Skilled Worker (Tier 2)

Sponsorship

Frequently Asked Questions

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 *** Please note the HEE Overseas Sponsorship Team are
not qualified immigration advisors and cannot offer
immigration advice ***
These FAQs are to assist trainees in their application process for Sponsorship with
HEE. In addition, information has been included that you may need to know
regarding the Home Office regulations and where to find further information from the
Home Office.

Table of Contents
Certificate of Sponsorship (CoS) Application process ......................................... 5
Q. Who are all the different Teams who will be involved in my Sponsorship? ........ 5
Q. I have already renewed or obtained my visa which is valid, will I need to apply
for another visa? ..................................................................................................... 5
Q. I have a valid CoS with another employer, will this have an impact? ................. 6
Q. What if I do not use my CoS before the expiry date? ......................................... 6
Q. Will HEE assist with the cost of my CoS and Skilled Worker visa? .................... 6
Q. How do I request a CoS from HEE? ................................................................... 6
Q. What information do I need to supply as part of my application? ....................... 6
Q. Can I apply for my CoS if my current passport is due to expire?........................ 7
Q. How long should I request a CoS for? ................................................................ 7
Q. I would like to work Less Than Full Time (LTFT), is this possible on a Tier 2
/Skilled Worker visa? .............................................................................................. 7
Q. I would like to work Less Than Full Time (LTFT) and will be extending my visa
with HEE, is this possible? ...................................................................................... 8
Q. If my LTFT application is successful, what should I do? .................................... 8
Q. I am currently pregnant and will be on maternity leave when I am due to
commence my training. Can I still start my post? ................................................... 8
Q. After I’ve received my CoS what should I do? .................................................... 8
Q. My job title on the CoS states ‘Speciality Registrar’ but I don’t believe I am a
Speciality Registrar? ............................................................................................... 9
Q. The CoS you have issued states that my salary will be less than I expected.
Does this matter? .................................................................................................... 9
Q. Why does my CoS start date not the same date I start my extension
placement? ............................................................................................................. 9
Q. What if I have already applied for my CoS and now have a new passport. How
do update my new passport details on there?....................................................... 10
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 Q. What should I do if I notice something is wrong on the CoS that HEE have
provided me? ........................................................................................................ 10
Q. I’ve received my updated CoS but the error is still on the CoS, what should I
do? ........................................................................................................................ 10
Q. Will the Sponsor note that has been added to my CoS affect my Visa
Application? .......................................................................................................... 10
Q. Do I have to apply for a CoS from Health Education England AND then apply
for a Skilled Worker Visa? ..................................................................................... 10
Q. What should I do if I decide I no longer want/need a Skilled Worker CoS? ...... 11
Q. I need an extension of my current HEE sponsorship. What should I do? ......... 11
Q. What updates will I expect to receive from HEE Overseas Sponsorship Team
during the application process? ............................................................................ 11
Q. Will HEE be able to track the progress of my Visa application once I have
submitted it?.......................................................................................................... 11
Q. How long will it take for me to receive my CoS? .............................................. 11
Q. If I have travel arrangements can I request my CoS to be issued earlier? ....... 12
Making an application to the Home Office ........................................................... 13
Q. When making my application to the Home Office, should I apply under the
Health and Care visa route? ................................................................................. 13
Q. Will I have to pay less application fee for Health and Care visa? ..................... 13
Q. Do I have to pay the ‘Immigration Health Surcharge’ (IHS)? ............................ 13
Q. How do I request a refund for my Immigration Health Surcharge (IHS) as I have
overpaid this.......................................................................................................... 14
Q. When making my application to the Home Office, should I apply under the
Shortage Occupation List? .................................................................................... 14
Q. Where can I find more information about making my application to the Home
Office? .................................................................................................................. 14
Q. What is HEE’s sponsor rating? ......................................................................... 14
Q. What is HEE Sponsor number? ....................................................................... 14
Q. Is HEE a limited company? .............................................................................. 14
Q. Do HEE offer maintenance funding? ................................................................ 14
Q. Do I have to provide evidence of my criminal records? .................................... 15
Q. Do I require a Criminal Records check if I already have a Tier 2/Skilled Worker
visa? ..................................................................................................................... 15
Q. Can I have my CoS issued until the end of my Period of Grace? ..................... 15
After making an application to the Home Office ................................................. 16
Q. How long will it take for me to receive an outcome on my application? ............ 16
Q. I have not received by BRP what should I do? ................................................. 16
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 Q. Can I start my new post while a decision is pending with the Home Office? .... 16
Q. Can I start my new post if I have not yet made an application with the Home
Office? .................................................................................................................. 17
Q. My application to the Home Office has been refused and I would like to re-
apply, what should I do? ....................................................................................... 18
Q. What should I do once I receive my new Biometric Resident Permit (BRP)? ... 18
Q. The end date on my BRP is 31st December 2024 although it was requested for
longer, what should I do? ...................................................................................... 18
Q. I am being asked by different teams for copies of my BRP, can you explain
why? ..................................................................................................................... 18
Q. I have lost my BRP. What should I do? ........................................................... 19
Q. My BRP has been stolen. What should I do? .................................................. 19
While Sponsored with HEE ................................................................................... 20
Q. I didn’t start on my allocated date of my CoS, what should I do? ..................... 20
Q. I need an extension of my current HEE sponsorship. What should I do ........... 20
Q. What do I need to do if there are any changes in my circumstances and who
should I inform? .................................................................................................... 20
Q. Why do I need to notify the HEE Overseas Sponsorship Team of any changes?
.............................................................................................................................. 21
Q. I have changed my personal contact details (i.e. home address, contact
numbers) what do I need to do? ........................................................................... 21
Q. What happens if I don’t notify HEE of changes to my circumstances? ............. 21
Q. Can I apply for an Inter-Deanery Transfer (IDT)? ............................................. 22
Q. Can a trainee work locum shifts? ..................................................................... 22
Q. I would like to go on Out of Programme (OOP). Will HEE still sponsor me? .. 22
Q. What do I do if I wish to resign from my post? .................................................. 22
Q. When can I apply for my Indefinite Leave to Remain (ILR)? ............................ 22
Q. I want to apply for Indefinite Leave to Remain (ILR), what do I require from
HEE? .................................................................................................................... 22
Useful Links ............................................................................................................ 24
Contact Details ....................................................................................................... 24

