A Medicine Doctor’s Route to the UK
- February 09, 2021
Which routes can overseas internal medicine doctors take to GMC registration & securing jobs in the NHS?
All Medicine doctors looking to secure a job and work in the UK, whether you are from inside or outside of Europe, will need to satisfy certain criteria to fully register with the General Medical Council (GMC). Here we cover all the medical specialties that fall within the broader reach of General & Specialist Medicine to include specialisms such as cardiology, respiratory medicine, dermatology, gastroenterology, haematology, elderly care or geriatric medicine and general & acute medicine.
The criteria you must meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live.
“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.”
Joint statement from the Royal College of Physicians
Inside the EEA
Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway.
If you qualified as a doctor inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent. In addition, you will not need to apply for a visa from the UK Home Office.
As an EEA doctor, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS.
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.
You can do this by passing either of the following:
- IELTS – International English Language Testing System
- OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
GMC Registration
Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC. For full GMC registration you must provide evidence of:
- Evidence of English language capabilities (IELTS or OET)
AND
- Evidence of sufficient skill and knowledge (your equivalent qualifications)
Understand the registration process in full & by reading our article: IMG Library - GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for European doctors in the NHS is ever-increasing - the NHS welcomes you with open arms! At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of jobs than are readily available online.
Our network extends to psychiatry services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your dedicated consultant, with a specialty knowledge of General Medicine, will negotiate on your behalf ensuring you get the most competitive salary.
Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK.
Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.
IMG Library – Relocation & UK Life
Outside of the EEA
If you qualified as a doctor outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK. In addition, you will need to apply for a visa from the UK Home Office.
Here we summarise the requirements for General Medicine doctors, looking at the following:
- English Language Testing
- Evidence of Knowledge & Skills - PLAB, MRCP or equivalents
- Tier 2 Visas
- Full GMC Registration
English Language Testing
Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following:
- IELTS – International English Language Testing System
- OET – Occupational English Test
Take a look at our helpful articles below for detailed information on both tests:
IELTS – a guide for overseas doctors
OET – a guide for overseas doctors
Evidence of Knowledge & Skills in Medicine
Overseas doctors must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. This can be done through three main routes:
- PLAB
- Royal College qualification of MRCP
- GMC - recognised or equivalent qualifications
Route 1 - PLAB:
The PLAB exam is a two-part exam that assesses a doctor’s ability to work safely as an SHO in the NHS, as such it does not demonstrate ability in Medicine specifically.
For this reason, PLAB tends to be a route for junior doctors who have not already chosen their field of specialisation in medicine.
That said, for some senior doctors PLAB can be an attractive option, offering a quicker route to the UK, whilst still securing competitive salaries. If taking this option, international doctors can then take up training or a more senior post once they have established themselves in the NHS.
Take a look through our comprehensive guides on PLAB:
PLAB – a guide for overseas doctors
Route 2 - Royal College Qualification:
Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. medicine. For senior medicine doctors taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice.
The Royal College of Physicians is the Professional Body that regulates the specialism of medicine in the UK, and Membership of the Royal College of Physicians (MRCP) is the full qualification attainable by examination.
For overseas doctors, attaining MRCP will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK medicine.
Take a look at our complete guide on Membership of the Royal College of Physicians to understand more: MRCP – a guide for overseas doctors
GMC - recognised or equivalent qualifications:
Some overseas qualifications are recognised by the GMC and accepted for registration purposes. This means to say these qualifications are considered as meeting the same standards as the Royal College qualifications.
There are qualifications from several countries around the world that are currently accepted by the GMC.
Find out if your qualification is accepted by the GMC: Overseas accepted postgraduate qualifications
Tier 2 Visa
If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK.
Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make. Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare.
Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa application process & documents needed
Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa: Tier 2 Dependant visa - can i bring my family with me to the UK?
GMC Registration
With everything in place, you can apply for full registration with a licence to practice with the GMC. Remember, for full GMC registration you must provide evidence of:
- Evidence of English language capabilities
AND
- Evidence of sufficient skill and knowledge (PLAB, MRCP or equivalent)
Understand the registration process in full & by reading our article: GMC Registration for overseas doctors
Job search
We recommend starting the job search as early as possible. Demand for Non-EEA doctors in the NHS is increasing - the NHS welcomes you with open arms!
