Tier 4

Non-UK/non-EEA nationals who graduate from a UK medical school wishing to undertake a recognised, 2-year full-time Foundation Programme (including academic programmes) are eligible to apply for Tier 4 sponsorship.

This is provided by Health Education England (HEE) working across West Midlands.

Each doctor applying for HEE Tier 4 sponsorship will need to register for an online personal Tier 4 account.



Applicants should submit their Tier 4 applications to the UKVI as soon as possible. Remember: it is vital that you fully understand the UKVI application process and that receiving a CAS is only a small component of evidence required by the UKVI. Delays in applying could lead to delays in starting the Foundation Programme.

As soon after 7th May 2018 as possible

Tier 4 applicant to provide HEE with outcome of Tier 4 visa application.

If your Tier 4 visa is refused, you must immediately contact the HEE Overseas Sponsorship Team (tier4doctors@hee.nhs.uk) notifying the refusal and intention to either appeal or, if needed, request another CAS to reapply.

If your Tier 4 visa is approved, you are required to notify the HEE Overseas Sponsorship Team by updating your personal details page with the new visa expiry date and uploading a copy of the new Tier 4 visa onto your online account as soon as it is received (and by strictly no later than 3rd Dec 2018).

As soon as the visa application outcome is known / new visa is issued

For those Doctors who have not yet uploaded a copy of their Medical Degree certificate; 5th November 2018 is the absolute deadline.

5th Nov 2018

All NEW Tier 4 visas to have been provided and the personal details page updated with new visa expiry date.

3rd Dec 2018

All Tier 4 sponsored-Doctors must ensure that all personal details, educational details and documents are kept up-to-date for the duration of your sponsorship e.g. renewed passports, change of address details etc.

Any change in circumstance must be reported to HEE immediately: tier4doctors@hee.nhs.uk

Ongoing for the duration of sponsorship