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   Tier 2

Monitoring Process.

During your sponsorship we are required to undertake certain duties on behalf of the Home Office in terms of keeping your training records updated for audit purposes.

New Tier 2 sponsored trainees

Doctors, employers and programme support teams must notify the HEE Local Tier 2 Team via email at tier2.yh@hee.nhs.uk of any changes in circumstances such as;  

  • Home Office visa application has been refused
  • withdraws/resigns from the training programme (post appointment)
  • start date is/will be delayed (e.g. visa issues, missed flight to UK etc.)
  • if the doctor did not enrol/ turn up for their first day of work as expected

All changes should be reported to the HEE Local Tier 2 Team within five working days of the event occurring via the Tier 2 reporting form

Current Tier 2 sponsored trainees 

Doctors, employers and programme support teams must notify the HEE Local Tier 2 Team via email at tier2.yh@hee.nhs.uk of any changes in circumstances such as; 

  • Any changes in your immigration status
  • has their training programme is withdrawn (e.g. is dismissed)
  • completes the training programme earlier than expected
  • changes their sponsorship/immigration category
  • has a change to the length of the programme (e.g. extended / remedial training required)
  • is deferring/taking leave from the programme (statutory/maternity leave only)
  • takes more than 10 consecutive days leave without permission OR misses x10 ‘expected contacts’**
  • takes any period of leave (sick, annual, special, maternity/paternity or study leave
  • Other (e.g. name change, visa application refused but later overturned via appeal, requests to work less than full time, a suspected breach of visa conditions or any other information relevant to sponsorship).
  • applications for Inter Deanery Transfer, Less Than Full Time Training and Out of Programme
  • Contact details (including address) 

All changes should be reported to the HEE Local Tier 2 Team within five working days of the event occurring via the Tier 2 reporting form

** Expected contacts include any instance where the sponsored medical or dental trainee is expected to attend a rotation, lecture, tutorial, seminar or scheduled meeting in relation to their Training Programme. If the sponsored Trainee misses an expected contact due to covering service delivery needs, it should not be counted as a missed contact. 

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