For international doctors looking to work in the UK, it is important to understand the salary you will be offered with your NHS job and how this can be different depending on the country you are working in within the UK.
The NHS follow pay guidelines that are used to fairly and uniformly determine consultant pay, however these do differ across countries in the UK.
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 their relevant specialty.
They are experienced and senior doctors in fixed term or permanent posts (outside a training pathway).
Many SAS doctors have made a positive choice to step into a SAS position from a traditional consultant training pathway. This could be for reasons such as geographical stability or wanting to familiarise themselves with the NHS system before working up to a consultant position.
SAS doctors maintain their skills through the CPD system and there are routes, through gaining CESR (Specialist Registration) or applying for a training post, for SAS doctors to become consultants if they wish to.
Specialist Grades and Specialty Doctors in England and the other home countries have their own contracts in place for senior doctors. These contracts 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 the UK are shown below:
SAS doctors currently earn a basic rate of between £52,530 and £82,400 as Specialty Doctors and from £83,945 to £95,275 as Specialist Grade doctors in England.
Specialty Doctor |
|
Years of experience |
Basic Salary |
0 (min) |
£52,530 |
1 |
|
2 |
|
3 |
£60,519 |
4 |
|
5 |
|
6 |
£67,465 |
7 |
|
8 |
|
9 |
£74,675 |
10 |
|
11 |
|
12 |
£82,400 |
13 |
|
14 |
|
15 |
|
16 |
|
17 |
Associate Specialist / Specialist Grade |
|
Years of experience |
Basic Salary |
0 (min) |
£83,945 |
1 |
|
2 |
|
3 |
£87,000 |
4 |
|
6 |
£95,275 |
The most recent full pay circular for England can be found here.
SAS doctors currently earn a basic rate of between £45,193 and £84,272 as Specialty Doctors and from £63,361 to £103,074 as Associate Specialists in Scotland.
Specialty Doctor |
|
Years of experience |
Basic Salary |
0 (min) |
£45,193 |
1 |
£49,057 |
2 |
£54,080 |
3 |
£56,772 |
4 |
£60,651 |
Threshold 1 |
|
5 |
£64,516 |
6 |
|
7 |
£68,466 |
8 |
|
9 |
£72,418 |
10 |
|
Threshold 2 |
|
11 |
£76,370 |
12 |
|
13 |
|
14 |
£80,321 |
15 |
|
16 |
|
17 |
£84,272 |
Associate Specialist |
|
Years of experience |
Basic Salary |
0 (min) |
£63,361 |
1 |
£68,454 |
2 |
£73,546 |
3 |
£80,271 |
4 |
£86,099 |
Threshold 1 |
|
5 |
£88,517 |
6 |
|
7 |
£91,673 |
8 |
|
9 |
£93,880 |
10 |
|
Threshold 2 |
|
11 |
£96,945 |
12 |
|
13 |
|
14 |
£100,008 |
15 |
|
17 |
£103,074 |
The most recent full pay circular for Scotland can be found here.
SAS doctors currently earn a basic rate of between £51,765 and £81,200 as Specialty Doctors and from £82,722 to £93,887 as Specialists in Wales.
Specialty Doctor |
|
Years of experience |
Basic Salary |
1 |
£51,765 |
2 |
|
3 |
|
4 |
£59,637 |
5 |
|
6 |
|
7 |
£66,482 |
8 |
|
9 |
|
10 |
£73,587 |
11 |
|
12 |
|
13 |
£81,200 |
14 |
|
15 |
|
16 |
|
17 |
|
18 |
Specialist |
|
Years of experience |
Basic Salary |
1 |
£82,722 |
2 |
|
3 |
|
4 |
£88,305 |
5 |
|
7 |
£93,887 |
The most recent full pay circular for Wales can be found here.
SAS doctors currently earn a basic rate of between £51,000 and £80,000 as Specialty Doctors and from £81,500 to £92,500 as Associate Specialists in Northern Ireland.
Specialty Doctor |
||
Years of experience |
Basic Salary |
Pay Point |
0 |
£51,000 |
1
|
1 |
||
2 |
||
3 |
£58,756 |
2 |
4 |
||
5 |
||
6 |
£65,500 |
3 |
7 |
||
8 |
||
9 |
£72,500 |
4 |
10 |
||
11 |
||
12 |
£80,000 |
5 - top |
13 |
||
14 |
||
15 |
||
16 |
||
17 |
Specialty Doctor |
||
Years of experience |
Basic Salary |
Pay Point |
1 |
£81,500 |
1
|
2 |
||
3 |
||
4 |
£87,000 |
2 |
5 |
||
6 |
||
7 |
£92,500 |
3 (top) |
The most recent full pay circular for Northern Ireland can be found here.
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.
https://www.sehd.scot.nhs.uk/pcs/PCS2022(DD)01.pdf
https://www.nhs.wales/files/pc-resources/042023-md-circular/
https://www.health-ni.gov.uk/sites/default/files/publications/health/doh-hsc-tc8-03-2022.PDF
NHS Trusts can interpret the NHS consultant pay scales above and an international doctor’s experience in different ways, so use this blog as a guideline for understanding what you may be eligible for when coming to work in the NHS.
