A Psychiatrist's Route to the UK

  • April 06, 2023
 

There are several routes a psychiatrist can take to register with the GMC and practice psychiatry in the NHS. 

Psychiatrists looking to secure a job in the NHS must satisfy certain criteria before they can be fully registered with the GMC (General Medical Council) and receive a license to practice in the NHS. For psychiatry, these criteria depend on where you received your training, and the qualifications you hold.  

In this blog, we’re giving you a snapshot of the steps you need to take to start your journey to the UK, as an overseas psychiatrist. We’ll be covering the following: 

Skip ahead to the relevant section if you know what you're looking for.

Evidence of knowledge and skills for EEA Psychiatrists

For psychiatrists who trained in an EEA country (all countries inside the EU, also Lichtenstein, Iceland, Switzerland & Norway), there are several options potentially available to you. 

Depending on the country and year you completed your residency or basic medical training, the GMC may automatically recognise your qualifications and grant you either General Registration, or Specialist Registration in the UK. To find out if your country’s qualifications will allow you to register for either GMC registration, check the relevant GMC page here

Basic Medical Training: If you have met the requirements for basic medical training, you would not need to demonstrate your medical knowledge and skills to work as a doctor in the UK, and would therefore not need to complete a Royal College postgraduate qualification or PLAB to register with a license to practice. You would be granted full registration in this case, but not Specialist Registration. 

Specialist Training / Residency: Not all European Specialist qualifications are accepted by the GMC. If you have met the GMC’s criteria pertaining to your county, then you should be eligible for Specialist Registration in oncology. 

So as a psychiatrist, if you hold a Relevant European Specialist qualification, you would be put on the specialist register for psychiatry and can be appointed as a substantive psychiatrist in the NHS. 

Please note, the criteria that is outlined on your country’s GMC registration page must be met. If your training was undertaken prior to the dates mentioned by the GMC – your qualifications will not be accepted.  

For EEA psychiatrists, the main hurdle that you will face will be demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the NHS. 

As a European psychiatrist, this is most likely the easiest route to becoming GMC-registered and being able to practice psychiatry in the UK. 

If you do not meet the GMC requirements for your training to be approved for general or specialist registration, other routes you may consider to GMC registration include PLAB, or (via the postgraduate route) the Royal College exams for psychiatry (MRCPsych). You can find out more about these alternative routes here

Evidence of knowledge and skills for non-EEA Psychiatrists 

If you qualified as a psychiatrist outside the EEA, then you will have to demonstrate that both your medical knowledge and skills AND English Language capabilities meet the level required to practice safely in the UK. 

Psychiatrists who've trained from outside the UK and EEA and must demonstrate to the GMC they have sufficient knowledge & skills to practice safely in the UK. For psychiatrists this can be done through three main routes: 

Professional & Linguistics Assessment Board (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 psychiatry 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, psychiatrists 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. 

Royal College of Psychiatrists

Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. psychiatry.  Psychiatrists taking this route will gain access to more senior, well-paid jobs in the NHS. The Royal College of Psychiatrists is the professional body that regulates the specialism of psychiatry in the UK, and Membership of the Royal College of Psychiatrists (MRCPsych) is the full qualification attainable by examination. For overseas doctors, attaining MRCPsych will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK psychiatry. Take a look at IMG Resources library for complete guides on MRCPsych to learn more. 

GMC-recognised or Equivalent Qualifications 

Some overseas qualifications and licensing exams are recognised by the GMC and accepted for registration purposes. This is to say these qualifications or licensing exams are considered as meeting the same standards as the Royal College qualifications. 

To find out if your qualification is accepted by the GMC, take a look at our blog: Overseas accepted postgraduate qualifications 

English Language Testing 

Both EEA and non-EEA oncologists, regardless of experience, and country of origin, must demonstrate that they have a sufficient grasp and competence of the English language. This can be done by passing either the IELTS (International English Language Testing System) or the OET (OET – Occupational English Test). Detailed guides to these tests can be found below: 

IELTS – a guide for overseas doctors

OET – a guide for overseas doctors

Experience in English-speaking countries 

For doctors who have at least two years of their most recent experience in an English-speaking country, you can use a reference from your current employer or employers over these two or more years to demonstrate competence of the English language. This would exempt you from sitting an English language exam. 

