The UK government’s recently announced immigration changes, set to take effect from 22 July 2025, represent one of the most significant shifts in skilled worker policy in recent memory. With sweeping alterations to skills thresholds, salary levels, and eligibility criteria, health and care organisations face new operational pressures, particularly those reliant on international recruitment.
At HealthTrust Europe (HTE), we recognise the profound impact these changes will have on the NHS, social care providers, and wider health sector partners. As a leading procurement and workforce solutions partner to the UK public sector, we are committed to equipping our partners with the clarity, tools, and strategies needed to adapt.
A Shift Toward Higher Skilled, Domestic Recruitment
The new rules raise the Skilled Worker Visa threshold from RQF level 3 (A-level equivalent) to RQF level 6 (graduate level), effectively removing 112 previously eligible occupations. This change, combined with the closure of the Social Care Worker Visa route for new applicants, will significantly narrow the scope for overseas recruitment in key frontline roles.
From July, only time-limited recruitment into below degree roles (RQF 3–5) will be allowed via the Immigration Salary List (ISL) or Temporary Shortage List (TSL), and even then, with restrictions such as no dependants. For employers, this means a substantial acceleration in building sustainable, domestic workforce pipelines.
Facing the Workforce Challenge Head-On
While most Health and Care Visa holders paid according to national pay scales remain unaffected (salary thresholds still at £25,000), the broader context is clear: immigration is tightening. Roles such as care workers and senior care workers, once a lifeline for care providers facing critical shortages, will no longer be open to new overseas applicants.
With a transition period until 2028, employers must now prepare not only for immediate operational continuity but for a long-term workforce model that is less reliant on international recruitment for entry-level roles.
What Should Providers Be Doing Now?
HTE’s Total HR Solutions team is actively supporting organisations in navigating these upcoming immigration reforms. To ensure readiness and resilience, we recommend the following strategic actions:
- Conducting Workforce Impact Assessments
Identify which current employees may be impacted by changes to visa eligibility or salary thresholds. Employers should communicate early and clearly to support staff and manage retention risks. - Accelerating Certificate of Sponsorship (CoS) Applications
If your organisation is planning to hire or renew skilled worker visas, submit CoS before 22 July so candidates can be assessed under current rules. CoS are valid for three months, offering a crucial window. - Reassessing Recruitment and Retention Strategies
With many RQF 3 to 5 roles being phased out of sponsorship, employers must strengthen their domestic pipelines. This includes expanding outreach, investing in training, and leveraging local partnerships. - Reviewing Occupation Codes and Compliance
Understand which roles remain eligible via the ISL or TSL and the restrictions that apply. Some roles (e.g., nursing auxiliaries) are now further defined to prevent misuse, requiring close attention to job descriptions and duties.
Building Workforce Resilience Through Strategic Partnerships
These immigration reforms mark a strategic pivot by government, one that prioritises high-skilled migration and places the onus on UK-based talent development. While challenging, this change also presents a vital opportunity for transformation.
At HTE, we believe that strategic workforce planning, supported by data, technology, and trusted partnerships, is the key to resilience. Our Total HR Solutions are designed to help public sector organisations navigate regulatory complexity, source talent ethically and efficiently, and build long-term capacity.
As the Migration Advisory Committee (MAC) continues to review eligible roles, we will keep you updated.
For more information on how HTE can help your organisation navigate these changes, contact THRS@htepg.com.