale.
Many applicants applying from outside the UK for Health and Care Worker roles must provide a criminal record certificate.
Depending on your age and where you have lived, you may need certificates covering countries in which you have spent 12 months or more. Some occupation codes are exempt, so the requirement should be checked for the specific role.
The current application fee is £324 for a visa of up to three years and £628 for a visa of more than three years.
Eligible Health and Care Worker Visa applicants and qualifying dependants are exempt from paying the Immigration Health Surcharge.
Eligible partners and children may be able to apply as dependants.
However, important restrictions apply to care workers, senior care workers and certain other medium-skilled occupations. Transitional exceptions may apply depending on the worker's immigration and employment history.
Yes, but where you change employer or move to a job with a different occupation code, you will normally need a new Certificate of Sponsorship and must apply to update your visa before starting the new sponsored role.
Yes. The route can lead to Indefinite Leave to Remain.
A qualifying applicant may be able to apply after five years in the UK, provided they meet the settlement requirements that apply at the time of application.

