Select Committee on Health Written Evidence


Annex 1

POSTGRADUATE DOCTORS AND DENTISTS those granted leave as a postgraduate doctor or dentist prior to 3 April 2006

Below is guidance about the effects of these changes on those who were granted leave as a Postgraduate Doctor or Dentist prior to 3 April 2006. There is guidance on:

    —  The effect of the changes.

    —  Those granted leave as a Postgraduate Doctor or Dentist prior to 3 April 2006 who will not meet the new requirements.

    —  Transitional Arrangements—Senior House Officer and equivalent grades and Foundation Programme/Pre-Registration House Officer Year.

    —  Transitional Arrangements—Specialist Registrars and equivalent Grades.

The effect of the changes

  Prior to 3 April 2006, the category for Postgraduate Doctors and Dentists enabled non-EEA doctors and dentists to train in the UK at the following levels:

    —  Foundation Programmes.

    —  Basic Specialist Training—this refers to Senior House Office (SHO) and equivalent grades.

    —  Higher Specialist Training—this refers to Specialist Registrar and equivalent grades. The General Practice Vocational Training Scheme (GPVTS) is also considered as higher specialist training.

  Since 3 April 2006, only those who have studied in the UK and are taking a Foundation Programme will meet the requirements. Those in Senior House Officer or Specialist Registrar posts (or posts at the equivalent grades of either of these) will no longer be eligible for a grant of leave as a Postgraduate Doctor or Dentist, and those undertaking a Foundation Programme (or Pre-Registration House Officer year) will only be eligible if they studied in the UK and meet all the other requirements.

  These doctors and dentists can continue to come to the UK, but need to meet the requirements of the relevant part of the Immigration Rules, such as the work permit system. Work permits can now be granted for posts at all three levels.

Those granted leave as a Postgraduate Doctor or Dentist prior to 3 April 2006 who will not meet the new requirements

    —  Any leave granted as a Postgraduate Doctor or Dentist prior to 3 April 2006 will continue on the same conditions. The leave remains valid and the conditions of leave remain the same.

    —  This means that they can continue to train in relevant posts, including completing ongoing posts and taking any relevant new posts, while their leave remains current and valid.

    —  However, an extension of stay as a Postgraduate Doctor or Dentist can only be granted if the new requirements are met.

    —  The switching provisions remain effective—therefore those with leave as a Postgraduate Doctor or Dentist who want to work in the UK can switch into leave as a work permit holder, highly skilled migrant, business person or innovator, if they meet the relevant requirements.

    —  They can also switch into leave to undertake a period of clinical attachment or dental observer post, if they have the relevant observation post arranged and meet the remaining requirements.

    —  Anyone who does not qualify under the new Rules for leave as a Postgraduate Doctor or Dentist, and who does not switch into an appropriate alternative category, will have to leave the UK when their leave expires.

    —  Transitional arrangements are in place for doctors and dentists offered a recognised training post before 7 March 2006 who do not have sufficient leave to complete the post. These relate to the employer obtaining a work permit without having to go through the resident labour market test. All the other normal requirements remain, including all the other work permit requirements and the normal restrictions on switching.

Transitional Arrangements—Senior House Officer and equivalent grades and Foundation Programme/Pre-Registration House Officer Year

    —  These transitional arrangements apply to applicants:

      —  who were offered a place on a Foundation Programme or a recognised training post as a Senior House Officer (or equivalent grades) prior to 7 March 2006; and whose post is due to commence on or before 4 August 2006; and

      —  who, because of the changes to the Rules which took effect on 3 April, no longer meet the requirements of the Immigration Rules for Postgraduate Doctors and Dentists; and

      —  who do not have sufficient existing leave to complete the post on offer (whether or not they currently have leave as a Postgraduate Doctor or Dentist—they may be abroad, or in the UK with leave in another category).

    —  If these requirements are met, then the employer can apply for a work permit for the post on behalf of the migrant and will not have to show that they have advertised the post to the resident labour market. All the other normal requirements remain in effect. If the work permit is granted, the migrant will need to apply to switch into leave as a work permit holder and meet the relevant requirements of the Immigration Rules for that category.

    —  Therefore, the transitional arrangements are of interest to employers who have gone through the recruitment process and offered a training post to a non-EEA national before 7 March 2006 without carrying out a resident labour market search.

    —  As stated above, the transitional arrangements apply to any non-EEA doctor or dentist who has been offered a place either on a Foundation Programme or a recognised training post at a Senior House Officer or equivalent grade. This applies both to those in the country and those overseas, as long as they have been offered a relevant training post before 7 March 2006 and meet the other requirements.

    —  The changes to the provisions for Postgraduate Doctors and Dentists were announced on 7 March 2006. Therefore any migrant who has been offered such a post on or after 7 March 2006 should have been fully aware when they were offered the post that they would not qualify for leave as a Postgraduate Doctor or Dentist to take up that post. Employers should equally have been aware of the new requirements.

