A summary of the most recent confirmed changes affecting the Skilled Worker and Health and Care Visa routes.
Salary thresholds - current position
Salary thresholds apply to both new visa applications and extensions, and applicants must meet the higher of the relevant visa salary threshold, or
the occupation‑specific going rate.
Updated salary thresholds came into effect on 22 July 2025 for Skilled Worker and Health and Care Visa routes. Visa salary thresholds are reviewed periodically by the Home Office and may increase in future.
Recent changes and key points for employers
The announced 2026/27 Agenda for Change pay award confirms that entry‑level Band 3 roles now exceed the minimum salary threshold for the Health and Care Visa.
Employers should be aware that repayment clauses which guarantee recovery of immigration or business costs (such as visa fees) must be counted against the salary stated on the Certificate of Sponsorship. If this reduces salary below the eligibility threshold, the individual may not be able to apply.
Individuals already on a Skilled Worker Visa before 4 April 2024 are exempt from the higher general salary threshold when changing occupation, sponsor or applying for settlement, but must still meet the applicable lower threshold and going rate for their role.
Care worker and senior care worker restrictions - current position
New visa applications for care workers (SOC 6135) and senior care workers (SOC 6136) are closed.
A transition period until 22 July 2028 allows eligible individuals already in the UK to extend or switch from other visa routes, subject to meeting the relevant conditions. Individuals switching from another visa route must have been legally employed by their sponsor for at least three months prior to application.
These arrangements remain under review.
Immigration Salary List (ISL) - current position
The Immigration Salary List (ISL) identifies occupations eligible for salary and skill‑related flexibilities within the Skilled Worker and Health and Care Visa routes.
The ISL remains in place until December 2026, after which flexibilities will no longer apply in the same way.
Occupations on the ISL can be recruited to below the general salary threshold but must still meet the relevant minimum thresholds.
New applications for the following roles will no longer be possible after December 2026:
SOC 1232 (residential, day and domiciliary care managers and proprietors)
SOC 3111 (laboratory technicians)
SOC 3212 (pharmaceutical technicians)
SOC 6131 (nursing auxiliaries and assistants)
Transitional arrangements for individuals already working in ISL roles are expected to be confirmed by the Home Office and will be shared once available.
A full and up‑to‑date list of roles on the Immigration Salary List is available on GOV.UK.
Interim Temporary Shortage List (TSL) - current position
The Temporary Shortage List (TSL) is a time‑limited list intended to support international recruitment only where roles are critical to industrial strategy or essential infrastructure.
Laboratory technicians (SOC 3111) are currently the only Health and Care Visa role on the TSL.
Roles on the TSL are due to run until the end of 2026, subject to government decisions following the Migration Advisory Committee’s review.
The MAC has published it's final recommendations on occupations that should receive access to the immigration system through the TSL. NHS Employers will share the updated TSL once it has been published by UK Visas and Immigration (UKVI).
Immigration Health Surcharge – current position
The Immigration Health Surcharge is currently:
£1,035 per person per year for most visa holders and dependants
£776 per year for applicants under 18
All Health and Care Visa holders remain exempt from paying the Immigration Health Surcharge. Some roles may also be eligible for reimbursement in line with existing guidance.
Individuals sponsored into RQF level 3–5 roles cannot bring dependants with them for new applications or when switching from another visa route.
Individuals sponsored into RQF level 6 roles and above remain eligible to bring dependants.
Dependants of Health and Care Visa and Skilled Worker Visa holders can work in any role without needing a sponsor, subject to normal professional requirements.
Disclaimer
This article is intended for general information purposes only and does not constitute legal advice. For advice specific to your situation, please contact our team at T & M Legis for a consultation with our Legal Experts.
