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differences between the two visas is that on the BNO visa, you and your dependents must pay the IHS, whereas the IHS is no longer applicable to doctors on the Tier 2 visa.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
This is a good opportunity for any FRCPath or European-qualified histopathologists to join a friendly, high calibre department in the North East of England. The department are looking for experienced but hungry histopathologists to join them for a long-term post, and the trust will support candidates working on the Portfolio Pathway in Histopathology (formerly known as CESR). The trust will consider both UK and overseas applicants.
What is the NHS Foundation Trust like?
The NHS Foundation Trust serves as a district general hospital, providing essential healthcare services to the local population. Under its management, various healthcare facilities in the region. Consistent positive evaluations from the Care Quality Commission (CQC) underscore its commitment to delivering high-quality patient care, safety, and efficiency. The catchment area of this trust encompasses the north east, ensuring residents have access to comprehensive healthcare close to home. Through its services, the trust plays a vital role in promoting community health and well-being, contributing to a stronger, healthier population.
What is the department & team like?
The department have been centralized at a state-of-the-art Pathology Centre located at the NHS Foundation Trust\'s main hospital. These services cater to the local population in the North East. The consolidation of Cellular Pathology Services, completed in 2014, marks an innovative reorganization in pathology services. Satellite hot lab facilities are available at the NHS Foundation Trust\'s other sites. The NHS Foundation Trust leads this service, and the appointed individual will be contracted.
Pathologists are equipped with high-quality IT infrastructure to facilitate remote attendance at Multidisciplinary Team Meetings (MDTs). In cases where physical presence is required, a departmental electric car or a hopper service is available for transportation. Digital pathology implementation is underway progressively for pathologists interested in participation.
Career Development & Further Opportunities Available
The department will in time be moving towards a specialist reporting model and there will be opportunity to carve out your lead role in either the GI, head & neck, and urology sub-specialties.Non-EEA candidates:
EEA candidates:
UK candidates:
An exceptional NHS job opportunity awaits a Middle Grade Microbiologist to join the Microbiology Pathology Department at an \"outstanding\" rate NHS Trust.The role involves diagnosing and managing infections caused by microorganisms, contributing significantly to patient well-being.
This is an ideal chance for overseas Microbiologists or Middle Grade Doctors to establish themselves in the UK NHS system, with potential CESR support. Suitable for EEA-specialized candidates or experienced IMGs seeking career advancement.
What is the NHS Foundation Trust like?
This NHS Foundation Trust is a dynamic organization with an £180 million turnover, employing 12,000 staff to serve 500,000 people across acute and community healthcare services. Recognized for excellence by the CQC in 2016 and 2019, it primarily serves an urban population but extends its care across a rural expanse from the River Tyne to the River Tweed, offering picturesque landscapes. The Trust operates three major hospitals and numerous community facilities, including the state-of-the-art Specialist Emergency Care Hospital. With ongoing capital investments, it ensures modern, purpose-built facilities and expands its services to meet evolving healthcare needs.
They provide an extensive array of specialties, boasting some of the region\'s largest specialist departments. These include the foremost trauma and orthopaedics service, a significant cardiology department, and one of the region\'s most expansive units for colorectal surgery services.
The NHS Foundation Trust prioritizes supporting its staff in achieving a healthy work-life balance, irrespective of individual circumstances. Applicants unable to work full-time due to personal reasons will still be considered for the position, and adjustments to job responsibilities can be discussed on a case-by-case basis upon appointment.
What is the Department & Team like?
The Clinical Support and Cancer Services Business Unit manages Radiology, Pharmacy, and Pathology departments, as well as cancer services, across several hospitals. These services also extend to six community hospitals. With modern facilities and dedicated staff, the Pathology department, including the microbiology laboratory, benefits from significant capital investment and supports medical education initiatives.
