Welcome to our international recruitment hub

Here you will find guidance, resources, and support on international recruitment in adult social care, together with details of our Displaced Worker Recruitment Support Scheme.

Immigration Reforms – Call for Action

Current proposals could have a devastating impact on the adult social care sector.

Further information – including how you can help

Overcoming barriers &
preventing exploitation

Commissioned by the Department of Health and Social Care (DHSC) under the 2026/27 International Recruitment Regional Fund for the Adult Social Care Sector, and delivered in collaboration with ADASS, this Hub supports providers to remain compliant, helping to reduce exploitation, so that internationally recruited care professionals can thrive in the adult social care sector.

The Hub also outlines our Displaced Worker Recruitment Support Scheme — offering grant funding and support to help providers recruit in-country migrant care workers who have become displaced following the revocation of their original sponsor’s licence.

Last updated: April 2026

News & project bulletins

We regularly publish news updates alongside our International Recruitment Project Bulletins, providing the latest guidance, policy developments, funding information and opportunities, including our highly popular legal webinars.

Health & care worker visa
– current position

Overseas recruitment of care workers closed on 22 July 2025. Sponsorship is now limited to workers already in the UK, including those switching visas, extending existing visas, or moving between sponsors under transitional arrangements to July 2028.

From July 2028, sponsorship is expected to become significantly more restricted, with higher salary thresholds and limited access for new entrants, marking a major shift in international recruitment for adult social care.

Visit our Compliance & Legal Guidance section for full guidance, including rules, eligibility, and post-2028 outlook.

Displaced worker recruitment
support scheme

Since its launch in 2024, our Displaced Worker Recruitment Support Scheme has provided coordinated, region-wide support to help match care providers with internationally recruited care professionals.

By securing new sponsorship for hundreds of vulnerable displaced workers and equipping thousands of workers and providers with clear, trusted guidance, the scheme has strengthened workforce stability and sustained care delivery during a period of unprecedented uncertainty.

Read our 2024/26 Scheme Evaluation.

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Provider Applications
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Providers Completed Assurance Assessment
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Displaced Care Workers Supported into Employment
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Sponsored Care Workers completed 65+ training courses

Is international recruitment for you?

Recruitment of care workers from overseas is no longer permitted under current immigration rules. However, migrant workers already in the UK remain eligible to change visas or switch to new sponsors, subject to certain requirements.

Sponsoring overseas care workers isn’t for everyone. It’s a serious commitment with significant responsibilities on you, the employer. However, most say the benefits outweigh the challenges, cost and effort involved.

Take a look at the steps below to find out whether you are ready to get started.

Do you have…

  • permanent vacancies for roles that pay in line with minimum requirements? (i.e. £25,000 per annum and £12.82 per hour – as of April 2026)
  • capacity to support the whole process?
  • dedicated people in your organisation who will take responsibility for the end-to-end process?
  • a long-term workforce plan?

Note: Minimum salary rates tend to increase in April each year, usually remaining about 5% above National Minimum Wage.

do you have

Processing costs

Sponsor licence cost

Employer sponsor licence costs vary depending on size of business, from £574 for an organisation employing 50 people or less, with a turnover under £15m, and assets under £7.5m, to £1,579 for larger organisations.

The UKVI (UK Visas and Immigration) processing time for a sponsor licence is normally up to eight weeks.

Certificate of sponsorship

Before an overseas worker can apply for a health and care worker visa, the employer must assign them a certificate of sponsorship (CoS). This costs £525.

Immigration skills charge

An immigration skills charge is payable for each worker sponsored under the health and care worker visa.

As of 16 December 2025, the cost is either £480 (smaller organisations and charities) or £1,320 (larger organisations) per sponsored worker per year.

This charge does not apply to international students switching to a health and care worker visa.

Health and care worker visa

Where roles fall under the health and care worker visa, the visa application fees are £324 (up to 3 years), or £628 (over 3 years, currently up to 5 years).

It normally takes 3 weeks for UKVI to process a visa, although you can pay extra for priority services, which can turn around applications in as little as one working day.

NOTE: Costs correct at April 2026

Visa Processing Times

The visa processing times provided are based on current Home Office guidance. However, feedback from care providers suggests that applications can often take longer than expected. Delays may result from errors made by the care provider or external factors, such as a high volume of applications. It is advisable to consider engaging a legal specialist to ensure accuracy in the application process. Being prepared for potential delays is recommended.

What are the benefits?

Loyal, committed workforce

Transferable skills on arrival

High retention
rates

Future recruits from word of mouth

You’ll need a sponsor licence to employ an overseas national to work for you. The process to apply is as follows:

Step 1

Check that your business is eligible. The UK Government has eligibility criteria for employers for visa sponsorship.

Step 2

Check if the job you are recruiting to is suitable for sponsorship. Find out what is needed for a Skilled Worker Visa. Check eligibility for a Health and Care Worker Visa.

Step 3

Decide who will manage the application. There are three roles required by the application; Authorising officer, key contact, and Level 1 user. This can be performed by the same person.

Step 4

Complete the online application form. This requires various supporting documents including covering letter and hierarchy chart. The process should take eight weeks to complete, but it can take longer.

Compliance

It’s important that you understand the ongoing compliance duties under the sponsorship licence.
UKVI conduct unannounced site audits and an organisation found to be falling short
of the required standards may face enforcement action.

Compliance responsibilities continue throughout the lifetime of the Sponsorship Licence,
and there are strict deadlines for reporting via the SMS.
You will need to ensure that you have the right personnel, HR systems, and processes in place to handle this.

The main compliance duties include:

Record keeping

You must maintain up-to-date records for any worker you sponsor, including contact details, right to work documents and copies of pay slips.

Monitoring

You must track and record employee attendance to ensure compliance with the terms of their visa.

Complying with immigration rules

Such as conducting regular right to work checks on all prospective and existing employees.

Cooperating with UKVI

You must report activities via the SMS, such as regular non-attendance.

For comprehensive guidance on complying with immigration rules, please visit our Compliance & Legal Guidance section.

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