A psychiatrist's journey to the UK - Dr Kevin Li
- 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 completing their MRCPsych exams to GMC registration, and from securing an NHS job to 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 Kevin Li, a brilliant psychiatry specialty doctor who relocated to the UK from Hong Kong in 2021. Having passed the MRCPsych and English language exams, Kevin received full GMC registration with license to practise. He is now working in the NHS at Lancashire & South Cumbria NHS Foundation Trust in the north of England – where he is making a fantastic impact on the service and wider community.
What motivated you to move to the UK?
Psychiatrists are in demand in the UK and Hong Kong psychiatrists who have years of experiences would be very much welcomed to work in the country. With some NHS Trusts there is also a well-established CESR program to help overseas psychiatrists with MRCPsych to attain specialist registration. Specialist registration in the UK is also well recognised in a lot of other English-speaking countries.
Tell us about your journey through the Royal College of Psychiatry exams…
I had completed my specialist training in Hong Kong quite some time ago. I only decided to sit the MRCPsych exams last year. Due to the pandemic, all exams were conducted online which actually facilitated a lot of Hong Kong doctors to sit for the exams. Having always been involved in training and supervision of junior psychiatrists, it helped me a lot to keep myself updated with the knowledge and skills required for sitting examinations.
Do you have any tips or advice for overseas doctors who are currently working towards MRCPsych?
For the MCQ based paper A and B, it is important to set aside time for some intensive studying before the exam as a lot of the knowledge asked would not come up in everyday work. It is also important to pay attention to minute details in each topic which would often come up in the exams.
For CASC exams, it would be useful to form a study group with colleagues and have practice sessions together, as well as watching demonstration videos (such as some paid online courses) to learn the skill required to pass type of different stations. Time management (7 minutes) to complete the tasks in each station is also crucial.
How did you manage to navigate and juggle the different aspects of registration whilst working full time?
For overseas doctors having attained MRCPsych, registration with the GMC is fairly straightforward after taking an English proficiency exam, which should not be too difficult if one received medical education in English.
However, as the GMC closes an application if it could not be completed within 90 days, I found it important to have all the documents ready prior to submitting the application, especially letter of good standings, further proof of qualification and training from the university faculty which took time to be prepared.
Did you have any major or unexpected issues with the GMC registration process or your visa application?
There had been no major difficulties in terms of the registration. The HR team and IMG connect have been in constant touch with me to see what my needs are and accommodate my relocation schedule.
How did you find a general adult psychiatry job within the NHS?
For Hong Kong doctors coming to the UK, it is better to look for job openings that specifically states that IMG applicants are welcome. It would usually take IMGs quite a while to adapt to the system in the NHS and it is important that the Trust would give time for induction and support for IMGs during the initial phrase when they start their job.
It is also good to keep one’s mindset open to offers in locations that might not be the most popular at first look. Posts in popular locations such as Greater London or Greater Manchester are usually a lot more competitive and the support provided to IMGs could be less sometimes. It would also be a good opportunity to experience life in the UK out of the usual few big cities. There are always opportunities to move to another place after gaining experiences working in the UK.
Tell us about a day in the life of an international General Adult Psychiatrist, newly started in the NHS…
As a specialty doctor with the MRCPsych qualification, one is expected to take an active role in the MDT team with the support of the Consultant, for example on deciding on medications, deriving a care package with other stakeholders.
There is a strong focus on mental health legal and human rights compliance in the field of psychiatry, as well as adherence to treatment guidelines in the UK. Some doctors may need certain time to adjust to such differences in practice from their home countries. There are junior doctors who can readily assist with physical problems of patients, which might make it easier for a Hong Kong psychiatry specialist to adapt after years of working in psychiatric setting only.
What was your journey like to the UK during a period of COVID-19 restrictions?
I arrived at a time when restrictions were gradually easing. It was very easy to arrange mandatory COVID tests according to the government requirements. Most hotels or Airbnbs would welcome arrivals into the UK to be used as self-isolation.
What has been your experience working with IMG Connect?
I had received excellent support from IMG connect in terms of securing a job offer that suits my level and experiences, as well as advising on the career prospect and negotiating an attractive numeration package. The IMG connect team also gave me a lot of useful suggestions about finding accommodation in a suitable area close to work.
