Tier 2


Tier 2 Certificate of Sponsorship

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


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 HEE local areas 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@hee.nhs.uk

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

Please see the Trainee Guide to Tier 2 for more information.

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

Trainees are reminded that they should keep their sponsor informed of any changes in circumstances via the reporting form found here: Tier 2 Reporting Form Final October 17.doc

Criminal Records Certificate

From 6 April 2017, the Home Office require those applying to come to the UK under Tier 2 to work in certain occupations (including doctors and dentists in training), and their adult dependants, to produce a criminal record certificate from any country in which they have been resident for 12 months or more, consecutively or cumulatively, in the previous 10 years, aged 18 or over.

If you are successful in being appointed to a training programme in the UK, and require Tier 2 sponsorship, you will be required to provide the criminal record certificate to the Home Office when you make your visa application. As it can take some time to obtain a criminal record certificate, it may be helpful for you to begin the process of seeking certificates, if required, at the earliest opportunity. Please note that this is for entry clearance applications only so will only be applicable if you are applying outside the UK. All applicants will need to satisfy any DBS checks carried out by their employing Trust.

Details of how to obtain such a check from the relevant authorities abroad is available on the Home Office website at: https://www.gov.uk/government/publications/criminal-records-checks-for-overseas-applicants 

If the country concerned is not listed, please contact the relevant embassy or consulate for further details. Contact details can be found at: https://www.gov.uk/government/publications/foreign-embassies-in-the-uk

UKVI Updates

Tier 2 health surcharge 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:

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@hee.nhs.uk

Useful Links



NHS Employers