UK Immigration Law
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Thanks for requesting me.
Yes, VAF4 application is granted and the spouse has the visa endorsed in their passport they are entitled to start work in the UK immediately. The visa itself is proof of their right to work.
It is important to note though the application must be made in the US. You cannot come to the UK under the visa waiver scheme in the hope of then appliying for a spouses visa - this would certainly be refused.