HSC Northern Ireland - Doctors' pay scales explained
- September 06, 2024
If you're an international doctor considering a career with the NHS in Northern Ireland, understanding the NHS salary structure is essential. Overseas doctors often find the NHS pay scales complex, but knowing how they work is key to planning your move to the UK.
Doctors working within HSC (Health and Social Care) Northern Ireland are compensated with competitive pay and comprehensive benefits. However, for international medical graduates, navigating the various NHS pay bands can be daunting.
In this guide, we’ll break down the different NHS grades and explain how they relate to pay scales in Northern Ireland, so you can better understand your earning potential as a doctor in the NHS.
In this article we will take a look at the following topics:
- Typical NHS doctor’s salary in Northern Ireland
- FY1 & FY2
- Specialist Training (ST1 – ST8)
- Specialty Doctor
- Associate Specialist
- Consultants
- Where do I fit on the pay scale?
- Doctors in training pay scale
- Specialty Doctor Pay Scale
- Specialist Grade Pay Scale
- Consultant Pay Pcale
- Additional pay, benefits, pensions and terms & conditions
Skip ahead to the relevant section if you know what you're looking for.
Trust doctor jobs and IMGs' pay
It’s important to understand that most overseas doctors begin their UK careers in a fixed-term Trust doctor role (also known as a service post) before moving into a training position. Doctors at all levels can enter a service post, which means they are not in formal training or pursuing specialty training.
Most of our job adverts for fixed-term or permanent roles are for service positions, typically for SAS doctors, consultants, SHO, or Trust doctor roles equivalent to FY2, ST1/2, or ST3+. These posts can be particularly attractive due to the potential for higher, negotiable salaries, based on experience and demand, making them an appealing option for international doctors.
The pay scales that we have included in this article are to be used as a guide or starting point for negotiating your Trust doctor role (or service post).
Typical NHS doctor’s salary in Northern Ireland
FY1 & FY2
At Foundation Year 1 (FY1), your starting basic salary is £29,566, which increases to £36,371 in your second year (FY2).
As a doctor in training, you will receive a basic salary based on a 40-hour workweek, along with additional pay for extra hours worked. This includes a 37% pay enhancement for night shifts, a weekend allowance for weekend work, an on-call allowance, and other potential pay premiums depending on your specific duties and schedule. These enhancements ensure you're fairly compensated for the demands of your role.
Specialist Training (ST1 – ST8)
If you are a doctor starting your specialist training, your basic salary starts at £38,780 and can progress to £50,903.
As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums.
Specialty Doctor
Specialty doctors currently earn from £52,530 to £82,400 basic pay.
The basic contract is for 40 hours. As a specialty doctor you can be paid for additional duties, extra hours worked, weekend work and on calls.
Specialist Grade
A key element of recent SAS contract reform is the introduction of a new grade, called the Specialist grade or Associate Specialist, which will provide an opportunity for career progression for highly experienced specialty doctors. Associate Specialists doctors can earn a basic of between £83,945 to £95,275.
Consultant
Consultants currently earn from £88,799 to £119,723 basic pay.
As a consultant you can be paid for additional duties and may be eligible for Clinical Excellence Awards, which reward outstanding performance. The basic contract is for 40 hours per week.
If you take on extra responsibilities (i.e. management or education) you can also expect to be paid additional supplements.
So where do I fit on the pay scale?
There are a few key points when considering where you fit on the pay scale:
- Job title
- Experience
- Hours worked
- Trusts can be different
Key Factors to Consider When Evaluating Your NHS Job Offer
When applying for NHS jobs as an international doctor, it's essential to fully understand how factors like your job title, experience, hours worked, and the specific NHS Trust can impact your salary. Here’s what you should keep in mind:
1. Job Title
Your job title is a key factor in determining your pay scale.
- At the Consultant level, your role and pay are straightforward—you will be a consultant.
- However, at the Specialty Doctor level, your title could vary between SAS Doctor, Specialty Doctor, or Trust Grade Doctor.
- As an ST (Specialty Trainee) or SHO (Senior House Officer), you could work across several levels.
