A Consultant Psychiatrist's Journey to the UK - Dr Francesco Spadaro
- November 18, 2021
Are you an overseas psychiatrist looking to move to the UK? Have you always wanted to hear first-hand the experiences of an international psychiatrist who has been through the process, from receiving full GMC registration to securing an NHS job and relocating to the UK?
IMG Stories is our series introducing you to international doctors who we have helped to relocate to the UK - sharing their personal journeys from working overseas to securing a new job as a doctor in the NHS.
Today we introduce Francesco Spadaro, a brilliant consultant psychiatrist who relocated to the UK from Italy. Francesco has been living and working in the UK after receiving full GMC with specialist registration. He is now working in the NHS at Central and North West London NHS Foundation Trust, where he is making a positive impact on the service and the wider community.
Tell us about yourself - what should the IMG community know about Francesco Spadaro?
My work is my passion. I really love the clinical aspect of it, especially talking with patients. I enjoy trying to help my patients as much as I can and giving them a hope in trying to improve their clinical condition. No matter who they are, where they come from, or how serious is their disorder may be. At the same time, studying and looking at how the mind works has always been such an important part of my life.
What motivated you to move to the UK?
I was very keen to move to the UK. London is such a special place and completely unique in my opinion. The city is so open and inclusive and really encourages you to get involved in so many ways. This was a really big motivating factor for me.
Was Brexit an issue for you at all?
It was definitely something to consider, but I was lucky enough to be able to anticipate my leave at my previous job in order to avoid any potential Brexit complications.
How did you find a general adult psychiatry job within the NHS?
I personally found IMG Connect to be a great help on this. The team really encouraged me with lots of advice and suggestions on how I could tailor my CV to specific roles I was applying to.
Most importantly, they really listened and took into consideration all of my needs and difficulties. They go far beyond any of the simple questions you may have for them and cover all angles, including things you may not have considered yourself!
Tell us about a day in the life of an international General Adult Psychiatrist.
I work in a secondary care, Community Services facility. We work in teams which cover several boroughs and are led by a senior practitioner, ans supported by health professionals with a range of expertise: nurses, social workers, support workers, psychologists and NGO volunteers.
We start each day with an MDT (multi-disciplinary team meeting) where we discuss our first assessments, feedback and cases with cause for concern. The great thing about these meetings is that we're all equally involved - everyone participates, sharing knowledge specific to their experience and role.
Consultants are involved in the most severe cases. They will also have slots where they will supervise trainee GPs and junior doctors. We also have lots of meetings throughout the week: scientific meetings, journal clubs and meetings concerning the organisation. Sometimes it feels like there are too many meetings, but I'm still getting used to the differences between the UK and Italian healthcare systems.
Tell us about your journey to the UK...
It was really quick! Once I'd passed had my interview and been offered the job, I just organised my affairs and hopped on the plane. Of course COVID-19 complicated things, but that was the case for everyone in almost every country at the time.
What has been your experience working with IMG Connect?
My experience with IMG Connect has been excellent. They carefully listened to my needs and requests and were always able to offer me appropriate jobs along my requests. They also prepared me in coping with any type of difficulties I would face in regard to relocation to London and my new role in the NHS. They were such a solid presence throughout this process for me and were always there to offer support, both before I had the job and afterwards.
Within the IMG Connect team, I would like to take this opportunity to thank Ruaihdri MacKay in particular, who is an excellent professional recruitment consultant. He was a wealth of guidance, advice and support for me during, and also after, my entire recruitment and relocation. He showed what I consider a unique commitment, dedication and foresight and completely kept me at ease with his justified optimism and knowlegde of the steps in my journey. I was really lucky to have him on my side.
How are you settling into life in the UK?
Things were a little difficult to begin with due to the COVID-19 restrictions, but things have really eased and I'm enjoying living here.
What’s next for you now that you’re working in the UK?
At the moment I'm still settling in, learning a lot about the UK's system and procedures. Once things have settled a little more for me, I'd like to see whether I can incorporate some teaching or lecturing work into my career path in the UK.
