thanks people! we have he spousal visa sorted (and so has passed the english language requirements, but thats a good point you make about 'tuning your ears') and shes been here a year but wanted to get this extra qualification as shes not had a lot of luck with jobs. maybe its just hard to get a job these days! she would prefer a nursing home job, and we live in oxford as thats where i work for now. we dont have a car and so she cant drive and be a community careworke, in the sense of traveling between jobs as and when she is needed, but maybe that should be our next investment.
thanks very much once again. its great to hear as many peoples views of this as possible!