Each of these titles commands a different pay scale, depending on the level of responsibility and experience required. It's crucial to carefully check the job title you're applying for and ensure you understand the corresponding pay scale.
2. Experience in Your Specialty
Your years of experience in your chosen specialty directly affect your position on the pay scale.
For example, when calculating pay for a Specialty Doctor in Medicine, an NHS Trust may deduct two years of experience to account for Core Training in the UK. However, this deduction may not apply in all specialties, so it’s important to verify with an IMG Consultant for specific details related to your field.
3. Hours You Will Work
Your working hours are another critical factor. Both SAS Doctors and Consultants typically work based on Programmed Activities (PAs).
- Each PA represents 4 hours of work, with a standard week consisting of 10 PAs (40 hours).
- Your basic salary will be calculated based on this 40-hour week, but if you work more than 10 PAs, you will receive additional pay on top of your base salary.
This system ensures that you are compensated fairly for any extra hours worked.
4. NHS Trust Variations
Lastly, be aware that some NHS Trusts may interpret pay scales and experience differently. While all NHS Trusts are expected to follow the same pay scale structures when recruiting doctors, there can be variations in how they assess your experience and apply salary scales.
Make sure to ask questions during the interview process and clarify how your pay is calculated to avoid any surprises.
When evaluating your NHS job offer, taking the time to understand the nuances of your job title, experience, working hours, and the specific NHS Trust is essential. These factors will ultimately determine your position on the pay scale and the salary you can expect.
This blog is a guideline, and if you are not sure of how to approach this discussion with an HR department, it can be very useful for an IMG Connect consultant to assist with the negotiations to ensure that your experience is always taken into account.
NHS Pay Scales in Northern Ireland
Doctors in Training: Understanding Service Level Jobs and Pay Scales
Service level jobs within the NHS are in high demand across all levels of experience, offering competitive rates of pay for international doctors. Once you're in the UK, you’ll also have the opportunity to apply for training roles, depending on your entry level.
The pay scale for doctors in training varies based on entry points, including FY1 (Foundation Year 1), ST1/CT1 (Specialty Training/Core Training Year 1), and ST3/4. These roles come with a standard working week of 10 Programmed Activities (PAs), equating to 40 hours. However, if you work additional hours, on-call shifts, or weekends, your take-home pay will increase accordingly.
Use the following pay scale as a guide for service level posts. Keep in mind, by consulting with an IMG Consultant, you may find opportunities to negotiate higher pay based on your experience and the demand for your specialty. It’s very possible to earn more than the standard pay scales listed below.
Understanding these factors will help you make informed decisions as you navigate your NHS career and maximise your earnings.
|
Foundation Doctors & Specialty Registrars |
|||||
|
Scale
|
Foundation Doctor 1 M220 |
Foundation Doctor 2 M230 |
Specialty Registrar (fixed term) M240 |
Specialty Registrar (core training) MN39 |
Specialty Registrar (full) MN37 |
|
Min |
£29,566 |
£36,371 | £38,780 | £38,780 | £38,780 |
|
1 |
£31,334 | £38,666 | £41,078 | £41,078 | £41,078 |
|
2 |
£33,099 | £40,964 | £44,283 | £44,283 | £44,283 |
|
3 |
£46,224 | £46,224 | £46,224 | ||
|
4 |
£48,563 | £48,563 | £48,563 | ||
|
5 |
£50,903 | £50,903 | £50,903 | ||
|
6 |
£53,243 | ||||
| £55,582 | |||||
|
8 |
£57,921 | ||||
|
9 |
£60,261 | ||||
SAS Doctor Pay Scale
SAS stands for Staff Grade, Associate Specialist and Specialty Doctor. They will have at least four years of full-time postgraduate training, two of which have been in the relevant specialty. Specialist Grades and Specialty Doctors in Scotland have their own contracts in place for senior doctors these contracts are based in full-time work commitment of 10 programmed activities per week it has been timetabled value of four hours. The new pay structure will enable SAS doctors to access the top of the pay scale more quickly than the current system, increasing the career average earnings.
It is important to note that your pay will reflect your experience within your chosen field.