Your IMG Consultant is happy to assist with any negotiations related to your job plan to ensure your experience is taken into account.
For more information on NHS doctor benefits and pay arrangements in the UK, take a look at our IMG Resources library.
A fantastic opportunity awaits Histopathologists seeking a fixed-term position. This Pathology Services provides support for CESR accreditation and facilitates entry into specialty training within the NHS. The department is both high-performing and supportive, particularly welcoming overseas doctors new to the NHS or UK-based doctors seeking career advancement. They deliver pathology services to their acute hospitals and local GPs, with some laboratories offering specialized services to the wider NHS and engaging in research studies. Serving 1.76 million patients and conducting 60 million tests, the partnership has resulted in 27,000 additional community phlebotomy appointments, improved turnaround times, and streamlined workflows.
The Pathology Service thrive on a dedicated workforce leveraging cutting-edge technologies, delivering exceptional clinical services centered on patient care.
What is the Pathology Service like?
The Pathology Services comprises four pathology laboratories. These laboratories are responsible for providing pathology services to both acute hospitals and local general practitioners. Additionally, certain laboratories within the network offer specialized services to the broader NHS and engage in research studies and trials. As part of a significant initiative within the NHS, pathology services in England are undergoing reorganization, transitioning into larger local network models. This restructuring has led to the establishment of 29 pathology units nationwide.
This development positions the pathology service as an exceptionally appealing workplace, situated at the forefront of NHS innovation and digitalization in pathology. Despite these advancements, this pathology service remains committed to delivering the latest tests and services, incorporating cutting-edge clinical science into modern patient care. Currently, they manage approximately 120,000 cases with a team of 36 consultants (augmented by some outsourcing), with the capacity to expand its consultant team to 40 full-time positions.
What is the department & team like?
The Pathology Service was established following the Lord Carter review of Pathology services in England, aiming to reduce overtesting, enhance resilience, and lower costs. amalgamates staff, services, and IT platforms from four trusts to enhance pathology quality in the Black Country, serving 1.4 million individuals and conducting 60 million tests annually. It underwent a comprehensive IT system overhaul to facilitate integrated services, embrace new technologies, and expedite laboratory results.
The pathology service operates three laboratories offering nationally accredited consultant-led pathology services. With state-of-the-art facilities and IT systems, they garnered commendation from Lord Carter for its efficiency and innovation in pathology. Notably, innovations showcased during Lord Carter\'s visit in 2021 included pre-barcoded tubes for sample tracking and digital automation in microbiology labs.
Lord Carter praised the service as a model of service integration and technological advancement, emphasizing the importance of technology, including artificial intelligence, in expediting diagnostics. He commended the leadership and dedication of the staff, highlighting their achievements and commitment to patient care. The evidence is there to be seen, as latest figures show they scored 92 per cent compliance on a dashboard provided by NHS Improvement, ranking it one of the best performing services in the country
Career Development & Opportunities Available
Career development opportunities are aplenty. The Centre is one of the highest performing centres in the UK, with excellent CQC scores, a fantastic leadership team, and highly advanced specialist reporting functions. All of this provides an excellent platform for anyone to excel and develop, whether it\'s a step towards specialisation in one anatomical area, or whether it\'s advancing yourself in the world of digital pathology, the right individual can really flourish here.
Digital Pathology and AI is a massive part of what the Group are doing, and part of what makes this opportunity so exciting. Working from home, working abroad, or taking on additional workload out of hours - digital pathology is taking off. They are the most advanced Digital Pathology Service in the UK, and this provides everyone with huge opportunity to grow and develop in a really exciting global field of pathology.
Life in the West Midlands
Based is a modern industrial city situated on the midlands. It is compact, with no boundary more than four miles from the centre and is approximately a 30-minute drive to Birmingham (15 miles), 1 hour 20 minutes to Manchester (60 miles). The city is an urban, multi-ethnic city with a population of around 250,000. The wider hospital catchment area has a population of in excess of 350,000. With more than 600 shops, bars, café and restaurants, the city is not only a great place to work but also somewhere to relax and enjoy. The city centre is just a 10-minute bus ride from the Hospital.
The nearby countryside of Staffordshire and Shropshire is delightful. To the north is Cannock Chase and to the west the Shropshire borders with attractions of Bridgnorth, the Clee Hills, the Long Mynd, Wenlock Edge, and the Severn Valley. South of Wolverhampton, the City of Worcester is easily accessible, and to the west north-Wales can be reached in just over an hour. The area has a large network of canals, the majority renovated, offering adjacent housing and popular for narrow boat holidays.
Am I eligible for this role?
To be eligible for this vacancy you will need the following:
EEA candidates:
Non-EEA candidates:
UK-based candidates:
This is a great opportunity for any experienced histopathologist interested in specialisation, and with interest in digital pathology.
