Trust Doctor Jobs in the NHS

  • January 27, 2023
 

NHS trust doctor jobs are paid well with numerous posts available across the UK.

Trust doctors are employed by the NHS in service posts, and therefore for training purposes only are not regulated by Royal College or Deanery. They are an attractive way for both the NHS and IMGs to ensure doctors are secured into posts quickly. The work of a trust doctor is often indistinguishable from that of a training post, and can therefore be an attractive option for trusts, paving way for the recruitment of overseas doctors. 

In this article will explore the both, with particular focus on service jobs. We will include the following topics:

What is a trust doctor?

Trust doctor jobs in the NHS cover a range of grades and apply to all specialties. It is a term applied to a doctor who is working in the NHS in a non-training post. 

Typically, the title trust doctor is applied to a doctor working at Senior House Level (FY1 & 2), however the term has now become synonymous with all grades. 

It is now a term most commonly applied to doctors from FY1 to ST3, but can be applied to specialty doctors by some trusts. 

Trust doctors work in career posts without specialist recognition, but often doctors doing service level jobs secure an ‘approved post’ and complete specialist training, others continue to progress using their experience as the platform.

Many of the doctors accepting service posts are from overseas, this can be a quick way to enter the NHS system and start your career in the UK. 

Could I take a training post instead?  

Yes, training posts in the NHS are very attractive. However, competition for places on training posts within the NHS is highly competitive. 

As such for IMGs interested in securing a place on a training post in the NHS, we advise that IMGs obtain a trust doctor or SAS doctor post, depending on experience, for 1 – 2 years. Following which you will be able to apply for a training post, for which you will be given priority. 

Not only will this approach give you the best chance of securing excellent training and career progression opportunities in the NHS, it will also give you the chance to settle in to the UK, get to know your trust better, and help you understand the training post that will suit you the most. 

Trust doctor posts also offer very competitive rates, so whilst you are getting to know the NHS and settling into life in the UK, you can also ensure that you are financially rewarded

What are the benefits of a trust doctor job? 

No matter what grade you are working at, there are benefits to a trust doctor role. 

Less competition and route to more training

The majority of IMGs are keen to enter training pathways at some point, but competition for these positions is very high. Places are offered to UK based applicants first, then EEA followed by Non-EEA applicants.

As such, it can be difficult to get a training post when applying for your first NHS role. 

However, competition for trust doctor roles are not nearly so competitive and can lead to successful applications for training programmes. 

Quicker route to securing your first post

For overseas doctors applying for trust doctor posts, as opposed to a training post, the process can be quicker. Less competition and a high demand for doctors will ensure that IMG Connect can secure you interviews quickly. 

Financial reward

Trust doctor jobs typically offer competitive salaries, with some harder to fill locations able to offer additional incentives. Speak with your IMG Consultant for more information. 

Allowing you time to settle into the UK and NHS

Taking a trust doctor role can be a great way to allow yourself time to settle into your new job and enjoy living in the UK. By taking on a new culture, employer and healthcare system all at once, you may feel more comfortable taking on a service post avoiding all the extra commitment and learning associated with a training role. 

More patient focused roles and less responsibility

Trust doctor posts are usually more focused on meeting NHS service requirements compared to trainee roles. Many doctors simply prefer a role where they can spend more time with patients, without the pressured commitment to training, admin and competition associated with training roles. This gives you more time to do the job you love.

Balance between work and personal life

When taking a service post such as a Trust doctor post, additional working hours and on call commitments can be optional. You will also be given the option to increase your overall hours through weekend and shift work, which will increase your overall take home pay. In most circumstances it is up to you how you want to approach balancing a life at home with work commitments & financial rewards. 

Freedom to consider all parts of the UK

Entering a training post is not only a commitment to the programme over a number of years, but also the geographical location that the deanery covers. By taking a trust doctor service role instead, you could complete a one-year contract and relocate to a different part of the UK altogether after completing the contract.


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How do I secure a trust doctor job in the NHS? 

There are many reasons why a trust doctor job can be a great option for IMGs when considering their first NHS post and it is clear that service doctors are vital to the day to day running of the NHS.

Of course, many doctors will be keen to get straight onto the specialty training programme, with a clear vision of achieving consultant status. The NHS training programme is recognised the world over for its quality and innovation and as such places are at a premium.

Regardless of the route you wish to take, IMG Connect will support any doctor pursing either path and can offer guidance and advice throughout either process.


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Relevant Jobs

100,000 +
A Welsh Health Board are looking to appoint an experienced consultant histopathologist to work in a joint clinical and educational supervisor to four innovative CESR Fellows, all FRCPath Histopathology holders. 

This is a unique opportunity to work in a developing initiative that will bring immense social good to the local the people of Wales. 

