Once you have received a job offer to work in the NHS, Hong Kong doctors have two options to choose from when applying for a visa: the British National Overseas (BNO) visa or the Tier 2 Skilled Worker visa for health and care workers.
The two visas have different criteria, requirements and merits, and which is best for any doctor will depend on the individual’s circumstances.
To help you better understand which visa is best suited to Hong Kong doctors relocating to the UK, we’ve put together this blog which will touch on the following questions:
Skip ahead to the relevant section if you know what you’re looking for.
If you’re from Hong Kong and are a British national (overseas), you and your family members can apply for a British National (Overseas) visa, also known as a BNO visa. It allows you to live, work and study in the UK and was launched by the UK Home Office in 2021.
Within the BNO visa, there are two broad ‘routes’ which have the same general conditions but cater to two different groups of people:
A Tier 2 visa is what allows overseas health and care workers to live, and work in the UK. Similarly to the BNO visa, it is provided by the Home Office following a job offer from a UK employer with a valid Tier 2 Sponsorship License.
The list of valid Tier 2 Sponsors can be found here.
It is safe to assume that the NHS trust you are applying to has a valid Tier 2 Sponsorship licence and that your IMG Consultant will have already checked this for you.
The Tier 2 visa allows you to work in the UK for the duration of your sponsorship period.
You can also bring over certain family members with you on a Tier 2 Dependent visa.
For a detailed overview of the Tier 2 Health & Care Worker Visa, see our blog here.
The BNO or Tier 2 visa essentially serve the same purpose for Hong Kong doctors, but they have some differences and similarities which are important to understand in order to make an informed decision between the two.
The main characteristics of the two visas are summarised below:
Immigration Health Surcharge (IHS)
Some of the most significant differences between the two visas is that on the BNO visa, you and your dependents must pay the IHS, whereas the IHS is no longer applicable to doctors on the Tier 2 visa.
You can claim this back every 6 months, but processing can take up to 6 weeks, and you may be doing this several times throughout the duration of your visa. You can read more about this here.
Police Check or Certificate of No Criminal Convictions (CNCC)
For the Tier 2 visa, you are required to produce a CNCC by the Home Office, whereas it is not required for the BNO visa, but it is very likely that you will be asked by the Trust to provide one.
Certificate of Sponsorship (CoS)
On the Tier 2 visa, you will require a CoS, which is a digital reference number from a Certified Sponsor (your NHS Trust) which you will need to complete your visa application.
With the BNO visa, you do not need a CoS because this visa isn’t dependent on a job offer.
Dependents
The criteria for dependents are stricter with the Tier 2 visa than the BNO visa.
On the Tier 2 visa, the only people defined as dependents are your partner, children under 18 and children over 18 if they’re currently in the UK as your dependent, whereas the BNO visa has greater allowances for children over 18 and family members dependent on you because of illness, disability or age.
Whether the BNO or Tier 2 visa is better is entirely dependent on the particular circumstances of each doctor, but options are entirely suitable for doctors relocating from Hong Kong to the UK.
As mentioned above, some of these deciding factors may be the eligibility criteria, any dependents you may have, or your rights once you are in the UK on that visa.
We know that securing a BNO visa in Hong Kong can be quite a challenge at present, so if you think that the Health & Care Visa is a more feasible or easier option for you, don’t hesitate to connect with us to discuss your options.
If you are relocating to the UK with family, each member of your family will need to apply for a visa alongside you.
BNO Visa
For doctors travelling on the BNO visa, you will be able to have your family apply as ‘dependents’.
This can include your:
When you apply, you will need to provide evidence of your relationship with these family members and that you normally live together.
As a British national (overseas), you’ll need to submit your application first to get an application number. This is called a Global Web Form (GWF) or a Unique Application Number (UAN). Your family members must use your application number when they apply.
Your family members will need to apply for a BNO visa with the same duration as yours (i.e. 2 years and 6 months or 5 years) and will be able to extend their visa if you apply to extend yours.
Adult dependent relatives will need to use your extension reference number, whilst other family members can apply separately from you.
The cost of your family’s BNO visa will be the same as yours - £180 or £250 (per person).
Tier 2 Visa
For doctors with a Tier 2 visa, your family will need a dependent visa to live with you in the UK. They will need to complete separate applications.
Your family members can apply for a dependent visa if they are your:
When you apply, you will need to provide evidence of your relationship with these family members and that you normally live together.
There can be a range of factors that will affect a family member’s eligibility for the Dependent visa, so we recommend you check here for full details.
Each family member will need to complete a separate application and pay the visa fee.
Once you have completed your own application for the Tier 2 visa, they’ll also will need your application number - you’ll get this when you apply. This number is called a Global Web Form (GWF) or a Unique Application Number (UAN). You’ll find it on emails and letters from the Home Office about your application.
As part of their application, your partner and children will need to prove their identity.
The cost of your family’s Dependent visa will be the same as yours – either £232 or £464 (per person).
It is important to check what documents you will need before you begin your application.
As part of your online application, you’ll need to prove your identity. How you do this depends on what type of passport you have. You’ll either:
BNO visa applications can be completed from within the UK or outside the UK, but in either instance, the application is completed online, and the process is as follows:
Compile your details and scan all required documents before starting. You can find the full list of required documents here.
*If you choose not to apply for a BRP and your visa application is approved, you will be given a link to generate a code to share when necessary. This may be people concerned with your relocation such as your employer or landlord, and they will be able to use the code to check your status on the gov.uk website.
You can find the online application form here and you’ll be told what you need to do when you apply. Your IMG Consultant will also be able to assist you with the application.
Once you’ve applied, you can expect to receive a decision within 12 weeks, though your application may take longer to process if you need to provide more evidence.
Please note, you can apply for the BNO visa from overseas, but you should wait for a decision on your application before you travel to the UK.
Like the BNO visa, we always advise that you check what documents you will need before you begin your application.
Once you have accepted a job offer and pre-employment checks are complete, the hospital will apply for a CoS from the UK Home Office.
Health and Care Visa applications are complete online, and the process is as follows:
Compile your details and scan all required documents before starting. You can find the full list of required documents here.
Application Review
Once you’ve completed all the above steps your application will be processed for review, and you’ll usually get a decision on your visa within:
Every application is different however, so your application may take longer to process if you need to provide more evidence.
You may be able to pay to get a faster decision. How you do this depends on whether you’re outside the UK or inside the UK.
First things first, congratulations! You are just a few steps away from completing your journey to the UK and can now firm up your relocation plans, putting into action your relocation checklist.
With your application under review, you should begin discussing your relocation plans with your IMG Consultant. This includes accommodation and travel, schooling, banking and any other questions you might have – our relocation team is happy to help!
Don’t forget, once your application is being processed, you can track its progress online.
Don’t hesitate to get in touch using the buttons above (and below) to discuss job options in the NHS, from the typical doctor salary in the UK to the most suitable hospital locations for you.
If you have any other questions, please feel free to get in touch with our team.
For advice, guidance and news and updates for IMGs, join the conversation through the links below.
https://www.gov.uk/british-national-overseas-bno-visa
https://commonslibrary.parliament.uk/research-briefings/cbp-8939/
https://www.gov.uk/skilled-worker-visa
https://www.gov.uk/uk-family-visa
https://www.gov.uk/apply-immigration-health-surcharge-refund/healthcare-setting
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