In July 2025, the government made changes to the UK skilled worker visa, meaning many occupations were no longer eligible under the scheme. We look at how these have impacted dentistry, what the profession has said and the suggestions for improvement.
From 22 July 2025, certain roles will no longer be eligible to qualify for skilled worker sponsorship in the UK. This is according to the updated Appendix Skilled Occupations of the Statement of Changes in Immigrations Rules.
The changes include:
New minimum skill level: jobs must now meet RQF Level 6 (equivalent to a bachelor’s degree) to qualify for skilled worker sponsorship. This will have a significant impact on the dental team and dental nurses will no longer qualify. It should be noted that if you already sponsor an employee before 22 July 2025, they can continue in their roles and you can extend their visas. However new applicants must meet the updated criteria.
Increased salary requirements: the general salary requirements are changing from £38,700 to £41,700 per year, or £17.13 per hour. All new certificates of sponsorship issued after 22 July must meet the new salary levels – even for extensions.
Restrictions on dependants: Workers in roles below RQF Level 6 (even if on shortage lists) cannot bring dependants to the UK. This does not apply for existing team members on visas, just for new applicants.
The changes to immigration rules were laid out in parliament and published on 1 July 2025. The document covers wide ranging changes to other visas, including skills and salary threshold increases, the end of overseas recruitment for care workers and more than 100 occupations no longer having access to the immigration system.
A number of roles currently eligible under the health and care visa have been removed due to not meeting the skills threshold, and are not on either on the immigration salary list (ISL) or temporary shortage list (TSL). These include dental hygienists, dental technicians and dental nurses – meaning that no new individuals applying under these roles can access the skilled worker visa route after 22 July 2025.
Only those already granted skilled worker status before 22 July 2025 and have continuous permission under the same code will be eligible.
Dentists are not affected by the changes.
The changes may affect dental therapists under SOC code 3213, the classification recommended by the Home Office for dental hygienists and therapists. However, some dental therapists may be eligible for sponsorship under SOC code 2259 which will continue beyond 22 July.
A new group called Support DCPs UK was formed in response to the changes. With more than 600 members across all dental fields, it brings together affected dental therapists, dental hygienists, dental nurses, and dental technicians, serving as a space to share information, offer emotional support and speak with one collective voice.
We spoke to Akhil Anil, part of the Support DCPs UK, who explains what it hopes to achieve:
On 22 July 2025, the Home Office removed the ability for employers to provide skilled worker sponsorship for dental therapists, dental hygienists, dental nurses, dental technicians, and several other professions. For our community, these four professions are at the heart of the issue.
Many of us have already been living and working in the UK, fully integrated into the dental system, contributing to patient care, and working alongside local colleagues and for the local community. We have invested significant amounts of money, time and energy to register with the GDC, maintain our professional status, and remain in the country, all while paying taxes, following the rules and laws of the country and actively participating in society.
This sudden policy change came without adequate notice, leaving us facing a future filled with uncertainty. The emotional toll has been immense including sleepless nights, increased anxiety, and the constant worry of losing the lives and careers we have worked so hard to build here.
We understand the government’s need to implement immigration controls and we are in no way criticising the ruling body. However, we are asking that our circumstances be reconsidered and that we be given a fair chance to secure our future in the UK.
Beyond its impact on our own lives, this change will worsen the existing shortage of dental care professionals across the UK. Many practices already struggle to recruit and retain skilled staff, and the removal of sponsorship for these roles will make it harder to meet patient demand. Ultimately, this risks longer waiting times, reduced access to care, and further strain on an already pressured NHS and private dental sector.
We also would like to bring focus of the citizens of the country, who have to wait weeks if not months or even years to get a treatment appointment with their dentists. We all have seen news stories of common people resorting to pulling out their own teeth in desperation.
Although at the moment we represent over 600 members, it also stands true that there are many others out there who are outside of the circle and unaware of the existence of this group. If all these dental clinicians were to leave en masse, this would leave a huge gap that would be impossible to fill immediately, thereby needing to rearrange all the appointments to the dentists and essentially thereby increasing wait times even further.
Support DCPs UK is led by a handful of members from different backgrounds and professions. It was formed in response to the sudden changes to the skilled worker visa rules on 22 July 2025. Overnight, hundreds of international dental care professionals who had built their lives and careers here were left in a state of uncertainty and fear.
We created this group to bring together affected dental therapists, dental hygienists, dental nurses, and dental technicians so we could share information, offer emotional support, and speak with one collective voice. The group has now grown to over 600 members from all backgrounds and across all affected dental fields, reflecting the widespread impact of these changes. Many of our members were unaware of the changes until after they had taken effect, leaving them with no time to prepare or explore alternatives.