Short / mid / long-term ambitions for this role.

Short-term, there is the opportunity to work a close group of four international doctors, with specialist qualifications in histopathology including FRCPath. You\'ll have the opportunity to shape the careers of hungry pathologists ready to absorb all the knowledge and experience from an experienced NHS colleague like yourself.

Mid-term you\'ll be jointly responsible for the successful portfolio submissions for these individuals, helping the laboratory at Glangwili General Hospital to establish a newly qualified consultant team to provide stability and excellent pathological services for the patients of Wales, UK.

Long-term, the potential is enormous. As part of ‘A Regional Collaborative for Health’ or ARCH a regional hub for South and West Wales is being built in Swansea, to house a 30-35 consultant lead service for histopathology alone. Fully digitalised regional services for half the Welsh landmass would be provided via one central and digitalised hub. 

Life in the area

It\'s a beautiful life with Wales offering beaches, beautiful forest, lakes and mountains all available to you in your free-time. It\'s a low cost of living and a a bit of a dream for the right person. We can chat more about that over our call. 
93,666 - 126,281
IMG Connect are representing a Southern-based molecular oncology facility with a fully equipped laboratory, integrated process platforms, an in-house bioinformatics team, and a huge genetic database for precise and updated reporting.

The UK Lab is based in Surrey, and the facility is ISO 15189 accredited and ISO 27001 certified.

The department provides the latest technology and several years of extensive research offering highly effective treatment solutions to cancer patients for whom, multiple lines of treatment have failed.

The UK lab receives samples that are received from private practices around the UK, Europe and USA. 

Responsibilities:

With roughly two hours of work needed per day, mostly remote, with twice weekly attendance onsite likely required, the pathologists responsibilities will be along the lines of the below.
  • Authorisation of reports (molecular and tissue)
  • Sectioning slides / assessing tumour content - to help identify which sections can be used for processing samples.
  • Approving & signing reports.
    • Signing out molecular reports - training will be given.
    • Signing out solid organ cancer reports
    • Turnaround time is required within 24-hours. 
 Any successful candidate will be given a laptop and training to enable successful completion of the role.

Eligibility:
  • GMC registration 
  • Right to work in the UK
  • Ability to travel twice per week to Surrey, UK.
  • FRCPath or Specialist Registration is not required for this post
40,000 - 82,400

An exceptional NHS job opportunity awaits a Middle Grade Microbiologist to join the Microbiology Pathology Department at an \"outstanding\" rate NHS Trust.The role involves diagnosing and managing infections caused by microorganisms, contributing significantly to patient well-being.

This is an ideal chance for overseas Microbiologists or Middle Grade Doctors to establish themselves in the UK NHS system, with potential CESR support. Suitable for EEA-specialized candidates or experienced IMGs seeking career advancement.

What is the NHS Foundation Trust like?

This NHS Foundation Trust is a dynamic organization with an £180 million turnover, employing 12,000 staff to serve 500,000 people across acute and community healthcare services. Recognized for excellence by the CQC in 2016 and 2019, it primarily serves an urban population but extends its care across a rural expanse from the River Tyne to the River Tweed, offering picturesque landscapes. The Trust operates three major hospitals and numerous community facilities, including the state-of-the-art Specialist Emergency Care Hospital. With ongoing capital investments, it ensures modern, purpose-built facilities and expands its services to meet evolving healthcare needs.

They provide an extensive array of specialties, boasting some of the region\'s largest specialist departments. These include the foremost trauma and orthopaedics service, a significant cardiology department, and one of the region\'s most expansive units for colorectal surgery services.

The NHS Foundation Trust prioritizes supporting its staff in achieving a healthy work-life balance, irrespective of individual circumstances. Applicants unable to work full-time due to personal reasons will still be considered for the position, and adjustments to job responsibilities can be discussed on a case-by-case basis upon appointment.

What is the Department & Team like?

The Clinical Support and Cancer Services Business Unit manages Radiology, Pharmacy, and Pathology departments, as well as cancer services, across several hospitals. These services also extend to six community hospitals. With modern facilities and dedicated staff, the Pathology department, including the microbiology laboratory, benefits from significant capital investment and supports medical education initiatives.

The Microbiology team offers clinical consultation services through various channels such as ward rounds, telephone, email, and multi-disciplinary team meetings. They collaborate closely with Infectious Diseases, Infection Prevention and Control, Public Health teams, and the laboratory. Encouragement for networking with Consultant Microbiologists in the Newcastle area is given to improve patient care across organizational boundaries.

The microbiology laboratory holds a central position within the hospital complex. It comprises 240 m² of laboratory space and 74 m² of office space, established during the hospital\'s original construction in 1987. Specimens from clinical areas within the North East site are transported to the laboratory via a vacuum air tube system, while collections from GP practices and other hospital sites across the region are managed through regular courier and van services.