Certificate of Good Standing 

All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they’ve been registered or licensed with in the last five years. 

The medical regulatory authority may send you a certificate of past good standing if you're not currently registered or licensed with them. You can find out which medical regulatory authority to contact via the GMC website here

If there's no medical regulatory authority in the country to issue a certificate, the GMC will give you further advice once your application has been assessed. 

Please note that each certificate is only valid for three months from the date it's signed and must be valid when we approve your application. 

GMC Registration 

Once you’ve completed your English language exam, you can now apply for full GMC registration with a license to practice. For registration, you must provide evidence of: 

English language capabilities - either your IELTS, OET or an approved reference from your current employer (if you have been working in an English-speaking country for the last two years). 

AND 

Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing. 

AND 

(EEA psychiatrists) Skills and knowledge – as an EEA psychiatrist, this would either be your recognised EEA qualification. 

(Non-EEA psychiatrist) Skills and knowledge – as a non-EEA psychiatrist, this would either be PLAB, MRCPsych or a GMC-approved qualification. 

To understand the registration process more fully, read our article on GMC registration for overseas doctors here

Visas 

If you or your family are from the EU, Switzerland, Norway, Iceland or Liechtenstein and started living in the UK by 31 December 2020, you may be able to apply to the free EU Settlement Scheme. Otherwise, you will need to apply for a visa from the Home Office

A Health & Care visa (Tier 2 visa) is the document given to a skilled worker by the UK Home Office following a job offer from a UK employer with a valid Tier 2 Sponsorship License. The list of valid Tier 2 Sponsors can be found here

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 dependent visa below: Tier 2 Dependent visa - Can I bring my family with me to the UK? 


So, there you have it! Hopefully this helps to clarify any worries or doubts you may have on your route to the UK as a psychiatrist planning a career in the NHS. If you have any questions or would like to know more about the psychiatry job market, then get in touch with our team. 

For regular news and updates on the Royal College and all things psychiatry, follow IMG Connect on social media using the links below: 

            

 

Relevant Jobs

52,530 - 82,240

An outstanding opportunity for a psychiatrist to join Forensic Psychiatry Department as Specialty Doctor that has received outstanding ratings from the CQC on three occasions. You will offer psychiatric input and conduct assessments, both psychiatric and physical, for patients on two wards. One ward is a self-contained low secure rehabilitation unit situated away from the main hospital premises, while the other is a medium secure rehabilitation ward. This role offers exposure to a broad spectrum of clinical presentations, including personality, affective, anxiety, psychotic, neurodevelopmental, and substance-related disorders. Moreover, it provides a platform for developing knowledge and understanding of forensic mental health sections. This position also offers CESR support for those seeking progression within the UK NHS Jobs system.

This is a great opportunity for overseas Specialty Doctors who want to establish themselves in the NHS, and grow their career. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.

What is the NHS Trust like?

The Mental Health NHS Trust is a leading provider of mental health service serving a population of 1.2 million. With five main inpatient sites and 25 community locations, they offer comprehensive support for both mental and physical health needs, catering to young people and adults alike. From managing phobias and anxiety to addressing conditions like bipolar disorder and schizophrenia, their services are diverse and inclusive. They integrate community health services with mental health care, enabling simultaneous treatment of conditions such as diabetes and mental health issues, promoting holistic patient care.

Forensic Psychiatry Team & Department

The Forensic Service enjoys a stellar reputation, earning an \'Outstanding\' rating from the Care Quality Commission. The Forensic Service delivers care in low and medium secure environments, featuring specialized facilities such as the National Stalking Clinic and the Fixated Threat Assessment Centre (FTAC). These services focus on evaluating and managing risks for prominent individuals. 

The inpatient service consists of one acute assessment and treatment medium secure male 4 4 ward, four treatment and intervention medium secure male wards, one female medium secure ward, one medium secure and one low secure male learning disability ward, one low secure male FICU ward and 4 low secure male wards. There are currently 25 Consultant Forensic Psychiatrists in post, working with 5 senior psychiatric trainees who rotate with posts at other forensic psychiatric services in the region. There are 5 junior psychiatric trainees, coming from the UCH training schemes. The service currently employs 10 specialty doctors, working in the prisons and in the rehabilitation parts of the service.

