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:  What is a BNO Visa? What is a Tier 2 Health & Care Worker Visa? What are the differences between the two visas? Which visa is better for me as a Hong Kong doctor? I am relocating with family, which visa do they need? What is the application process for the BNO visa? What is the application process for the Tier 2 Health & Care Worker Visa? #IMG Tips I have completed my visa application, what’s next? Skip ahead to the relevant section if you know what you’re looking for.  British National (Overseas) Visa  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:  BNO Status Holder route – for BNOs and their dependent partners or minor children. Other adult family members with a high degree of dependency may also apply under this route.  BNO Household Member route – for BNO citizens’ adult children (born on or after 1 July 1997) and the adult child’s dependent partner and minor children. All applicants must form part of the same household as the BNO citizen (i.e. normally live together) and be applying alongside the BNO family member.  Tier 2 Skilled Worker Visa (Health & Care)  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.  BNO Visa vs Tier 2 Visa  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.  BNO or Tier 2 Visa for HK Doctors  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.  Visas for Families  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:   husband, wife, civil partner or unmarried partner  child or grandchild under 18  child 18 or older, born on or after 1 July 1997 (and their partner or child under 18)  parent, grandparent, brother, sister, son or daughter (18 or older) if they live with you and they’re dependent on you because of illness, disability or their age  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:  husband, wife, civil partner or unmarried partner  child under 18 (including if they were born in the UK during your stay)  child over 18 if they’re currently in the UK as your dependent  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).  BNO Visa Application Process  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.  Start the application  Create a UK Visas and Immigration account  Pay the visa fee   Further actions will be prompted:  Download document check list - A helpful checklist to ensure you submit everything that is needed (we strongly recommend you use this to ensure nothing is missed).  Provide documents and biometric details - At this stage, you will need to download the UK Immigration: ID Check app to scan your passport with a biometric chip and upload a photo of yourself*. You can choose this option if you have a British National (Overseas) passport, a Hong Kong Special Administrative Region passport or a passport from an EEA country.  Making an appointment with your local visa application centre – If you do not hold a passport with a biometric chip, you can go to an appointment at a visa application centre to give your fingerprints and a photo - this is to get a biometric residence permit (BRP).  Selecting location for BRP pick up in UK – If you have applied for a BRP, you will have 30 days from your date of arrival in the UK to retrieve this from a post office, so think carefully about the location you choose in the UK. Once you’ve chosen, you will be sent a BRP collection letter which you should print and take to the post office to retrieve your BRP.  Submit your completed application  *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.  Application Review  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.  Tier 2 (Skilled Worker) Visa Application Process  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.  Start and complete the application - Once you have entered all your details, the application service will offer an appointment at a local visa appointment centre near you.  Pay the visa fee   Further actions will be prompted:  Download document check list - A helpful checklist to ensure you submit everything that is needed (we strongly recommend you use this to ensure nothing is missed).  Provide documents and biometric details - At this stage, you can upload electronic copies of your documents.  Making an appointment with your local visa application centre - Once you have made an appointment you will receive your appointment confirmation letter via email. Make note of the details and print this confirmation to take with you to the appointment.  Selecting location for Biometric Residence Permit (BRP) pick up in UK - You will have 30 days from your date of arrival in the UK to retrieve your BRP from a post office, so think carefully about the location you choose in the UK. Once you’ve chosen, you will be sent a BRP collection letter which you should print and take to the post office to retrieve your BRP.  Submit your completed application  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:  4 weeks, if you’re outside the UK  8 weeks, if you’re inside the UK  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.   #IMG Tips  Take time to choose best visa for you – speak to your IMG Consultant to discuss your options and circumstances to decide the best visa for you.  Gather and scan all documents early – go through the relevant checklist and read the guidance provided to stay on top of your application and minimise any delays  Think about the start date you want written on your CoS – if you will be applying for the Skilled Worker visa, think carefully about what date you want written on your CoS (it is only valid for 90 days)  Have your application checked before submitting – your IMG Consultant will be more than happy to double check your visa application before it’s submitted – take advantage, we’re here to help!  Apply for the CNCC early – you will almost certainly need a CNCC regardless of which visa you choose, so apply for this early to speed up the process.  My visa application is complete, what’s next?  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.  Getting started  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.               Sources  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

