If considering going Out of Programme Guidance (OOP) you should consider the implications this may have on your sponsorship as the requirements vary on the different categories of OOP

Out of Programme Training (OOPT)

An Out of Programme Training (OOPT) is a period of time where training is still provided by HEE and HEE will usually remain responsible for your day-to-day activities.

If your period of OOP is within the UK

Your sponsorship will not be affected and you will continue to be sponsored by HEE. You must complete the reporting form to be completed within 10 working days.

If your period of OOP is outside of the UK

Your sponsorship will not be affected and you will continue to be sponsored by HEE. You must complete the reporting form to be completed within 10 working days.

It is imperative that HEE can still meet strict reporting and monitoring duties if you are outside of the UK. It is also advised that if you are considering OOPT outside of the UK, you review the Indefinite Leave to Remain requirements should you wish to use this route in the future as there are restrictions on how long a Skilled Worker/Tier 2 sponsored individual can be outside of the UK.

Out of Programme Experience (OOPE)

An Out of Programme Experience (OOPE) is where you leave the training programme to gain relevant experience and, for most circumstances, is not sponsored by HEE.

If you are on the HEE Future Leaders Programme within the UK

HEE must be responsible for the your day to day activities and Standard Occupational Classification (SOC) code will remains 2211.

Your sponsorship will not be affected and you will continue to be sponsored by HEE. The reporting form to be completed within 10 working days.

If a UK Trust will be responsible for the your day to day activities and you are on a Skilled Worker/Tier 2 visa

HEE will need to cancel your sponsorship and the Trust will need to sponsor you. When you return to training with HEE, HEE will sponsor you again.

If a UK Trust will be responsible for the your day to day activities and you have another visa

HEE will need to cancel your sponsorship. When you return to training with HEE, HEE will sponsor you again.

Out of Programme Pause (OOPP)

Out of Programme Pause (OOPP) allows you to gain skills in other NHS work which may be able to count towards your training. 

If you undertake a OOPP a UK Trust will be responsible for your day-to-day activities. HEE will need to cancel your sponsorship and the Trust will need to sponsor you. When you return to HEE, HEE will sponsor you again.

Out of Programme Research (OOPR)

Out of Programme Research (OOPR) is a period of research. This could be studying for a Masters.

If your period of OOP is within the UK

HEE will need to cancel your sponsorship and the University will need to sponsor you. When you return to training with HEE, HEE will sponsor you again.

If your period of OOP is outside of the UK

HEE will need to cancel your sponsorship. When they return to training HEE, HEE will sponsor you again.

Out of Programme Career Break (OOPC)

Out of Programme Career Break (OOPC) is a period of time where you pursue other interests or take a break from training for a variety of reasons. 

If your period of OOP is within the UK

You will require another visa.

HEE will need to cancel your sponsorship. When you return to training with HEE, HEE will sponsor you again. Please see section below on ‘Returning to training after an OOP’.

If your period of OOP is outside of the UK

You will not need another visa.

HEE will need to cancel your sponsorship. When they return to training HEE, HEE will sponsor you again. Please see section below on ‘Returning to training after an OOP’.

Reporting OOP to the United Kingdom Visas and Immigration (UKVI)

Where an OOP has been agreed and the above has been followed, it is critical that this information is sent to the HEE Overseas Sponsorship Team so that this can be reported to the UKVI. You must ensure that the Reporting Form has been completed within 5 working days of the change so that the Overseas Sponsorship Team can notify the UKVI.

Returning to training after an OOP

When you return to training, HEE will be able to provide you with a Certificate of Sponsorship (without the requirement for recruitment and so forth) so that you can apply for a further Skilled Worker visa. We advise you to contact the Overseas Sponsorship Team on [email protected] approximately 3 to 4 months before you are due to return to training. 

You will need a new Certificate of Sponsorship (CoS) and your new Skilled Worker Visa fully granted before you can return to training. If you have left the UK for your period of OOP it is likely you may need to apply for your new CoS from outside of the UK. If you are unsure, please contact the Overseas Sponsorship Team for further advice. 

Page last reviewed: 25 January 2024
Next review due: 2 January 2025