Sri Lankan nurses, doctors, and allied health professionals have long looked to the United Kingdom for rewarding careers and competitive salaries. The Health and Care Worker visa offers a streamlined route — but it comes with specific financial requirements that many applicants misunderstand. On top of that, a significant route change in July 2025 closed overseas entry for certain care-worker roles. This guide explains exactly who can still apply, how much maintenance money you need, how the 28-day rule works, and what documents you should bring to VFS Global Colombo.
Not sure whether your role qualifies or how much to show for your UK Health and Care Worker visa? WhatsApp ShowMoneyLK at +94 76 611 8166 for a free, honest assessment of your case. Available 7 days a week.
What the Health and Care Worker Visa Is
The Health and Care Worker visa is a subtype of the Skilled Worker visa. It is designed for people coming to work in eligible health and care roles with a licensed UK employer. To be granted this visa you need a Certificate of Sponsorship (CoS) from that employer — you cannot apply without one. The route is part of the UK points-based immigration system, which means you must score enough points across sponsorship, salary, English language, and other criteria.
The main advantage of this route over the standard Skilled Worker visa is reduced fees: the application fee is lower, and — critically for Sri Lankan applicants — Health and Care Worker visa holders are exempt from the Immigration Health Surcharge (IHS), which can otherwise add a substantial sum to the cost of applying. Always confirm the current IHS rules on gov.uk, as policies can change.
Important 2025 Change for Care Workers — Read This First
From 22 July 2025, new overseas sponsorship for the care-worker and senior care-worker occupation codes under the Health and Care Worker route was closed. This means that if you are in Sri Lanka and you are applying for a role as a care assistant or senior care worker, you generally cannot be recruited directly from overseas into those roles anymore. The change was introduced to reduce net migration numbers. In-country switching — where someone already in the UK switches into a care-worker role — may still be possible, but you should seek specialist immigration advice if that applies to you.
The wider Health and Care Worker visa route remains open for eligible health professionals. If you are a nurse, doctor, midwife, paramedic, physiotherapist, occupational therapist, radiographer, or other allied health role sponsored by a licensed NHS trust or private healthcare employer, you are still able to apply from Sri Lanka. Always verify that your specific occupation code is eligible before you invest time and money in the application.
If you are unsure whether your role is still eligible for overseas recruitment, check the current list on gov.uk or speak to your prospective UK employer. A licensed sponsor will know which occupation codes they can recruit for from outside the UK.
The £1,270 Maintenance Requirement and the 28-Day Rule
When applying for the Health and Care Worker visa from Sri Lanka, you must show that you can financially support yourself when you arrive in the UK. The Home Office sets a fixed maintenance amount of at least £1,270. This is the minimum you must hold in your bank account for 28 consecutive days ending no more than 31 days before the date you submit your application.
The 28-day rule is strictly enforced. It does not matter if you have far more than £1,270 sitting in your account — if those funds have only been there for 23 days, your application will be refused. The balance must not dip below £1,270 on any single day during that 28-day window. Even one day where your balance falls short is enough for a rejection. See our guide on the UK 28-day rule for a full explanation of how to count the days correctly and how to keep your account compliant during the holding period.
At current exchange rates, £1,270 is approximately LKR 520,000 to LKR 560,000, though the exact equivalent depends on the rate at the time you deposit the funds. Always check the live rate and add a buffer to account for fluctuation — converting slightly more than the minimum is a prudent approach.
When You Are Exempt from Showing Maintenance Funds
Not every Health and Care Worker visa applicant needs to personally demonstrate £1,270 in their bank account. There are two exemption routes:
- You are applying from inside the UK and have held valid immigration permission for 12 months or more at the time of your application — in this case, you do not need to show the £1,270 maintenance funds.
- Your employer certifies your maintenance on your Certificate of Sponsorship (CoS) — if your sponsor explicitly states on the CoS that they will cover your maintenance up to £1,270 for your first month in the UK, you are not required to show the funds yourself.
If you are applying fresh from Sri Lanka and your employer has not certified maintenance on your CoS, you must provide your own bank statements showing the full £1,270 held for 28 consecutive days. Do not assume that your salary offer letter or employment contract is sufficient — the Home Office requires the bank statement evidence unless one of the exemptions applies.
Before you start the 28-day clock, confirm with your UK employer whether they are certifying your maintenance on the CoS. If they are, you can save yourself the effort of the bank statement preparation. If they are not, deposit the required amount at least 35 days before your planned application date to give yourself a safety margin.
Salary Thresholds for the Health and Care Worker Visa
Maintenance funds are only one part of the financial picture. You must also meet the salary threshold for your specific role. The Home Office sets a minimum salary as the highest of three figures: a general threshold, an hourly rate minimum, or the going rate for your specific occupation code. Always verify the current thresholds on gov.uk before you apply, as these figures are reviewed periodically.
| Salary Requirement | Current Figure | Notes |
|---|---|---|
| General minimum salary | £25,000 per year | Verify current figure on gov.uk before applying |
| Minimum hourly rate | £12.82 per hour | Verify current figure on gov.uk before applying |
| Going rate for occupation | Varies by SOC code | Must meet whichever is highest of these three figures |
| Immigration Salary List | In place until end of 2026 | Being phased out after 2026; check gov.uk for updates |
The Immigration Salary List currently allows some roles to be paid at a reduced threshold. This list is scheduled to be phased out after the end of 2026. If your offer letter is based on Immigration Salary List provisions, check whether that still applies by the time you submit your application. The going rate for your occupation code — the rate set for a UK-based worker in the same role — cannot be undercut regardless of which list applies.
