Select committee: Public Accounts Committee
Conclusion 3
37th Report - Immigration: Skilled worker visas
Published 4 Jul 2025
Addressed to HM Treasury
Public Accounts Committee Immigration: Skilled worker visas All items in this report Report on parliament.uk ↗ Inquiry on parliament.uk ↗
Conclusion (the committee's words)
The Home Office opened the Skilled Worker visa route for social care workers quickly and failed to understand the risks. In 2022, the Home Office eased entry requirements for care workers to help the social care sector respond to vacancies created by the COVID-19 pandemic. It moved quickly to expand the Skilled Worker route and did not consider the risks of non-compliance with visa rules. From when the route was expanded in 2022 up to the end of 2024, 648,100 people applied for Health and Care Worker visas, including the dependants of main applicants. The Home Office identified evidence of exploitation of migrant care workers but was 4 initially slow to respond. Since 2023, it has strengthened controls to test the genuineness of applications and increase its compliance activity, which resulted in the approval rate for Health and Care Worker visas decreasing from 99% to 81%. The Home Office acknowledges that the Skilled Worker visa route has not worked well in the care sector and that it could have done more to ensure compliance with visa rules. The government has recently announced the end of overseas recruitment for care workers, as part of its efforts to reduce net migration. We are concerned about the potential impacts of this decision for the sector, which expects demands for social care roles to increase over the next 10 years. However, the forthcoming NHS 10-year plan could address the lack of parity in pay and conditions between the NHS and social care, making it easier to recruit more domestic workers in this sector. recommendation The Home Office and Department of Health and Social Care (DHSC) should: • write to the Committee to provide more detail on the decision to end overseas recruitment for care workers, including the expected implications for the sector’s workforce; and • work with DHSC to monitor how the route is being used during the transition period to 2028, and update the Committee on the impacts on the care sector; including the extent to which
From: Public Accounts Committee, 37th Report - Immigration: Skilled worker visas (HC 819), 4 July 2025
Government response
Latest Treasury Minutes progress report to the Committee of Public Accounts on the Thirty-seventh Report of Session 2024-26
The government responded to the whole report on 4 June 2026 (deadline 4 September 2025).
Treasury minutes: Government response to the Committee of Public Accounts on the Thirty-seventh report from Session 2024-26
Published 15 October 2025.
Summary written by Accountability Index from the government's response. It is not the government's own words.The government agrees with the Committee's recommendations on labour market evidence, evaluation, care workers, exploitation and compliance, but disagrees with the recommendation on customer service.
- On sector workforce analysis, it agrees that other departments should provide more rigorous analysis, with a target implementation date of July 2026, and says the Labour Market Evidence Group "will further strengthen collaboration" between the Home Office and departments leading on labour market and skills.
- It agrees to set out its evaluation of the Skilled Worker route, with a target date of October 2025, stating that the evaluation was published alongside the Immigration White Paper on 12 May.
- On exploitation, it agrees with the recommendation (target date April 2027) and says an update to the Committee is planned for April 2027, "one year after its creation" of the Fair Work Agency.
- It disagrees with the customer service recommendation, stating the Home Office "is committed to continuous improvement in customer service standards" and that it monitors key indicators.