Most importantly they have excellent communication with the HR team in the Trust, which makes formalizing the offer and completing the necessary paper works much easier.
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
An excellent job opportunity for an experienced Consultant Adult Inpatient Psychiatrist to join a private healthcare organisation near to Birmingham. This role is based within a well-established inpatient setting, offering a great chance to advance your medical career and earn a higher salary compared to the NHS. This job provides CESR Portfolio Pathway support, welcoming international applications from IMGs.
Working in Private Healthcare
This private organisation is recognized for its commitment to delivering exceptional mental health services. They are known for its multidisciplinary approach, working collaboratively to provide holistic, patient-centric care. Specializing in general adult psychiatry, they focus on promoting recovery and improving the quality of life for its patients. The team is dedicated to ongoing innovation and quality improvement, ensuring that the highest standards of care are consistently met. This job offers a unique opportunity to be part of a dynamic team that values professional development and excellence in clinical practice.
The Psychiatry Department & Team
The Psychiatry Department has a 10-bedded ward for psychiartric intensive care unit for females of working age, and another 9-bedded ward for acute service which provides treatment for females of working age. The department is comprised of a multidisciplinary team dedicated to providing comprehensive inpatient care for adults with severe mental health conditions. The team includes consultants, junior doctors, psychologists, nurses, and allied health professionals, all working together to deliver evidence-based treatments. The department is committed to fostering a supportive and collaborative environment, where every team member plays a vital role in patient care.
The approach emphasizes continuous improvement and innovation, with regular team meetings and clinical governance sessions to ensure the highest quality of care.
Continued Professional Development:
This job offers further training & accreditation within general adult psychiatry, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interests. They support its medical staff in pursuing their professional goals, providing access to a wide range of CPD opportunities, including in-house training programs and supervision. This commitment to professional development ensures that consultants are well-equipped to advance in their careers while delivering the highest standard of care to their patients.
Location
This private healthcare organisation is located in the midlands not fare from Birmingham. The area boasts a low cost of living, making it an attractive option for those relocating. It is a safe and family-friendly area with excellent schools, a rich cultural scene, and plenty of recreational activities. The region is known for its natural beauty, with easy access to national parks and outdoor pursuits. Additionally, it has excellent transport links, making it easy to connect with other parts of the UK.
Am I eligible for this role?
UK based candidates:
- Experience in General Adult Psychiatry
- CCT (Preferred)
- Section 12
- AC Status (Preferred)
EEA candidates:
- Experience in General Adult Psychiatry
- European Specialist Qualification
Non-EEA candidates:
- MRCPsych
- Experience in General Adult Psychiatry
An excellent NHS job opportunity for an experienced psychiatrist to join this NHS Trust as a Specialist Doctor working in a community psychiatry setting in the UK. This NHS job offers CESR Portfolio Pathway support and international applications from IMGs are welcome.
The NHS Trust
The NHS Foundation Trust is a renowned provider of integrated healthcare services, covering a broad spectrum of care. The Trust is committed to delivering high-quality, compassionate care and has received accolades for its innovative approaches and excellent clinical outcomes. As part of the NHS, the Trust ensures comprehensive mental health services, physical health care, and specialist services to the community. Their robust partnership with local authorities and healthcare providers enhances their service delivery, making it an exceptional place for medical professionals to grow and make a significant impact.
The Department & Team
The Child & Adolescent Mental Health Services (CAMHS) team is a forward-thinking, dynamic department. The team provides community-based services to young people up to 18 years old. The department includes a mix of professionals, such as a substantive consultant, trainees, non-medical prescribers, and a well-resourced multidisciplinary team (MDT). The service boasts various specialized programs like the Mental Health in Schools teams, CAMHS Psychiatry Liaison, and Enhanced Support services. Pebble Lodge, the CAMHS inpatient unit, holds an outstanding rating from the Care Quality Commission, reflecting the high standards of care provided.
Continued Professional Development
This NHS job offers further training & accreditation within Child & Adolescent Psychiatry, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interests. The NHS Foundation Trust supports continuous professional development with structured training programs, opportunities for research, and participation in innovative projects, ensuring doctors can advance their careers and contribute to service development.