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 Certificate of Sponsorship (CoS) Application
process

Q. Who are all the different Teams who will be involved in my

Sponsorship?

A. There are different Teams within HEE that will contact you regarding your
sponsorship:
1. HEE Overseas Sponsorship Team – The HEE Overseas Sponsorship Team
are the National Team that issue all Certificates of Sponsorship (CoS) to
Doctors and Dentists in Training in England. The Overseas Sponsorship
Team hold the Sponsor Licence for HEE and are required to update the Home
Office on any changes to trainees’ circumstances to meet sponsor
requirements. Please see further information here
2. Local HEE Office/ Lead Employer – Local HEE offices and Lead Employer
both complete the recruitment and selection process and need to be kept up
to date with information regarding your sponsorship
3. NHS Trust – The NHS Trust will be your employer; each Trust will need to
verify your right to work status and will therefore ask to see evidence of your
Tier 2/Skilled Worker sponsorship.
You should keep the Overseas Sponsorship Team, Local HEE office and your Trust
up to date with any changes to your circumstances.

Q. I have already renewed or obtained my visa which is valid, will I

need to apply for another visa?

A. If your current visa is not sponsored by Health Education England (HEE), then you
will need to apply for a new Skilled Worker visa sponsored by HEE and obtain your
HEE sponsored BRP before you start you training.

Please also refer to the current immigration guidance on the UKVI website due to
starting with or without your new BRP. Coronavirus (COVID-19): advice for UK visa
applicants and temporary UK residents - GOV.UK (www.gov.uk)

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Q. I have a valid CoS with another employer, will this have an
impact?

A. If you already have a CoS that has been issued by another employer then HEE
will not be able to issue you with another CoS as the Home Office system will only
allow one CoS to be assigned to you at any given time. If this is the case, then you
must request that the employer who issued you the CoS withdraws this from their
system to enable HEE to issue a further one.

