Job offer refers to a job offer to a foreign employee. In all countries, employers are required to offer jobs to foreigners after advertising a job position for a certain period of time, and if no suitable local person volunteers for that job. In England, only companies that are on the list of companies approved by the British government can sponsor international labor visas. The terms of each employer’s employment contract are different from others, and therefore, paramedics are advised to always have sufficient knowledge of the terms of the contract they sign. It is possible that hospitals belonging to an organization (such as NHS) have different contract conditions. Especially in NHS, due to the island management model of medical centers, each hospital considers different duty hours for paramedics in its work contract or provides them with different services. But the salary and income in these hospitals are the same in all cities (except London).