NHS Consultant Doctors’ Pay across the UK 2024
- June 25, 2024
As an overseas doctor looking to work in the UK, it is essential to understand the salary that comes along with your NHS job and how this can be different from one country in the UK to another.
Whilst the NHS has guides that are used to fairly and uniformly determine consultant pay, these do differ across the UK.
Basic Pay
Consultants in England and the other home countries each have their own consultant contracts in place. These are based on a full-time work commitment of 10 programmed activities (PAs) per week, each having a time-tabled value of four hours.
The basic pay thresholds in England and their equivalents in the rest of the home countries are shown below:
England
Consultants currently earn a basic rate of between £105,504 and £139,882 in England.
|
Threshold |
Years completed as a consultant |
Basic Salary |
|
1 |
0 |
£105,504 |
|
2a |
After 3 years completed |
£111,714 |
|
2b |
After 4 years completed |
£114,894 |
|
3 |
After 8 years completed |
£126,018 |
|
4 |
After 14 years completed |
£139,882 |
The most recent full pay circular for England can be found here.
The National Clinical Impact Award (NCIA) scheme aims to reward consultants who contribute most to the delivery of safe and high-quality care and the improvement of NHS services. You can apply for a new award after you have completed a full year in an eligible role.
Scotland
Consultants currently earn a basic rate of between £107,144 and £142,369 in Scotland.
|
Threshold |
Years completed as a consultant |
Basic Salary |
|
1 |
0 (starting salary) |
£107,144 |
|
2 |
1 |
£109,407 |
|
3 |
2 |
£112,662 |
|
4 |
3 |
£115,921 |
|
5 |
4 |
£119,170 |
|
5 |
||
|
6 |
||
|
7 |
||
|
8 |
||
|
6 |
9 |
£126,905 |
|
10 |
||
|
11 |
||
|
12 |
||
|
13 |
||
|
7 |
14 |
£134,640 |
|
15 |
||
|
16 |
||
|
17 |
||
|
18 |
||
|
8 |
19 |
£142,369 |
The most recent full pay circular for Scotland can be found here.
All consultants who have reached point five of the pay scale are eligible for consideration for discretionary points, except for distinction award holders. Consultants granted discretionary points are not normally considered again for two years, although this may vary.
Wales
Consultants currently earn a basic rate of between £106,000 and £154,760 in Wales.
There is a fixed pay point of £116,600 for locum consultants, which will apply regardless of years of consultant experience.
| Threshold | Years completed as a consultant | Basic Salary |
|---|---|---|
| 1 | 0 (starting salary) | £106,000 |
| 2 | 1 | £111,300 |
| 3 | 2 | £116,600 |
| 4 | 3 | £121,900 |
| 5 | 4 | £130,380 |
| 6 | 5 | £137,800 |
| 7 | 6 | £146,280 |
| 8 | 7 | £154,760 |
The most recent full pay circular for Wales can be found here.
Please note that the pay scale above is for substantive or permanent doctors in Wales.
Commitment awards are available to all consultants after three years’ service at the top of the consultant pay scale, who demonstrate their commitment through satisfactory job plan reviews. They are then eligible at three-yearly intervals, until they have achieved eight award levels.
Northern Ireland
Consultants currently earn a basic rate of between £88,799 and £119,723 in Northern Ireland.
|
Threshold |
Years completed as a consultant |
Basic Salary |
|
1 |
1 (starting salary) |
£88,799 |
|
2 |
2 |
£91,581 |
|
3 |
3 |
£94,362 |
|
4 |
4 |
£97,141 |
|
5 |
5 |
£99,913 |
|
6 |
||
|
7 |
||
|
8 |
||
|
9 |
||
|
6 |
10 |
£106,520 |
|
11 |
||
|
12 |
||
|
13 |
||
|
14 |
||
|
7 |
15 |
£113,124 |
|
8 |
16+ |
£119,723 |
The most recent full pay circular for Northern Ireland can be found here.
When would I see an increase in my pay?
We are confirming when exactly SAS doctors would see the increase to their pay, but it has been agreed that the uplifts will be backdated to April 2024.
Job Planning and Programmed Activities
As part of your contract, your job plan will be created in partnership with your new NHS employer. This is an annual agreement that sets out your duties, responsibilities and objectives for the length of your contract.
There are four basic categories of contractual work which will be included in your job plan: direct clinical care (DCC), supporting professional activities (SPAs), additional responsibilities and external duties.
There are ways that consultants will be able to earn more than the basic rates above and these can include additional rotas and PAs. This will also be discussed in the creation of your job plan.
For more information on NHS doctor benefits and pay arrangements in the UK, take a look at our IMG Resources library.
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 hospital in Southeast Wales is looking for a Speciality Doctor in Stroke Medicine. The department includes 10 consultants and a strong team of middle grade doctors. This Stroke Medicine job is open to both UK-based and international doctors, particularly those with MRCP (UK) or equivalent European qualifications.
CESR support is available and will be discussed on an individual basis.