Life in the area

The area offers a blend of urban and suburban living, providing both rural escapes and city conveniences. Residents can explore scenic parks or enjoy activities at different parks. The area boasts a range of quality schools and easy access to universities like Middlesex University. Transport links are excellent, with frequent trains to central London and nearby cities, as well as efficient connections to major airports. Housing options vary from historic cottages to modern apartments, catering to diverse preferences and lifestyles.

Career Development and Opportunities Available

With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, RCPsych exams, get involved in active research and many aspects of CPD. 

Participation in research and educational activities will be encouraged.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Forensic Psychiatry (Desirable)

Non-EEA Candidates:

  • MRCPsych
  • Experience of working in Forensic Psychiatry (Desirable)

UK based applicants

  • Experience of working in Forensic Psychiatry (Desirable)
93,666-126,281

An excellent opportunity for an experienced Consultant Old Age Psychiatrist to join an established NHS community clinic in London. The post if suitable for overseas psychiatrists, including candidates who are pursuing CESR. Specialists in Psychiatry, holding a specialist certification would be suitable for this post, based on experience entering at either Specialty Doctor or Consultant grade. 

WHAT IS THE DEPARTMENT & TEAM LIKE? 

The post offered is that of Specialist Psychiatrist in Older Adult Psychiatry, working in both the community mental health team and the memory clinic. In addition to this post, three additional CMHTs make up the older adult community service for the borough. The personnel of the CMHT include: medical staff, Community Psychiatric Nurses, Occupational Therapist, and Psychiatric Social Workers. There is a Psychological Therapy Department which provides therapy for older adults and which works across CMHTs in the Borough as does the Occupational Therapy Service.

The post holder will have responsibility for the diagnostic assessment and treatment of older adult psychiatric patients from the designated catchment area referred to and accepted by the service. Outpatient clinics and domiciliary visits in the community will constitute the majority of the direct clinical care provided by the post holder.

WHAT IS LIFE LIKE IN NORTH LONDON FOR PSYCHIATRISTS? 
This great world city is far more than just the capital of the United Kingdom of Great Britain and Northern Ireland. London is bustling, vibrant, multicultural and cosmopolitan. London is both old and new, a place where traditional pubs rub shoulders with the newest cocktail bars. Its most ancient castle is right next door to its newest skyscrapers. London\'s energy, as 8.6 million people go about their everyday lives, is tangible in every journey on the Underground, every stroll through a market and every walk along the banks of the River Thames. From the royal parks to the theatre stage, London really does have it all.

Working as a psychiatrist in London brings a range of exciting prospects. You will have the opportunity to work in some of the best mental health trusts in the UK, who will offer you the opportunity to constantly grow your medical and scientific knowledge and skills. In London you will have the opportunity to work in a wide range of settings, and as you progress through your career, you will have more opportunity to shape the way you work; you can develop research, work part time or full time and can combine your career with a wide range of other interests.


WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT THE TRUST?
With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, RCPsych exams, get involved in active research and many aspects of CPD. 

Participation in research and educational activities will be encouraged.

ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • 6 years experience of working in Older Adult Psychiatry

  • Board Certified Specialist in Psychiatry (desirable)

Non-EEA Candidates:

  • MRCPsych (desirable)

  • 6 years experience of working in Older Adult Psychiatry

UK based applicants

  • 6 years experience of working in Older Adult Psychiatry

  • S12 (desirable)

83945 to 95275

An NHS job opportunity is available for an ambitious and passionate General Adult Psychiatrist to join a trust rated \"Outstanding overall\" CQC. This position presents an ideal prospect for psychiatrists from overseas who aspire to establish themselves within the UK\'s NHS system and progress toward a consultant-level career. It is well-suited for candidates seeking support to achieve Certificate of Eligibility for Specialist Registration (CESR). Doctors must have 6 years work experience after finishing core psychiatry training or equivalent international qualification to be considered for this opportunity. 

