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DHSC updates international recruitment guidance to support ethical offers

Updated guidance for the international recruitment of health and social care personnel strengthens the principles on the use of repayment clauses in employment contracts, among other aspects.

The code of practice makes clear that repayment clauses may be used to recover some upfront expenses met by the employer on behalf of health and social care personnel. These include but are not limited to:

  • relocation expenses
  • visa fees
  • regulatory exam fees.

Costs such as the agency fee and immigration skills charge cannot be reclaimed.

The guidance states that any repayment clause included in an employment contract must abide by the four principles of transparency, proportionate costs, timing and flexibility. Social care employers are expected to refer to a list of ethical recruitment organisations.


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