The Health and Care visa route is designed to be processed quicker by the Home Office than the standard route

Important: Important

HEE are not able to participate with the application process you make to the Home Office. However, we have provided some useful information below.

Immigration rules are subject to change and it is your responsibility to review all Home Office information when making your application

You are advised to regularly visit the Home Office website to check the latest guidance and rules.

Your current immigration status will decide of you are able to commence your new post while a decision is pending.

When you can start your new post
Curent visa status Starting new post
Curent visa status Tier 2/Skilled Worker visa sponsored by HEE (applying for an extension) Starting new post You will be able to start working in your new post while a decision is pending on your visa as long as you apply before your current visa expires
Curent visa status Tier 2/Skilled Worker visa but changing sponsors (change of employment) Starting new post You must have your new Skilled Worker visa before commencing your new post.
Curent visa status Tier 4/Student visa and you were granted leave after 6 April 2012 Starting new post You will be able to start working in your new post as soon as you have completed your Foundation Programme/Masters/Degree while a decision is pending on your Tier 2 /Skilled Worker visa. You must however apply for a Tier 2 /Skilled Worker visa before your Student visa (Previously Tier 4 visa) expires. You should have submitted an application prior to commencing your training post.
Curent visa status Any other visa status or if you hold no visa status in the UK Starting new post You must have your Skilled Worker visa before commencing your new post

Important: Important

Even if you have leave to remain on your current visa sponsored by HEE, you can only start in post on these visas if you have made an application to the Home Office for your new Skilled Worker visa. 

Employers/Trusts will complete an online check, Employer Checking Service (ECS), with the Home Office to confirm that you have made your application. This provides them with a statutory excuse to enable them to employ you while your application is being considered by the Home Office.

It is your responsibility to update your employer/Trust when your new visa has been received.

Processing times

The Home Office publish their service standard processing times and will depend on which application and route you have taken. The Health and Care visa route however is designed to be processed quicker than the standard route. You will need to refer to the Home Office website for standard processing times. Applications from outside of the UK may differ.

If your application is still within the Home Office service standard processing times then there is nothing further that can be done at this stage.

If your application has gone over the Home Office service standard processing times you can contact the Home Office directly to query this with them.

If your application is over the service standard processing times, you have contacted the Home Office and not been able to progress this further, you can contact the HEE National Overseas Sponsorship Team via email [email protected]. They will ascertain if they are able to intervene on your behalf.

If you have not received your Visa

If your application is still within the Home Office service standard processing times then there is nothing further that can be done at this stage.

If your application has gone over the Home Office service standard processing times you can contact the Home Office directly to query this with them.

If your application is over the service standard processing times, you have contacted the Home Office and not been able to progress this further, you can contact [email protected] and the HEE National Overseas Sponsorship Team will ascertain if they are able to intervene on your behalf. 

Successful application

Once you receive your Visa, you will need to ensure that all the details are correct.

If you find a problem with your Visa when it arrives you must report it within 10 days of receipt, otherwise you may have to apply and pay for a replacement. You can report problems with your Visa on the Home Office website.

Once you have your correct Visa, you should upload a copy of this to the Overseas Sponsorship Portal as soon as this has been received. You will also need to provide the original copy to your employer.

As part of our Sponsor duties, the HEE National Overseas Sponsorship Team who issue your CoS will request a copy of your Visa once you have made your Skilled Worker application. Local HEE Offices (previously known as Deaneries) may also ask for a copy of your Visa for their records. The Trusts/Employers that you will be going to work for will also request to see the originals and want copies of these to meet right to work requirements.

Non-urgent advice: Dates on your Visa

The end date on your Visa may say 31 December 2024, although it was requested for longer.

This is correct, and you do not need to do anything at this time. The Home Office have informed HEE that the reason for the leave being capped at 31 December 2024 is due to existing EU regulations around the maximum amount of time that Visa cards can be issued.

This has no impact on your leave, and any leave approved beyond 2024 will remain valid and applicable. At some point closer to the time information will be provided by the Home Office on obtaining a replacement Visa to cover the full period of leave beyond 2024.

Application refused

If your application to the Home Office is refused, you may be able to re-apply.

You will be aware that you have not needed to pay for the original Certificate of Sponsorship (CoS) issued to you. However, if you make an error on your Skilled Worker application resulting in the Home Office refusing your application and a second CoS is needed, you will need to reimburse HEE for the cost of this second CoS before it is issued to you. You will need to contact the HEE National Overseas Sponsorship Team via email [email protected] with your refusal letter. Details will be sent to you of how to make the £199 payment for a replacement CoS.

If you lose your Visa

If you lose your Visa, you will need to report it as lost as soon as possible on the UKVI website.

If your Visa is stolen

If your Visa is stolen, you will need to report it as stolen as soon as possible on the UKVI website.

Page last reviewed: 29 March 2023
Next review due: 29 March 2024