Q. What if I do not use my CoS before the expiry date?

A. If you do not use your CoS before the expiry date then you will require a new
CoS. If this happens then you will be required to pay the cost of the CoS (£199) to
HEE.

Q. Will HEE assist with the cost of my CoS and Skilled Worker
visa?

A. HEE will pay for the initial CoS (and any confirmed extensions) and the relevant
Immigration Skills Charge (ISC). Unfortunately, HEE are not able to assist with any
of the costs associated with your Skilled Worker application to the Home Office
(including application charges and any other associated charges).

Q. How do I request a CoS from HEE?

A. Once you have been made an offer via Oriel, the HEE Overseas Sponsorship
Team will be notified. They will then contact you via email to provide you with log in
details to the Overseas Sponsorship Portal where you can complete all the relevant
information required for HEE to issue you with a CoS.

Q. What information do I need to supply as part of my application?

A. Please complete all the mandatory sections of the online application form. Before
submitting your CoS application online, please ensure that you have included
following documents:
• Scanned copy of passport (including all relevant pages)
• Scanned copy of your current visa (including the front and back of your BRP)
• Copy of payslip/relevant proof of National Insurance Number
• Copy of medical degree certificate
• Evidence of GMC registration (if applicable)
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 • Offer letter or Oriel email for your post

Your application cannot be processed without these documents.

Q. Can I apply for my CoS if my current passport is due to expire?

A. If you are applying from within the UK, as long as your passport is valid at the time
of application with the Home Office there should not be any issues. It is advisable to
review when you may be making your application with the Home Office to ascertain if
a new passport is needed in the first instance.
If you are applying from outside of the UK, you need to ensure your passport is valid
for more than 6 months so you will be able to travel after your visa has been granted.

Q. How long should I request a CoS for?

A. A CoS can only be issued for the length of your training contract and only for a
maximum of 5 years at a time. You will need to apply to extend your visa when it is
due to expire.

Q. I would like to work Less Than Full Time (LTFT), is this possible
on a Tier 2 /Skilled Worker visa?

A. Yes, however the minimum salary requirements for a Skilled Worker or Tier 2 visa
need to be met which will restrict what LTFT hours you can request.
Skilled Worker route
All trainees requiring sponsorship from the 1st January 2021 will apply under the
Skilled Worker route. Under this route you can only work at 80% LTFT. This meets
both the requirements of the minimum salary should be above £20,480 and 80% of
salary at the going rate of your job occupation code.

Please refer to the link below for further details.

https://www.gov.uk/guidance/immigration-rules/immigration-rules-appendix-shortage-
occupation-list

Tier 2 route
If you applied for a visa before 1st January 2021 you will need to meet the minimum
salary requirements for a Tier 2 visa. Please see attached guidance on minimum
salary requirement for both Skilled Worker and Tier 2.

Part of the Shortage Occupation List stipulates that a CoS cannot be issued for
anything less than 30 hours per week. Therefore, LTFT requests can only be made
for 30 hours per week or more (this is base hours and would not include on call). The
only exception to this is where a trainee is extending with HEE, was previously

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issued a CoS under the Resident labour Market Test (RLMT) and wishes to work
less than 30 hours per week. Please see here for further information

Furthermore, to comply with Home Office regulations for Tier 2 sponsorship, you
need to be earning a minimum of £30,000 per annum which is calculated on basic
salary and excludes any allowances or bonuses.

When applying to work LTFT you will need to consider if your reduced hours will still
enable you to earn £30,000 per annum (this is approximately 80% but will depend on
your salary); please check this with your Local HEE Office when making your
application for LTFT.

Q. I would like to work Less Than Full Time (LTFT) and will be
extending my visa with HEE, is this possible?

A. If you were previously issued a CoS by HEE under the RMLT regulations, you will
be able to work less than 30 hours per week providing you still meet the minimum
salary requirements outlined above.
Further information can be found here

Q. If my LTFT application is successful, what should I do?

A. If your application for LTFT is successful, then you need to either send this
confirmation at the point you are requesting your CoS or complete a Reporting Form
if you have already started on a 40-hour contract. The Reporting Form should be
returned to [email protected] for the HEE Overseas Sponsorship Team to
update the Home Office.

