16/12/2022
Will Tier 2 Point Based System (PBS) Health and Care visa for Carers continue beyond 14/02/23?
Carers and Senior Carers are in short supply in the UK and so since 15/02/22, the UKVI has included carers in the Tier 2 Point Based System (PBS) Health and Care visa via the Shortage Occupational List (SOL) for the 1 year period between 15/02/22 – 14/02/23. See https://www.gov.uk/health-care-worker-visa
The thinking is that being on the SOL should generally only be a time-bound strategy to address labour shortages rather than having sectors permanently relying on migration, which could make labour shortages, entrenched.
The UK Health and Care visa is usually granted for an initial period of 3 years and can be extended to 5 years, after which one can obtain settlement status in the UK, and become eligible for British citizenship. The visa also allows spouses, partners and dependents to join the main applicant in the UK. Visa applicants (including main applicant, their spouses and other dependents) are exempt from payment of the usual Immigration Health Surcharge (IHS) and receive a decision on their visa application within 3 weeks after lodging their visa application. Visa applicants do not require any prior qualifications or experience to qualify for a Health and Care visa as a carer in the UK. This has all made the carer visa an extremely popular category.
Usual costs include the following:
1. A reduced Visa Fee £247;
2. TB Test $130;
3. IELTS ¢2660;
4. ENIC £49.50 + VAT;
5. Care Course £12 - £100;
6. Air Fares £850;
7. UK Accommodation £600 [first month only];
In order to obtain a visa as a carer, applicants are also required to show available funds of £1,270.00 for the main applicant held in their personal account for at least 28 days before their visa application is lodged, to show they can adequately maintain themselves without recourse to public funds, until they receive their first salary (unless employers provide maintenance assistance). Job offers may come with or without relocation support (e.g. providing accommodation, maintenance, visa fee and air fares payments), entirely at the employer’s discretion.
Visa applicants must intend to work as a Carer as an eligible job under code 6145 on the SOL. Applicants must have a job offer from an eligible sponsor. Applicants must receive a minimum salary of £20,480 per year or £10.10 per hour, whichever is higher. Applicants must prove that they can read, write, speak and understand English to meet the English Language requirements. Non-degree holding applicants are expected to obtain a 4.5 score on the IELTS UKVI Academic or General English Language Test. Degree holding applicants may alternatively obtain an ENIC Comparability Statement to prove their English Language proficiency, in order to meet English language requirements.
Whilst applicants do not require any prior qualifications or experience, and employers will usually provide training, it is also useful to have completed short online care courses to add to CVs, in order to improve one's marketability.
Applicant must also have a clean criminal record and be up to date with their Covid, Hepatitis B and Yellow Fever Vaccinations.
Possession of an international driving permit and ability to afford insurance and own a car to use for work in the UK, although not mandatory, makes it possible to apply for more jobs. This is important because searching for a carer job from overseas can be daunting and depends on the ability to make as many job applications as possible.
The SOL was expanded to allow other lower-skilled occupations like carers to be added for a set period.
That period ends on 14/02/2023, so the obvious question on everyone's mind is whether the Health and Care Visa will remain available after 14/02/23.
The Home Office had indicated that they shall review the success of this change to include carers on the SOL in late 2022. As yet, there have been no official communications on this from the UKVI or Home Office Secretary.
On 01/09/22,a letter from Kevin Foster MP, the Minister for Safe and Legal Migration to Professor Brian Bell (See https://www.gov.uk/government/publications/mac-commissioned-to-review-shortage-occupation-list/letter-from-the-minister-for-safe-and-legal-migration-to-professor-brian-bell-accessible) commissioned the Migration Advisory Commission (MAC) to review the SOL and report back by the end of March 2023 with a view to implementing any changes in Autumn 2023. Therein it was stated “the Government recalls the MAC’s recommendation for the inclusion of care workers in the route not to expire automatically after 12 months, and recognises the challenges faced by the care sector in terms of increased demand for adult social services, increasing vacancies and issues with staff retention. The MAC has said it will make a further recommendation about the position of care workers on the SOL as part of this commission, which the Government will consider when the MAC reports. We do not intend to make any changes to the provisions for care workers before this point (with the Immigration Rules themselves having no such expiration date in them), however the Government reserves the right to review the position in response to any emerging issues.” Clearly, the government does not intend any changes to the provisions for care workers before the MAC reports.
The MAC has since accepted the commission (see https://www.gov.uk/government/publications/mac-commissioned-to-review-shortage-occupation-list/response-from-professor-brian-bell-accessible ), but has asked for more time and intends to report back as close to Spring 2023 as possible, with any changes to be ready to be implemented in the October 2023 updates.
A Skills for Care report published in October 2022 (see https://www.skillsforcare.org.uk/adult-social-care-workforce-data/Workforce-intelligence/publications/national-information/The-state-of-the-adult-social-care-sector-and-workforce-in-England.aspx), found that in the year to March 2022 there were: a total of 1.79 million posts in adult social care, of which 1.62 million were filled, leaving 165,000 vacant, constituting a rise of 52% on the previous year, the number of filled posts falling by 50,000 compared with the previous year - the first drop ever. The report attributed the fall to continuing problems with recruiting and retaining staff, and the demand for care rising and warns the shortage of care workers will increasingly affect people who need support, and their families, with more than a quarter (28%) of the existing workforce being aged over 55 and likely to retire within 10 years. The government in response to the report has said that since the report, tens of thousands care workers have been appointed from overseas and that a £15m international recruitment fund and a new domestic campaign were to be launched soon.
The inclusion of cares on the SOL provides a workable solution to include some much-needed ‘less skilled' occupations such as care workers in the SOL is clearly part of continuing international and domestic campaigns. However, this has not been as attractive for employers as originally envisaged, primarily due to the high level of an Immigration Skills Charge (ISC) payable by them, of between £364-£1,000 per year, per worker. This has in turn made it difficult for many overseas applicants fighting for fewer jobs. The scheme may actually need revision to make carer jobs exempt from Immigration Skills Charge, or to lower that charge dramatically, otherwise it is unlikely to effectively impact on reducing shortages as lower numbers of employers will continue not to choose this route due to the high costs.
The ongoing crisis within the NHS is also considered to require immediate expansion of social care to enable patients to flow out of A&E care into social care in order to reduce the pressure on hospitals, nurses and doctors, such that in the immediate short-term an increase in demand for carers is most likely to be canvassed for.
In conclusion, interested job applicants are encouraged to continue to focus on making job applications, in order to obtain a job offer before 14/02/2023, and apply for a visa before the 14/02/23 deadline, since all visa applications lodged before that date are assured of consideration under existing rules and a visa likely to be granted if all criteria are met. Beyond 14/02/2023, AIHRS assessment is that shortages in the care sector remain and so there is a strong likelihood that the scheme will be extended, pending an official government announcement.