NHS Education for Scotland - Tier 2 Sponsorship Process for Medical ĂŶĚĞŶƚĂůTrainees in Scotland*

Please visit the NES website for further information and guidance

Required Documentation
Email from NES Tier 2 sponsorship team inviting Trainee to register for a Attested copies of the below documentation MUST be provided before NES can proceed with
personal online Tier 2 account. issuing a COS. In most instances this will be provided by the recruitment teams as checked at
recruitment, but when requested Trainee must provide the documentation as soon as possible.

Trainee completes all personal details on the personal, ID, and employment
sections of the system, and uploads a copy of required documents
1: Passport photo page. This page must include the passport photo, issue and a valid expiry
date. If an extension to the passport expiry date has been granted and is given on a separate
page; please upload both pages into a single document before you upload the file.
2: Current Visa. A copy of this which clearly shows type of visa and expiry date. If Trainee has
been issued with a Biometric Residence Permit, a copy of both sides of this must be included.

3: Primary Medical Degree Certificate

Employer and Deanery complete salary and programme information for the
Trainee on the Tier 2 system 4. Evidence of GMC registration

4. Current payslip

Once all the above information has been provided and NES are satisfied the
appointment meets all requirements for sponsorship, the NES Tier 2
sponsorship team will email a COS to the Trainee Issuing of COS
Data must be provided by the Trainee, Employer and the Deanery before a COS can be issued. If
invalid documents are uploaded, details are incomplete and/or the deadline given to provide the
information is missed, trainees may experience a delay in the COS being issued

Trainee applies to the Home Office for Tier 2 Visa using the COS number.

Making a Tier 2 visa application to the Home Office

Applicants are advised to ensure that they meet all Home Office requirements and understand the
process (e.g. a COS can only be used once and is valid for 3 months from the date it was
Tier 2 Visa application rejected by Tier 2 Visa approved/granted by assigned) prior to application. It is advised that applications are made as soon as the COS is
Home Office Home Office received to prevent any delay in starting the Training Programme. If applicants do not intend to use
the COS, the NES Tier 2 sponsorship team must be notified.

Change in circumstance / Reporting activity via Tier 2 system

Trainee MUST immediately inform NES
of the refusal by logging in to the Tier 2
system, and confirming the outcome.
NES will then contact trainee directly to
confirm next steps.
IMPORTANT
COS numbers are unique & cannot be
used more than once. Should trainee
wish to reapply to the Home Office, a new
COS number will be required.
Trainee MUST record application outcome
on Tier 2 system as soon as this is known.
Once in receipt of visa, Trainee must attach
attested copy of visa to the Tier 2 system.
All details within Trainees Tier 2 account
should be kept up to date for the duration
of sponsorship.
Any absences or changes in circumstance
MUST be reported to the NES Tier 2
sponsorship team immediately (strictly no
later than 5 days from occurrence) by
Trainee, their Employer or Deanery.
The Tier 2 sponsored Trainee, their employer and the deanery are all responsible for reporting any
change in circumstance/Tier 2 activity to the NES Tier 2 sponsorship team within 5 days of the
event/change occurring, especially if the Tier 2 sponsored trainee:
• has a change in circumstance (including change of name, address etc)
• takes any period of leave (sick, annual, special, maternity/paternity or study leave)
• does not turn up for their first day of Training Programme
• rearranges their Training Programme start date
• has a change to the length of the programme
• requests to begin part-time training
• misses x10 ‘expected contacts’ (e.g. clinics, meetings etc)
• takes leave without permission
• discontinues the Training Programme (for example resigns or is dismissed)
• is suspected of breaching the conditions of their visa (e.g. undertakes part-time work unrelated to
the Training Programme.
*Please note: This process does not apply to Foundation Trainees