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UKU — United Kingdom Uncovered

Sponsoring Workers

Health and Care Worker sponsorship

Health and care employers sponsor in a sector where the Home Office pays particularly close attention to whether roles are genuine and workers are properly employed.

Sponsorship in this sector needs careful attention to the role, the evidence behind it and the organisation's compliance position.

Who this is for

  • care providers recruiting from overseas
  • healthcare organisations sponsoring clinical staff
  • employers unsure whether a role qualifies under this route
  • providers preparing for scrutiny of their sponsorship arrangements

Key considerations

  • the employer and the role fall within the scope of the route
  • any sector registration or regulatory requirements are met
  • there is genuine, continuing work for the worker sponsored
  • the terms of employment match what has been certified
  • sponsor duties, including reporting, are met

In detail

Who the route is for

The Health and Care Worker route is a part of the Skilled Worker route for qualified professionals in eligible health and social care occupations, sponsored by an employer with the appropriate licence.

Eligibility depends on the occupation code and, for many roles, on the employer being an NHS body, an organisation providing services to the NHS, or a registered provider of care. Care sector sponsorship carries additional requirements and additional scrutiny.

Professional registration and qualifications

Where the role requires registration with a professional body, the application needs that registration or clear evidence of the position on registration. Overseas qualifications may need recognition, and timing between registration and the start date needs planning.

For clinical roles, the interaction between registration, English language requirements set by the regulator, and the immigration English requirement is a frequent source of delay.

Compliance in the care sector

Care providers have been the focus of sustained Home Office enforcement. Common findings include sponsored workers with insufficient hours, roles that do not match the certificate, and inadequate records of the recruitment need.

Where a provider's registration status, service volume or staffing model changes, the sponsorship position should be reviewed at the same time.

Evidence and information commonly required

  • regulatory registration for the organisation where relevant
  • professional registration or qualification evidence for the worker
  • contracts, rotas and evidence of continuing work
  • right to work and personnel records

What is actually needed depends on your circumstances. We confirm the list with you before anything is prepared.

How the process works

  1. Step 1

    Review the position

    We look at the organisation, the roles involved and what has already been done, so advice is based on the actual position rather than assumptions.

  2. Step 2

    Identify the requirements

    We set out what the Home Office will expect to see and where the evidence or the internal position needs work.

  3. Step 3

    Prepare the submission

    We help prepare the application, supporting documents and the internal record keeping that sits behind it.

  4. Step 4

    Deal with what follows

    We advise on requests for further information, compliance activity and any conditions attached to the outcome.

Issues that may need closer attention

  • workers recruited without sufficient continuing work available
  • roles that sit outside the scope of the route
  • sponsorship arrangements involving third parties
  • record keeping spread across multiple sites or systems

How UKU can help

  • assessing the position before anything is submitted
  • identifying issues that could affect the outcome
  • preparing the application and supporting evidence
  • advising on internal processes and record keeping
  • responding to Home Office queries or compliance activity
Discuss your situation

Common questions

Back to Sponsoring Workers

This page is general information about UK immigration and is not advice on your individual circumstances. Requirements, guidance and procedures change. Please obtain advice before relying on anything published here.

Tell us what you need help with

We will tell you how UKU can assist, and what the realistic options are.