Post by Deborah Udy Okusaga Akanne (@deborah_udy_okusaga)

The £41,700 Number Everyone Quotes Doesn't Actually Apply To Most NHS Roles. Here's Why.

I see this confusion constantly, from candidates and even from people who should know better: the general Skilled Worker salary threshold gets quoted as if it's a hard rule for every job in the UK, including NHS clinical posts. For most NHS roles on national pay scales, it simply isn't how the assessment works.

Health and care occupations on recognised national pay scales — junior doctor pay scales, NHS Agenda for Change bands, and others — are generally assessed against the going rate specific to that occupation code, not the general threshold figure that applies to the wider Skilled Worker route.

This is precisely why a Trust Grade SHO post can support sponsorship even when the headline salary sits below the number most generic visa guides quote, and why a Band 6 Physiotherapist post can clear its own occupation-specific threshold without needing to hit the general figure at all.

This distinction matters enormously in practice. Candidates sometimes talk themselves out of applying for a genuinely sponsorable role because they've seen a generic salary figure online and assumed they don't qualify, without realising that figure was never the relevant one for their specific occupation in the first place.

It cuts the other way too — some occupations and grades genuinely don't clear their relevant threshold, and no amount of optimism changes that. The only way to know for certain is to check the specific going rate for your specific occupation code, not rely on a single number repeated across generic immigration content online.

If you've ruled yourself out of a role because of a salary figure you saw somewhere, it's worth checking properly before you assume that's the end of it.

DM me "THRESHOLD" and I'll talk you through how this actually applies to your specific role and grade.

Post 5 at 5pm — a Saturday note for the weekend.

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The £41,700 Number Everyone Quotes Doesn't Actually Apply To Most NHS Roles. Here's Why.

I see this...

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