The Microbiology team offers clinical consultation services through various channels such as ward rounds, telephone, email, and multi-disciplinary team meetings. They collaborate closely with Infectious Diseases, Infection Prevention and Control, Public Health teams, and the laboratory. Encouragement for networking with Consultant Microbiologists in the Newcastle area is given to improve patient care across organizational boundaries.
The microbiology laboratory holds a central position within the hospital complex. It comprises 240 m² of laboratory space and 74 m² of office space, established during the hospital\'s original construction in 1987. Specimens from clinical areas within the North East site are transported to the laboratory via a vacuum air tube system, while collections from GP practices and other hospital sites across the region are managed through regular courier and van services.
Life like in North East
The North East of the UK offers a diverse landscape, blending urban hubs like Newcastle and Sunderland with picturesque rural areas. Residents enjoy a vibrant cultural scene, from historic sites like Durham Cathedral to sandy beaches along the Northumberland coast. The region hosts reputable universities such as Newcastle University and Durham University, complemented by excellent schools. Transportation links are robust, with rail and road networks connecting to major cities and airports like Newcastle International Airport. Housing options range from city center apartments to suburban family homes and quaint countryside cottages, catering to varied lifestyles and preferences.
An outstanding opportunity for a psychiatrist to join Forensic Psychiatry Department as Specialty Doctor that has received outstanding ratings from the CQC on three occasions. You will offer psychiatric input and conduct assessments, both psychiatric and physical, for patients on two wards. One ward is a self-contained low secure rehabilitation unit situated away from the main hospital premises, while the other is a medium secure rehabilitation ward. This role offers exposure to a broad spectrum of clinical presentations, including personality, affective, anxiety, psychotic, neurodevelopmental, and substance-related disorders. Moreover, it provides a platform for developing knowledge and understanding of forensic mental health sections. This position also offers CESR support for those seeking progression within the UK NHS Jobs system.
This is a great opportunity for overseas Specialty Doctors who want to establish themselves in the NHS, and grow their career. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.
What is the NHS Trust like?
The Mental Health NHS Trust is a leading provider of mental health service serving a population of 1.2 million. With five main inpatient sites and 25 community locations, they offer comprehensive support for both mental and physical health needs, catering to young people and adults alike. From managing phobias and anxiety to addressing conditions like bipolar disorder and schizophrenia, their services are diverse and inclusive. They integrate community health services with mental health care, enabling simultaneous treatment of conditions such as diabetes and mental health issues, promoting holistic patient care.
Forensic Psychiatry Team & Department
The Forensic Service enjoys a stellar reputation, earning an \'Outstanding\' rating from the Care Quality Commission. The Forensic Service delivers care in low and medium secure environments, featuring specialized facilities such as the National Stalking Clinic and the Fixated Threat Assessment Centre (FTAC). These services focus on evaluating and managing risks for prominent individuals.
The inpatient service consists of one acute assessment and treatment medium secure male 4 4 ward, four treatment and intervention medium secure male wards, one female medium secure ward, one medium secure and one low secure male learning disability ward, one low secure male FICU ward and 4 low secure male wards. There are currently 25 Consultant Forensic Psychiatrists in post, working with 5 senior psychiatric trainees who rotate with posts at other forensic psychiatric services in the region. There are 5 junior psychiatric trainees, coming from the UCH training schemes. The service currently employs 10 specialty doctors, working in the prisons and in the rehabilitation parts of the service.
Life in the area
The area offers a blend of urban and suburban living, providing both rural escapes and city conveniences. Residents can explore scenic parks or enjoy activities at different parks. The area boasts a range of quality schools and easy access to universities like Middlesex University. Transport links are excellent, with frequent trains to central London and nearby cities, as well as efficient connections to major airports. Housing options vary from historic cottages to modern apartments, catering to diverse preferences and lifestyles.
Career Development and Opportunities Available
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, RCPsych exams, get involved in active research and many aspects of CPD.
Participation in research and educational activities will be encouraged.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
Non-EEA Candidates:
UK based applicants