What is the department & team like?

The department boasts a comprehensive General Adult Psychiatry department, equipped to deliver exemplary mental health care. Staffing includes a proficient team of consultants and dedicated junior doctors committed to providing superior patient care and support. The department\'s activity is marked by a wide spectrum of cases, ranging from common mental health disorders to more complex presentations. Patients receive tailored treatment plans incorporating evidence-based therapies, medication management, and holistic approaches to ensure comprehensive care.

Facilities within the department are modern and conducive to patient well-being, fostering an environment conducive to recovery and healing. Patients benefit from comfortable inpatient units, outpatient clinics, therapy rooms, and recreational spaces. On average, the department manages a significant caseload of general adult psychiatry cases annually, indicative of its pivotal role in addressing mental health needs within the community. The team\'s dedication to excellence and patient-centered care underscores the department\'s status as a leading provider of psychiatric services in the region.

What is the area like?

Location in a beautiful part of the south of England with easy links to London and Cambridge. Housing options range from historic cottages in quaint villages to modern developments, catering to diverse lifestyles. The location truly provides a balanced living experience, combining natural beauty, cultural richness, and modern comforts.

ELIGIBILITY FOR THE ROLE: 

Non-EEA: 

  • MRCPsych (Desirable)
  • 6 years specialist experience in General Adult Psychiatry
EEA: 
  • Specialist certification in psychiatry (desirable)
  • 6 years specialist experience in General Adult Psychiatry
UK based: 
  • 6 years Specialty Doctor experience in General Adult Psychiatry
52530 - 82400

Join an Older Adult Community Mental Health team led by experienced consultants and supported by a dynamic team of Specialty Doctors. This NHS Trust, rated \"Good\" overall by the CQC, prioritizes staff support and offers a flexible training program for career advancement and work-life balance. Ideal for overseas Consultants and specialists seeking to establish themselves in the NHS and also Junior Doctors or Specialty Doctors already in the UK. MRCPsych is essential for mosts doctors trained outside of Europe. European doctors would need specialisation in psychiatry with ideally expertise in old age. 

The post holder is expected to provide direct psychiatric services through the comprehensive evaluation, diagnosis, treatment planning, and treatment of patients assigned to him/her. The post holder is expected to be involved in discussions about assessments, treatment and risk management of patients in accordance with medical standards. The final decision rests with the consultant.

Life in the West Midlands

The West Midlands offers a blend of rural charm and urban amenities, catering to diverse preferences of residents. Its picturesque countryside provides opportunities for outdoor activities such as hiking, cycling, and exploring historic landmarks like Worcester Cathedral. The area boasts reputable schools and universities, ensuring quality education for families. Transportation links are convenient, with access to major cities like Birmingham and Bristol, as well as airports for domestic and international travel. Housing options range from quaint cottages in rural villages to modern developments in bustling towns, accommodating various lifestyles and preferences.

Career Development & Opportunities Available

The NHS Trust provides an environment that actively supports career development and offers various opportunities for professional growth. Staff members have access to ongoing training and development programs to enhance their skills and stay abreast of the latest advancements in healthcare. The Trust encourages and facilitates career progression, with opportunities for staff to take on additional responsibilities and roles within their specialties. Continuous professional development is promoted, ensuring that individuals can advance their careers and contribute effectively to patient care.

For those seeking further qualifications or specialization, the Trust may provide support for relevant educational pursuits, contributing to the professional development of its staff. CESR is a key feature of this role, with a current cohort of candidates working through CESR you will benefit from excellent support. 


ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Specialist Qualification in Old Age Psychiatry

Non-EEA Candidates:

  • MRCPsych (Desirable)

  • Experience of working in Old Age Psychiatry (essential)

UK based applicants

  • Experience of working in Old Age Psychiatry (essential)
  • MRCPsych (desirable)
  • Section 12 (desirable) 
93,666 - 126,281

An exciting opportunity for an experienced Consultant in Child & Adolescent Psychiatry to join an award winning CAMHS inpatient unit. The team supports each other in balancing high quality patient care while you are pursuing your own special interests. The team is part of an NHS Foundation Trust that is a leading Trust in mental health research. The Trust was rated as \"good\" overall by the CQC in 2019. The post if suitable for overseas consultants, including candidates who are pursuing CESR. Specialists in Child & Adolescent Psychiatry holding a specialist certification would be suitable for this post, based on experience entering at either Specialty Doctor or Consultant grade. 

