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Job summary

Main area
Specialist Care Division
Grade
NHS AfC: Band 4
Contract
Fixed term: 12 months (n/a)
Hours
Full time - 37.5 hours per week (Some weekends and bank holidays required)
Job ref
289-SC-374
Employer
Chelsea and Westminster Hospital NHS Foundation Trust
Employer type
NHS
Site
Chelsea and Westminster hospital
Town
London
Salary
£34,186 - £37,389 per annum incl. HCAS - pro rata
Salary period
Yearly
Closing
03/07/2026 23:59

Employer heading

Chelsea and Westminster Hospital NHS Foundation Trust logo

Overseas Visitor Officer

NHS AfC: Band 4

Job overview

The Overseas Visitors Officer is responsible for ensuring the Trust complies with Department of Health and Social Care (DHSC) Overseas Visitor Regulations by accurately identifying patients who are not ordinarily resident in the UK and determining their eligibility for NHS-funded care. Acting as a subject-matter expert, the postholder conducts sensitive patient interviews, reviews immigration and residency evidence, liaises with internal and external stakeholders, and applies Trust policy with a high degree of autonomy.

The role plays a critical part in maximising income recovery by ensuring correct charging, timely invoicing, and effective debt recovery for overseas patients, while maintaining a compassionate, professional approach to patient care. The postholder provides advice and guidance to clinical and corporate teams, supports financial processes, supervises junior staff, and deputises for management when required.

This role requires strong knowledge of regulations, excellent communication skills, attention to detail, and the ability to work independently in a complex and often emotionally challenging healthcare environment, always upholding Trust policies, confidentiality, and a high standard of patient experience.

Please note: Some roles may require weekend shifts at multiple sites.

Main duties of the job

The postholder acts as a key point of contact for Trust staff, providing specialist advice on the application of DHSC guidelines and Trust policy relating to Overseas Visitors. Working with a high level of autonomy, the role focuses on identifying patients who may not be ordinarily resident in the UK and determining their eligibility for NHS treatment and charging.

This includes proactively reviewing hospital systems, outpatient referrals, GP letters, and patient pathways to identify potential overseas visitors early. The postholder conducts patient interviews, reviews documentation (including visas), and liaises with external agencies such as the Home Office to establish status.

Accurate record-keeping is essential, ensuring all decisions and supporting evidence are documented to meet audit and compliance requirements. The postholder communicates outcomes sensitively to patients and relatives, including advising on treatment costs and charging status.

The role supports income generation through raising cost estimates and invoices with clinical teams, securing deposits where required, and ensuring timely billing and payment collection. It also involves liaising with insurance companies and supporting debt recovery alongside the Accounts Receivable team.

In addition, the postholder contributes to service development by supporting the creation and update of procedures and guidance to improve identification and management of Overseas Visitors across the Trust.

Working for our organisation

Our Trust is one of England's top-performing and safest trusts. We operate two main acute hospital sites—Chelsea and Westminster Hospital and West Middlesex University Hospital—along with award-winning clinics across North West London.

Our nearly 7,500 staff care for a diverse population of 1.5m, providing full clinical services including maternity, A&E and children’s services, plus specialist HIV and sexual health care. The CQC rates us Good in safety, effectiveness, care and responsiveness, and Outstanding in leadership and resource use.

We continually invest in our facilities, including a £30m expansion of critical care at Chelsea and an £80m Ambulatory Diagnostic Centre at West Mid.

We are delivering sustainable healthcare through our Green Plan. In line with Greener NHS ambitions, we aim for net zero carbon emissions by 2045. Achieving this requires collective effort. We encourage staff to reduce their impact on carbon, waste and pollution wherever possible. Every action counts to create a healthier, more sustainable future.

We are committed to equal opportunities and believe diversity drives innovation and excellence. We welcome applications from the global majority, veterans and underrepresented communities, valuing the perspectives they bring.

If you haven’t heard from us within 3 weeks of the closing date, your application was likely unsuccessful. Employment is subject to a six-month probation. Some roles may require weekend shifts at multiple sites.

Detailed job description and main responsibilities

Current Knowledge of Regulations

·         To understand the laws, regulations and guidelines regarding Overseas Visitors, keeping up to date with all changes from the DHSC. Abide by and apply Trust Overseas Visitors’ Policy.