As an overseas doctor, arranging both a Tier 2 visa and dependent visa can be challenging. If you are intending to relocate with dependents you may be concerned as to whether you can bring your family with you, and at what stage this is possible? In this blog we outline the UK legislation rules in relation to your entry on a Tier 2 Visa, considering the following: Tier 2 Dependant Visa Who qualifies as a Tier 2 Dependent? Evidence of Personal Savings Required Documents for a Tier 2 Dependent visa Can dependants work on a Tier 2 Dependent Visa?  Can you extend the Tier 2 Dependent Visa?  What are you permitted to do with a Tier 2 Dependent Visa? What are you not permitted to do with a Tier 2 Dependent Visa? How much will this cost me? Once the visa application is successful, what happens next? Tier 2 Dependant Visa: Firstly, it is important to revisit the Tier 2 Visa briefly, as this is the most likely route to the UK for IMGs. The Tier 2 General visa is a UK work visa issued to highly skilled workers from outside the European Economic Area and Switzerland. As a holder of Tier 2 General Visa, you will be permitted to bring dependents to the UK on a Tier 2 Dependent Visa. It can be used when applying for or already holding a Tier 2 visa. Who qualifies as a Tier 2 Dependent? Doctors residing in the UK under the Tier 2 Visa, or applying for a Tier 2 visa, are allowed to bring their dependents to the UK. There is a narrow list of who qualifies as a Tier 2 dependent, and is as follows: Spouse Unmarried or same-sex partner Children aged under 18 at the time of application Child over 18, if they’re currently in the UK as a dependent Please note there can be a range of scenarios that affect eligibility for dependents, we recommend checking here before starting your application. Evidence of Personal Savings: As a requirement, you need to show proof that you have an extra £630 available for each dependent that you plan to bring to the UK (in addition to the £945 you are required to support yourself financially). If you present a bank statement to this effect, the money must have been in your bank account or your dependent’s bank account, for longer than 90 days before the application date. You will not need to show proof of your savings if you have: a fully approved (A-rated) sponsor you possess a certificate of sponsorship that states your sponsor will provide each of your dependents with at least £630 per month should they need it Documents must be submitted when applying in order to prove dependents falls under one of the above-mentioned criteria. Required Documents for a Tier 2 Dependent visa: A person applying to enter the UK as a dependent of a Tier 2 Visa holder, must submit the following documents during their Visa application interview: Appointment sheet Confirming dependents' T2 visa appointment.  Passport Valid for 6 months beyond the relocation date and must have at least one blank page in order to be able to affix visa. Application form Some locations only allow online applications - check with the UK embassy in your home country. If you can apply online, take the confirmation form with you to your appointment.  One UK visa photo in colour Ensure these are 45mm high by 35mm wide, taken within the last month and printed to a professional standard. Original birth certificate or marriage certificate  It must show dependent’s relationship to principal Tier 2 work visa holder. Previous passports These are needed to show previous travel history.  Translations of every document not in English These must be official translations. Tuberculosis screening If you are from a listed country, you will need to provide a Tuberculosis Testing Clearance Certificate – read our blog for more information. Document requirements vary depending on your country of residence, so you want to make sure before submitting your application. We advise you ask the embassy in your country of residence for a checklist before gathering the required documents.  Please note, your documents, including your passport, will remain at the embassy or consulate, during the time your application is being reviewed. Can dependents work on a Tier 2 Dependent Visa?  Yes. If you come to the UK and you have the required age which permits you to work, then you are allowed to take a job according to your qualifications.  The only exception is that Tier 2 Dependents are not allowed to work as a doctor in training, they will need to complete their own Tier 2 Visa if planning to work as a doctor in the UK.  In addition, if you come to the UK as a Tier 2 Spouse Dependent then you are not allowed to switch your visa to a Tier 2 Visa once in UK, even if you find a job that requires highly skilled persons. You will have to return to your home country and apply from there in order to be able to obtain a Tier 2 Visa. Can you extend the Tier 2 Dependent Visa?  Yes. Every person remaining in the UK as a dependent of a Tier 2 Visa holder, has the right to apply to extend their stay in the UK.  What are you permitted to do with a Tier 2 Dependent Visa? These are the main activities you’re allowed to perform in the UK as a Tier 2 Dependent: Stay in the UK for as long as the main Tier 2 migrant legally lives in the UK Travel outside the UK Work under certain restrictions Study under certain conditions Take a postgraduate course Get married or enter into a civil partnership Extend the visa What are you not permitted to do in the UK with a Tier 2 Dependent Visa? These are the activities you’re not allowed to perform in the UK as a Tier 2 Dependent: Use the public funds and benefits Work as a dentist/doctor in training, or as a sportsperson Study in a restricted study field How much will this cost me? There are two costs to consider throughout this process: your visa application fees with the home office The exact fee for dependents will vary depending on whether or not your own Tier 2 visa falls under the national shortage list or not. This list can be found here. immigration health surcharge The surcharge is applicable every year of your visa at a cost of £400 (this can be checked using the government calculator here) It is important to know, from the moment you pay the IHS surcharge you will be granted access to NHS healthcare services, free of charge. Visa application costs below: Up to 3 years – non-shortage occupation Who’s applying Fee (outside UK) Fee for extending or switching (in the UK) Yourself £610 £704 All dependents £610 per person £704 per person You as a citizen of Turkey or Macedonia £555 £649   Up to 3 years – shortage occupation Who’s applying Fee (outside UK) Fee for extending or switching (in the UK) Yourself £464 £464 All dependents £464 per person £464 per person You as a citizen of Turkey or Macedonia £409 £409  Once the dependent visa application is successful, what happens next? First things first, congratulations! You are now 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. Request your relocation checklist here. IMG Jobs  Search and find live NHS doctor jobs in the UK IMG Resources Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!   Get in Touch Get in touch using the buttons above (and below) to discuss doctor job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.