Specialist Medicine - a Doctor's Route to the UK

  • November 05, 2021
 

Which routes can overseas specialist medicine doctors take to GMC registration & securing jobs in the NHS? 

All doctors in specialist medicine areas such as respiratory, gastroenterology, dermatology, endocrinology, neurology, cardiology, geriatrics, rheumatology and stroke medicine will need to satisfy certain criteria to fully register with the General Medical Council (GMC). What these criteria are will depend on whether you are applying from inside or outside of Europe. 

This article will prove relevant to all the medical specialties that fall within the various specialisms within medicine whilst also including haematology (MRCP + FRCPath is the complete set of qualifications) and other off-shoots such as infectious disease.

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. 

Inside the EEA – click here

Outside the EEA – click here


“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:

  1. PLAB
  2. Royal College qualification of MRCP
  3. 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

PLAB 1 – a closer look

PLAB 2 – a closer look

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 specialty 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


Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:

            

 

Relevant Jobs

105,504 - 139,882

A leading NHS hospital in the East of England is looking for a Consultant Haematologist with an interest in Lymphoma. The Haematology department consists of a team of consultant haematologists and is supported by middle-grade doctors. This Haematology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCPath 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

Extensive experience and independence in haematology is required for this role, and anyone with an interest in Lymphoma should apply. The salary will be between £105,504 to £139,882, dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide consultant-level care for patients with general haematological disorders and lymphoma.
  • Work collaboratively within a multi-disciplinary team.
  • Participate in the consultant on-call rota and provide clinical supervision for junior doctors.
  • Engage in service development, clinical governance, and research where appropriate.

LIFE IN THE REGION

This region offers a blend of city and rural living, with a choice between urban centres for convenience and scenic villages for a quieter lifestyle. The area has great transport links, excellent schools, and diverse leisure opportunities, including historic sites, parks, and family-friendly attractions. The region is historically significant, with
landmarks dating back to medieval times and strong ties to British aviation history.

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
105,504- 139,882

An NHS hospital in the South East of England is looking for a Consultant Clinical Oncologist with an interest in Breast Oncology. The Oncology department comprises a team of experienced Medical and Clinical Oncologists, supported by a large team of middle-grade doctors and a robust research unit. This Oncology job is open to both international applications and UK-based doctors, though those with European Specialist or a suitable Royal College qualification 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 or specialist registration with the General Medical Council (GMC) or eligibility within six months is required for this role. Anyone with an interest in breast cancer should apply. The salary will be between £105,504 and £139,882 per annum, dependent on experience and grade.

CORE DUTIES OF THIS ROLE

  • Manage breast cancer patients, working closely with multidisciplinary teams across the region.
  • Deliver systemic anti-cancer therapies (SACT), including chemotherapy, immunotherapy, and targeted treatments.
  • Participate in breast cancer multidisciplinary team (MDT) meetings.
  • Supervise and teach junior doctors, registrars, and medical students.

LIFE IN THE SOUTH EAST

The South East of England offers a mix of coastal and countryside living, with excellent urban options and picturesque rural retreats. The region provides easy access to London and international travel, making it a convenient yet scenic place to live and work.

The area is home to top-performing schools, a thriving job market, and fantastic leisure activities, including watersports, hiking trails, and cultural festivals. There is a strong medical and academic presence, with opportunities for research and collaboration.

Historically, the region played a key role in shaping England, from medieval battles to its significant contributions to maritime history. The blend of heritage and modern development makes it an exciting place to live and work.

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
105,504 - 139,882
An NHS hospital in South West England is looking for a Consultant Gastroenterologist with an interest in gastrointestinal endoscopy and general gastroenterology. The Gastroenterology department is made up of a team of consultants and supported by middle-grade doctors. This role is open to both UK-based and international candidates, with preference given to those holding MRCP (UK) or equivalent and CCT in Gastroenterology +/- General Internal Medicine (GIM).

