Tier 2


Tier 2 Certificate of Sponsorship

Health Education England is responsible for the sponsorship of Medical and Dental trainees for their Tier 2 visa application in England.  Health Education West Midlands administers the process on behalf of HEE.

2015 Recruitment

For posts commencing in August 2015, those tier 2 trainees currently sponsored in training programmes throughout England will be exempt from the Resident Labour Market Test (RLMT) and will be eligible to apply for and be offered medical and dental training posts throughout England.  This will allow trainees to preference different LETB’s during specialty training applications without having to consider meeting RLMT. 

Trainees sponsored by HEE, applying for posts outside of England i.e. Scotland, Wales and Northern Ireland, will still be subject to the Resident Labour Market Test.

Certificate of Sponsorship

Once you have received an offer, you will be forwarded an application form to complete.  For further details regarding the process, please see documents listed below.  If you are not contacted with the application pack, please email: tier2@wm.hee.nhs.uk immediately.

For current sponsored trainees who require an extension to their Tier 2 visa to complete their training please email: tier2@wm.hee.nhs.uk

The following documents provide further information regarding how to apply for sponsorship and the information you must provide to allow us to meet our sponsorship duties.

Tier 2 application process flowchart

Tier 2 extension application process flowchart

Trainee Guide to Tier 2

Important Information

Immigration rules are subject to change, please visit the Home Office website regularly: https://www.gov.uk/government/organisations/uk-visas-and-immigration

UKVI Updates from April 2015

Tier 2 health surcharge from April 2015:


Tier 2 charges from April 2015:


Tier 2 changes to UKVI visa application forms from April 2015:


Please note - it is your responsibility to be aware of the criteria required to qualify for a visa. Please ensure you familiarise yourself with the rules and regulations that apply to the visa category you are applying to.

For information regarding Tier 4 sponsorship, please visit the Foundation Programme website: http://www.foundationprogramme.nhs.uk/pages/home/tier-4-Visas

Contact Us

If you have any queries with regard to Tier 2 sponsorship, please contact Health Education West Midlands Tier 2 Sponsorship Team at: tier2@wm.hee.nhs.uk

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