Further information can be found here

Q. I am currently pregnant and will be on maternity leave when I am

due to commence my training. Can I still start my post?

A. Please contact the HEE Overseas Sponsorship Team at

[email protected] for further information.

Q. After I’ve received my CoS what should I do?

A. You should check ALL details on the CoS before making your application to
the Home Office, any errors need to be amended before making your
application. In particular ensure you check:
• All personal details

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 • Work start and end dates
• Speciality under job title
• Location (this will be the Local HEE address not a Trust address)

Q. Why does it state HEE (Birmingham) as main work address on

my CoS as I will be working in a different location?
A. All CoS issued by HEE will have the ‘main work address’ as HEE (Birmingham)
and ‘other regular work address in the UK’ as the headquarters for your local HEE
Office. This process is to allow trainees to rotate between Trusts.

Q. My job title on the CoS states ‘Speciality Registrar’ but I don’t

believe I am a Speciality Registrar?

A. For the purpose of the Home Office requirements, the job title is standard in line
with the Standard Occupation Code (SOC) code as per Appendix J of the
Immigration Rules https://www.gov.uk/guidance/immigration-rules/immigration-rules-
appendix-shortage-occupation-list) and will state “speciality registrar in <speciality>”

Q. The CoS you have issued states that my salary will be less than I
expected. Does this matter?

A. In line with the Home Office guidance, HEE will confirm on your CoS the basic
salary as per ‘NHS Employers Pay and Conditions circular (Medical and Dental)’ as
this is the minimum guaranteed salary a doctor/dentist will earn. Your exact salary
will be calculated by your employer nearer to your start date.

For Less Than Full Time (LTFT) this figure will be calculated on basic salary and pro
rata for your LTFT hours; evidence of payslips may be required.

Q. Why is my CoS start date not the same date I start my extension
placement?

A. When an extension CoS is issued, the start date will be the day after your current
BRP expires. You will be able to work on your current BRP until the end date.

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Q. What if I have already applied for my CoS and now have a new
passport. How do update my new passport details on there?

A. Please upload a copy of your new passport to the Sponsorship Portal and email
[email protected] to confirm this has been completed. If your CoS has not
been used towards an application, we will be able to add a sponsor note. It is
advisable however to have all up to date information at the point of requesting a
CoS.

Q. What should I do if I notice something is wrong on the CoS that

HEE have provided me?

A. You should immediately contact the HEE Overseas Sponsorship Team on

[email protected] with the subject title ‘Sponsor note required’ detailing the
error.

The HEE Overseas Sponsorship team will add a Sponsor note to the CoS that was
issued to you to clarify the error and will upload the updated copy to the portal.

Q. I’ve received my updated CoS but the error is still on the CoS,
what should I do?

A. The error on the CoS cannot be amended, however you will see under the
‘sponsor note’ section the comments regarding the error and the updated
information. The sponsor note section can be found towards the top of your CoS.
The Home Office case workers will review these sponsor notes alongside the CoS.

Q. Will the Sponsor note that has been added to my CoS affect my
Visa Application?

A. No it will not affect your visa application. This is a Home Office process and the
case workers at the Home Office will be able to view this amendment on your CoS.

Q. Do I have to apply for a CoS from Health Education England AND

then apply for a Skilled Worker Visa?

A. Yes. Once your application for a Skilled Worker CoS has been reviewed and
accepted by HEE Overseas Sponsorship Team, you will be issued with a CoS
number. You should check this document fully to ensure that there are no mistakes.
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After receipt of your CoS you can then apply to the Home Office to gain your Skilled
Worker visa.

Q. What should I do if I decide I no longer want/need a Skilled

Worker CoS?

A. Please inform the HEE Overseas Sponsorship Team on [email protected]

as soon as possible.

Q. I need an extension of my current HEE sponsorship. What

should I do?

A. You will need to fill out the CoS extension application form. Please contact
[email protected] and you will be provided with the relevant application form.

