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Health & Care Worker visa — what changed in 2025–2026

Updated: May 2026

In short

Health & Care Worker visa is a subcategory of Skilled Worker with benefits (£25,000–£31,300 minimum, exempt from IHS). From 22 July 2025 new applications for care worker and senior care worker from outside the UK are completely closed. People already in the UK on this visa can extend or switch inside the country until 22 July 2028 — but they need 3+ months on the sponsor's payroll. In 2025: 3,100 revocations — a record. Q1 2026: another 1,545.

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If your sponsor lost their licence

You have 60 days to find a new sponsor. According to Work Rights Centre, only 3.4% of displaced workers find new sponsorship in this window. Contact an IAA-registered consultant immediately: portal.immigrationadviceauthority.gov.uk

→ Find an immigration lawyer in our directory (filter: tribunal-capable, Russian-speaking)

£25,000
Minimum H&C (lower)
NHS Pay Scale / STEM PhD discount
£31,300
Normal H&C minimum
or lower going rate — whichever is higher
£0
IHS for H&C
main applicant + all dependants exempt
22 July 2028
End of transitional period
for care workers already in UK

What is the Health & Care Worker visa

The Health & Care Worker visa is a subcategory of the Skilled Worker visa with three key benefits compared to the normal Skilled Worker route:

  • Lower salary floor — £31,300 (standard) or £25,000 (NHS pay scale and some transitional cases) instead of £41,700
  • Exemption from IHS — the main applicant and all dependants do not pay the Immigration Health Surcharge (saving £3,105 for 3 years, £5,175 for 5 years for one adult)
  • Lower visa fee — £324 (≤3 years) / £628 (>3 years) vs £819 / £1,618 for standard SW

This route applies to: nurses, doctors, allied health professionals, paramedics, dentists, pharmacists, and (until 22 July 2025) care workers / senior care workers.

The sponsor must be: an NHS organisation, an NHS supplier, or a CQC-registered care provider (in England).

Timeline of key changes 2024–2026

11 March 2024
Ban on dependants for care worker — partners and children of care workers / senior care workers can no longer come as dependants on new visas.
March 2024
CQC registration required — sponsors for care worker / senior care worker in England must be registered with the Care Quality Commission.
March 2025
UK-first recruitment — care providers in England must prioritise recruiting workers already in the UK before hiring from overseas (Home Office announcement).
22 July 2025
Care worker (SOC 6135) and senior care worker (SOC 6136) completely closed for overseas applicants. Transitional period for people already in the UK — until 22 July 2028. H&C salary floor raised to £25,000 (from £23,200).
End of 2026 / start of 2027 (proposal)
Earned Settlement reform — the government proposed increasing the time to ILR from 5 to 10 years. As of May 2026 — proposals only, not law. Indicative window: April–autumn 2026.

Current salary requirements

CategoryMinimum
Standard H&C (normal)£31,300 OR lower going rate (whichever is higher)
NHS Pay Scale (lower)£25,000
STEM PhD discount£25,000 (70–90% of going rate, not less)

Health & Care visa exempt from Immigration Health Surcharge (£1,035/year for an adult). Saving: £3,105 for 3 years or £5,175 for 5 years for one person (not counting dependants).

Transitional period until 22 July 2028

This information is for reference only. For your individual situation, contact an IAA-registered consultant.

Who is eligible under the transitional period: a care worker already in the UK on a Skilled Worker / Health & Care visa lawfully and employed by a licensed sponsor.

3-month payroll rule (mandatory): to switch to a new sponsor as a care worker inside the UK, you must legally work for the current sponsoring employer for at least 3 months before the new CoS is issued. This rule applies within the transitional period until 22 July 2028.
  • The new sponsor must have CQC registration for the role in England.
  • Dependants are not allowed on new applications for care worker / senior care worker (rule from March 2024).
  • These rules may change — this page is published for information, not for personal action.

Scale of revocations — current data

2025: 3,100 revocations — a record for one year. Q1 2026: another 1,545 in one quarter. Source: Home Office quarterly sponsorship statistics 2025

For context: the historical 470+ revocations figure (Jul 2022–Dec 2024) covers an earlier period. The current scale is significantly higher.

If your sponsor lost their licence — factual information

  • The Home Office sends a curtailment notice — you have 60 days to find a new sponsor.
  • A care provider with a revoked licence cannot issue new CoS, but your existing visa remains valid until the curtailment period ends.
  • DHSC funding: £16M was allocated in 2024/25. In 2025/26 reduced to £12.5M through 15 regional partnerships.
  • Work Rights Centre (2025): ~43,000 workers impacted as of April 2025, ~16,000 still without work. Only 3.4% found a new sponsor in the 60-day window. Home Office projects ~28,000 fewer new joiners per year after 22 July 2028 — this is a projection, not a current figure.
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Contact an IAA-registered consultant immediately

Find a regulated consultant: portal.immigrationadviceauthority.gov.uk

Hotspot regions — where revocations were widespread

According to investigations in 2024–2025, the revocation rate in these regions was 86%+ higher than the national average:

EssexEssex
NorthamptonshireNorthamptonshire
East SussexEast Sussex
South YorkshireSouth Yorkshire

If someone offers you a care position in these regions in 2024–2026 — check the sponsor carefully: how to check a sponsor →

Where to report exploitation

Modern Slavery Helpline08000 121 700 (24 hours, free)
Fair Work Agency (FWA)gov.uk/fair-work-agency — labour exploitation, PAYE violations
IAA — Immigration Advice Authorityportal.immigrationadviceauthority.gov.uk — complaints about unregulated consultants
Report a sponsor violationgov.uk/report-immigration-crime