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 hold MRCP (UK) or equivalent and be eligible for CCT in Gastroenterology +/- GIM (or obtain within six months of interview).
  • Experience in gastrointestinal endoscopy, ward-based gastroenterology, and outpatient services is required.
  • The salary will be between £93,666 – £126,281 per annum, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
  • Provide treatment and care for gastroenterology patients, including inpatient, outpatient, and endoscopy services.
  • Participate in the on-call rota for gastroenterology emergencies and out-of-hours ward cover.
  • Engage in teaching and training of junior doctors, contributing to their professional development.
  • Support clinical governance activities, including audits, quality initiatives, and structured judgement reviews.
LIFE IN SOUTH WEST ENGLAND

This hospital is located in a scenic region of South West England, offering a mix of urban and rural living. Candidates can choose to live in a lively market town with excellent amenities or opt for a more peaceful setting in the surrounding countryside. The region provides good transport links, excellent schools, and a variety of leisure activities including hiking, cycling, and water sports.

Historically, this area is known for its rich cultural heritage, historic landmarks, and strong local traditions, making it a great place to live and work.

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
105,504 - 139,882

An excellent NHS hospital in the UK is seeking a Consultant in Dermatology with a focus on skin cancer and paediatric dermatology. The department consists of three experienced consultants and is supported by a diverse team of middle-grade doctors. This role is open to both UK-based and international candidates, with preference for those holding GMC Specialist registration or equivalent.

Portfolio support (formerly CESR) is available and can be discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

  • GMC Registration with a licence to practice is required for this role, and individuals with a special interest in skin cancer and paediatric dermatology are encouraged to apply.
  • The salary will range from £105,504 and £139,882 per annum, based on experience.

CORE DUTIES OF THIS ROLE

  • Deliver high-quality dermatology care, specializing in skin cancer and paediatric dermatology.
  • Engage in the education and training of junior staff and medical students.
  • Participate in clinical governance, audit, and continuing medical education.
  • Contribute to the Cornwall Skin Cancer MDT and other department activities.

LIFE IN THE REGION

The area offers a perfect mix of urban and rural living. The main city provides vibrant city life, while rural areas offer quiet retreats with breathtaking views of the coastline. There are excellent transport connections with easy access to London, and multiple leisure opportunities are available, including outdoor activities like hiking and sailing.

The region is rich in history, particularly maritime history, and is home to several iconic landmarks. The local hospital is a significant part of the community, offering outstanding medical services.

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 and family support for finding schools and any other aspects of pastoral care
105,504 - 139,882

A leading NHS hospital in the UK is seeking a Consultant in Hepatology to join its growing Gastroenterology and Hepatology team. The department consists of experienced consultants and specialist nurses, providing a dedicated hepatology service. This role is open to both UK-based and international candidates, with preference for those holding CESR or entry on the GMC Specialist Register.

Portfolio support (formerly CESR) is available and can be discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

  • Full GMC Registration and CESR or entry on the GMC Specialist Register are required.
  • The role includes responsibilities in outpatient hepatology, inpatient care, and endoscopy.
  • The salary will range from £105,504 to £139,882 per annum, based on experience.

CORE DUTIES OF THIS ROLE

  • Deliver specialist hepatology care, including managing liver disease, cirrhosis, and hepatobiliary conditions.
  • Work as part of a multi-disciplinary team, collaborating with gastroenterologists, radiologists, and oncologists.
  • Participate in endoscopic procedures, including diagnostic and therapeutic interventions.
  • Take part in teaching, training junior doctors and medical students.
  • Engage in clinical governance, research, and quality improvement projects.
  • Contribute to the on-call gastroenterology service and weekend cover.

LIFE IN THE REGION

This role is based in a highly desirable UK region, known for stunning landscapes, excellent transport links, and a rich cultural history. The area offers outstanding schools, a range of family-friendly activities, and a fantastic work-life balance.

With historic landmarks, world-famous attractions, and a modern healthcare infrastructure, the region provides an ideal environment for professionals looking to develop their careers.

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 and family support for finding schools and any other aspects of pastoral care.

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