Please note, organisations can only request an extension CoS 3 months prior to a
start date as per Home Office guidance.

Q. What updates will I expect to receive from HEE Overseas

Sponsorship Team during the application process?

A. Due to the significant volumes the HEE Overseas Sponsorship Team receive it is
difficult to provide constant updates. You will be updated on the Portal of your
application progress. If the Team have any queries regarding your application, they
will email you directly.

Please only contact the Overseas Sponsorship Team for urgent queries so that the
team can process applications as quickly as possible. Please state ‘Urgent’ and your
GMC number in the subject box so that we can try to address these as soon as
possible. Please do NOT send multiple emails.

Q. Will HEE be able to track the progress of my Visa application

once I have submitted it?

A. No HEE is not able to track the progress or provide an update on the status of
your Visa application, as this is the Home Office process. You can request the Home
Office for an update on your application using the following link:
https://www.gov.uk/contact-ukvi-inside-outside-uk

Q. How long will it take for me to receive my CoS?

A. Organisations can only request a CoS 3 months prior to a start date as per Home
Office guidance; as an example for August start dates the earliest HEE Overseas
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Sponsorship Team can request a CoS would be May. However due to the volumes
HEE Overseas Sponsorship Team need to process during this time, CoS will be
issued throughout May, June and early July for August starters and November,
December and January for February starters using the following priority order:

1. Expiry dates of current BRPs

2. Out of country applications
3. New applicants to HEE (change of employer)
4. Tier 4 / Student switching to Tier 2 / Skilled Worker
5. Extensions of Tier 2 / Skilled Worker of those already sponsored by
HEE

To see if you can start in post while a decision is pending with the Home Office
please see ‘Can I start my new post while a decision is pending?’

Q. If I have travel arrangements can I request my CoS to be issued

earlier?

A. No. Unfortunately, the Overseas Sponsorship Team can not take into account any
travel arrangements and will use the priority listed above for the order that CoS are
issued. You are advised not to make travel arrangements during this period.

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 Making an application to the Home Office

*** Please note HEE are not able to participate with the application process you
make to the Home Office. However, we have provided some useful information
below. It is your responsibility to review all Home Office information when
making your application ***

Q. When making my application to the Home Office, should I apply

under the Health and Care visa route?

A. Yes, you can and should make your visa application under the Health and Care
visa route. We will confirm your eligibility for this on your COS issued to you. You will
find this in the ‘Summary of job description’ field of the COS. The requirements for
Health and care visa are contained in this guidance and can be found at: Health and
Care Worker visa - GOV.UK (www.gov.uk)

Q. Will I have to pay less application fee for Health and Care visa?

A. Individuals applying for the Health and Care visa will be pay the reduced
application fees. All visa application fees, including for the Health and Care Visa, can
be found at https://www.gov.uk/government/publications/visa-regulations-revised-
table

Q. Are my dependants also eligible for Health and Care visa?

A. The visa fee reduction will also apply to your partners and dependants of Health
and Care Visa applicants. Partners and dependants of Health and Care Visa
applicants should therefore also tick this box. In addition to the reduced visa fee,
applicants applying for the Health and Care Visa, and their family will be exempt
from having to pay the Immigration Health Surcharge.

Q. Do I have to pay the ‘Immigration Health Surcharge’ (IHS)?

A. All applications should be made under the Health and Care visa route and
therefore the IHS is not required. For further information visit:
https://www.gov.uk/healthcare-immigration-application/who-needs-pay

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Q. How do I request a refund for my Immigration Health Surcharge
(IHS) as I have overpaid this.

A. HEE do not deal with IHS. This is a Home Office requirement. Trainees who have
made their application since March 2020 may need to apply for refund, please see
the following link for further information: https://www.gov.uk/apply-immigration-
health-surcharge-refund

Q. When making my application to the Home Office, should I apply

under the Shortage Occupation List?

A. Yes, all Medical Practitioners (SOC code 2211) can and should make your visa
application under the Shortage Occupation list.

Q. Where can I find more information about making my application

to the Home Office?

