Health and Care Worker Visas

The Home Office operates a two-tier cost system depending on the size of the business.

The cost of obtaining a sponsor licence is £536 for small businesses/charities and £1,476 for all other organisations.  You are usually a small sponsor if at least 2 of the following apply:

• Your annual turnover is £10.2 million or less
• Your total assets are worth £5.1 million or less
• You have 50 employees or fewer.

The fee of £536/£1,476 is a one-off cost for your sponsor licence, which lasts four years.  You need to renew your licence every four years for a further four-year period and the renewal cost is the same fee as the initial application, £536/£1,476.

Once the licence is in place, you can start to recruit international staff who then apply for their own individual Skilled Worker visa and potentially the Health and Care Worker visa, subject to the requirements being met.  For your prospective employee to make their own visa application, you will need to assign them a Certificate of Sponsorship, which costs £199 per Certificate.

You will also have to pay the Immigration Skills Charge when you assign the Certificate of Sponsorship to a prospective new hire.  For small or charitable sponsors, this costs £364 for the first year and £182 for each additional six months. For medium or large businesses, the charge is £1,000 for the first year and £500 for every six months after that. You may be exempt from paying the Immigration Skills Charge but this will be subject to the employee’s circumstances, for example, if your employee is switching from a student visa, this visa application is exempt from the Immigration Skills Charge

You cannot pass the costs of the Immigration Skills Charge and the Certificate of Sponsorship to the prospective employee.

The table below highlights the costs of sponsoring an individual for five years. We have chosen five years as after five years on the skilled worker route, the individual can apply for permanent residency, and no longer requires sponsorship.

Once you have your sponsor licence, it will be valid for four years; you can renew your licence for a further four year period prior to its expiry. You will require people in your business to take responsibility for managing your sponsor licence and ensuring your organisation complies with its sponsor licence duties.  This ongoing management is important, as your licence may be downgraded, suspended or withdrawn if your business does not comply with its duties and responsibilities as a sponsor licence holder.  If your licence was revoked, your international sponsored workforce would lose their right to live and work in the UK and would be required either to leave the UK or find a new sponsored employer.

While employee sponsorship may seem daunting if you have not applied before, it can be a relatively straightforward process. Our experienced Immigration Law team can guide you through it all, advising on employer responsibilities, the sponsorship licence requirements and process, and ongoing licence compliance. You can find out more details on our dedicated Sponsor licence page.

As a sponsoring employer, you will need to assign a Certificate of Sponsorship to each individual you are sponsoring. This is an electronic, rather than physical, record and you apply for it through your online Sponsorship Management System.  Each certificate has its own number, and the sponsored individual uses that number to apply for their Skilled Worker visa or Health and Care Worker visa.

It is important to remember that sponsoring someone does not guarantee that they will be able to get a UK visa.  There are additional requirements that the individual must satisfy.  For example, they must meet an English language requirement, which in most cases means that they must set a prescribed English Language test.    Our Immigration experts can advise you on the application requirements and any potential issues so that applicants have the best chance of success and so that you only assign a Certificate of Sponsorship to candidates who have good chances of visa success.

Being a sponsor licence holder, you have certain responsibilities. These include:

• Checking that all of your sponsored employees have the necessary skills, qualifications or professional accreditations to carry out their roles and keeping copies of documents that prove this
• Assigning Certificates of Sponsorship to workers only if the job is suitable for sponsorship
• Ensuring the UK Visas and Immigration (UKVI) is informed if any of your sponsored workers are not complying with the conditions of their visaCarrying out correct Right to Work checks for all employees

An integral part of our service is providing you with tailored training to ensure that the people in your organisation, who are responsible for the sponsor licence, are fully trained and understand how to carry out their sponsor licence duties.

You can apply for a sponsor licence whatever the size of your care business, as long as you meet the eligibility requirements and have the right HR systems and processes in place to monitor sponsored employees.

Your business may be ineligible if you have unspent criminal convictions for crimes such as immigration offences, or you have had a sponsor licence revoked within the last year.  We can advise you on any eligibility issues and help you through the whole sponsorship process.

You can sponsor an employee for up to five years on a single visa.  In that time, if the sponsored worker wants to change from the role listed on their certificate of sponsorship or employer in that time, they will have to apply for a new visa.  In what is a high-turnover sector, having loyal staff who are disinclined to leave, given that this would involve a visa application, can be beneficial for business stability.

After five years, the sponsored employee and any of their dependants will be able to apply for settlement in the UK, subject to the visa requirements being met.

As care workers are currently on the Skilled Worker Shortage Occupation List, the salary threshold for their recruitment is just £20,480 per annum, which is lower than the general salary threshold under the Skilled Worker route.

The salary threshold for eligible roles within the care sector can be dynamic and fast changing and we would recommend obtaining specialist immigration advice before issuing an offer of employment to any new sponsored employee.  At Thorntons Law LLP, our Immigration experts can advise you to ensure you and your employee are fully compliant with the salary requirements for this process.

The Home Office can visit your organisation to check you are complying with your licence obligations, and with immigration rules and regulations.  You would normally get notice of the visit, but they can also do a surprise visit.  A Home Office visit may highlight areas you need to address or it may uncover major issues, which could mean the downgrading or revocation of your sponsor licence.

Our Immigration team can carry out a compliance audit for you to make sure you are complying with your sponsorship obligations and regulations ahead of any Home Office visit.  We will highlight any problem areas to you and advise you on any improvements needed to ensure immigration compliance.  We can also help you resolve any issues highlighted in a Home Office visit to help you keep your sponsor licence.

We can provide bespoke training for your organisation on ongoing sponsorship management and immigration regulation compliance to help your staff understand and effectively handle your organisation’s responsibilities as a sponsor.  Contact our team for more information.