    —  The transitional arrangements only apply to recognised training posts. Any other posts (including Trust Doctor posts, which are not recognised training posts) will not benefit from this concession and the normal work permit provisions apply.

    —  The transitional arrangements only apply where the posts on offer commence on or before 4 August 2006—which is the start of the next rotation period.

    —  We have set up these transitional arrangements to enable the employer of any doctor or dentist who was offered a relevant place prior to 7 March 2006 to be granted a work permit without needing to advertise the job to EEA nationals first (the resident labour market test). All the other requirements of the work permit system must be met, and further details of the work permit provisions are available on the Working in the UK website. Once a work permit has been granted, the doctor or dentist will need to apply to switch into leave as a work permit holder.

    —  If the applicant does not fall within these transitional provisions, then they can still come to or remain in the UK as a work permit holder. However, the employer will need to show that all the normal work permit requirements are met (including that the post has first been advertised to the resident labour market).

  Please note: there is no exemption to the normal switching provisions. Therefore a doctor or dentist who is already in the UK with leave in a category which does not allow switching into leave as a work permit holder, but who wants to benefit from these transitional arrangements, will have to leave the UK and apply for entry clearance in the normal manner. This includes those in the UK with leave as a Visitor or leave as the dependant of another migrant, where there is no provision for them to switch into leave as a work permit holder.

  Further information on the work permit process is available on the Working in the UK website at www.workingintheuk.gov.uk.

Transitional Arrangements—Specialist Registrars and Equivalent Grades

    —  Those with existing leave as a Postgraduate Doctor or Dentist.

    —  Many Specialist Registrar programmes last for five years. Under the previous provisions, leave as a Postgraduate Doctor or Dentist could be granted for a maximum of three years at one time. Any non-EEA national in a Specialist Registrar programme would therefore need more than one period of leave as a Postgraduate Doctor or Dentist in order to complete their programme.

    —  In recognition of this, there is a concession for anyone who has existing leave as a Postgraduate Doctor or Dentist to take up posts at Specialist Registrar or equivalent grades to switch into the work permit system without their employer needing to advertise the job to EEA nationals first (the resident labour market test). All other work permit requirements will still apply.

    —  This concession will only apply to applications made before or on 31 December 2006. As the work permit system involves a two stage process, this means that the employer of an eligible migrant will need to apply for a work permit before 31 December 2006 in order to benefit from this concession.

    —  Employers can apply for a work permit after 31 December 2006, but the application will not be considered under the concession and the resident labour market test will apply where relevant.

  Further information on the work permit process is available on the Working in the UK website at www.workingintheuk.gov.uk.

    —  Those who have been offered a recognised training post as a Specialist Registrar, but who do not have leave as a Postgraduate Doctor or Dentist.

    —  We recognise that the changes to the provisions for Postgraduate Doctors and Dentists also affect employers, who may have gone through their normal recruitment procedure and offered a training post to a non-EEA national as a Specialist Registrar without testing the resident labour market.

    —  Therefore the same transitional arrangements apply to those who have been offered a recognised training post as a Specialist Registrar before 7 March 2006 as to those who have been offered a place on a Foundation Programme or a recognised training post as a Senior House Officer (or equivalent grade).

    —  Further details are available above (Transitional Arrangements—Senior House Officer and equivalent grades and Foundation Programme/Pre-Registration House Officer Year) but to summarise this concession applies to those:

      —  who were offered a recognised training place/post as a Specialist Registrar prior to 7 March 2006; and

      —  whose post is due to commence on or before 4 August 2006; and

      —  who, because of the changes to the Rules which took effect on 3 April, no longer meet the requirements of the Immigration Rules for Postgraduate Doctors and Dentists; and

      —  do not have sufficient existing leave to complete the post on offer (whether or not they currently have leave as a Postgraduate Doctor or Dentist—they may be abroad, or in the UK with leave in another category).

  If these requirements are met, then the employer can apply for a work permit for the post on behalf of the migrant and will not have to show that they have advertised the post to the resident labour market. All the other normal requirements remain in effect. If the work permit is granted, the migrant will need to apply to switch into leave as a work permit holder and meet the relevant requirements of the Immigration Rules.

    —  If the applicant does not fall within these transitional provisions, then they can still come to or remain in the UK as a work permit holder.

    —  However, the employer will need to show that all the normal work permit requirements are met (including that the post has first been advertised to the resident labour market).

    —  Please note: there is no exemption to the normal switching provisions. Therefore a doctor or dentist who is already in the UK with leave in a category which does not allow switching into leave as a work permit holder, but who wants to benefit from these transitional arrangements, will have to leave the UK and apply for entry clearance in the normal manner. This includes those in the UK with leave as a Visitor or leave as the dependant of another migrant, where there is no provision for them to switch into leave as a work permit holder.

  Further information on the work permit process is available on the Working in the UK website at www.workingintheuk.gov.uk





 
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