A. You can find out more information about making your Skilled Worker application
to the Home Office here: Skilled Worker visa - GOV.UK (www.gov.uk)

Q. What is HEE’s sponsor rating?

A. HEE is an A rated sponsor.

Q. What is HEE Sponsor number?

A. You will find this on the top of your CoS once this has been issued to you.

Q. Is HEE a limited company?

A. HEE is a public body, not a limited company.

Q. Do HEE offer maintenance funding?

A. No, as a public service HEE cannot provide maintenance funding. Some

applicants must meet the maintenance criteria set out by the Home Office and
should ensure that they are aware of the regulations set out for Skilled Worker route
applications.

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Please note, applicants who are already on a Tier 2 visa/Skilled Worker visa
(whether extending or changing employment) do not need to prove maintenance.

Q. Do I have to provide evidence of my criminal records?

A. The Home Office require those applying to come to the UK under Skilled
Worker route as doctors and dentists in training, and their adult dependants, to
produce a criminal record certificate from any country in which they have been
resident for 12 months or more, consecutively or cumulatively, in the previous 10
years, aged 18 or over.

If you are successful in being appointed to a training programme in the UK, require
Skilled Worker sponsorship, and applying to come to the UK, you will be required to
provide the criminal record certificate to the Home Office when you make your visa
application. As it can take some time to obtain a criminal record certificate, it may be
helpful for you to begin the process of seeking certificates, if required, at the earliest
opportunity.

Details of how to obtain such a check from the relevant authorities abroad is
available on the Home Office website at:
https://www.gov.uk/government/publications/criminal-records-checks-for-overseas-
applicants

If the country concerned is not listed, please contact the relevant embassy or
consulate for further details. Contact details can be found at:
https://www.gov.uk/government/publications/foreign-embassies-in-the-uk

Please note HEE Overseas Sponsorship team do not require a copy of your Criminal
Records Certificate as this is a requirement of your Home Office application.

Q. Do I require a Criminal Records check if I already have a Tier

2/Skilled Worker visa?

A. No. You do not require a Criminal Record Check if you already have UK entry
clearance

Q. Can I have my CoS issued until the end of my Period of Grace?

A. We do not issue a CoS to the end of period of grace as not everyone requires it.
This is decided between you and your local HEE office towards the end of your
training, if you do require period of grace you must send confirmation from the local
HEE office confirming this. Only then can we issue you an extension CoS covering
this period (usually 6 months). The Home Office allows 14 days after your BRP has
expired for you to make arrangements. Please note the Period of Grace does not
apply to General Practice trainees.

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 After making an application to the Home
Office

Q. How long will it take for me to receive an outcome on my

application?

A. 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. Please refer
to the following link for processing times:
https://www.gov.uk/government/organisations/uk-visas-and-immigration/about-our-
services

If you are applying from outside of the UK you can also use the link below: Visa
decision waiting times: applications outside the UK

Q. I have not received by BRP what should I do?

A. If your application is still within the Home Office service standard processing times
(see above) 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 using the link below:
https://www.gov.uk/contact-ukvi-inside-outside-uk
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 Overseas Sponsorship Team will ascertain if
they are able to intervene on your behalf.

Q. Can I start my new post while a decision is pending with the

Home Office?

A. Depending on your current immigration status will decide of you are able to
commence your new post while a decision is pending, please see table below:

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 Current Visa status Starting new post
Tier 2/Skilled Worker visa sponsored by You will be able to start working in your
HEE (applying for an extension) new post while a decision is pending on
your visa as long as you apply before
your current visa expires

Tier 2/Skilled Worker visa but changing You must have your new Skilled Worker
sponsors (change of employment) visa before commencing your new post

Tier 4/Student visa and you were You will be able to start working in your
granted leave after 6 April 2012 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.

Any other visa status or if you hold no You must have your Skilled Worker visa
visa status in the UK before commencing your new post

Please also refer to the current immigration guidance on the UKVI website due to
starting with or without your new BRP. Coronavirus (COVID-19): advice for UK visa
applicants and temporary UK residents - GOV.UK (www.gov.uk)

Q. Can I start my new post if I have not yet made an application

with the Home Office?

A. No, 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 you have made your application and so they have 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.