At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online.
Our network extends to general medicine services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans.
In addition, your 1-1 consultant, with a speciality knowledge of medicine, will negotiate on your behalf, ensuring you get the most competitive salary.
Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete. Take a look at our most recent jobs: Job Search
Relocation
Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.
Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.
Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Library – Relocation & UK Life
IMG Jobs
Specialist Medicine: Click here to find live NHS specialist medicine job opportunities in the UK
General & Acute Medicine: Click here to find live NHS general & acute medicine job opportunities in the UK
IMG Resources
In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:
Relevant Jobs
An NHS hospital in Wales is looking for a Consultant in Acute General Medicine with an interest in Same Day Emergency Care. The Acute Medicine department comprises a team of consultants and is supported by a large team of middle grade doctors. This Acute Medicine job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) qualifications are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
Full GMC registration, MRCP (UK) or equivalent, and experience in acute/general medicine are required for this role, and anyone with an interest in Same Day Emergency Care should apply. The salary will be between £91,732 and £119,079 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
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Deliver acute assessment and treatment to patients at the hospital\'s \"front door\" including the Emergency Department, Clinical Decision Unit, and Same Day Emergency Care.
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Develop and deliver a comprehensive 7-day acute medicine service.
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Provide “hot” clinics and take an active role in reducing hospital admissions.
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Offer effective leadership to multidisciplinary staff and support the development of teaching, training, and research.
LIFE IN WALES
This role is based in a scenic area of Wales, where candidates can enjoy both rural charm and easy access to urban amenities. While some prefer the peaceful villages in the countryside, others choose to live in nearby towns or cities for a livelier pace of life.
The region offers strong school options, convenient transport links across South Wales, and plenty of leisure activities such as hiking, sports, and visiting historic coastal areas—ideal for individuals and families alike.
Known for its rich cultural heritage, the area is steeped in Welsh history and folklore, with deep roots in medieval tradition and legend.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists
- Application support with expert knowledge of NHS specialisms & recruitment practice
- At least two video calling interview preparation sessions
- Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
- Document gathering and checking COS and Visa Application support if applicable
- Support sourcing short- and long-term accommodation
- Travel Arrangements
- Family support for finding schools and any other aspects of pastoral care
An public hospital in the Channel Islands are looking for a Chief of Service for Secondary Care with an interest in medicine. The department comprises a team of senior clinical leaders and is supported by a large team of dedicated middle-grade doctors. This role is open to both international applications and UK-based doctors, though those with a relevant Specialist or GMC registration are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
Experience as a senior clinician and a medical leadership background with a proven record at building teams and leading strategic management are required for this role, and anyone with an interest in developing clinical services should apply. The salary will be between £114,667 to £206,059, dependent on experience and grade. Specialist registration in a medicine specialty as well as NHS experience at consultant level is essential.
CORE DUTIES OF THIS ROLE
- Supervise and lead medical staff, managing the day-to-day operations of the Care Group
- Ensure effective and efficient patient services that meet the highest quality standards
- Develop, lead, and manage a team of Clinical Leads for various services within secondary care
- Implement the Educational, Learning, and Research Strategy across secondary care.
LIFE IN THE REGION
This region offers a beautiful mix of both coastal and rural living. Popular towns include the regional capital and more rural areas. Whether you enjoy urban amenities or rural tranquility, this area offers options for all. The region offers excellent schools, easy access to transport links including ferry and flights to mainland UK, and a variety of leisure activities for both adults and families, from hiking in nature reserves to enjoying coastal leisure activities. The area has a rich history and is known for its strategic importance in British history, notably its role during World War II and as a financial hub in modern times.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
- CV Preparation with a bespoke session with one of our specialists
- Application support with expert knowledge of NHS specialisms & recruitment practice
- At least two video calling interview preparation sessions
- Contract and offer negotiations for salary, relocation packages, tenure and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting your new role including:
- Document gathering and checking COS and Visa Application support if applicable
- Support sourcing short- and long-term accommodation
- Travel Arrangements Family support for finding schools and any other aspects of pastoral care
A Scotland-based NHS trust is looking for a specialty doctors in general internal medicine to join their medical team at a district general hospital. The hospital offers comprehensive care, including general medicine, stroke, and acute medicine, with support from various specialties. This role is open to both international applications and UK-based doctors, though those with MRCP (UK) or equivalent qualifications are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
Candidates must have experience in general medicine, sub-specialty interests are welcome, and MRCP (UK) or equivalent qualifications are required. The salary will be competitive and dependent on experience or grade but with a range of £61,690 to £96,129 per annum for specialty doctors, and up to £107,154 as specialists.