The pay code on the left-hand side of the table below correlates to the number of years’ experience that you qualify for in your chosen specialty, and the number of years that the HR department are going to attribute to you.
Remember to discount any years that you have worked in an internship. And if you are working in a medicine specialty, deduct any core training years.
In the first threshold, for every year of experience you gain, this entitles you to a pay rise. In the second threshold, you will receive an increase every two years, and in the third, every three years.
The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
As above, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
|
Specialty Doctor |
||
|
Years' Experience |
Basic Salary |
Pay Point |
|
0 |
£52,530 |
1 |
|
1 |
||
|
2 |
||
|
3 |
£60,519 |
2 |
|
4 |
||
|
5 |
||
|
6 |
£67,465 | 3 |
|
7 |
||
|
8 |
||
|
9 |
£74,675 | 4 |
|
10 |
||
|
11 |
||
|
12 |
£82,400 | 5 - top |
|
13 |
||
|
14 |
||
|
15 |
||
|
16 |
||
|
17 |
||
|
Specialist Grade |
||
|
Years' Experience |
Basic Salary |
Pay Point |
|
1 |
£83,945 |
1 |
|
2 |
||
|
3 |
||
|
4 |
£89,610 |
2 |
|
6 |
||
|
7 |
£95,275 | 3 (top) |
Consultant Pay Scale
Service level consultant doctor jobs are in high demand in Scotland at all levels of experience, each offering competitive rates of pay.
At the consultant grade, HR departments will look at your years of experience within your specialty, as a consultant.
On the table below, you can see that all you need to do is count up the total number of complete years of experience (12 months each) as a consultant, and then count down the rows to establish your salary position.
Like the above, the salary is based on a standard working week of 10 PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
Remember, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
|
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 |
|
16 |
||
|
17 |
||
|
19 |
||
|
8 |
20+ |
£119,723 |
The most recent full pay circular for Northern Ireland can be found here.
Additional pay, benefits, pensions and terms & conditions
Current national salary scales for medical and dental staff are published in pay and conditions circulars on the NHS Employers website.
You may be eligible for additional pay on top of your basic salary if you work above the standard 10 PAs, work on call & weekends, or take on extra responsibilities. All doctors are eligible for NHS pensions and benefits.
Sources
https://www.health-ni.gov.uk/sites/default/files/publications/health/doh-hsc-tc8-03-2022.PDF
Relevant Jobs
Consultant Psychiatrist – Child and Adolescent Mental Health Service (CAMHS)
South Wales
A dynamic and transformational CAMHS service in South Wales is seeking a Consultant Psychiatrist with a strong interest in child and adolescent mental health. The successful candidate will join a well-established multidisciplinary team delivering specialist care across the region, contributing to service development and clinical leadership within a collaborative and forward-thinking environment. Doctors with MRCPsych, CESR interest, or a European Specialist qualification are encouraged to apply.
This is a fantastic opportunity to work within a progressive mental health service with access to regional tier 4 services and a population of approximately 380,000. The post supports the organisation’s strategic vision to integrate CAMHS more closely into community settings while developing clinical pathways in areas including eating disorders, complex care, youth justice, and neurodevelopmental disorders.
We welcome applications for full-time, part-time, or flexible working arrangements and will support CESR (Certificate of Eligibility for Specialist Registration) development on an individual basis.
JOB REQUIREMENTS AND DETAILS
-
Salary: £109,725 – £145,478 dependent on Consultant experience.
-
Full GMC registration with a licence to practise is essential.
-
Eligibility for inclusion on the GMC Specialist Register or within six months of CCT.
-
Section 12 approval (or eligibility within 6–12 months).
-
Experience delivering psychiatric care in CAMHS or related services is required.
-
A collaborative, developmental, and family-focused approach, with excellent communication and leadership skills, is highly valued.
-
Opportunities for career development through CPD, peer supervision, quality improvement, and service leadership.
CORE DUTIES OF THIS ROLE
-
Provide consultant-level psychiatric care to children and adolescents as part of a multidisciplinary CAMHS team.