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Q. My application to the Home Office has been refused and I would
like to re-apply, what should I do?

A. You will be aware that you have not needed to pay for the original CoS issued to
you. However, if an applicant makes an error on their Skilled Worker application
resulting in the Home Office refusing their 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. Please contact [email protected] with your refusal letter and details will
be sent to you of how to make the £199 payment for a replacement CoS.

Q. What should I do once I receive my new Biometric Resident

Permit (BRP)?

A. The first thing you should do is check all the details on your BRP to ensure they
are correct. If you find a problem with your BRP when it arrives you must report it
within 10 days, otherwise you may have to apply and pay for a replacement for your
BRP.
If anything is incorrect you need to contact the Home Office via this link within 10
days of receipt www.gov.uk/biometric-residence-permits/report-problem
Once you have your correct BRP, 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.

Q. The end date on my BRP is 31st December 2024 although it was

requested for longer, what should I do?

A. 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 31/12/2024 is due
to existing EU regulations around the maximum amount of time that BRP cards can
be issued.
This has no impact on an individual's 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 BRP to cover the full period
of leave beyond 2024.

Q. I am being asked by different teams for copies of my BRP, can

you explain why?

A. HEE has a National Overseas Sponsorship Team who issue your CoS and are
the main Sponsor during your sponsorship on a Skilled Worker visa during your
training. The National Overseas Sponsorship Team request a copy of your BRP
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once you have made your Skilled Worker application as part of our Sponsor duties
(via the online portal). Local HEE Offices (previously known as Deaneries) may also
ask for a copy of your BRP for their records. Furthermore, Trusts/Employers that
you will be going to work for will request to see the originals and want copies of
these to meet right to work requirements.

Q. I have lost my BRP. What should I do?

A. You will need to report your BRP has been lost as soon as possible on the UKVI
website. Please see link:https://www.gov.uk/biometric-residence-permits/lost-stolen-
damaged

Q. My BRP has been stolen. What should I do?

A. You will need to report your BRP has been stolen as soon as possible on the
UKVI website. Please see link:https://www.gov.uk/biometric-residence-permits/lost-
stolen-damaged

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 While Sponsored with HEE

Q. I didn’t start on my allocated date of my CoS, what should I do?

A. If for any reason you did not start on the date that was stated on your CoS, you
must notify the HEE Overseas Sponsorship team within 2 working days of the date
you were due to start with reasons why you have not commenced. This should be
completed sent via email to [email protected] with the subject title ‘Start date
delayed <GMC number>’.

Please note that you are required to start within 28 days of the below, whichever is
the later date:
• your work start date stated on your CoS
• the date on which your entry clearance was granted (if you made an
application from outside the UK)
• or leave to remain is granted (if you made an application from inside the UK)

Q. I need an extension of my current HEE sponsorship. What

should I do?

A. You will need to fill out the CoS extension application form. Please contact
[email protected] and you will be provided with the relevant application form.

Please note, organisations can only request an extension CoS 3 months prior to a
start date as per Home Office guidance

Q. What do I need to do if there are any changes in my

circumstances and who should I inform?

You are required to keep HEE Overseas Sponsorship Team

([email protected]) informed of any changes in circumstances that occur
throughout your sponsorship. You will need to fill in a Reporting Form and return it to
[email protected] and your local HEE office within 5 working days of the
change so we can notify the Home Office. Please see the list below for the type of
changes you will need to inform us:
• Your Start date is delayed from the date entered on the CoS
• Your immigration status changes
• Your training ends earlier than expected

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 • Your Inter Deanery Transfer (IDT) application is approved
• You are changing your hours i.e. Less Than Full Time (LTFT) application is
approved
• Out Of Programme (OOP) application is approved
• You are planning to go on maternity or adoption leave
• You have had a period of long-term sickness (1 month of longer)
• You are taking a period of authorised unpaid leave
• You have changed your speciality
• You are resigning from training

Q. Why do I need to notify the HEE Overseas Sponsorship Team of

any changes?