What makes this more of a difficult situation is that even the practice owners were blindsided by this rule change, thereby not giving them enough notice or time to even begin the process of applying for the necessary certificate of sponsorship (COS).
Another point to mention would be the limited number of sponsorships that could be provided by an employer using their existing sponsorship license. If they have already sponsored the maximum number of candidates on their license they would have to request the home office for another provision, which usually takes anywhere between 16 to 18 weeks to get approval.
Being that the notification for this rule change only became known to the employers and the employees by the beginning of July, for all the candidates that were caught in the aforementioned circumstance, getting a visa with their employer or even finding a job with an employer who had the provisions within the limited time frame would be an impossible task to aim for.
From our point of view, this law seems to have come from a positive though process but the implementation was rushed and not thought through entirely, harming both the overseas DCPs and the British citizens alike.
By uniting, we aim to raise awareness of the human and professional impact of these changes, both on the individuals affected and on the wider dental sector. The group is not here to criticise, but to respectfully appeal for our circumstances to be considered and for fair, practical solutions to be found.
To address the challenges caused by the sudden skilled worker visa changes, we are asking for a reconsideration of the rules specifically for dental therapists, dental hygienists, dental nurses, and dental technicians. Many of us have already invested in our professional registration, assimilated into the UK system, and contributed significantly to patient care. A pathway to maintain our right to work would acknowledge this commitment and prevent the loss of skilled professionals from the dental sector.
Another point to highlight would be the delicate relationship that is maintained between the dental staff and the patients. As you and many of us are aware, coming to the dentist is not child’s play. Many of the patients we have worked with over the years have expressed to us that they hated coming to the dentists or the hygienists/therapists as they have had traumatic experiences in the past, in several cases the patients calling their childhood dentists ‘butchers’. It takes multiple appointments over multiple days weeks and months to establish a good trusting relationship with the patients.
‘Dentistry in the UK already faces significant workforce challenges…by removing sponsorship eligibility for international dental care professionals, the government risks exacerbating these shortages, which could directly affect patient access to care’
Akhil Anil, Support DCPs UK
From personal experiences from members of the group, these once anxious patients are not only happy after each appointment but also return with a smile for continuing treatment, with patients stating that many of us have successfully helped them curb their fear of the dental practice. Getting used to a new face is not easy and this is especially true for anxious patients and with this law change the system is gambling with the mental and dental physical wellbeing of said patients.
Such measures would help safeguard patient care, reduce staffing pressures on dental practices, and give affected professionals the certainty they need to continue contributing to UK healthcare.
Dentistry in the UK already faces significant workforce challenges, with many practices struggling to recruit and retain skilled professionals. By removing sponsorship eligibility for international dental care professionals, the government risks exacerbating these shortages, which could directly affect patient access to care.
A different, more flexible approach is crucial to ensure the sustainability of the dental workforce. Recognising the contributions of international DCPs – who are already trained, registered, and integrated into the UK system – would help maintain staffing levels, reduce pressure on remaining staff, and safeguard patient care across both NHS and private practices.
Ultimately, supporting experienced international dental professionals is not just about fairness for individuals; it is essential for the ongoing delivery of safe, timely, and high-quality dental services to the public.
The recent changes by the Home Office, in removing the ability to sponsor new therapists and nurses from overseas, in my opinion is a mistake that will no doubt have a direct result on reducing dental access.
While we all understand the need to prevent mass immigration, these skilled workers provide a vital service in treating patients under NHS arrangements, especially in areas where it may be difficult to recruit dentists.
I recently met with Jess Asato the MP for Lowestoft and explained the negative impact that there will be on NHS dentistry, by removing the ability to sponsor these individuals. This positive meeting resulted in me being asked to provide some further information that she could share with the Home Office.
A few weeks ago, I was contacted by the group Support DCPs UK, following some social media posts I made regarding this subject. Following my conversation with them, it really highlighted the very sad situation faced by individuals who have spent several years and thousands of pounds gaining their GDC registration as a DCP and now at the last moment are being denied the opportunity to ever work in the UK because of the removal of sponsorship opportunities.
I really hope that with the combined efforts of the profession and key voices, the government will have a rethink of this action and allow sponsorship to be reinstated.
I am an overseas-trained dentist who grew up in a small town far from the British Isles. From a young age, inspired by English TV shows and films, I dreamed of coming to the UK to serve its people and build a life here. This aspiration has guided both my personal and professional journey ever since.
After completing my schooling, I pursued a Bachelor of Dental Surgery (BDS) from 2016 to 2022 at a prestigious university. Following this, I moved to the UK to undertake a postgraduate degree, earning an MSc in Advanced General Dental Practice (AGDP), with a PG certificate awarded in September 2023.