Life like in North East

The North East of the UK offers a diverse landscape, blending urban hubs like Newcastle and Sunderland with picturesque rural areas. Residents enjoy a vibrant cultural scene, from historic sites like Durham Cathedral to sandy beaches along the Northumberland coast. The region hosts reputable universities such as Newcastle University and Durham University, complemented by excellent schools. Transportation links are robust, with rail and road networks connecting to major cities and airports like Newcastle International Airport. Housing options range from city center apartments to suburban family homes and quaint countryside cottages, catering to varied lifestyles and preferences.
 

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 to join the dynamic team at an esteemed organization recognized for its excellence by the CQC. This is an opportune moment to become part of the Acute Medicine and Medicine Specialties Teams. With a strong history of achievements, they are committed to delivering exceptional patient-centered care. They seek a passionate and driven Acute and General Physicians to contribute to their mission of providing top-tier medical care across various clinical settings. This is a high performing and supportive department for overseas doctors new to the NHS, or UK-based doctors looking to further careers in the UK.

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

What is the NHS Foundation Trust like?

The NHS Foundation Trust stands as one of the nation\'s largest integrated healthcare organizations, delivering both hospital and community services to a populace exceeding 650,000 individuals. Renowned for their ambition and innovation, they boast a skilled workforce comprising over 7,000 dedicated colleagues. Operating across two acute sites for hospital services and encompassing centers and community hospitals in six towns for planned care, they extend their services even to patients\' residences.

Recognized as a high-performing entity with a history of accomplishments, the Trust has functioned as an integrated acute and community services provider since 2011 and achieved foundation trust status in 2007. Guided by their strategic framework \"Our Patients Matter,\" they articulate their short- and long-term objectives and delineate the path to their realization. This framework underscores their commitment to providing the safest, most compassionate, and seamlessly coordinated care to the communities they serve.

Within this NHS Foundation Trust, medical professionals are presented with a plethora of career prospects and exposure to diverse care settings rarely encountered elsewhere. Additionally, they have the opportunity to reside and practice in some of the most culturally rich and picturesque locations across the country!

What is the Department & Team like?

Within the Trust, there are 5 Care Groups: Urgent & Emergency Care, Integrated Medical Specialties, Surgery, Family Health, and Clinical Specialist Services. The Acute Care Team is housed under the Urgent & Emergency Care division. The Acute & General Medicine Department prides itself on delivering comprehensive and compassionate care to patients across a wide spectrum of medical conditions. Staffed by a dedicated team of consultants and junior doctors, the department ensures round-the-clock coverage to meet the needs of their patients. Their department handles a diverse range of cases, including but not limited to respiratory illnesses, cardiovascular conditions, gastrointestinal disorders, and infectious diseases. With access to state-of-the-art diagnostic and treatment facilities, including advanced imaging technologies and specialist clinics, they are equipped to provide timely and effective care to their patients.

The Acute & General Medicine Department boasts modern and well-equipped facilities, designed to optimize patient care and comfort. They have a 30-bedded Acute Medical Assessment Unit. On average, their department handles a significant number of acute and general medicine cases each year, reflecting the trust and confidence placed in their services by the community they serve. They prioritize patient safety, quality of care, and efficient service delivery, ensuring that each patient receives personalized attention and tailored treatment plans to facilitate their recovery and well-being.

The unit is adequately staffed and the working shifts are designed to ensure more doctors are present during the busy period of the day i.e. late evenings. They address the busy winter months by arranging extra locum cover during this busy period. In addition to the acute medicine registrar(s), there is a middle grade doctor, 1 IMT doctor and 4 FY1 doctors with staggered shifts throughout the day. In addition, there will be an on call registrar and 2 on call IMT doctors with staggered shifts. The night team comprises of one registrar, two FY2/IMT and one FY1 supported by an outreach nurse on most nights. 

What is life like in the area?

The North East of the UK offers a diverse mix of rural and urban settings, providing doctors with a range of living options. Residents can explore stunning coastal areas like Northumberland\'s beaches or venture inland to scenic national parks such as the North Pennines. The region is home to respected schools and universities, including Newcastle University. Transportation links are robust, with efficient road and rail networks connecting residents to major cities like Newcastle, Durham, and Sunderland, as well as international airports. Housing options range from quaint cottages in picturesque villages to modern apartments in vibrant city centers, catering to various lifestyles.

Career Development & Opportunities Available
 


ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:

  • Experience of working in Acute & General Medicine

Non-EEA Candidates:

  • MRCP
  • Experience of working in Acute & General Medicine

UK based applicants

  • Experience of working in Acute & General Medicine

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