Skilled Worker Visa or Health and Care Visa? A Complete Guide


1. Overview of the Skilled Worker Visa and Health and Care Visa

Both the Skilled Worker Visa and the Health and Care Visa are part of the UK’s points-based immigration system, designed to fill skilled roles in the UK. The Skilled Worker Visa is broad and covers various professions across multiple industries, while the Health and Care Visa is specifically for professionals in healthcare sectors.


2. What is the Skilled Worker Visa?

The Skilled Worker Visa is a general work visa that allows foreign nationals to work in the UK in eligible skilled positions. It is open to various industries, including IT, finance, engineering, and more. To qualify, applicants need a job offer from a UK employer with a Certificate of Sponsorship (CoS) and must meet specific English language and salary requirements.

Key Features

  • Open to All Skilled Professions: Broad eligibility, covering multiple industries.
  • Salary Requirement: Generally, a minimum of £26,200 per year or the “going rate” for the position, whichever is higher.
  • Validity: Up to 5 years, with the option to extend or apply for permanent residency (ILR) after 5 years.
  • Dependents: Allowed, and dependents can work or study in the UK.

3. What is the Health and Care Visa?

The Health and Care Visa is a specific type of Skilled Worker Visa targeted at healthcare professionals, including doctors, nurses, social care workers, and allied health professionals. It is designed to help the NHS, NHS suppliers, and adult social care providers recruit qualified staff.

Key Features

  • Targeted at Healthcare Roles: Only for eligible healthcare positions.
  • Lower Salary Threshold: Minimum salary requirement starts at £20,960 or the role’s going rate, whichever is higher.
  • Immigration Health Surcharge (IHS) Exemption: Applicants and their dependents are exempt from paying the IHS, saving hundreds of pounds annually.
  • Faster Processing and Reduced Fees: Expedited processing and lower visa fees compared to the general Skilled Worker Visa.
  • Dependents Allowed: Dependents can join, work, and study in the UK.

4. Key Differences Between Skilled Worker Visa and Health and Care Visa

FactorSkilled Worker VisaHealth and Care Visa
Eligible ProfessionsVarious industries, including IT, engineeringHealthcare professions (e.g., doctors, nurses)
Minimum Salary£26,200 or going rate£20,960 or going rate
Immigration Health SurchargeMust be paid (£624/year)Exempt (no IHS fee)
Application FeesHigher than Health and Care VisaReduced for healthcare roles
Processing TimeStandard processingFaster processing times
Primary PurposeFilling skilled positions across industriesAddressing NHS and healthcare staff shortages

5. Eligibility Requirements for Each Visa

Skilled Worker Visa Requirements

  1. Job Offer: From a UK-licensed sponsor in an eligible role.
  2. Certificate of Sponsorship (CoS): Provided by the employer.
  3. Salary Requirement: Minimum £26,200 or the role’s going rate.
  4. English Proficiency: Required to at least CEFR level B1 (intermediate).
  5. Financial Proof: Proof of maintenance funds if required.

Health and Care Visa Requirements

  1. Healthcare Job Offer: Must have a job offer from the NHS, NHS supplier, or adult social care provider.
  2. Certificate of Sponsorship (CoS): From the healthcare sponsor.
  3. Salary Requirement: Minimum £20,960 or the going rate for the role.
  4. English Proficiency: Required, with a minimum B1 level.
  5. Job Role Eligibility: Limited to specific healthcare roles, such as doctors, nurses, social workers, and related professions.

6. Fees and Exemptions

Application Fees

  • Skilled Worker Visa: The standard visa fee ranges from £625 to £1,423, depending on the duration and role.
  • Health and Care Visa: Significantly reduced fees compared to the Skilled Worker Visa, with no Immigration Health Surcharge (IHS).

Immigration Health Surcharge (IHS)

  • Skilled Worker Visa: Applicants must pay £624 per year for the IHS, which covers access to the NHS.
  • Health and Care Visa: Exempt from IHS, meaning applicants and their dependents save on this fee.

7. Application Process for Both Visas

Step 1: Receive Job Offer and Certificate of Sponsorship (CoS)

Secure a job offer from a licensed UK sponsor (employer) and obtain a CoS specific to your role.

Step 2: Complete the Online Application

Fill out the online visa application form, selecting the appropriate visa type.

Step 3: Pay Visa Fees

Pay the visa fees as required. Health and Care Visa applicants will automatically be exempted from the IHS during the application.

Step 4: Attend a Biometric Appointment

Schedule an appointment to submit biometrics at a Visa Application Centre, including fingerprints and a photograph.

Step 5: Await Decision

Standard processing is typically 3 weeks for both visas, but Health and Care Visa applications are often processed faster.


8. Benefits of Each Visa Type

Benefits of the Skilled Worker Visa

  • Broad Access to Skilled Professions: Applies to various sectors, offering more flexibility in career options.
  • Pathway to Permanent Residency: After 5 years, holders can apply for ILR, leading to citizenship.
  • Dependent Benefits: Spouses and children can join the visa holder and have the right to work or study in the UK.

Benefits of the Health and Care Visa

  • Faster Processing and Reduced Fees: Saves time and cost for healthcare workers.
  • IHS Exemption: Eliminates the need to pay the Immigration Health Surcharge, saving on healthcare costs.
  • Supports Healthcare Careers: Designed to meet the high demand in healthcare roles, providing reliable job stability.

9. Frequently Asked Questions

  1. Can I switch from a Health and Care Visa to a Skilled Worker Visa?
    Yes, you may switch visas if you meet the eligibility requirements of the new visa category.
  2. Are dependents of Health and Care Visa holders exempt from the IHS?
    Yes, dependents of Health and Care Visa holders are also exempt from paying the IHS.
  3. Is there a language requirement for both visas?
    Yes, both visas require proof of English proficiency at a minimum B1 level.
  4. Can a Skilled Worker Visa holder apply for a Health and Care Visa?
    Yes, if they find eligible employment within the healthcare sector that qualifies under the Health and Care Visa.
  5. Which visa is better for career growth in healthcare?
    The Health and Care Visa is more beneficial for healthcare professionals due to the IHS exemption, lower fees, and faster processing.

10. Conclusion

While both the Skilled Worker Visa and Health and Care Visa allow skilled professionals to work in the UK, they serve different industries with distinct benefits. The Health and Care Visa is tailored for healthcare professionals with cost-saving benefits and faster processing, whereas the Skilled Worker Visa is broader, covering various sectors. By understanding the requirements and benefits of each visa, applicants can choose the best fit for their professional goals and personal circumstances.