Those on the UK's Shortage Occupation List always get a CoS for a visa in the monthly allocation held on the 11th, because jobs on the SOL get 130 extra points. If doctors are not getting a CoS, it is because the job they want is not on the SOL.
Nurses always get a CoS for their visa because all nurses are on the SOL, but unlike the others on the Shortage Occupation List, those not using the EU routes to the UK must have a Resident Labour Market Test. I assume that all nurses being put on the SOL, was done so that these do not have to meet the minimum earrings requirment for ILR. The UK wants to keep the high earners, those on the Shortage Occupation List and those doing a PhD level job.
Those doing a PhD level job always get a visa too, because they get 70 extra points added on to the points for their salary.
For all the rest who want this work visa, for non-NHS jobs too, the allocation goes by the salary they will get paid. The higher the salary, the more points they get, the better the chance of getting a CoS that is needed for this work visa. The lower points may have to keep trying each month, but each RLMT only allows 5 tries (5 months) if their employer will wait that long. The cap is about 2000 allowed each month and can be changed annualy as needed. The UK recently decided not to raise the cap.
What has been happening over the past six months, is what I said before on here, that NHS England has been on a drive to recruit those on their SOL and these always get a visa, which means less visas for everyone else in the monthly allocation. It's better for the UK to use visas than to have people in the UK on the EU rules and it was expected that all the other doctors will be excluded from the monthly cap for a while, to allow NHS England (or any of the other 3 NHS) to recruit all the doctors they want to.
What we have seen on the forums over the last few months, is doctors who want a job that is not SOL, then apply for a job that is on the SOL, just to be able to get a visa to come to the UK. These were telling other doctors to apply for a job as an Emergency Doctor as that is on the SOL. Then once in the UK, they can apply for the job they wanted, they are still subject to the RLMT, but won't have to be part of the monthly cap.
This NHS England drive has meant that the lower earner, in non-NHS jobs too, who is not on the SOL or doing a PhD job, can’t have a visa. Those on a salary of 50k plus, don’t seem to have much of a problem getting their CoS for a visa. It’s those with the lower salaries (lower points) who keep applying for months. Then they get joined every month by not only others on lower points, but also by those who will have the higher points to get their visa, which means less spare for those with the lower points.
With all the NHS Shortage Occupation List out of the cap for a while too, as well as all the other doctors who want to move ot the UK, it will be an immediate help to the rest who are not recruited by the NHS and who are in the 40 – 50 points range (40k – 50k earnings). Those with lower points (lower salary) might still have to wait for a while and will still have to meet the earnings requirement to get IRL, or will have to leave if they can’t find another route to stay.
Every month, immigrationboards have a thread for those wanting a visa to the UK. Some of the lower earners have been applying for 6 months: trying to return to their British boyfriend on this visa: had been on a Tier 2 ICT dependant visa for years and as that was now timed out, they were hoping to keep their family in the UK on a visa that would allow them all to settle; and those who just want to have a chance to settle in the UK.