What’s been the biggest challenge you’ve faced in moving to the UK?
One of the challenges I've faced has been finding really affordable housing, but this was expected in moving to such a large and popular city as London.
Have you experienced any culture shocks living in the UK?
I wouldn't consider it so much of a cultural shock, instead I'm pleasantly surprised by the opportunity to work with such a diverse range of people. It really is a special experience that connects you to cultures and people all over the world.
What have you missed about Italy the most?
Most of all, I miss the lifelong friends I've made in Italy.
Do you have any tips or advice for international doctors who want to move to the UK?
I would just say, do it. Take a chance and live the experience!
Moving to live and work in the UK is a big decision to make but can be massively rewarding in many ways. International doctors have the chance to find a new home and the NHS presents an incredible opportunity to secure rewarding jobs, progress within their field and explore adjacent opportunities such as CESR (for non-EEA doctors), writing publications and research. Whatever route an overseas doctor may take on their journey to the UK, IMG Connect is here to support them through every step and welcome them to the IMG Connect family.
Relevant Jobs
A leading NHS mental health hospital in the East of England is looking for a Consultant Psychiatrist in Old Age Psychiatry with a focus on functional illness within inpatient care. The service sits within a well-integrated healthcare system combining mental and physical health services. The post is based on a 22-bed ward, supported by a multidisciplinary team including psychologists, occupational therapists, physiotherapists, and speech and language therapists. This Old Age Psychiatry job is open to both international and UK-based doctors, with MRCPsych or EEA specialist certification 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-
Consultant level experience in old age psychiatry
-
Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification
-
Consultants with an interest and prior experience in old age psychiatry and inpatient functional illness should apply
-
The salary will be between £105,504 to £139,882 dependent on experience or grade
-
Provide medical oversight and psychiatric input for 22 beds (14 for functional illness, 8 for organic illness) on an inpatient ward
-
Conduct psychiatric assessments, care planning, and contribute to regular MDT reviews
-
Supervise junior doctors and support their training and development
-
Collaborate with community teams including the Crisis Resolution and Home Treatment Team for Older People (CRHTT-OP)
-
Liaise with other services such as social care, physical health teams, and voluntary sector partners to ensure coordinated care
-
Engage in clinical documentation, audits, research, and educational activities
LIFE IN THE REGION
This region offers a balance of vibrant urban living and tranquil countryside settings. From lively city centres with extensive amenities to quiet villages rich in charm, there’s something for everyone. The area benefits from excellent rail and road connections (50 minutes to London) high-performing schools, and a diverse mix of leisure and cultural attractions.
Steeped in history, the region is known for its architectural heritage and community spirit, making it a highly desirable location for professionals and families alike.
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 post, including:
-
Document gathering and checking
-
COS and Visa Application support if applicable
-
Support sourcing short- and long-term accommodation
-
Travel arrangements
-
Family support for finding schools and any other aspects of pastoral care
An NHS Board in Eastern Scotland is looking for a Consultant Psychiatrist with experience in Old Age Psychiatry to lead an outpatient community team.. The Psychiatry department comprises a team of psychiatrists and multidisciplinary professionals including Nurse Team Lead, Community Mental Health Nurses, Community Mental Health Nurses, Healthcare Support Workers, Care Home Liaison Nurses, Young Onset Dementia Nurse, Occupational Therapists, Psychologist, Dementia Post Diagnostic Support, Care managers, DPDS Link Worker, Alzheimer Scotland Link Worker.
This Psychiatry job is open to both international applications and UK-based doctors, though those with European Specialist or MRCPsych or equivalent 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
-
Consultant level experience in psychiatry
-
Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification
-
Prior experience in Old Age mental health care.
Anyone with consultant experience in old age psychiatry should apply. The salary will be between £107,144 - £142,369 per annum, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Provide clinical leadership and management in Old Age Psychiatry services.
-
Supervise junior doctors and contribute to their training and professional development.
-
Work closely with multidisciplinary teams to deliver high-quality patient care.
-
Participate in service development and improvement initiatives within the department.