·         To act as a point of contact for Trust staff members and advise them on the application of the DHSC guidelines regarding Overseas Visitors.

·         To act with a considerable degree of autonomy in applying the DHSC guidelines and Trust Policy and applying them accurately to Trust Overseas Visitors.

·         To ensure that the Overseas Visitors Office has a high profile throughout the Trust, to support accurate patient identification and billing.

·         To assist with the development and updating of procedures, documents and hand-outs for staff to follow in the identification of Overseas Visitors. 

Patient Identification Processes

·         To run checks daily on hospital computer systems and hospital departments to identify potential overseas visitors, including monitoring outpatient referral letters for potential overseas visitors.

·         To review GP referral letters for outpatient appointments, sending patient letters to check on their status and checking referrals to A&E from any outpatient clinic.

·         To ensure that patients who are not “ordinarily resident” in the UK are identified in accordance with the DHSC Overseas Visitors Regulations.

·         To interview patients and determine if patients who are not “ordinarily resident” are exempt or liable to charges for their treatment

·         To review documents and visa status liaising with external agencies (eg: Home Office) regarding the status of patients, as necessary.

·         To keep precise and meticulous records of interviews and documents obtained to confirm status.

·         To maintain comprehensive computerised and manual records of transactions processed including all relevant correspondence and patient data.

 

Finance

·         Following interview and determination of eligibility, to provide appropriate advice to patients and relatives regarding their status and costs of treatment.

·         To liaise with Insurance Companies concerning patient details, obtaining a letter of guarantee and providing medical reports as required.

·         To raise estimated costs of treatment and invoices in conjunction with clinical team input and clinical coding advice and deliver to patients and/or their relatives.

·         Secure deposits/payments for treatment before Overseas Visitors are discharged

·         To ensure that the necessary detailed information is obtained for accurate billing. To ensure that bills are raised in a timely fashion and that due income is collected as rapidly as possible.

·         To regularly handle and process cash, cheques and money transfers in line with the Trust’s policies and procedures.

·         To support the Accounts Receivable Team to ensure overseas debt is recovered in a timely manner, providing advice on case history when required and arranging and attending meetings to resolve outstanding debts.

Key working relationships

·         Overseas Visitors Manager

·         Overseas Visitors Officers

·         Trust Clinical Teams & Front Line Staff

·         Trust Corporate Teams – eg. Finance, Accounts, Clinical Coding, Medical Records, Private Patients, etc.

·         External Agencies – eg. Home Office, DHSC, NHSBA, Insurance Companies, etc.

Person specification

Education and qualifications

Essential criteria
  • Educated to degree level
Desirable criteria
  • Similar qualification or experience

Experience

Essential criteria
  • Conversant with all aspects of DHSC guidelines on overseas visitors
  • Experience in an Overseas Visitors or Private Patient Team
Desirable criteria
  • Use of hospital administration systems

Skills and Knowledge

Essential criteria
  • Computer Literacy
  • Clear and effective communication skills
Desirable criteria
  • Arabic speaking

Personal qualities

Essential criteria
  • Team Player
  • Excellent Interpersonal Skills
  • Ability to deal with patients showing compassion and empathy.

Trust values

Essential criteria
  • Putting patients first
  • Responsive to patients and staff
  • Open and honest
  • Unfailingly kind
  • Determined to develop

Employer certification / accreditation badges

Trust IDWe are a Living Wage EmployerCapital Nurse, LondonHealthy Workplace - Commitment 2018Veteran AwareApprenticeships logoTimewise helps businesses to attract and develop the best talent through flexible working.No smoking policyCare quality commission - GoodArmed Forces Covenant Gold AwardDisability confident employerStep into health

Applicant requirements

The postholder will have regular contact with vulnerable people and as such this post is subject to the Rehabilitation of Offenders Act 1974 (Exceptions) Order 1975 (Amendment) (England and Wales) Order 2020 and as such it will be necessary for a submission for Disclosure to be made to the Disclosure and Barring Service to check for any previous criminal convictions.

Application numbers

This vacancy may close early if it receives a high number of applications. Please complete and submit your application in good time to avoid disappointment.

Documents to download

Apply online now

Further details / informal visits contact

Name
Tina Lucas
Job title
Overseas Manager
Email address
[email protected]
Telephone number
020 3315 8483
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