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Latest Changes to NHS Uk Recruitment. Good or Bad News?

The UK government has recently announced major changes to the NHS and its recruitment process, affecting both current healthcare workers in the UK and those aspiring to work there. With rising concerns about misinformation surrounding these changes, this post aims to break them down in simple terms, ensuring that these changes are well understood especially by all potential NHS UK employees..

If you’re a healthcare worker in the UK or someone planning to move there for work, this article will help you understand what’s happening, how it impacts you, and what steps to take moving forward.

What Are the New Changes?

  1. Prioritizing Local Recruitment: Employers are now required to prioritize hiring international care workers already residing in England before recruiting from overseas.
  2. Restrictions on Dependants: As of March 11, 2024, care workers and senior care workers migrating to the UK cannot bring dependants (like spouses or children) with them. However, those already in the UK on such visas before this date can continue to stay with their dependants. ​

3. Increased Scrutiny on Employers: The Home Office has intensified audits and monitoring of employers who sponsor international healthcare workers to ensure compliance with regulations. ​

 

What Does This Mean for Healthcare Workers in the UK?

For current NHS workers, these changes aim to strengthen the domestic workforce by encouraging the hiring of professionals already in the country. This could lead to more job stability and potentially reduced competition from overseas applicants. However, it also places pressure on employers to ensure fair treatment and compliance with employment standards.​

 

NHS

Will NHS England Be Abolished?

Yes, the UK government has announced plans to abolish NHS England as part of a restructuring move aimed at reducing bureaucracy and improving efficiency. NHS England is the administrative body which manages healthcare services in the country. These are not the Doctors and Nurses providing care in hospitals. Instead of operating as an independent body, the responsibilities of NHS England  will be merged into the Department of Health and Social Care (DHSC).

The change primarily affect NHS England. However, the salary threshold increase and visa sponsorship changes apply across the UK, meaning they will impact healthcare workers in Scotland, Wales, and Northern Ireland as well. While NHS Scotland, NHS Wales, and Health and Social Care (HSC) Northern Ireland operate separately from NHS England, they still follow UK-wide immigration and employment laws.

 

When Will This Abolition Take Effect?

The process of dissolving NHS England is expected to take around two years, during which its functions will be fully integrated into the DHSC.

What Does This Mean for NHS Workers?

The restructuring is expected to lead to job cuts, with estimates suggesting that around 10,000 jobs will be lost. However, the government has not provided full details on how affected workers will be supported.

Healthcare unions and organisations have urged the government to ensure that these experienced professionals are redeployed within the NHS rather than losing their jobs entirely.

 

Salary Threshold Increase: How Does It Affect NHS Recruitment?

One of the biggest changes affecting healthcare workers is the increase in salary thresholds for skilled worker visas.

What Are the New Salary Thresholds?

  • The general minimum salary requirement for a Skilled Worker visa is increasing from £26,200 to £38,700.
  • Healthcare roles, including nurses and care workers, will have a lower threshold of £25,000 or £12.82 per hour.
  • Entry-level Band 3 roles that fall below this new threshold may no longer qualify for visa sponsorship.

What Does This Mean for Healthcare Workers in the UK?

  • If you’re currently on a Skilled Worker visa and earning below the new threshold, you may need a salary increase to meet visa renewal requirements.
  • Employers will need to reevaluate salary structures to ensure they can continue sponsoring foreign healthcare workers.
  • There may be fewer job opportunities in lower-paying healthcare roles as employers may struggle to meet sponsorship requirements.

What Does This Mean for Healthcare Workers Outside the UK?

  • If you’re aspiring to work in the UK, your job offer must meet the new salary threshold.
  • You may find it harder to secure sponsorship for lower-level healthcare roles.
  • Employers may prioritise hiring healthcare professionals for higher-paid roles.

 

Are Healthcare Workers Still Eligible for Sponsorship?

Yes, healthcare workers can still get sponsored, but there are now stricter conditions:

  • Only roles that meet the new salary threshold will be eligible for Skilled Worker visa sponsorship.
  • Care workers and senior care workers can no longer bring dependents (family members) with them under the Health and Care visa route.
  • The minimum income requirement for family visas has increased to £29,000, with plans to raise it further to £38,700.

 

The recent NHS recruitment changes reflect the UK’s efforts to balance domestic workforce development with ethical international recruitment practices. For current NHS workers, these policies aim to enhance job security and ensure compliance with employment standards. For international healthcare professionals, understanding these changes is crucial for informed decision-making regarding potential employment in the UK.​

 

Pro Tips for Aspiring NHS Applicants

1. Target Higher-Paying Roles

With the increase in salary thresholds, aim for higher band positions like Band 5 (nurses) and above to ensure you meet visa eligibility requirements.

2. Gain Additional Qualifications

Having specialised skills and certifications can increase your salary potential and make you more competitive in securing sponsorship.

3. Research NHS Trusts Still Sponsoring Workers

Some NHS trusts may still offer sponsorship despite the changes. Look for job postings that explicitly mention sponsorship eligibility.

4. Consider Alternative Visa Routes

If your role no longer qualifies for a skilled worker visa, look into other immigration pathways, such as the Global Talent Visa or the Health and Care Worker Visa (if your salary meets the threshold).

5. Stay Updated on Immigration Changes

The UK government frequently updates immigration policies. Follow official NHS and UK Government websites to stay informed about future adjustments.

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