LIFE IN SCOTLAND
This location offers a blend of urban convenience and rural tranquillity, with easy access to major cities such as Edinburgh, Dundee, and Glasgow. Whether you prefer city living with vibrant culture and nightlife or coastal and countryside retreats with stunning landscapes, there are plenty of options.
The region has excellent transport links, making commuting easy, and offers high-quality schools and a wealth of recreational activities, including outdoor pursuits, cultural festivals, and family-friendly attractions.
Scotland is steeped in history, known for its ancient castles, famous universities, and contributions to global innovation. The country provides a unique cultural experience, rich in traditions and scenic 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 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
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
- Consultant level experience in psychiatry
- Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification
- Prior experience in adult community mental health care is desirable.
Anyone with an interest in community or inpatient psychiatry should apply. The salary will be between £107,144 - £142,369 per annum, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Provide clinical leadership and management in General Adult Psychiatry services.
- Supervise junior doctors and contribute to their training and professional development.
- Work closely with multidisciplinary teams to deliver high-quality patient care.
- Participate in service development and improvement initiatives within the department.
LIFE IN SCOTLAND
This location offers a blend of urban convenience and rural tranquillity, with easy access to major cities such as Edinburgh, Dundee, and Glasgow. Whether you prefer city living with vibrant culture and nightlife or coastal and countryside retreats with stunning landscapes, there are plenty of options.The region has excellent transport links, making commuting easy, and offers high-quality schools and a wealth of recreational activities, including outdoor pursuits, cultural festivals, and family-friendly attractions.
Scotland is steeped in history, known for its ancient castles, famous universities, and contributions to global innovation. The country provides a unique cultural experience, rich in traditions and scenic 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 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
An NHS mental health hospital in the North West of England is looking for a Consultant in Old Age Psychiatry, with an interest in both functional and organic disorders. The Mental Health department is part of a well-established multidisciplinary team, working alongside Consultants, Specialty Doctors, and various healthcare professionals. This psychiatry job is open to both international applicants and UK-based doctors, though those with MRCPsych (Full) or an EEA equivalent 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
- Minimum of two years\' experience in old age psychiatry.
- UK applicants with CTT and S12 and AC status preferred
- Be eligible for GMC registration, either with MRCPsych (Full) or an EEA qualification.
- Prior experience in old age inpatient mental health care is desirable.
- The salary will be between £105,504 - £139,882 per annum, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Provide psychiatric care and assessments for adult and older adult patients with both functional and organic mental health conditions.
- Work closely with other Consultants, specialty doctors and the multi-disciplinary team to support care planning and patient management.
- Run inpatient services and contribute to continuity of care between community and inpatient settings.
LIFE IN THIS UK REGION
This region offers a mix of urban and rural living, with bustling towns and peaceful countryside options for residents. The area boasts excellent transport links, making it easily accessible from major UK cities. There are highly rated schools, a variety of leisure facilities, and plenty of green spaces, making it a great location for professionals and families alike. Historically, the region has played a key role in British heritage, with significant contributions to industry, culture, and transportation.
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.
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 MRCPsych (or equivalent) and be eligible for GMC registration with Specialist Registration in General Adult Psychiatry or within six months of gaining CCT.
- Prior experience in community or inpatient psychiatry is required.
- The salary will be between £105,504 - £139,882 per annum, dependent on experience.
- Provide clinical leadership for the Intensive Service team, ensuring high-quality home-based crisis care.
- Assess and treat patients referred to the Intensive Team, contributing to care planning and management discussions.
- Collaborate with inpatient services, community teams, and crisis services to support effective patient care.
- Participate in the teaching and development of junior doctors and multidisciplinary colleagues.
This region offers a balance of rural and urban living, with access to beautiful countryside, historic landmarks, and well-connected towns. Professionals moving to the area benefit from excellent schools, transport links, and a range of cultural and outdoor activities.
The region has a rich historical significance, featuring historic towns, world-renowned heritage sites, and a vibrant local community. It is a desirable location for families and professionals looking for a high quality of life.
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.
- 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.