Specialist Medicine - a Doctor's Route to the UK

  • November 05, 2021
 

Which routes can overseas specialist medicine doctors take to GMC registration & securing jobs in the NHS? 

All doctors in specialist medicine areas such as respiratory, gastroenterology, dermatology, endocrinology, neurology, cardiology, geriatrics, rheumatology and stroke medicine will need to satisfy certain criteria to fully register with the General Medical Council (GMC). What these criteria are will depend on whether you are applying from inside or outside of Europe. 

This article will prove relevant to all the medical specialties that fall within the various specialisms within medicine whilst also including haematology (MRCP + FRCPath is the complete set of qualifications) and other off-shoots such as infectious disease.

The criteria you must meet depends on where you currently live and practice, either inside the EEA (& associated countries) or outside the EEA. This article is designed to give you a snapshot of the steps you need to take to start your journey to the UK, no matter where in the world you live. 

Inside the EEA – click here

Outside the EEA – click here


“Doctors from countries around the world play a vital and significant role in our NHS and in the delivery of safe patient care. This is not only welcome but is part of the continuous exchange of knowledge in healthcare and should be strongly encouraged. They make an invaluable contribution to the NHS.” 

Joint statement from the Royal College of Physicians


Inside the EEA

Firstly, it is important to note that where we refer to EEA in this article this refers to all countries inside the EU, including Lichtenstein, Iceland & Norway. 

If you qualified as a doctor inside the EEA or Switzerland, then the good news is that you don’t need to demonstrate your medical knowledge and skills to work as a doctor in the UK – you have already done this, and thanks to the EU your qualification is deemed equivalent. In addition, you will not need to apply for a visa from the UK Home Office. 


As an EEA doctor, the main hurdle that you will face is demonstrating that your English skills are of a high enough standard to practice safely as a doctor in the UK & NHS. 


English Language Testing

Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language.

You can do this by passing either of the following:

  • IELTS – International English Language Testing System
  • OET – Occupational English Test

Take a look at our helpful articles below for detailed information on both tests: 

IELTS – a guide for overseas doctors

OET – a guide for overseas doctors

GMC Registration

Having passed your English Language Test, you can now apply for full registration with a licence to practice with the GMC. For full GMC registration you must provide evidence of:

  • Evidence of English language capabilities (IELTS or OET)

AND

  • Evidence of sufficient skill and knowledge (your equivalent qualifications)

Understand the registration process in full & by reading our article: IMG Library - GMC Registration for overseas doctors

Job search

We recommend starting the job search as early as possible. Demand for European doctors in the NHS is ever-increasing - the NHS welcomes you with open arms! At IMG Connect we specialise in securing jobs for European doctors in the UK and can offer you a wider range of jobs than are readily available online. 

Our network extends to psychiatry services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans. 

In addition, your dedicated consultant, with a specialty knowledge of General Medicine, will negotiate on your behalf ensuring you get the most competitive salary. 

Our aim is to have a job offer on the table before your GMC registration is complete, giving you the peace of mind of having an agreed contract in place - leaving you to carefully plan your relocation to the UK.

Take a look at our most recent jobs: Job Search

Relocation

Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.

Once you have secured your role in the UK, we focus on supporting you and your family with all your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help.

Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK.

IMG Library – Relocation & UK Life


Outside of the EEA

If you qualified as a doctor outside the EEA, then you will have to demonstrate that both your medical knowledge & skills and English Language capabilities meet the level required to practice safely in the UK. In addition, you will need to apply for a visa from the UK Home Office. 

Here we summarise the requirements for General Medicine doctors, looking at the following:

  • English Language Testing
  • Evidence of Knowledge & Skills - PLAB, MRCP or equivalents
  • Tier 2 Visas 
  • Full GMC Registration

English Language Testing

Any international doctor, regardless of specialty, experience or country of origin, must demonstrate they have sufficient competence of the English language. You can do this by passing either of the following:

  • IELTS – International English Language Testing System
  • OET – Occupational English Test

Take a look at our helpful articles below for detailed information on both tests: 

IELTS – a guide for overseas doctors

OET – a guide for overseas doctors

Evidence of Knowledge & Skills in Medicine

Overseas doctors must prove to the GMC they have sufficient knowledge & skills to practice safely in the UK. This can be done through three main routes:

  1. PLAB
  2. Royal College qualification of MRCP
  3. GMC - recognised or equivalent qualifications

Route 1 - 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 Medicine 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, international doctors 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:

PLAB – a guide for overseas doctors

PLAB 1 – a closer look

PLAB 2 – a closer look

Route 2 - Royal College Qualification:

Attaining a Royal College qualification is a preferred path for doctors who have already chosen their field of specialism i.e. medicine. For senior medicine doctors taking this route, they will gain access to more senior, well-paid jobs in the specialism of their choice. 

