A Clinical or Radiation Oncologist's Route to the UK

November 18, 2021

There are several routes a radiation oncologist can take to GMC registration and clinical (radiation) oncology in the NHS.

Clinical (or radiation) oncologists looking to secure a job in the NHS will need to satisfy certain criteria before they can apply for full GMC (General Medical Council) registration with license to practice in the NHS. As an oncologist, these criteria depend on where in the world you trained, and the qualifications you hold. In this blog, we’re giving you a snapshot of the steps you need to take to start your journey to the UK, as an overseas oncologist. We’ll be covering the following:

Will my training be recognised in the UK?
How do I demonstrate my knowledge and skills as an EEA oncologist?
How do I demonstrate my knowledge and skills as a non-EEA oncologist?
How can I demonstrate my English language skills?
What is a certificate of good standing and how do I get one?
What do I need to register with the GMC?
Will I need a visa to work in the UK?

Recognition of knowledge and skills

For clinical oncologists who trained in an EEA country (all countries inside the EU, including Lichtenstein, Iceland, Switzerland & Norway), there are a number of different options potentially available to you.

Depending on the country and year you completed your residency or basic medical training, the GMC may automatically recognise your qualifications and grant you either General Registration, or Specialist Registration in the UK. To find out if your country’s qualifications will allow you to register for either general or specialist registration, check the relevant GMC page here.

Knowledge and skills for EEA radiation oncologists

Basic Medical Training: If you have met the basic medical training requirements, this would mean that you would not need to demonstrate your medical knowledge and skills to work as a doctor in the UK and would not need to complete a UK- recognised postgraduate qualification or PLAB to register with a license to practice. You would be granted full registration in this case, but not Specialist Registration.

Specialist Training / Residency: If you have met the criteria listed for your country, then once you have completed the GMC application process, you would be granted Specialist Registration in oncology and can be appointed as a substantive or permanent consultant in the NHS. So as an oncologist, if you hold a Relevant European Specialist qualification, you would be put on the specialist register for medical or clinical oncology and can be appointed as a substantive oncologist in the NHS.

Therefore, the main hurdle that you will face as an EEA doctor will be demonstrating that your English skills are of a high enough standard to practice safely and proficiently as a doctor in the NHS.

As a European oncologist, this is in most cases the easiest route to becoming GMC-registered and being able to practice oncology in the UK.

If you do not meet the GMC requirements for your training to be approved for full or specialist registration, other routes you may consider to GMC registration include PLAB or (via the postgraduate route) the Royal College exams for either clinical oncology (FRCR) or medical oncology (MRCP). You can find out more about these alternative routes here.

Knowledge and skills for non-EEA radiation oncologists

If you qualified as an oncologist outside the EEA, then you will have to demonstrate that both your medical knowledge and skills AND English Language capabilities meet the level required to practice safely in the UK.

Oncologists who've trained from outside the UK and EEA and must demonstrate to the GMC they have sufficient knowledge & skills to practice safely in the UK. For oncologists this can be done through one of three main routes:

Professional & Linguistics Assessment Board (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 oncology 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, clinical oncologists 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.

Fellowship of Royal College of Radiologists

The Royal College of Radiologists is the professional body that regulates the specialism of clinical oncologists in the UK, and Fellowship of the Royal College of Radiologists (FRCR) is the full qualification attainable by examination. For overseas doctors, attaining FRCR (Oncology) will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK clinical oncology. Take a look at our IMG Resources library for complete guides on Fellowship of the Royal College of Radiologists for clinical oncology to learn more.

GMC recognised or equivalent qualifications

Some overseas qualifications and licensing exams are recognised by the GMC and accepted for registration purposes. This is to say these qualifications or licensing exams are considered as meeting the same standards as the Royal College qualifications.

To find out if your qualification is accepted by the GMC, take a look at our blog: Overseas accepted postgraduate qualifications.

English Language Testing

Both EEA and non-EEA oncologists, regardless of experience, and country of origin, must demonstrate that they have a sufficient grasp and competence of the English language. This can be done by passing either the International English Language Testing System (IELTS) or the Occupational English Test (OET). Detailed guides to these tests can be found below:

Experience in English-speaking countries

For doctors who have at least two years of their most current experience in an English-speaking country, you can use a reference from your current employer or employers over these two or more years to demonstrate competence of the English language. This would exempt you from sitting an English language exam.

Certificate of Good Standing

All doctors registering with the GMC must provide a certificate of good standing from each medical regulatory authority they’ve been registered or licensed with in the last five years.

The medical regulatory authority may send you a certificate of past good standing if you're not currently registered or licensed with them. You can find out which medical regulatory authority to contact via the GMC website here.

Please note that each certificate is only valid for three months from the date it's signed and must be valid when we approve your application.

If there's no medical regulatory authority in the country to issue a certificate, the GMC will give you further advice once your application has been assessed.

GMC Registration

Once you’ve completed your English language exam, you can now apply for full GMC registration with a license to practice. For registration, you must provide evidence of:

English language capabilities - either your IELTS, OET or an approved reference from your current employer (if you have been working in an English-speaking country for the last two years).

AND

Certificate of good standing – the certificate from your medical regulatory authority which demonstrates good standing.