JOB REQUIREMENTS AND DETAILS
- MRCP UK
- Independent experience as a Stroke Physicians
- Experience in independent Thrombolysis
The salary will be between £59,727 to £95,400 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Provide comprehensive assessment and care for stroke patients with a holistic approach
- Manage complex co-morbidities and optimise recovery through medication and therapy plan
- Engage in multi-disciplinary team activities, clinical governance, and outpatient services
- Contribute to on-call stroke service, including emergency stroke management and post-take rounds.
LIFE IN SOUTHEAST WALES
This area of Southeast Wales offers a mix of vibrant city living in Cardiff or Newport and quieter rural options in areas like Monmouthshire. There is good access to schools, healthcare, public transport, and family-friendly amenities.
The region is known for its historic role in founding the NHS and remains a centre of medical excellence and innovation.
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
Let me know if you’d like me to produce another version or tweak anything!
An NHS general hospital in the East of England is looking for a Consultant in Endocrinology & Diabetes with an interest in General Internal Medicine. The Diabetes and Endocrinology department comprises a team of 4 consultants and is supported by a large team of middle grade doctors. This Diabetes and Endocrinology job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP(UK) 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
Eligibility for full registration with the GMC is essential, and inclusion on the GMC Specialist Register (or within six months of CCT) in Diabetes & Endocrinology and General Internal Medicine are preferred though not essential, as well as NHS epxerience. Anyone with an interest in inpatient diabetes care, diabetes technology, endocrine testing or specialist clinics such as painful neuropathy, foot care or thyroid management should apply.
CORE DUTIES OF THIS ROLE
-
Provide consultant-led care for Diabetes and Endocrinology patients through clinics and inpatient responsibilities under the Consultant of the Week model.
-
Participate in the general internal medicine on-call rota, currently 1 in 17 weekends.
-
Contribute to specialist diabetes clinics (e.g. antenatal, foot, pump) and endocrine clinics, with opportunity to develop further subspecialist areas of interest.
-
Participate in teaching of medical students, junior doctors and other healthcare professionals, and contribute to the delivery of UEA Module 6 in Diabetes and Endocrinology.
LIFE IN THE EAST OF ENGLAND
The hospital is located in a picturesque region with thriving towns like Ipswich and Colchester offering urban living, while tranquil countryside retreats can be found in Dedham Vale or near the coast.
There are excellent transport links, schools (including grammar schools), and plenty of options for recreation including beaches, cultural venues and green spaces.
Historically rich, the region includes Britain\'s oldest recorded town, stunning coastal heritage, and links to renowned British artists and authors.
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
An NHS hospital in Wales is looking for a Consultant in Acute General Medicine with an interest in Same Day Emergency Care. The Acute Medicine department comprises a team of consultants and is supported by a large team of middle grade doctors. This Acute Medicine job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) 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 GMC registration, MRCP (UK) or equivalent, and experience in acute/general medicine are required for this role, and anyone with an interest in Same Day Emergency Care should apply. The salary will be between £91,732 and £119,079 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Deliver acute assessment and treatment to patients at the hospital\'s \"front door\" including the Emergency Department, Clinical Decision Unit, and Same Day Emergency Care.
-
Develop and deliver a comprehensive 7-day acute medicine service.
-
Provide “hot” clinics and take an active role in reducing hospital admissions.
-
Offer effective leadership to multidisciplinary staff and support the development of teaching, training, and research.
LIFE IN WALES
This role is based in a scenic area of Wales, where candidates can enjoy both rural charm and easy access to urban amenities. While some prefer the peaceful villages in the countryside, others choose to live in nearby towns or cities for a livelier pace of life.
The region offers strong school options, convenient transport links across South Wales, and plenty of leisure activities such as hiking, sports, and visiting historic coastal areas—ideal for individuals and families alike.
Known for its rich cultural heritage, the area is steeped in Welsh history and folklore, with deep roots in medieval tradition and legend.
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
An NHS acute hospital in the West Midlands is looking for a Locum Consultant Dermatologist with an interest in skin cancer and surgical management. The Dermatology department comprises a team of consultants and is supported by a large team of middle grade doctors. This Dermatology job is open to both international applications and UK-based doctors, though those with European Specialist or CESR 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 GMC registration and completion of specialist training in dermatology (or expected within 6 months) are required for this role, and anyone with an interest in skin cancer and surgical dermatology should apply. The salary will be between £105,504 - £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Provide clinical dermatology services across multiple sites, including outpatient care and participation in multidisciplinary meetings.
-
Support the regional dermatology service with a focus on skin cancer, surgery, and developing new care pathways.
-
Collaborate with emergency care services to improve patient outcomes and hospital flow.
-
Contribute to education, audit, and cross-site service planning.
LIFE IN THE WEST MIDLANDS
This role is based in a scenic part of the West Midlands, offering vibrant city life in locations like Worcester and peaceful rural options nearby.
Excellent transport links, good schools, and a wealth of outdoor and cultural attractions make it ideal for families and professionals alike.
The area is steeped in British history, playing a significant role in the English Civil War and famous for its unique cultural contributions.
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