The Royal College of Physicians is the Professional Body that regulates the specialism of medicine in the UK, and Membership of the Royal College of Physicians (MRCP) is the full qualification attainable by examination.

For overseas doctors, attaining MRCP will satisfy the knowledge & skill criteria for GMC registration and facilitate application for more senior roles in UK medicine.

Take a look at our complete guide on Membership of the Royal College of Physicians to understand more: MRCP – a guide for overseas doctors

GMC - recognised or equivalent qualifications:

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

There are qualifications from several countries around the world that are currently accepted by the GMC. 

Find out if your qualification is accepted by the GMC: Overseas accepted postgraduate qualifications

Tier 2 Visa

If you are a doctor applying from outside the EEA region you will almost certainly need to apply for a visa to work in the UK. 

Applying as a doctor or nurse has never been easier and there is currently no-restriction on the Certificate of Sponsorship (CoS) applications that a hospital can make. Furthermore, the list of specialties on the shortage occupation list is due for imminent review and expansion beyond its current list of specialties, potentially widening the scope for easier immigration processes across all specialties in healthcare.

Understand Tier 2 visas and Certificates of Sponsorship in depth by taking a look at our article: Tier 2 Visa application process & documents needed

Wondering whether you can relocate with your family? Take a look at our blog on the Tier 2 dependant visa: Tier 2 Dependant visa - can i bring my family with me to the UK?

GMC Registration

With everything in place, you can apply for full registration with a licence to practice with the GMC. Remember, for full GMC registration you must provide evidence of:

  • Evidence of English language capabilities

AND

  • Evidence of sufficient skill and knowledge (PLAB, MRCP or equivalent)

Understand the registration process in full & by reading our article: GMC Registration for overseas doctors

Job search

We recommend starting the job search as early as possible. Demand for Non-EEA doctors in the NHS is increasing - the NHS welcomes you with open arms! 

At IMG Connect we specialise in securing jobs for overseas doctors in the UK and can offer you a wider range of jobs than is readily available online. 

Our network extends to general medicine services and HR departments across the UK, so no matter what your grade or specialty we can ensure you will be interviewing for roles well in advance of any relocation plans. 

In addition, your 1-1 consultant, with a specialty knowledge of medicine, will negotiate on your behalf, ensuring you get the most competitive salary. 

Giving you the peace of mind of agreeing your new contract, perhaps even before your GMC registration is complete. Take a look at our most recent jobs: Job Search

Relocation

Obviously, any doctor’s journey isn’t all exams, registrations and language tests… there’s also the small matter of relocation and settling into life in the UK.

Once you have secured your role in the UK, we will focus on supporting you and your family with all of your relocation plans. This can include, but is not exclusive to, securing accommodation, travel planning, setting up bank accounts & national insurance numbers – every step of the way we are here to help. 

Have a read through our IMG Library and take in all the beautifully organised information on relocation and UK life to immeasurably help your first days, weeks and months in the UK. Take a look here: IMG Library – Relocation & UK Life


Follow us on social media for news and updates on GMC registration, the Royal College and NHS through the links below:

            

 

Relevant Jobs

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A general hospital in the Channel Isles is looking for a Consultant Dermatologist with an interest in medical dermatology, paediatric dermatology, and skin surgery. The dermatology department includes a lead consultant and is supported by a team of dedicated nurses and administrative staff. This dermatology role is open to both international and UK-based doctors, with preference given to those holding a GMC Specialist Registration or an equivalent Royal College qualification.

Anyone requiring portfolio support (CESR) can discuss their needs on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

  • A Primary Medical Degree and GMC Specialist Registration are required for this role, and those interested in skin cancer prevention and general dermatology are encouraged to apply.
  • The salary will be between £102,090 - £152,196 per annum, depending on experience or grade.

CORE DUTIES OF THIS ROLE

  • Conduct outpatient clinics focused on medical and general dermatology, including minor procedures.
  • Collaborate with Primary Care and other specialists for patient referrals and skin cancer prevention.
  • Participate in weekly multidisciplinary team meetings focused on skin cancer.
  • Provide mentorship and support for nursing staff within the dermatology department.

LIFE IN THE CHANNEL ISLES

The Channel Isles offer an idyllic coastal lifestyle with easy access to both the UK and France. Residents can enjoy the vibrant town life of St. Helier or the serene countryside across the island’s parishes.This area has excellent schools, convenient transport links to major UK cities, and diverse leisure activities including beach sports, hiking, and water sports. With its blend of British and French cultural influences and scenic coastlines, the area is ideal for work and family life. Historically, the Channel Isles are known for their rich heritage and distinctive cultural blend, offering unique historical landmarks and fortifications.