AND

(EEA oncologists) Sufficient skill and knowledge – as an EEA oncologist, this would either be your recognised EEA qualification.

(Non-EEA oncologists) Sufficient skill and knowledge – as a non-EEA oncologist, this would either be PLAB, FRCR or a GMC-approved qualification.

To understand the registration process more fully, read our blog on GMC registration for overseas doctors here.

Visas

If you or your family are from the EU, Switzerland, Norway, Iceland or Liechtenstein and started living in the UK by 31 December 2020, you may be able to apply to the free EU Settlement Scheme. Otherwise, you will need to apply for a visa from the UK Home Office.

A Tier 2 visa is the document given to a skilled worker by the UK Home Office following a job offer from a UK employer with a valid Tier 2 Sponsorship License. The list of valid Tier 2 Sponsors can be found here.

Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa - how do I apply and what's the process?

Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependent visa below: Tier 2 Dependent visa - Can I bring my family with me to the UK?

IMG Oncologists

Join the IMG Oncologists Facebook group for access to a community of like-minded FRCR (Oncology) aspirants and dedicated oncology recruiters.

In this group you will find tailored resources for oncology IMGs, including access to our FRCR (Oncology) crash courses, completely free to all doctors.

You can access our IMG Oncologists community here.

For clinical or radiation oncologists looking to come to the UK to work in the NHS, GMC registration and specialist registration is a crucial part of the process. Therefore, it’s important to put together a good application to present to the GMC, and IMG Connect are here to help with this.

For regular news and updates on the Royal College and all things oncology, follow IMG Connect on social media using the links below:

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Relevant Jobs

Consultant Clinical Oncologist (Breast and Skin)

105,504- 139,882

Fixed Term

An NHS district general hospital in the South West of England is looking for a Consultant in Clinical Oncology with an interest in breast and skin cancers. The Clinical Oncology department comprises a team of 11 consultants and is supported by a large team of middle grade doctors and specialist nurses.

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 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.
Anyone with an interest in breast and skin cancer should apply. The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

Take ownership of site-specific oncology services, primarily in breast and skin cancer.
Participate in outpatient clinics, support patients undergoing day case treatments, and assist the Acute Oncology Service.
Contribute to education and training of junior medical staff and engage in multidisciplinary team working.
Participate in clinical governance, audits, and contribute to ongoing research and service development.

LIFE IN THE SOUTH WEST

This role is based in a beautiful coastal region in the South West, with access to popular towns and seaside resorts perfect for both urban and rural living. The area features excellent schools, well-connected transport options, and a wide range of outdoor activities from beach days to countryside walks. With its blend of natural beauty and cultural history, the region is a top choice for medical professionals relocating to the UK.

Would you like this packaged into a downloadable file or published in a particular format next?

HOW WILL IMG CONNECT SUPPORT YOU?

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

Consultant Clinical Oncologist (Lung and Gynae)

105,504- 139,882

Fixed Term

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

Provide comprehensive non-surgical oncology services, including radiotherapy and chemotherapy clinics, for patients across lung, gynaecology, and/or colorectal tumour sites.
Participate in the oncology on-call rota (1:12) and provide reciprocal cover for colleagues during periods of leave.
Support the education and training of junior doctors, specialty doctors, ACPs, and medical students.
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?

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

Consultant Clinical Oncology (Urology)

105,504- 139,882

Fixed Term

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

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.
The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

Provide high-quality specialist care to melanoma patients attending the Kent Oncology Centre.
Attend relevant MDT meetings and coordinate treatment planning with other specialists.
Participate in departmental research initiatives and contribute to national and local clinical trials.
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

Consultant Clinical Oncologist (Gynae and Upper GI)

105,504- 139,882

Fixed Term

An NHS specialist cancer centre in Lancashire and South Cumbria is looking for a Consultant in Medical Oncology with an interest in gynae and upper GI cancers. The oncology department comprises a team of 8 consultants and is supported by a large team of middle grade doctors.

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 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.

Anyone with an interest in gynae and upper GI oncology should apply.
The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

Provide systemic therapy services for patients across UHMB sites.

Participate in multidisciplinary team meetings and support associated administrative duties.

Lead and contribute to acute oncology services across the Trust (no on-call required).

Support teaching, supervision, and mentorship for junior medical staff and trainees.

LIFE IN LANCASHIRE AND SOUTH CUMBRIA

The area is rich with excellent schools, convenient rail and road links, and beautiful scenery for outdoor enthusiasts. Historically, the region has played a key role in British shipbuilding and industrial development and today combines coastal charm with cultural heritage and modern living.

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

Consultant Medical Oncologist (Melanoma)

105,504- 139,882

Fixed Term

An NHS teaching hospital, in Kent is looking for a Consultant in Medical Oncology with an interest in Melanoma. 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

This Medical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or MRCP are most encouraged to apply.CCT in Medical Oncology or equivalent experience, including CESR pathway candidates.
The salary will be between £105,504 and £139,882 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

Provide high-quality specialist care to melanoma patients attending the Kent Oncology Centre.
Attend relevant MDT meetings and coordinate treatment planning with other specialists.
Participate in departmental research initiatives and contribute to national and local clinical trials.
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.

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

See All