Location
The area is a vibrant coastal town known for its stunning beaches, beautiful parks, and a variety of cultural and recreational activities. The area offers a high quality of life with excellent schools, safe neighborhoods, and affordable living costs. With easy access to natural areas of beauty and efficient transport connections to major cities, it is an ideal location for international doctors and their families seeking a balanced lifestyle in the UK.
??????Am I eligible for this role?
UK based candidates:
- Experience in Child & Adolescent Psychistry
EEA candidates:
- Experience in Child & Adolescent Psychistry
- European Specialist Qualification
Non-EEA candidates:
- MRCPsych
- Experience in Child & Adolescent Psychistry
An excellent NHS job opportunity for an experienced Consultant Psychiatrist to join this NHS Trust in the West of England as a Consultant working in an established acute psychiatric ward in the UK. This NHS job offers CESR Portfolio Pathway support and international applications from IMGs are welcome.
The NHS Trust
This NHS Trust provides Community Health, Mental Health, Social Care, and specialist Learning Disability services. Formed from the merger of two previous trusts, it has been operational since October 1, 2019, and received a ‘Good’ rating from the CQC in 2022. This role offers a unique opportunity to be part of a forward-thinking team dedicated to enhancing patient outcomes.
The General Adult Psychiatry Department & Team
The General Adult Psychiatry department includes acute wards, a PICU, a low-secure unit, and a Hospital-Based Place of Safety. The Consultant Psychiatrist will lead a multidisciplinary team, including a Specialty Doctor, Foundation Doctor, Core Trainee, and nursing staff. Responsibilities include direct patient care, consultation, and supervision of junior doctors, ensuring comprehensive management plans for inpatient treatment and community reintegration. The department is recognized for its high standards, receiving accolades and accreditations from the Royal College of Psychiatrists and the Healthcare Commission.
Continued Professional Development
This NHS job offers further training & accreditation within General Adult Psychiatry, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interest. Opportunities for teaching, research, clinical governance, and quality improvement projects are integral to the role. The Trust supports continuous professional development with dedicated training for educational and clinical supervision, participation in job planning reviews, and providing resources like a full-time medical secretary, dedicated office space, and modern IT facilities.
Location
This region in the West of England offers an excellent quality of life for international doctors and their families. The cost of living is relatively affordable, and the area boasts a variety of good schools, making it an ideal location for families. The region is rich in history and culture, with numerous attractions, including historic landmarks, museums, and festivals. It is surrounded by beautiful natural areas, perfect for outdoor activities. With excellent transport links, including proximity to major motorways and direct train lines to major cities, this region is well-connected, offering the best of both urban and rural living in the UK.
Am I eligible for this role?
UK based candidates:
- CCT or Specialist Registration (preferred)
- Experience in General Adult Inpatient Psychiatry
- S12
- AC (preferred)
EEA candidates:
- Experience in General Adult Inpatient Psychiatry
- European Specialist Qualification
Non-EEA candidates:
- MRCPsych (preferred)
- Specialist/Consultant Experience in General Adult Inpatient Psychiatry
We are looking to recruit a Consultant Psychiatrist to a Crisis & Assessment Team role in the Channel Islands, a UK territory sitting off the coast of France and just a 1 hour flight from London. This job presents a great opportunity to advance your medical career in the UK.
The health service, separate from the NHS, is an integrated, taxation-funded system, free at the point of delivery, managed by the Health and Community Services Department on the island. Key benefits of working there are higher salaries than the NHS, lower taxes and sunnier weather.
Consultant Pay range - £110,257 to £164,372
Single rate of tax - 20%.
The Department & Team
The Crisis and Assessment Team (CAT) serves as the primary gateway to adult and older people\'s mental health services, conducting assessments in the community and emergency settings, alongside medical reviews. They collaborate closely with law enforcement, responding to Adult Protection Notices and coordinating mental health law assessments. This role within the CAT focuses on streamlining referrals, providing short-term crisis interventions, and ensuring individuals receive appropriate ongoing care. You\'ll engage with both working-age adults and older adults, with responsibilities extending to police referrals and mental health law assessments during standard working hours, with on-call commitments.
