NHS Doctor Jobs & their Salaries
- September 03, 2024
Navigating the NHS pay scales can be complex for international doctors considering a career in the UK. The NHS features various grades of doctors, each with its own pay scale and role within the National Health Service. This article provides a clear and concise overview of these different doctor grades, their corresponding pay, and the roles they fulfill within the NHS.
In this guide, we will explore:
- The different grades of doctors in the NHS
- The pay scales associated with each grade
- The specific roles and responsibilities of each doctor grade
Whether you’re an IMG preparing for your career in the UK or a current NHS doctor seeking clarity on pay structures, this article will help you understand the key aspects of NHS doctor salaries and job roles.
- Designations of UK doctors
- Medical students
- Junior doctors
- SAS doctors
- Consultants
- Trust doctors
- General Practitioners
- Locum doctors
- Academic doctors
- Pay and conditions circulars
Designations of UK doctors
Other than for medical students, all doctors we list below are medically qualified and can use the title Dr before their name. For historical reasons in the UK, surgeons may use the title ‘Mr’, ‘Mrs’, ‘Miss’ or ‘Ms’. A doctor that is a university professor may also use the title ‘Professor’ instead of ‘Dr’.
Medical students
Medical students usually undertake a five-year course of study for undergraduate or a four-year postgraduate course to become a doctor.
Two years studying basic medical sciences is followed by three years more clinically focused training, during which they will work in hospital wards under the supervision of consultants.
Following completion of their medical degree, newly qualified doctors gain provisional registration with the GMC. They will receive their primary medical qualification which is typically denoted in the UK by either: MBBS, MBChB, BM, MBBCh.
Junior doctors
Medical graduates enter the medical workforce as junior doctors. They are employed on a national negotiated contract on a two-year work-based training programme known as the Foundation Programme. The Foundation Programme is the first level of clinical training for a qualified doctor, bridging the gap between medical school and Specialty Training.
The Foundation Programme is carried out in hospitals over two years which are referred to as FY1 and FY2. Upon completion of FY1, a doctor will gain full registration with the GMC.
Completion of FY2 allows doctors to apply for further study and training in a specialised area of medicine, known as Specialty Training. Doctors enter Specialty Training at ST1 and the length and type of training will depend on the specialty chosen – specialist training can take up to eight years.
In the most junior hospital trainee post of Foundation Year 1 (FY1) your basic salary is £32,398. In year two this increases to £37,303.
If you are a doctor starting your Specialty Training, your basic salary starts at £37,068 and can progress to £46,404.
Staff Grade, Associate Specialist and Specialty Doctors (SAS Doctors):
SAS doctors are in non-training roles where the doctor has at least four years of postgraduate training, two of which being in a relevant specialty (FY1, FY2 and two years specialist training). This means doctors can move into these posts at various levels of experience and seniority whilst also gaining experience and promotion within the grade itself.
SAS doctors are typically more focused on meeting service requirements when compared to trainee or consultant roles. Often, they have considerably fewer administrative duties when compared to consultants and can have very ‘hands on’ roles with lots of patient contact. Specialty doctors currently earn from £59,175 to £95,400 basic pay. As an overseas doctor, there are many factors that will determine where on this pay scale an HR department places you, so it is hard to provide one general rule to help you estimate what salary you might be eligible for.
Whilst the titles staff grade, specialty doctor and associate specialist are all commonly used, recent changes to terminology means that all SAS doctors are now on Specialty Doctor contracts.
WANT TO KNOW WHERE YOU WOULD BE PLACED ONTO THE NHS PAY SCALES? REGISTER HERE FOR CONSULTATION AND ADVICE.
Consultants
Consultants are senior doctors that have completed full specialist medical training in a specialised area of medicine and are listed on the GMC’s specialist register, gaining the accreditation CCT. Doctors can also meet the criteria for specialist registration via the CESR route, consider your eligibility for CESR here.
Consultants have clinical and administrative responsibilities in managing SAS and junior doctors.
Consultants currently earn from £99,532 to £131,964 basic pay and as an international doctor, your years' completed as a consultant will place you on this scale.
Trust doctors:
Trust doctors in the NHS are employed for service posts, and trust doctor is a term applied to a doctor who is working in the NHS in a non-training post. Trust doctor jobs in the NHS cover a range of grades and apply to all specialties.
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.
Many of the doctors accepting service posts are from overseas as this can be a quick way to enter the NHS system and start your career in the UK.
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.
Locum Doctors
Locums doctors are fully qualified doctors who temporarily cover a position, often covering things like sick leave or maternity. All doctors can work as a locum aside from FY1 doctors and it can be done via an agency or NHS locum post. Overseas consultants not yet on the specialist register can apply for locum consultant positions, not substantive.
Academic Doctors
Academic doctors often combine clinical care with teaching and research, doing so to develop the science of medicine. They can be any grade of doctor from an FY2 to a consultant, GP or SAS doctor. Common academic job titles, in order of seniority are:
- Prof Professor
- CSL Senior Clinical Lecturer / Associate Professor
- CRF Clinical Research Fellow
- CL Clinical Lecturer
- ACF Academic Clinical Fellow
Pay and Conditions Circulars:
Current national salary scales for all medical and dental staff are published in pay and conditions circulars on the NHS Employers' website.