During my education, I applied to become a dental care professional (DCP) in the UK (February 2023). The process was extremely challenging – requiring hundreds of hours of paperwork, thousands of pounds in fees, and countless calls to the GDC. What should have taken three to four months ultimately took two and a half years due to rule changes affecting overseas dentists.
While waiting for my application, I worked in various roles – including warehouse operative and food and beverage associate – where I was promoted to team lead within months and received awards for my contributions.
In February 2024, I moved to Scotland to work as a trainee dental nurse. Over time, I advanced from dental nurse to receptionist and ultimately to dental therapist within the same clinic, gaining experience across multiple cities and communities. This diverse background gives me a unique perspective on the UK dental industry and the challenges faced by overseas-trained professionals.
As a dental nurse, I helped prepare and close surgeries, assisted patients with mobility needs, ensured patient and staff comfort, and kept the practice running smoothly.
As a receptionist, I coordinated emergency appointments, organised schedules with dentists, and served as the first point of contact for patients. This role allowed me to connect with patients, particularly elderly members of the diaspora, offering them comfort, companionship, and reassurance. Many returned to the practice looking forward to our conversations.
As a dental therapist, I have delivered high-quality care with near 100% patient satisfaction, reflected in multiple five-star reviews and testimonials. I have successfully helped anxious patients overcome dental fear, encouraging regular attendance. I recall a patient who, upon learning I might not be her clinician next time, was moved to tears and expressed heartfelt gratitude – a moment that reflects the trust and care I strive to provide.
Despite my dedication and contributions, the pathway for overseas-trained DCPs has been fraught with challenges, from prolonged application processes to complex regulatory hurdles. I have also cleared my LDS Part 1 exams and am awaiting Part 2, which, as many know, is extremely competitive.
I remain deeply grateful to the UK, its people, and its institutions for the opportunities I have received. My request, and that of many fellow DCPs, is simple: reconsider the rules that affect our ability to continue contributing to this country. We are committed, hardworking, and devoted to the care of the public. Are we truly considered a nuisance deserving of exclusion despite our dedication and love for this nation?
I am a dentist from India. A title that once brought me pride, purpose, and identity. But when we decided to move to the UK in pursuit of a better life – for our child, for our future – I had no idea that this journey would not just test my knowledge, but my resilience, dignity, and mental strength.
In March 2023, I submitted my documents for dental therapist registration with the General Dental Council. At that time, it felt like the beginning of a new chapter – a small spark of hope that my years of education and clinical experience wouldn’t go to waste.
But that spark was dim. Weeks turned to months with no update. Meanwhile, I made the difficult decision to enrol in a master’s in healthcare leadership at Salford University – a course not just for education, but as a route to enter the country. The financial burden was heavy, but we convinced ourselves: ‘It will be worth it.’
We landed in the UK in September 2023 – me, my husband, and our little child. No family, no network, no safety net. Just dreams packed in suitcases, and a quiet fear that things might not go as planned.
We started from zero. I juggled my master’s course with part-time jobs – cleaning, care work, anything to keep us going. My husband took up full-time work, often coming home late and exhausted. Our child started school, learning a new language, a new system, missing grandparents and the comfort of familiarity.
Meanwhile, I was drowning – not just in assignments, but in loneliness, self-doubt, and sheer exhaustion. There were days I stayed up the entire night writing papers, only to go to work in the morning with swollen eyes and a numb heart. No one saw the tears behind the academic success. No one saw the fear that I might never get to wear my white coat again.
Then, after months of silence, a caseworker finally contacted me about my dental care professional application. But instead of approval, it came with a long list of additional requirements – CPD trainings, Basic Life Support certification, IELTS, and more.
Each of these wasn’t just a checkbox. They were expenses we could barely afford. I remember paying for those courses while skipping meals or putting off essential expenses for our child. I remember redoing IELTS, the anxiety before the results, the sinking feeling of being stuck in an endless loop.
Still, I submitted everything. I kept going.
Finally, in May 2025, over two years after I began this journey, I received my dental therapist registration. There were no celebrations. Just relief. Just quiet gratitude – and a deep, exhausted breath.
By then, I had completed my master’s degree, switched to the graduate route visa, and had finally started working in the field I had trained so hard for. I could see a future again – the possibility of applying for a skilled worker visa (tier 2), building stability, and reclaiming the career I once had to leave behind.
But then, like a storm without warning, came the immigration white paper.
Suddenly, everything changed – again. New rules, stricter regulations, and uncertainty replaced the hope we had only just begun to feel. Once more, the ground shifted beneath our feet.
This is not just a story.