Continued Professional Development
Professional development is integral to their ethos, offering CESR Portfolio Pathway support, access to specialty training, and opportunities for sub-specialist development. They prioritize ongoing learning through conferences, local CME events, and a generous study leave allowance.
Life in the area
Living in this location offers significant financial benefits. The flat income tax rate of 20% is notably advantageous compared to the UK, and a generous public sector pension scheme is provided, not constrained by UK lifetime or annual contribution limits. The consultant contract closely mirrors the UK model but offers higher incremental levels starting at £110,257 and with a top basic salary of £164,372.
Am I eligible for this role?
UK based candidates:
- Experience in General Adult Psychiatry
- Specialist Registration or locum consultant experience
EEA candidates:
- Experience in General Adult Psychiatry
- European Specialist Qualification
Non-EEA candidates:
- MRCPsych
- Experience in General Adult Psychiatry
We are looking to recruit a Consultant Psychiatrist to an Old Age role in the Channel Islands, a UK territory sitting off the coast of France and just a 1 hour flight from London. This job presents a great opportunity to advance your medical career in the UK.
The health service, separate from the NHS, is an integrated, taxation-funded system, free at the point of delivery, managed by the Health and Community Services Department on the island. Key benefits of working there are higher salaries than the NHS, lower taxes and sunnier weather.
Consultant Pay range - £110,257 to £164,372
Single rate of tax - 20%.
What is the health & community service like?
Working in this location is professionally rewarding, offering high-quality, patient-centered care. Clinicians lead in developing and managing services, supported by strong links with UK specialists. With a generous study leave budget, doctors are encouraged to pursue further education. Exciting developments include a new general hospital and a new mental health inpatient unit. The service fosters strong relationships between mental health, primary, and secondary care, promoting joint learning and teaching in a modern education center.
What is the department & team like?
The inpatient services are currently undergoing extensive refurbishment, including two wards for older adults. One ward offers 14 assessment beds for individuals over 65 experiencing functional mental health issues, with some flexibility for those under 65. The other ward provides 10 assessment beds for patients with dementia. Following the refurbishment, the latter ward will feature 8 acute assessment beds and 8 transitional/step-down beds for those with dementia or enduring mental health problems who cannot be supported in local nursing or residential homes.
The Older Adults Community Mental Health Team (OACMHT) manages a caseload of about 300 patients, including new referrals triaged by the Crisis and Assessment team, providing both short-term treatment and long-term care coordination. The role involves providing medical support to the OACMHT alongside two other consultants and a staff grade doctor.
The post holder will join an established team, comprising 2 WTE older adult consultants, 1.0 WTE Associate Specialist (Memory Assessment Service), 2.0 WTE staff grades (inpatient and community), and 1.0 WTE F1 doctor (inpatients and community). Dedicated administrative support includes a 0.5 WTE medical secretary and ward and team secretarial support.
Continued Professional Development
This position offers further training and accreditation within psychiatry, including CESR Portfolio Pathway support, access to specialty training, and the opportunity to develop sub-specialist interests. The post holder will have ample opportunities to develop knowledge, skills, and experience through attendance at relevant courses, conferences, and locally organized CME events. The organization supports Continuing Medical Education with time and financial support, offering study leave of 30 days in 3 years and an annual study leave allowance. Regular case discussions, teaching sessions, and MDT supervision ensure ongoing professional development, meeting the Royal College of Psychiatrists\' CPD requirements.
Living in the Area
Living in this location offers significant financial benefits. The flat income tax rate of 20% is notably advantageous compared to the UK, and a generous public sector pension scheme is provided, not constrained by UK lifetime or annual contribution limits. The consultant contract closely mirrors the UK model but offers higher incremental levels starting at £110,257 and with a top basic salary of £164,372.
Am I eligible for this role?Am I eligible for this role?
UK based candidates:
- Experience in Old Age Psychiatry
- Specialist Registration or locum Consultant Experience
- Experience in Old Age Psychiatry
- European Specialist Qualification
- MRCPsych
- Consultant experience in Old Age Psychiatry