For Sri Lankan nurses and doctors recruited through NHS trusts, the salary offer will typically be set at Band 5 or higher under NHS Agenda for Change, which usually meets or exceeds the threshold. However, always get written confirmation from your employer that the offered salary meets all current Home Office requirements for your specific occupation code.
The IHS Exemption — A Significant Benefit
One of the most financially meaningful benefits of the Health and Care Worker visa is the exemption from the Immigration Health Surcharge. For most Skilled Worker visa applicants, the IHS adds a significant upfront cost per year of the visa — this can amount to several thousand pounds for a multi-year grant. Health and Care Worker visa holders are exempt from this surcharge, meaning you pay reduced visa fees overall. Confirm the current IHS exemption rules on gov.uk before you apply, as immigration rules can be amended.
Documents Sri Lankan Applicants Need
Alongside the maintenance bank statements, Sri Lankan applicants need to gather a set of supporting documents before their VFS Global Colombo appointment. The core document list for the Health and Care Worker visa from Sri Lanka is:
- Valid passport with at least 6 months' validity beyond your planned UK departure date
- Certificate of Sponsorship (CoS) reference number — provided by your UK employer
- Evidence that your salary meets the threshold (employment contract or offer letter from the licensed sponsor)
- Bank statements showing £1,270 held for 28 consecutive days (unless exempt via CoS certification or 12-month UK residency)
- English language evidence — nursing and medical qualification from an English-medium institution in Sri Lanka may satisfy this, or an approved English test such as IELTS Academic or OET
- Professional qualification certificates — for nurses, your Sri Lanka Nursing Council registration; for doctors, your Sri Lanka Medical Council registration
- Criminal record certificate where required for the occupation
- Biometrics appointment at VFS Global Colombo (included in your online application process)
Sri Lankan applicants apply online through the UK Visas and Immigration portal and then attend VFS Global Colombo in Colombo to submit biometrics. Ensure your documents are ready before booking the VFS appointment, as rescheduling can add weeks to your timeline.
Bank Statement Standards for the Maintenance Requirement
Your bank statement must clearly show your name, account number, bank name, and a transaction history covering the full 28-day period. The closing balance on the final day of that period must be at least £1,270 (or the LKR equivalent held in a foreign currency account, if applicable). Statements from Bank of Ceylon, Commercial Bank, Sampath Bank, Hatton National Bank, People's Bank, NSB, NDB, Seylan Bank, or DFCC are all recognised — as long as the statement format meets the Home Office's requirements.
The statement must be dated no more than 31 days before the date you submit your visa application. Online printouts are sometimes accepted, but an official stamped and signed statement from your branch reduces the risk of a document query. If you hold funds in an NRFC account in foreign currency, the 28-day rule still applies in the same way.
| Document | Requirement | Sri Lanka Source |
|---|---|---|
| Bank statement for maintenance | 28 days, ending within 31 days of application | Your bank branch (BOC, HNB, Commercial Bank, etc.) |
| Certificate of Sponsorship | Reference number from licensed UK employer | Provided by UK employer via Sponsorship Management System |
| Passport | Valid, with sufficient blank pages | Department of Immigration and Emigration, Sri Lanka |
| English language evidence | Approved test or qualifying degree | IELTS/OET result, or university transcript |
| Professional registration | Nursing/medical council registration | Sri Lanka Nursing Council or Sri Lanka Medical Council |
| Biometrics | Mandatory in-person appointment | VFS Global Colombo, Colombo 03 |
How ShowMoneyLK Helps Health and Care Worker Visa Applicants
ShowMoneyLK specialises in helping Sri Lankan visa applicants prepare the financial side of their applications correctly. For Health and Care Worker visa applicants, that means ensuring the £1,270 maintenance funds are held in a properly structured account for the full 28-day period without any balance dips, obtaining an official bank statement that meets UK Home Office formatting standards, and preparing any supporting source-of-funds documentation your bank needs to issue the correct certificates. We work with all major Sri Lankan banks and understand exactly what each bank requires to produce compliant documentation.
If your employer has not certified your maintenance on the CoS and you need to show the funds yourself, our team will walk you through the deposit, the 28-day holding period, and the statement collection process step by step. We have helped hundreds of health professionals from Colombo and across Sri Lanka get their financial documents right the first time — avoiding the delays and distress of a refusal on financial grounds.
If your financial documentation for the UK Health and Care Worker visa isn't ready, message ShowMoneyLK on WhatsApp at +94 76 611 8166. We'll tell you honestly what's achievable for your timeline. Free consultation, available 7 days a week.
Ready to arrange your show money?
Talk to our team today — free consultation, response within 30 minutes, documents ready in 24 hours.
Free consultation · Available 7 days a week · 100% confidential