-
Lead clinical care planning, review, and treatment delivery in partnership with colleagues across mental health, health, education, and social care.
-
Work closely with specialist regional services including adolescent inpatient units, eating disorder outreach services, and forensic CAMHS consultation teams.
-
Participate in the CAMHS consultant on-call rota (with prospective cover).
-
Contribute to service improvement, pathway development, and integrated working in line with strategic planning goals.
-
Provide supervision and clinical leadership to junior medical staff and allied professionals.
-
Participate in annual appraisal, job planning, and revalidation, with access to local peer groups and CPD.
-
Uphold principles of clinical governance, information governance, and risk management across the CAMHS Directorate.
LIFE IN SOUTH WALES
South Wales offers a rare combination of coastal beauty, green open spaces, and urban convenience. With beautiful landscapes, affordable living, and excellent local amenities, it is an ideal location for professionals and families alike. The region is well-connected by public transport and road networks and offers easy access to nearby cities and airports.
Healthcare professionals in the area benefit from a supportive and inclusive working environment and access to a wide network of services across health, education, and social care.
If you are passionate about delivering outstanding CAMHS care and want to help shape future services in a supportive, innovative setting, we welcome your application. Please note that we may close this post early if sufficient applications are received.
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 interview preparation sessions.
-
Contract and offer negotiations for salary, relocation packages, tenure, and more.
Once you have accepted your new role, you’ll be supported by one of our dedicated relocation executives, who will guide you through the process, 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 other aspects of pastoral care.
Consultant Psychiatrist – Acute Inpatient Service
South of England | Close to London
- Salary: £109,725 – £145,478 dependent on Consultant experience.
- Recruitment premia £15,000 over 3 years *subject to policy requirements
- Relocation allowance: up to £8000 *subject to policy requirements
An inclusive and progressive NHS mental health trust in the South of England is seeking a Consultant Psychiatrist with a strong interest in acute inpatient care. The successful candidate will join a compassionate and collaborative multidisciplinary team, providing high-quality psychiatric care to adults and clinical leadership across inpatient services. Doctors with MRCPsych, CESR interest, or a European Specialist qualification are encouraged to apply.
This is a fantastic opportunity to join a leading NHS Foundation Trust known for integrated working, a strong culture of kindness and respect, and its commitment to clinical excellence and innovation.
Applications are welcome for full-time, part-time, or flexible working patterns. CESR (Certificate of Eligibility for Specialist Registration) support is available and tailored to individual needs.
JOB REQUIREMENTS AND DETAILS
-
Full GMC registration with a licence to practise is essential.
-
Eligibility for inclusion on the GMC Specialist Register or within six months of CCT.
-
Section 12 approval (or eligibility within 6–12 months).
-
Clinical experience in managing acute adult mental illness in inpatient settings is required.
-
Strong teamworking, communication, and leadership skills are essential.
-
Ongoing opportunities for professional development through training, leadership pathways, teaching, and academic engagement.
CORE DUTIES OF THIS ROLE
-
Provide Consultant-level psychiatric care to adult inpatients, in line with the Trust’s Acute Operational Policy.
-
Deliver clinical leadership and active involvement in quality improvement initiatives.
-
Work collaboratively with multidisciplinary teams and contribute to a recovery-focused, trauma-informed approach to care.
-
Coordinate with specialist and community teams to ensure effective patient transitions and continuity of care.
-
Supervise and support junior doctors, specialty trainees, and students.
-
Participate in Consultant on-call rota (details available on request).
-
Engage in audit, teaching, research, and service development activities.
LIFE IN THE SOUTH OF ENGLAND
Located in the South of England, this opportunity offers the perfect balance of professional fulfilment and quality of life. The area combines vibrant urban centres, picturesque countryside, and excellent transport links — with London just 30 minutes away by train, and both Heathrow and Gatwick airports nearby for easy international travel.
This region is known for its historic market towns, outstanding schools, and a wide range of cultural and recreational activities. Whether you\'re relocating alone or with family, it offers something for everyone — from city convenience to coastal calm.
The Trust is committed to inclusivity, wellbeing, and the development of its workforce, offering access to flexible working and a wide range of staff benefits.
