A survey by the Royal College of Nursing (RCN) suggests that up to 50,000 internationally educated nurses could quit the UK due to proposed immigration reforms, potentially plunging the NHS into its largest workforce crisis ever.
Proposed Changes to Settlement Rules
The government has proposed doubling the qualifying period for indefinite leave to remain (ILR) from five to ten years for migrants, alongside:
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Raising skills requirements to degree level for foreign workers.
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Increasing English language standards for all visas, including dependents.
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Limiting access to state support such as child benefit and disability payments until settlement is obtained.
These measures are seen as a response to growing political pressure, including attempts to curb net migration and address concerns raised by the Reform UK party.
Impact on the Nursing Workforce
The RCN survey, which included over 5,000 migrant nurses, found that 60% of those without ILR were highly likely to reconsider staying in the UK. With over 200,000 internationally educated nurses, this could lead to more than 46,000 professionals leaving, threatening patient safety and exacerbating staff shortages.
“These proposals are not just immoral; they are dangerous for our patients,” said Prof Nicola Ranger, RCN general secretary.
“At a time when the domestic nursing workforce is under strain, this risks pushing tens of thousands of highly skilled nurses out of the UK.”
International nurses have played a crucial role during the Covid-19 pandemic, often making personal sacrifices to support the NHS. Many now face uncertainty over their futures due to these policy changes.
Wider Effects on Migrant Workers
Beyond the healthcare sector, the proposals would affect migrant workers across multiple industries, limiting job mobility, access to benefits, and long-term security. Survey findings revealed:
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53% of migrant nurses are extremely concerned about financial security.
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52% are worried about the impact on their families.
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49% are concerned about career progression.
The changes could also deter future international healthcare professionals from coming to the UK, with only 11% of respondents stating they would have migrated if settlement took 10 years.
Government Response
A government spokesperson acknowledged the contribution of overseas healthcare workers while emphasizing the need to reduce net migration. The consultation will explore ways for individuals to shorten the path to settlement through contributions to the UK economy and society.
“We encourage health and care workers to take part in the consultation when it launches,” the spokesperson said.
How LawSentis Can Help
At LawSentis, our UK-based, IAA level 3-regulated immigration specialists provide guidance to healthcare workers and other skilled migrants affected by these reforms. We can:
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Advise on eligibility for ILR and citizenship under the new rules.
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Help navigate visa, settlement, and employment requirements.
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Support applications to ensure compliance with Home Office regulations.
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Provide strategic guidance to minimize the risk of disruption for NHS and social care staff.
If you are a healthcare professional or migrant worker affected by the proposed UK immigration changes, book a consultation with LawSentis to secure expert guidance and protect your rights.