To explore doctor pay and salary conditions across all grades in the UK, including NHS pay in Wales, check out our series of blogs on career structure and NHS salaries in our IMG Resources library.
Relevant Jobs
A large NHS teaching hospital in the East Midlands is looking for a Consultant in Clinical Oncology with an interest in lung, gynaecology, and/or colorectal cancer. The oncology department comprises a team of over 20 consultants and is supported by a large team of specialty doctors and junior trainees.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration or FRCR are most encouraged to apply.
FRCR (or equivalent) and extensive oncology experience are required for this role, and anyone with an interest in lung, gynaecology, and/or colorectal cancer should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
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Provide comprehensive non-surgical oncology services, including radiotherapy and chemotherapy clinics, for patients across lung, gynaecology, and/or colorectal tumour sites.
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Participate in the oncology on-call rota (1:12) and provide reciprocal cover for colleagues during periods of leave.
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Support the education and training of junior doctors, specialty doctors, ACPs, and medical students.
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Contribute to clinical governance, service development, and research initiatives across the Trust.
LIFE IN THE EAST MIDLANDS
This role is based in the East Midlands, a region that offers the perfect balance of urban convenience and rural charm. Residents can enjoy city living in Derby or find quieter settings in the nearby countryside and villages. The area boasts outstanding schools, excellent transport links, and a wide variety of cultural, sporting, and outdoor activities. With its strong ties to Britain’s industrial heritage and the beautiful Peak District on its doorstep, the East Midlands is a popular choice for healthcare professionals relocating to the UK.
HOW WILL IMG CONNECT SUPPORT YOU?
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CV Preparation with a bespoke session with one of our specialists
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Application support with expert knowledge of NHS specialisms & recruitment practice
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At least two video calling interview preparation sessions
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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:
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Document gathering and checking
-
COS and Visa Application support if applicable
-
Support sourcing short- and long-term accommodation
-
Travel Arrangements
This exceptional opportunity beckons Consultant Histopathologists specializing in Gynae oncopathology to become integral members of an NHS Trust that is a global beacon in cancer research and treatment. This role offers a chance to contribute to a consultant-led, subspecialist histopathology team, making a significant impact on the forefront of cancer care. We invite enthusiastic candidates to explore this exciting career prospect through NHS Jobs in the UK.
The NHS Foundation Trust, standing as Europe\'s largest comprehensive cancer center, commands an impressive annual budget of £360 million, employing over 3,500 staff, including 335 medical professionals. Acknowledged for its excellence, the Trust consistently ranks among the top four in national surveys, affirming its commitment to delivering high-quality patient care. The Histopathology Department, under the leadership of esteemed professionals, manages a substantial caseload, processing around 21,000 surgical pathology accessions annually. This involves the examination of approximately 280,000 slides, with a notable 1,000 cases annually seeking second opinions, underscoring the department\'s dedication to providing comprehensive diagnostic support.
This role is tailor-made for ambitious consultants looking to expand their career horizons. The well-funded department is a hub for impactful research, underscored by its recognition in a recent CQC report as an area of outstanding practice. The NHS Foundation Trust has a strong reputation for education and training, supporting junior doctor training programs across various specialties.
Living in London, a vibrant metropolis, provides a unique lifestyle enriched by cultural diversity. Residents can explore scenic spots like Hyde Park and the Thames River. World-renowned schools, including Imperial College London and University College London, contribute to the city\'s intellectual vibrancy. Excellent transport links facilitate easy travel within the city and to major cities and airports. Housing options, ranging from historic townhouses to modern apartments, accommodate diverse preferences, ensuring a comfortable and enriching life for medical professionals in the heart of London.
Apply now for a dynamic career at the forefront of cancer care, complemented by the vibrant and diverse urban lifestyle offered by the capital city.
AM I ELIGIBLE FOR THIS ROLE?
Non-EEA candidates:
- FRCPath
- Experience in Histopathology (sub specialised in Gynae oncopathology)
EEA candidates:
- Specialist certification in Histopathology
- Experience in Histopathology (sub specailised in Gynae oncopathology)
UK candidates:
- CCT, CESR or within 6-12 months of specialist registration
- Experience in Histopathology (sub specialised in Gynae oncopathology)
A hospital in the Channel Islands is looking for a Staff Grade Doctor in General Medicine with interests in Respiratory, Renal, or Care of the Elderly. The department comprises a team of consultants and is supported by a large team of middle-grade doctors. This role is open to both international applications and UK-based doctors, though those with European Specialist or MRCP 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 registration with the General Medical Council and a minimum of 2 years of post-qualifying experience are required for this role, and anyone with an interest in Respiratory, Renal, or Care of the Elderly should apply. The salary will be between £58,742 and £97,050 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Provide high-quality care across both inpatient and outpatient services within the chosen specialty.
- Participate in the middle-grade tier rota, including on-call duties.
- Support the clinical management of patients in various units, including emergency and intensive care.
- Collaborate with consultants and multidisciplinary teams to ensure continuous service improvement.