A. As part of HEE Sponsor Licence duties, the HEE Sponsorship Team are required
to inform the Home Office of changes in sponsored trainees’ circumstances.
Therefore, the Conditions of Sponsorship are essential to ensure trainees
understand what they are required to do as part of their sponsorship arrangements.
The Home Office requires all Sponsors to fulfil certain duties. The objectives of these
duties are to:
• prevent abuse of assessment procedures
• capture early any patterns of migrant behaviour that may cause concern
• address possible weaknesses in process which can cause those patterns
• monitor compliance with Immigration Rules

Sponsors must report certain information or events to the Home Office within any
time limit set.

Q. I have changed my personal contact details (i.e. home address,

contact numbers) what do I need to do?

A. Please ensure you inform your local HEE office so they can update your records
on TIS. You will also need to update the Home Office using the following form:
https://visa-address-update.service.gov.uk/

Q. What happens if I don’t notify HEE of changes to my

circumstances?

A. If HEE are not made aware of changes to circumstances (as detailed above) and
these are subsequently discovered, this would be a huge risk to HEE and could
ultimately lead to the withdrawal of your sponsorship and any future sponsorship.
Furthermore, HEE could lose its sponsor licence which would affect all current and
future Tier 2/Skilled Worker trainees.
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Q. Can I apply for an Inter-Deanery Transfer (IDT)?

A. If you are sponsored by HEE, you can apply for IDT but you will need to meet all
of the eligibility requirements. Please refer to the IDT website for further information
on eligibility requirements.

If you are successful for IDT, you would need to notify the HEE Overseas
Sponsorship Team of your change in location by completing a Reporting Form and
returning to [email protected]

Q. Can a trainee work locum shifts?

A. Those on Skilled Worker visas can undertake supplementary employment but

they must not work more than 20 hours a week and must be working in the same
occupation.

Q. I would like to go on Out of Programme (OOP). Will HEE still

sponsor me?

A. It depends on what OOP you are looking to go out on. Please view here for
further information and OOP guidance.

Q. What do I do if I wish to resign from my post?

A. Please contact the HEE Overseas Sponsorship Team immediately

([email protected]) and your HEE Local Team/Lead Employer. It is HEE’s
duty to inform the Home Office of any sponsored recruits that have terminated their
contract.

Q. When can I apply for my Indefinite Leave to Remain (ILR)?

A. To find out when you can apply for your ILR, please visit the Home Office website
for further information: https://www.gov.uk/government/publications/indefinite-leave-
to-remain-calculating-continuous-period-in-uk

Q. I want to apply for Indefinite Leave to Remain (ILR), what do I

require from HEE?

A. If you are applying for ILR, you will require a letter from the HEE Overseas
Sponsorship Team. Please email the team on [email protected] to request
the letter along with a copy of your last 3 months payslips and evidence from your
HR department of your absences (to cover 5 years).
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If you are on maternity, paternity, shared parental or adoption leave: the date this
commenced and evidence of your salary (payslip) immediately before your leave
started.

We will endeavour to send the letter to you via email within 5 working days. Two
copies of the letter will be posted to you.

Once you have received a decision from the Home Office, you must inform
[email protected] and your HEE Local Team/Lead Employer and email a
copy of your new Biometric Residence Permit (BRP) within 5 working days of
receiving your BRP. HEE will update your records and cancel your CoS which was
issued to you for your Tier 2 / Skilled Worker visa (as per Home Office guidance).

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 Useful Links

Health Education England (working across the West Midlands) Website:

https://specialtytraining.hee.nhs.uk/Recruitment/Overseas-Sponsorship

Contact DetailsUseful Links

Skilled Worker Visa
https://www.gov.uk/skilled-worker-visa

Immigration rules:
https://www.gov.uk/government/collections/immigration-rules

Shortage occupation list: https://www.gov.uk/guidance/immigration-

rules/immigration-rules-appendix-shortage-occupation-list

Immigration advisors:
https://www.gov.uk/find-an-immigration-adviser

NHS Employers information:

Visas and immigration - NHS Employers

BMA:
BMA services for international doctors

Contact Details

If you require any further information regarding the Skilled Worker or Tier 2 route
CoS application process, please contact the HEE Overseas Sponsorship Team on
[email protected]
Contact Details

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