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Supporting health and social care providers in Devon

International Recruitment

Funding Proposal

One Devon has agreed to invest in a prototype to support international recruitment into Adult Social Care provided by the independent sector across the whole system.

What will it deliver?

Recruitment has already started abroad for care workers, senior care workers and registered nurses and is being run by the Devon International Recruitment Alliance.  The Devon County Council area will receive 9 registered nurses, 14 senior care workers and 100 care workers, and we hope they will be in the UK within 12 weeks.

What is required of Providers to be included?

Providers will need to have their own international recruitment license in place or have an application in hand with the Home Office to be considered for phase one of this pilot.  For providers who do not currently have a license we will support them with the process through materials and webinars but 1:1 support will not be offered.  Further information and guidance can be found on the Government website.

Providers will need to have provision to accommodate international recruits, either on-site or in rented accommodation (there is £600 of funding support for this as part of the One Devon offer to support this initially).

There is an opportunity for providers to shape and develop training and induction together to make the best use of time and resources, and all recruits will be provided with a comprehensive welcome pack by the Devon International Recruitment Alliance, covering a wide range of topics including wellbeing support, finding supermarkets that sell international food and places of worship that support their faith, and cultural information on living in the UK.

Priority areas for this pilot are:

  1. Domiciliary Care and other community services excluding Supported Living and Care Homes in the following Priority locations:
    • Exeter and East Devon
    • South Devon – especially Teignmouth/Dawlish/Newton Abbot
    • North Devon – especially Barnstaple and Braunton
  • Priority will be given to providers who are commissioned by DCC who can improve hospital discharge, return people home who are temporarily in care homes and release additional capacity from short-term services provided by the NHS and DCC

         2.  Care Homes and Supported Living

  • Care homes/Supported Living who can demonstrate additional capacity as a result of the pilot and who provide care to people who present with complexity (including behaviours that are challenging), including the potential to reduce 1:1 support
  • Care homes/Supported Living who support the discharge of people from hospital

          3. Market sufficiency will be a consideration where a provider whose service is needed is at risk due to insufficient staffing

  • There will be a maximum indicative number of subsidies per care provider so that we can balance the pipeline of applicants between small and large providers. However, in the EOI providers will be asked to specify what they could achieve given an optimal number of placements. This will be reviewed and will provide the basis for potential extensions of the scheme where the business case can be made.
  • Where providing CQC regulated services applications will be prioritised to those who are rated Good or Outstanding

What is the offer?  What is being funded by this offer?

This funding will cover the cost of the Immigration Skills Charge, which is £3,000 for large providers and £1,092 for small providers.

It will also fund all of the following charges for nurses and senior/care workers.  Neither the applicant nor the Provider will bear any of these costs.



Item Cost Notes
IELTS/ OET £360 Max – reimbursed on arrival to UK with receipt
Part 1 Test of Competence (CBT) £90 Reimbursed on arrival to UK with Receipt
Application to NMC £140 Reimbursed on arrival
Admission on to the register £153  Reimbursed
Health And Care Worker Visa £232

£232 for 3 year licence

£464 for 3-5 year licence

Transfer from airport to accommodation c£150 Per Nurse
Food Hamper for nurses on arrival £25 To the value of £25 & further if isolating
Mobile Phone Sim £10
Part 2 Test of Competence (OSCE) £794 For the first exam
OSCE training/Accommodation/travel c£1000 Depending on location of provision of OSCE
Flight c>£600 Dependent on location of candidate
Accommodation £600
Sub Total £4,154  
Optional Items Cost Notes
Part 2 Test of Competence (OSCE) £397 For a resit




Item Cost Notes
English language proficiency – B2 £200 Max – reimbursed on arrival to UK with receipt
Health And Care Worker Visa £232

£232 for 3 year licence

£464 for 3-5 year licence

Transfer from airport to accommodation c£150 Per care worker
Food Hamper for care worker on arrival £25 To the value of £25 & further if isolating
Mobile Phone Sim £10
Flight c>£600 Dependent on location of candidate
Accommodation £600
Sub Total £1,817  

For full proposal please click here

How do I get involved?

If you would like to be considered to be part of this pilot, please complete this Expression of Interest form as soon as possible and your application will be considered, and Devon County Council will be in touch.

Any questions?

If you have any additional questions, please contact Tracy Grant on 01392 380499 or

Updated code of practice for international recruitment of health and social care staff

The code of practice promoting the high standards of ethical practice in the international recruitment and employment of health and social care personnel has been updated. It sets out the UK’s approach to supporting health and social care systems and workforce and is aimed at all health or social care organisations or recruitment agencies undertaking international recruitment.

International recruitment into adult social care

The UK Point-based Immigration system allows for international recruitment of nurses and senior care workers for adult social care via the route for skilled workers who have a job offer from an approved employer sponsor.

On 24 December 2021, the Department of Health and Social Care announced that care workers, care assistants and home care workers would be added to the Shortage Occupation List, which stipulates an annual salary minimum of £20,480 for care workers to qualify for the Health and Care visa. The temporary measures come into effect on 15 February 2022 and there will be a 12 month window to apply for a visa.

Independent adult social care providers report the following costs and challenges with international recruitment:

  • Accommodation/housing
  • Costs of Objective Standard Clinical Examination (OSCE) training and exams.
  • Agency fees of up to £3k per individual.
  • Immigration Skills charge of up to £3,000 per annum per international recruit for 3-5 years.

Immigration Skills Charge

Period  Small or charitable sponsors Medium or large sponsors
First 12 months £364 £1,000
Each additional 6 months £182 £500
Total cost for 3 years £1,092 £3,000

Sponsorship Licence per International worker

Type of licence  Fee for small or charitable sponsor Fee for medium or large sponsor
Worker £536 £1,476
  • Visa costs. Applicants need to pay £232 for a Health and Care Worker visa for up to 3 years or £464 for 3+ to 5 years. A decision is made within 3 weeks. Those obtaining a Health and Care Worker visa and their family are exempt from paying the Immigration Health Surcharge. Family members still need to pay these visa fees. After 5 years, they can apply for Indefinite Leave to Remain and would be eligible to claim benefits etc.

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