Skilled Worker Visa for Care Workers
What you need to know
- •Care workers can use the Health and Care Worker visa route.
- •IHS (Immigration Health Surcharge) exemption applies, saving thousands of pounds.
- •Salary thresholds are lower than the standard Skilled Worker route, but figures changed recently.
- •Dependant rules were restricted between 2024 and 2026; check the latest position.
- •The employer must be a licensed sponsor and, in England, CQC-registered.
Care workers can come to the UK through the Health and Care Worker visa route, which offers benefits like reduced fees and IHS exemption. However, the rules have changed several times between 2024 and 2026, including new sponsor registration requirements and dependant restrictions. This guide covers the current position and key considerations.
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The Health and Care Worker Route
The Health and Care Worker visa is a variant of the Skilled Worker visa designed for health and social care professionals. Care workers, home carers, and senior care workers are eligible under specific SOC (Standard Occupational Classification) codes.
Key advantages of this route over the standard Skilled Worker visa:
- Reduced application fees.
- Exemption from the Immigration Health Surcharge.
- A lower salary threshold than the standard route.
This route has been heavily reformed. For the current rules, always check the latest GOV.UK guidance on the Health and Care Worker visa.
SOC Codes and Salary for Care Workers
Your SOC code decides the going rate for your role and how the salary rules apply. The two main care SOC codes are:
- SOC 6135 — care workers and home carers. This covers most frontline care roles, including care home staff and home carers who visit people in their own homes.
- SOC 6136 — senior care workers. This covers supervisory and senior care roles with added responsibility.
The care worker route has a lower salary threshold than the standard Skilled Worker route. You must usually be paid at least the going rate for your SOC code, which is set at the occupation's median salary. The exact figures changed recently, so do not treat any single number as permanent.
For the salary rules that apply in 2026, see our Health and Care Worker salary guide and check the latest GOV.UK guidance. Your employer assigns the SOC code when they create your Certificate of Sponsorship (CoS), and it must match the work you actually do.
Employer Requirements
Your employer must:
- Hold a sponsor licence.
- In England, be registered with the Care Quality Commission (CQC) and actively carrying out CQC-regulated activities. The other UK nations have their own regulators.
- Assign you a Certificate of Sponsorship.
- Pay you at least the applicable salary threshold.
- Comply with ethical recruitment standards.
The Home Office has increased scrutiny of care sector sponsors following concerns about worker exploitation. Sponsors must demonstrate genuine vacancies and appropriate working conditions. The CQC registration requirement and tighter recruitment rules were introduced to reduce abuse in the sector. For the current detail, check the latest GOV.UK guidance.
English Language Requirement
You must meet the English language requirement for the Skilled Worker visa. This is set at CEFR level B1 (B1 = intermediate) on the Common European Framework of Reference for Languages. You need to show you can speak, read, write, and understand English at this level.
You can usually meet the requirement in one of these ways:
- Pass an approved Secure English Language Test (SELT) at B1 or above.
- Hold a degree that was taught in English.
- Be a national of a country on the list of majority English-speaking countries.
For the approved tests and the full list of ways to qualify, see our guide to English language tests for UK visas.
Dependants and the 2024-2026 Restrictions
Dependant rules for care workers were restricted between 2024 and 2026. Previously, care workers could bring partners and children as dependants, and those dependants could work. The government then limited the ability of care workers and senior care workers to bring dependants. This remains an area of active change.
Because the rules have shifted more than once, you should not assume your situation matches an older guide or someone else's experience. Check the latest GOV.UK guidance before you plan to bring family members.
For the current position on who can join you and what they can do, see our guides on Skilled Worker dependants and dependant work rights.
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Costs and IHS Exemption
The Health and Care Worker route is cheaper than the standard Skilled Worker route. The visa application fee is reduced, and you are exempt from the Immigration Health Surcharge (IHS).
The IHS is a charge most visa applicants pay so they can use the National Health Service. It is charged for each year of your visa, and for a multi-year visa it can add up to several thousand pounds. Because care workers are exempt, this is one of the largest savings on the route. The exemption usually also covers your dependants where they are allowed to join you.
Fee levels change from time to time, so check the current amounts on GOV.UK before you apply.
Avoiding Exploitative Sponsors
Concern about exploitation in the care sector was a main reason for the recent reforms. Some workers have been charged large fees, given little or no work after arriving, or pressured into poor conditions. Knowing the warning signs helps protect you.
Treat these as red flags:
- Being asked to pay for your Certificate of Sponsorship or the sponsor licence costs. You should not pay these.
- Being asked to repay large "recruitment" or "training" fees out of your wages.
- Your employer holding your passport or other documents so you cannot leave.
- Being promised full-time hours that never appear after you arrive.
- Pay below the rate stated on your Certificate of Sponsorship, or unexplained deductions.
If you experience any of this, you can report it to the Gangmasters and Labour Abuse Authority (GLAA), which investigates labour exploitation. You can also speak to Citizens Advice, a trade union, or the CQC. Knowing your employment rights as a visa holder helps you spot when something is wrong.
Recent Changes
The government has made several changes to care worker immigration between 2024 and 2026, including adjustments to dependant rights, salary thresholds, CQC registration, and sponsor compliance requirements. The 2026 Skilled Worker changes and the Immigration White Paper set out the current direction of policy.
Check the latest GOV.UK guidance on the Health and Care Worker visa for up-to-date requirements.
Path to Settlement
Care workers on the Health and Care Worker route can apply for ILR after 5 years of continuous residence. ILR stands for Indefinite Leave to Remain, which lets you stay in the UK without a time limit.
The salary threshold for ILR must be met at the time of application. You will also usually need to pass the Life in the UK test and meet the English language requirement. Settlement rules can change, so check the latest position before you apply.
Protecting Your Rights
Care workers have the same employment rights as all UK workers. If you experience exploitation, unsafe conditions, or unfair treatment:
- Contact the Gangmasters and Labour Abuse Authority (GLAA).
- Speak to Citizens Advice or your trade union.
- Report concerns to the CQC.
Next Steps
Related guides:
This guide is general immigration information, not immigration advice under s.82 Immigration and Asylum Act 1999. Immigration rules change frequently. For advice on your specific situation, consult an IAA-authorised adviser or an SRA-regulated immigration solicitor. Always check GOV.UK for the authoritative current rules.
Related guides
Preparing a UK visa application?
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