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
99,532 - 131,964

A hospital in a UK region is looking for a Consultant in Intensive Care Medicine with an interest in Anaesthesia (optional up to 2 PAs). The ICU team includes consultants and is supported by a large team of middle-grade doctors. This Intensive Care position is open to both international and UK-based applicants, with a preference for those holding European Specialist qualifications or Fellowship of the Faculty of Intensive Care Medicine (FICM) or AFICM.

Applicants seeking CESR support can have this discussed on an individual basis.

JOB REQUIREMENTS AND DETAILS

Applicants must have a CCT in Intensive Care Medicine, and experience in an acute hospital setting in the UK. Anyone with AFICM/FFICM is encouraged to apply. The salary range is £93,666 - £126,281, dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Daily ward rounds to ensure patients receive optimal care.
  • Oversee and guide junior doctors and advanced care practitioners.
  • Collaborate with other departments for clinical support and decision-making.
  • Engage in teaching, research, and continuous professional development.

LIFE IN THE REGION

This hospital is based in a region known for its balance of urban and rural living, with vibrant cities and scenic countryside nearby. The region is perfect for families, offering excellent schools, good transport connections, and a wide range of leisure activities.

Historically significant, the area is home to famous landmarks and has played a crucial role in UK history, making it a culturally rich environment to live and work.

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


 

105,504 - 139,882
A Teaching Hospital in the North West region is looking for a Consultant in Clinical Oncology with an interest in Gynaecology and Upper GI Oncology. The Oncology department comprises a large team of Consultant Clinical Oncologists and is supported by a wide group of middle grade doctors. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist or suitable Royal College qualification 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 a license to practice with experience in Radiotherapy and chemotherapy are required for this role, and anyone with an interest in Gynaecology and Upper GI Oncology should apply. The salary will be between £88,364 and £119,133 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide a comprehensive Oncology service and expertise in the management of site specialist cancer services.
  • Collaborate with the multidisciplinary teams to develop and support Oncology services.
  • Supervise and manage junior medical staff, including supporting the service during colleagues\' leave.
  • Undertake teaching, clinical audit, and research, contributing to local and national postgraduate education.

LIFE IN THE NORTH WEST

The hospital is based in the North West of England, with the closest urban areas offering a range of living options from city life to more rural surroundings.

The region boasts excellent schools and transport links, with trains connecting to major UK cities, and plenty of leisure activities for adults and families, including access to outdoor activities and historic landmarks.

The North West has significant historical importance and features stunning landscapes, making it a desirable location to live and work.

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
105,504 - 139,882

An NHS hospital in a coastal region is looking for a Consultant in Dermatology with an interest in Inflammatory/Vascular Skin Disease. The Dermatology department comprises a team of 5 consultants and is supported by a large team of middle-grade doctors and specialists. This dermatology job is open to both international applications and UK-based doctors, though those with equivalent 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 Registration with GMC with a license to practice, and a higher degree in Dermatology are required for this role, and anyone with an interest in surgical dermatology should apply. The salary will be between £88,364 and £119,133 dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Lead clinical activities for an outpatient caseload and conduct inpatient reviews.
  • Perform consultations and minor operative surgeries, and attend wards to review inpatient referrals.
  • Supervise and mentor junior clinical team members, including GPSI’s and Clinical Nurse Specialists.
  • Contribute to service development, training, and participate in clinical audits and governance.

LIFE IN COASTAL REGION

The coastal region offers a blend of vibrant urban life and serene rural settings, with popular towns providing a lively atmosphere and beautiful coastlines. Families will appreciate the excellent local schools, while transport links, including direct train services to major cities, make commuting convenient. The area is rich in history, with landmarks and national parks contributing to its cultural significance in British history.

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.
90,000 - 139,000

An NHS district general hospital in the North West is looking for a Consultant Haematologist with an interest in haemato-oncology. The haematology department comprises a team of three consultants and is supported by middle-grade doctors. This haematology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCPath 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
Applicants should hold full GMC registration and have CCT or equivalent qualifications in haematology. At least three years of higher training are required, and those with experience in haemato-oncology are encouraged to apply. The salary will be between £90,000 to £139,000 per annum, dependent on experience or grade.

CORE DUTIES OF THIS ROLE

  • Provide a comprehensive haematology service, including haemato-oncology treatment.
  • Participate in the on-call rota (1:4 weekends) and weekly MDT meetings.
  • Collaborate with regional services for complex cases.
  • Contribute to the department’s governance, audits, and professional development.

LIFE IN THE NORTH WEST

The hospital is located in a vibrant city with both urban and rural living options. The region boasts excellent schools, transport links, and numerous outdoor and cultural activities. Historically, the area is known for its scenic beauty and significant landmarks.

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
  • Short and long-term accommodation sourcing
  • Travel Arrangements
  • Family support for finding schools and any other aspects of pastoral care

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