Overseas applications from experienced Specialty Doctors and Consultants are welcomed. 

WHAT IS THE NHS FOUNDATION TRUST LIKE? 

The NHS Foundation Trust is the leading trust in mental health research. They provide excellent opportunities for professional development. The NHS Foundation Trust provides a broad range of community and inpatient mental health services, community services (including therapies), learning disability services, healthy lifestyle support and addictions services to a population of 765,000 people of all ages who live within areas of more than 4,700 square kilometres.

The Trust employs approximately 2,800 staff across more than 79 sites at locations throughout 4 towns. Their budgeted income for 2022/2023 is £186m. The NHS Foundation Trust works closely with major academic partners which ensures the nurturing of workforce of tomorrow\'s doctors, nurses and other health professionals. They aim to be a leading provider of integrated health services, recognised for the care compassion and commitment of their staff and known as a great employer and a valued partner.

The way they deliver their services has a direct bearing on their patients and carers’ experience of the Trust and, most importantly of all, their health. The Humber Teaching NHS Foundation Trust aim to provide the best services they can and constantly look at how they can improve them aspiring to excellence and be the best that they can be. They offer a wide range of benefits to help support a healthy work-life balance and support their employees\' overall health & wellbeing.

WHAT IS THE DEPARTMENT & TEAM LIKE? 

The service is a team of excellent and forward thinking doctors consisting of: psychiatrists, psychologists, nurses, creative therapists and family therapists. There is currently funding for 4.8 WTE Community Consultant Child & Adolescent Psychiatrists. The service aims to keep children and adolescents at home with increased support if possible. The Trust provides a comprehensive Specialist Child & Adolescent Mental Health Service for young people that are 19 years and under. 

The department has a Crisis Team that operates 24 hours a day, 7 days a week. While the Home Treatment (Intensive Intervention Team) aims to work from 8AM to 6PM, 7 days a week. The services is provided at various locations across the town in order to be able to offer families an accessible and convenient service within a less stigmatising and less threatening environment. There is also a team that works with people aged between 14 and 65, who are experiencing their first episode of psychosis or might be at risk of developing psychosis.

The post holder expected to make assessment of referrals/admissions. The post holder will liaise and collaboratively work with other services/agencies. The successful candidate is expected to have a care plan and treatment formulation, guidance on evidence-based treatment and effectiveness.


WHAT IS LIFE LIKE IN THE AREA? 

Blessed with rural beauty, bustling towns and a dramatic coastline, the town makes a wonderful place to call home. Affordable property prices make living here even more appealing, with luxurious city-centre apartments, quiet suburban new builds and charming country cottages to choose from. Some of the UK’s finest beaches are located right here. Affordable property prices make living here even more appealing, with luxurious city-centre apartments, quiet suburban new builds and charming country cottages to choose from. 

The town is known for its quirky narrow streets and bustling harbour overlooked by the striking Gothic ruins. It is a fascinating town, unlike any other. You will enjoy the quirky fishing villages, the unspoilt sandy beaches, the staggering views from the clifftops, and the popular seaside resorts. You will enjoy the 800km of bridleways that weave through the peaceful and colourful countryside of the North York Moors National Park.

WHAT OPPORTUNITIES ARE AVAILABLE TO YOU AT THE NHS FOUNDATION TRUST?

With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, exams, get involved in active research and many aspects of CPD. 

Participation in research and educational activities will be encouraged.


ARE YOU ELIGIBLE FOR THIS ROLE?

EEA Candidates:

  • Experience of working in Child & Adolescent Psychiatry
  • Board Certified Specialist in Child & Adolescent Psychiatry

Non-EEA Candidates:

  • Experience of working in Child & Adolescent Psychiatry

UK based applicants

  • Experience of working in Child & Adolescent Psychiatry
  • Within 6 - 12 months of completing CCT

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