Visa & Relocation Basics

Overview

Moving to the UK is not just about exams and jobs — it’s also about logistics, paperwork, and settling into a new life.

This page focuses on the practical realities so you avoid common stress and costly mistakes.

The Visa Most Doctors Use: Skilled Worker Visa

Most IMGs working in the NHS come on a Skilled Worker visa.

This usually requires:

  • A confirmed job offer from an NHS trust
  • Certificate of Sponsorship (CoS) from your employer
  • Meeting English language requirements
  • Paying the visa application fee and Immigration Health Surcharge (IHS)

Once approved, you are legally allowed to live and work in the UK.

What is a Certificate of Sponsorship (CoS)?

A CoS is a reference number issued by your employer (not a physical certificate).

It confirms:

  • Your job role
  • Your salary
  • Your start date
  • That the trust is sponsoring your visa

You cannot apply for a Skilled Worker visa without this.

Bringing Family (Dependants)

You can usually bring:

  • A spouse/partner
  • Children

They can:

  • Live in the UK with you
  • Work (partner)
  • Study (children)

This must be declared during the visa application, and costs will increase accordingly.

Arrival Costs to Plan For

Moving to the UK is expensive upfront. Common costs include:

  • Visa application fee
  • Immigration Health Surcharge
  • Flights
  • Temporary accommodation (hotel/Airbnb)
  • Deposit + first month rent
  • Transport costs
  • Basic household items

Financial planning before arrival is essential.

Finding Accommodation

Most new doctors start with:

  • Hospital accommodation (if available)
  • SpareRoom
  • Rightmove
  • Zoopla
  • Facebook groups for doctors

Avoid sending money before viewing a property — rental scams exist.

Essential Things to Do After Arrival

Your first two weeks usually involve:

  • Opening a UK bank account
  • Applying for National Insurance number
  • Registering with a GP
  • Getting a UK SIM card
  • Collecting your BRP (Biometric Residence Permit), if applicable
  • Attending hospital induction

These steps make your transition much smoother.

Cultural Adjustment (Often Overlooked)

The challenge isn’t just paperwork. Many IMGs struggle with:

  • Loneliness
  • Different communication styles
  • Lack of family support
  • Weather and lifestyle changes
  • Confidence dips early on

This is normal. It improves with time and community.

Reality Check

Relocation is rarely smooth. There will be delays, confusion, and frustration. This does not mean you made the wrong decision — it means you are going through a major life transition.

Most doctors feel settled after 2–3 months.

Reassurance

Thousands of IMGs successfully relocate every year and build stable, fulfilling lives in the UK. With preparation and realistic expectations, you can too.