CORE DUTIES OF THIS ROLE
- Lead and manage care for patients with acute medical conditions in a district general hospital setting.
- Participate in a 1:8 on-call rota and provide consultant support during on-call shifts.
- Manage inpatient care, conducting rounds and assessments for general medical patients.
- Supervise and teach junior staff and contribute to medical education programs.
- Engage in clinical research and audits to improve service delivery.
LIFE IN THE REGION
This region offers a balance of rural living and modern amenities, with excellent schools, reliable public transport, and a welcoming community. The area is known for its natural beauty, offering outdoor activities like hiking and fishing. It is a tranquil location that provides a high standard of living and a strong sense of community, making it an ideal place to live and work.
A UK-based NHS hospital is looking for a Specialty Doctor in Acute Medicine with an interest in general medicine. The department comprises a team of consultants and middle-grade doctors, all working together to provide high-quality care to patients. This Acute Medicine role is open to both international applications and UK-based doctors, though those with MRCP or equivalent qualifications and those within 6 months of CCT are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
Candidates must be fully registered with the GMC and possess MRCP or equivalent qualifications. Entry on the Specialist Register or within six months of CCT at the time of interview is essential. Expertise in a broad range of medical conditions and the ability to lead a multi-professional team is required. Sub-specialty interests will be supported. The salary will be competitive and dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Lead and manage patients in the Acute Medical Unit and related wards.
- Supervise and mentor junior medical staff.
- Provide consultant support as part of the general medicine on-call rota.
- Contribute to clinical governance, audit, and quality improvement initiatives.
LIFE IN THE REGION
This hospital is located in a well-connected town offering both city and rural living. With excellent schools, public transport options, and numerous leisure activities, it\'s ideal for both individuals and families. The area is known for its rich history and easy access to outdoor activities, making it a wonderful place to live and work.
A leading NHS Trust in the East Midlands is offering an exciting opportunity for a Consultant in Acute and General Internal Medicine. This role is ideal for doctors passionate about delivering high-quality care within a supportive and dynamic environment. The position is based at a CQC-rated \"Outstanding\" hospital, part of a trust recognized for its exceptional staff engagement and commitment to innovation. The role combines acute and sub-acute care responsibilities with opportunities to develop sub-specialist interests.
The Trust also provides CESR Portfolio Pathway support for international medical graduates (IMGs), facilitating the journey to consultant accreditation in the UK.
What is the NHS Trust like?
This NHS Trust serves a diverse population of over 500,000, providing acute and community care through a network of hospitals and clinics. Known for its collaborative approach, the Trust works closely with local health and social care providers to deliver integrated, patient-centered services.
The Trust is committed to fostering a culture of excellence, with a focus on diversity, inclusion, and staff wellbeing.
What is the department like?
The GIM department combines acute care expertise with specialty clinics, ensuring comprehensive and patient-focused services. Consultants lead a multidisciplinary team, supported by advanced diagnostic tools and robust training programs.
The team includes specialists in nephrology, geriatrics, and rheumatology, providing a collaborative environment where consultants can develop their expertise while delivering exceptional care. Supported by registrars, SHOs, and F1 doctors, consultants oversee a high volume of admissions—approximately 14,000 unselected medical emergencies annually—ensuring efficient and effective patient management.
Continued Professional Development
The role offers extensive CPD opportunities, including CESR support, specialty training, and leadership development programs. Consultants are encouraged to engage in research, audits, and teaching.
Location
Located in a vibrant region of the East Midlands, this area offers affordable living, excellent schools, and diverse cultural and recreational activities. With strong transport links, it is an ideal base for professionals and families.
Am I eligible for this role?
UK based candidates:
- Experience in Acute & General Internal Medicine
EEA candidates:
- Experience in Acute & General Internal Medicine
- European Specialist Qualification
Non-EEA candidates:
- MRCP
- Experience in Acute & General Internal Medicine