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 interview preparation sessions.
-
Contract and offer negotiations for salary, relocation packages, tenure, and more.
Once you have accepted your new role, you’ll be supported by one of our dedicated relocation executives, who will guide you through the process, 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 other aspects of pastoral care.
An NHS district general hospital in the West Midlands is looking for a Specialist Grade Haematologist with an interest in haemato-oncology, laboratory haematology and blood transfusion. The Haematology department comprises a team of 3 consultants and is supported by a large team of middle grade doctors. This Haematology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCPath (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
FRCPath (or equivalent) and broad experience in clinical and laboratory haematology are required for this role, and anyone with an interest in clinical trials, haemato-oncology, education, or blood transfusion should apply. The salary will be between £96,990 to £107,155 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Provide clinical support in both inpatient and outpatient settings, working closely with consultants and the multidisciplinary team.
-
Participate in the delivery of chemotherapy and specialist care via the dedicated oncology/haematology unit.
-
Contribute to clinical governance, teaching of junior doctors and nurse practitioners, and development of service pathways.
-
Assist with laboratory haematology duties including blood film reporting, and advise on transfusion and diagnostic services.
LIFE IN THE WEST MIDLANDS
This hospital is located in a picturesque region of the West Midlands, with access to both rural retreats and small city living. Residents enjoy a mix of traditional market towns and vibrant city centres, with good schools, easy rail access to Birmingham, and plenty of green spaces for outdoor activities. The area has deep historical roots, from medieval cathedrals to Roman forts, offering a unique combination of 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
An NHS hospital in South East England is looking for a Consultant in Clinical Oncology with an interest in Upper and Lower GI cancers. The Oncology department comprises a team of four Clinical Oncologists and a Consultant Radiographer, supported by a large team of middle-grade doctors. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration, GMC Specialist Register, CCT, or CESR 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
GMC registration with a license to practice, CESR, or a GMC-recognised qualification such as FRCR is required for this role. Anyone with an interest in Upper and Lower GI cancer should apply. The salary will be between £105,504 – £139,882 dependent on experience.
CORE DUTIES OF THIS ROLE
-
Provide expert oncology care for patients diagnosed with Upper and Lower GI cancers, overseeing treatment plans and managing patient care.
-
Participate in multidisciplinary team (MDT) meetings across sites to coordinate treatment.
-
Contribute to research and clinical trials within the Oncology department, promoting innovation in GI cancer treatment.
-
Engage in teaching opportunities with medical students and junior doctors, especially in preparation for the launch of a new postgraduate medical programme.
LIFE IN SOUTH EAST ENGLAND
This hospital is located in the South East of England, a region known for its mix of lively coastal cities and peaceful countryside towns. It offers great transport links to London, top-performing schools, and diverse leisure options, including historic landmarks, nature trails, and vibrant cultural scenes. The area is rich in maritime and military history, making it a unique and engaging place to live and work.
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 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 cancer centre in Northern Ireland is seeking a Consultant Clinical Oncologist with a specialist interest in Upper GI and Breast cancers. The department includes 11 oncology consultants and is supported by a team of middle grade doctors and specialty trainees. This position is open to both UK-based and international doctors, particularly those with FRCR or European Specialist Registration.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
Applicants should have full GMC registration and at least 6 years of postgraduate experience in Clinical Oncology. The salary for this role is between £88,799 and £119,723, dependent on experience.
CORE DUTIES OF THIS ROLE
-
Manage patients with Upper GI and Breast cancers across inpatient and outpatient settings.
-
Engage in tumour site-specific MDTs and contribute to treatment planning and decision-making.
-
Support the training and mentoring of oncology registrars and junior doctors.
-
Contribute to service development, teaching, and clinical governance.
LIFE IN NORTHERN IRELAND
Based in the north-west region of Northern Ireland, this location offers both city and rural living, with access to scenic countryside, the coast, and neighbouring towns. The area features well-rated schools, convenient transport infrastructure, and rich opportunities for cultural, historical, and recreational pursuits. It’s a growing destination for healthcare professionals seeking balance between professional development and quality of life.
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