It is the truth of countless migrant professionals like me. People who leave behind careers, identities, family, and comfort to rebuild their lives in a foreign land. It’s a story of silent sacrifices, of smiles worn over anxiety, of children who grow up watching their parents survive instead of thrive.
It’s a story of faith. Not in systems or promises, but in ourselves and in each other.
We are still here. Still standing. Still hoping that all of this – all the pain, the paperwork, the sleepless nights – will one day mean something.
I worked so hard for two years to become a dental hygienist, even paying a lot of money for my registration. But it’s been tough finding work in Scotland. Finally, a clinic loved my work and wanted to sponsor me, but then new rules made it impossible for them to do it in time.
My visa is running out in 2026, and the clinic is struggling, so I might lose my job. I’ve been trying to find work all over the UK, but nobody wants to hire me because my visa is almost up. I even tried to become a dental nurse again, but that would mean giving up my hard-earned hygienist license.
Now, I have no shifts, no job offers, and it feels like those two years of effort were for nothing. I can’t even take the exam that might help me. I’m feeling really lost and hopeless.
It’s not just my dental hygiene skills that I bring to the community and I see that role as deeply intertwined with my work in oral health. A lot of people don’t realise how much anxiety and fear can be tied to dental visits. Some have had bad experiences in the past, others are embarrassed about the state of their teeth, and many are just generally nervous about the pain or discomfort they expect.
I make it a point to create a safe and supportive environment for my patients. I listen to their concerns, validate their feelings, and use techniques I’ve learned in therapy to help them relax and feel more in control. This might involve simple breathing exercises, mindfulness techniques, or just having an open and honest conversation about what they’re feeling. My goal is to help them overcome their dental anxiety and build a positive relationship with oral care.
If I were to leave the community, there would be a real gap in this kind of holistic care. Patients who rely on my calming presence and therapeutic approach might avoid dental care altogether, leading to more serious oral health problems down the line. Plus, the community would miss out on someone who understands the connection between oral health and mental wellbeing, and who actively works to bridge that gap. It’s about more than just cleaning teeth; it’s about caring for the whole person.
As an international dentist, I came to the UK to advance my skills and contribute to the dental system. I pursued a master’s in advanced general dental practice, inspired by the UK’s reputation for excellence and the chance to work under the NHS. Leaving my career and life behind in my home country, I arrived hopeful to help patients struggling with access to dental care.
This journey demanded immense sacrifice – years of savings and emotional resilience. The master’s program honed my clinical skills to work as dentist and dental therapist. I dreamt of registering with the GDC and joining a practice. But in July 2025, my plans crumbled. The government removed SOC 3213 from the visa eligibility list, barring me from sponsorship as a dental therapist.
Despite my training and the NHS’s growing waiting lists, I can’t work here. This rule feels like a betrayal of my efforts and the patients I’m ready to serve. The impact is crushing. I face uncertainty and heartbreak, my degree useless for a UK career. Many international students share this struggle. The UK needs dental professionals, yet these rules push us away.
I urge policymakers to reinstate SOC 3213 or create pathways for graduates like me. Let my story spark change for professionals and patients alike.
I am currently on my post-study work visa (PSW), which is expiring in January 2026. My clinic has sponsorship license but our solicitor was adamant that they need registration to provide sponsorship. I gave my dental nurse registration exams and everything was fine, because I was due to get my sponsorship during this time period if the rule change hadn’t come in.
When the white paper rule was released I had just completed my exams, and was waiting to receive my GDC registration number. Even still, when this was announced, my employer tried to see if something could be done. I tried contacting solicitors and one of them was very kind to help me as the major issue was that we did not have COS allocation.
He said we could try doing like a priority service for COS allocation, but when the solicitor accessed the sponsorship management system, he realised my employer is not in the premium category. I requested my employer to write to Home Office; they did it and I don’t think any response came through.
To be honest, all my hopes were gone because I tried to do the maximum in that limited time period. I was applying for many dental nurse jobs with my registration coming in soon, but companies said that since I did not have my GDC number yet, I am still considered a trainee dental nurse.
I feel bad that by this November, I will be having two years of my dental nurse experience plus the registration. It feels like it has been a waste – because sponsorship was assured to me I did not think about switching jobs.
As an overseas dentist in the UK, I feel there is no consideration – especially with our field facing a shortage in this country. What’s the point of us struggling through all this? Everyone wishes to complete the overseas registration exam (ORE) and get a good clinical experience hence works as dental hygienist or dental therapist, or as a dental nurse.
To be honest, being a dental nurse does not pay well yet we survive only because a visa is the priority. I feel really shattered about everything. I hope the government can take a fair side and give some consideration to the people who are within the country, pay their taxes and live legally.
The Home Office has been contacted for comment.
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