LIFE IN THE CHANNEL ISLANDS
The hospital is located in a vibrant town, with popular residential areas offering both urban and rural living options. The region offers excellent schools, efficient transport links, and a wide range of leisure activities for both adults and families, including beautiful beaches, sports facilities, and cultural events. The area has a rich history, having been a strategic location during World War II and now boasting a unique blend of cultural influences.
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
A UK-based mental health service is seeking a Consultant Child & Adolescent Psychiatrist to join their Neurodevelopmental Team. This is a part-time (0.8 FTE), permanent post, offering an exciting opportunity to take on a senior clinical leadership role within a well-established specialist service for children and adolescents with complex neurodevelopmental conditions.
The team operates within a multidisciplinary framework, delivering comprehensive assessments, pharmacological treatment, and evidence-based care for young people. The role is ideal for experienced consultants looking to shape service delivery while maintaining strong clinical involvement.
This opportunity is also open to international applicants, particularly those eligible for inclusion on the GMC Specialist Register and who will be applying via CESR.
JOB REQUIREMENTS AND DETAILS
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Job Title: Consultant Child & Adolescent Psychiatrist – Neurodevelopmental Team
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Contract: 8 Programmed Activities (PAs) per week – Part-Time
- Contract Type: Permanent
- Salary: £105,000 – £139,000 (pro rata, dependent on experience)
Applicants must have:
- Full GMC registration with a licence to practise
- GMC Specialist Register in Child & Adolescent Psychiatry
- Section 12(2) MHA approval, or a willingness to complete this upon appointment
- Experience working in child, adolescent, or neurodevelopmental psychiatric services
- Strong leadership, multidisciplinary collaboration, and communication skills
- The ability to travel independently across service sites, including schools and service users\' homes
CORE DUTIES OF THIS ROLE
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Lead on psychiatric assessments, diagnosis, and pharmacological treatment planning for young people with complex and/or high-risk neurodevelopmental presentations.
- Provide consultation and guidance to the multidisciplinary team, as well as external agencies including paediatrics, schools, Tier 4 providers, and primary care.
- Maintain clinical oversight for young people under the care of the team, participating in emergency assessments and the consultant out-of-hours rota.
- Attend and contribute to weekly multidisciplinary team meetings and clinical formulations.
- Collaborate with carers, families, and professionals to co-create effective, evidence-based care plans.
- Support transitions from child to adult mental health services in line with protocol.
- Fulfil duties under the Mental Health Act, including conducting assessments and contributing to reports and tribunals as required.
- Maintain clear and timely medical documentation and support audit and quality improvement initiatives.
MANAGEMENT & STRATEGIC RESPONSIBILITIES
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Provide senior clinical leadership in partnership with the non-medical Clinical Team Lead.
- Contribute to the development of service-wide clinical guidelines and care pathways.
- Support service planning and transformation initiatives based on emerging need.
- Actively participate in governance activities, clinical audit, and performance monitoring.
- Engage with stakeholders and external partners at strategic and operational levels.
LIFE IN THE REGION
This role is based in a well-connected and scenic part of the UK, ideal for those who enjoy a balance between urban accessibility and countryside living. With excellent road and rail links, London is just 1 hour by train and car, offering easy commuting and travel.
The area is highly attractive for families, with access to top-rated schools, green open spaces, and a vibrant local community. Whether you\'re seeking historic towns, cultural attractions, or tranquil rural retreats, this region offers something for everyone.
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 interview preparation sessions.
- Contract and offer negotiations for salary, relocation packages, tenure, and more.
Once you have accepted your new role, you’ll be supported by one of our dedicated relocation executives, who will guide you through the process, including:
- Document gathering and checking.
- COS and Visa Application support, if applicable.
- Support sourcing short- and long-term accommodation.
- Travel arrangements and family support for finding schools and other aspects of pastoral care.
An NHS teaching hospital in Kent is looking for a Consultant in Clinical Oncology with an interest in urology. The Oncology department comprises a team of over 40 Clinical and Medical Oncology consultants and is supported by a large team of middle-grade doctors, fellows, and trainees.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
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This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or FRCR are most encouraged to apply.CCT in Clinical Oncology or equivalent experience, including CESR pathway candidates.
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The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
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Provide high-quality specialist care to melanoma patients attending the Kent Oncology Centre.
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Attend relevant MDT meetings and coordinate treatment planning with other specialists.
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Participate in departmental research initiatives and contribute to national and local clinical trials.
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Contribute to training and supervision of junior doctors and participate in clinical governance activities.
Life in Kent
The area offers the best of both worlds: urban living in towns like Maidstone and Tunbridge Wells, and tranquil countryside villages such as Lenham or Goudhurst.
Kent boasts a wide range of excellent primary and secondary schools, including several grammar schools, and is well connected to London via high-speed rail and road. Residents enjoy easy access to historic castles, the coast, national parks, shopping, and outdoor activities—perfect for both adults and families.
Known as the “Garden of England,” Kent holds historical significance with its Roman heritage, medieval cathedrals, and coastal defense legacy, offering a unique blend of culture and natural beauty.
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 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