An excellent opportunity to join the dynamic team at an esteemed organization recognized for its excellence by the CQC. This is an opportune moment to become part of the Acute Medicine and Medicine Specialties Teams. With a strong history of achievements, they are committed to delivering exceptional patient-centered care. They are seeking dynamic and motivated specialists histopathologists to become part of their welcoming and enthusiastic gastroenterology team. This presents a chance to join a dedicated histopathology team committed to delivering the highest quality comprehensive service.
This is a great opportunity for overseas consultants or specialists who want to establish themselves in the NHS, and grow their consultant career. The post is suitable for candidates holding specialisation in the EEA, or for experienced IMGs looking to complete CESR.
What is the NHS Foundation Trust like?
The NHS Foundation Trust stands as one of the nation\'s largest integrated healthcare organizations, delivering both hospital and community services to a populace exceeding 650,000 individuals. Renowned for their ambition and innovation, they boast a skilled workforce comprising over 7,000 dedicated colleagues. Operating across two acute sites for hospital services and encompassing centers and community hospitals in six towns for planned care, they extend their services even to patients\' residences.
Recognized as a high-performing entity with a history of accomplishments, the Trust has functioned as an integrated acute and community services provider since 2011 and achieved foundation trust status in 2007. Guided by their strategic framework \"Our Patients Matter,\" they articulate their short- and long-term objectives and delineate the path to their realization. This framework underscores their commitment to providing the safest, most compassionate, and seamlessly coordinated care to the communities they serve.
Within this NHS Foundation Trust, medical professionals are presented with a plethora of career prospects and exposure to diverse care settings rarely encountered elsewhere. Additionally, they have the opportunity to reside and practice in some of the most culturally rich and picturesque locations across the country!
What is the Department & Team like?
The Histopathology department is dedicated to delivering precise diagnostic services crucial for patient care. Led by a team of experienced consultants and supported by junior doctors and skilled laboratory personnel, the department handles a wide array of cases across various medical disciplines. This includes examining tissue specimens for cancer diagnosis, assessing surgical margins, and identifying infectious diseases.
Equipped with advanced technology and instrumentation such as microscopes, tissue processing equipment, and digital imaging systems, the department ensures accurate diagnosis. The team collaborates closely with other departments like surgery, oncology, and radiology to ensure seamless patient care.
The department processes a significant volume of histopathology and cytology cases, providing essential information to clinicians for treatment planning and patient management. Committed to excellence and precision, the Histopathology team plays a pivotal role in delivering top-notch healthcare to the community.
What is life like in the area?
The North East of the UK offers a diverse mix of rural and urban settings, providing doctors with a range of living options. Residents can explore stunning coastal areas like Northumberland\'s beaches or venture inland to scenic national parks such as the North Pennines. The region is home to respected schools and universities, including Newcastle University. Transportation links are robust, with efficient road and rail networks connecting residents to major cities like Newcastle, Durham, and Sunderland, as well as international airports. Housing options range from quaint cottages in picturesque villages to modern apartments in vibrant city centers, catering to various lifestyles.
ARE YOU ELIGIBLE FOR THIS ROLE?
EEA Candidates:
Non-EEA Candidates:
UK based applicants
This is a good opportunity for any FRCPath or European-qualified histopathologists to join a friendly, high calibre department in the North East of England. The department are looking for experienced but hungry histopathologists to join them for a long-term post, and the trust will support candidates working on the Portfolio Pathway in Histopathology (formerly known as CESR). The trust will consider both UK and overseas applicants.
What is the NHS Foundation Trust like?
The NHS Foundation Trust serves as a district general hospital, providing essential healthcare services to the local population. Under its management, various healthcare facilities in the region. Consistent positive evaluations from the Care Quality Commission (CQC) underscore its commitment to delivering high-quality patient care, safety, and efficiency. The catchment area of this trust encompasses the north east, ensuring residents have access to comprehensive healthcare close to home. Through its services, the trust plays a vital role in promoting community health and well-being, contributing to a stronger, healthier population.
What is the department & team like?
The department have been centralized at a state-of-the-art Pathology Centre located at the NHS Foundation Trust\'s main hospital. These services cater to the local population in the North East. The consolidation of Cellular Pathology Services, completed in 2014, marks an innovative reorganization in pathology services. Satellite hot lab facilities are available at the NHS Foundation Trust\'s other sites. The NHS Foundation Trust leads this service, and the appointed individual will be contracted.
Pathologists are equipped with high-quality IT infrastructure to facilitate remote attendance at Multidisciplinary Team Meetings (MDTs). In cases where physical presence is required, a departmental electric car or a hopper service is available for transportation. Digital pathology implementation is underway progressively for pathologists interested in participation.
Career Development & Further Opportunities Available
The department will in time be moving towards a specialist reporting model and there will be opportunity to carve out your lead role in either the GI, head & neck, and urology sub-specialties.Non-EEA candidates:
EEA candidates:
UK candidates: