HSE Ireland - Doctor's pay scales explained
- September 13, 2024
If you're an international doctor considering a career in Ireland, it's essential to understand the HSE doctor pay scales. For overseas doctors, the pay structure within Ireland's Health Service Executive (HSE) can appear complex at first, but knowing how it works is key to planning your move.
Doctors working for the HSE in Ireland benefit from competitive salaries and comprehensive benefits. So, for international medical graduates, understanding the various pay scales, from junior doctors to consultants, is crucial in making informed career decisions.
In this guide, we’ll break down the different HSE pay grades and explain how they relate to doctor salaries in Ireland, so you can better understand your earning potential as a doctor within the Irish healthcare system.
What We’ll Cover:
- Junior Doctor Pay (Interns and SHOs)
- Registrar Salary
- Consultant Pay
- How Pay Scales Work in the HSE
- Additional Pay, Benefits, and Overtime
- Comparing HSE Ireland to the NHS in the UK
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Junior Doctor Pay in Ireland
Junior doctors, often called interns or Senior House Officers (SHOs), start their careers with a salary ranging from €43,766 to €70,543, depending on experience and additional responsibilities.
- Foundation Year (Intern): Starting salary of around €43,766
- Senior House Officer (SHO): €51,578 to €70,543
As a junior doctor, you are also compensated for any additional hours worked, including weekend shifts, on-call duties, and night shifts. These enhancements ensure that junior doctors are fairly compensated for the demanding nature of their work.
Registrar Pay in the HSE
Registrars, who are often mid-career doctors undergoing specialty training, can expect to earn between €65,554 and €77,197 annually. Registrars play a critical role in the hospital setting, often supervising junior doctors and making more autonomous medical decisions.
- Basic salary for registrars: starts at €65,554 to €77,197
- With overtime, on-call, and weekend shifts, registrars can earn significantly more.
Consultant Pay in Ireland
Consultants are the most senior doctors in the HSE, and their salaries reflect their high level of responsibility and expertise. A consultant’s salary can range from €222,215 to €266,925.
- Starting salary: Around €222,215. to €266,925
- Consultants with additional responsibilities, such as management roles or educational duties, can earn significantly more.
Consultants may also receive additional pay for on-call duties and overtime work. Furthermore, some consultants may supplement their income by working in private practice, further boosting their overall earnings.
How Do HSE Pay Scales Work?
Several factors influence how you are placed on the HSE pay scale:
- Job Title: Your role, whether you're a junior doctor, registrar, senior registrar, or consultant, determines your starting point on the scale.
- Experience: More years of experience result in higher pay, regardless of whether this experience was gained in Ireland or abroad.
- Specialty: Some medical specialties, such as cardiology or oncology, may offer higher salaries due to their demand and complexity.
- Location: Pay rates can vary slightly depending on whether you work in a city hospital or a more rural setting.
Additional Pay, Benefits, and Overtime
Doctors in the HSE are entitled to a range of benefits, including:
- Overtime pay for working beyond regular hours.
- On-call allowances for being available outside of your standard working hours.
- Weekend and night shift allowances to compensate for unsociable working hours.
- Continuous professional development (CPD) opportunities.
- Access to a pension scheme, offering long-term financial security.
How HSE Pay Compares to the NHS in the UK
Many international doctors consider working in both the NHS (UK) and HSE Ireland. While both offer competitive pay, HSE doctor salaries tend to be higher at all levels compared to the NHS.
For example, an FY1 doctor in the NHS earns around £32,398, while an equivalent intern in Ireland starts at approximately €43,766. Pay scales for consultants and more senior roles are also higher when comparing the two systems, however both offer opportunities for additional pay based on experience and extra responsibilities.
Where Do You Fit on the HSE Pay Scale?
When considering where you fit on the HSE pay scale, there are key factors to keep in mind:
- Job Title: Your job title, such as junior doctor, registrar, or consultant, dictates your pay bracket.
- Experience: Years of experience in your specialty will determine your progression through the pay scale.
- Hours Worked: The more on-call hours, night shifts, and weekend work you do, the more you can expect to earn beyond your base salary.
Understanding the HSE doctor pay scales will help you make informed decisions about your career in Ireland. If you need further assistance or have any questions about pay negotiation, our IMG connect consultants are here to guide you through the process and ensure you receive the best possible offer.
Relevant Jobs
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
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Take ownership of site-specific oncology services, primarily in breast and skin cancer.
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Participate in outpatient clinics, support patients undergoing day case treatments, and assist the Acute Oncology Service.
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Contribute to education and training of junior medical staff and engage in multidisciplinary team working.
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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.
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HOW WILL IMG CONNECT SUPPORT YOU?
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CV Preparation with a bespoke session with one of our specialists
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Application support with expert knowledge of NHS specialisms & recruitment practice
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At least two video calling interview preparation sessions
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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:
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Document gathering and checking
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COS and Visa Application support if applicable
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Support sourcing short- and long-term accommodation
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Travel Arrangements
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Family support for finding schools and any other aspects of pastoral care
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
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Provide comprehensive non-surgical oncology services, including radiotherapy and chemotherapy clinics, for patients across lung, gynaecology, and/or colorectal tumour sites.
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Participate in the oncology on-call rota (1:12) and provide reciprocal cover for colleagues during periods of leave.
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Support the education and training of junior doctors, specialty doctors, ACPs, and medical students.
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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
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
This exceptional opportunity beckons Consultant Histopathologists specializing in Gynae oncopathology to become integral members of an NHS Trust that is a global beacon in cancer research and treatment. This role offers a chance to contribute to a consultant-led, subspecialist histopathology team, making a significant impact on the forefront of cancer care. We invite enthusiastic candidates to explore this exciting career prospect through NHS Jobs in the UK.
The NHS Foundation Trust, standing as Europe\'s largest comprehensive cancer center, commands an impressive annual budget of £360 million, employing over 3,500 staff, including 335 medical professionals. Acknowledged for its excellence, the Trust consistently ranks among the top four in national surveys, affirming its commitment to delivering high-quality patient care. The Histopathology Department, under the leadership of esteemed professionals, manages a substantial caseload, processing around 21,000 surgical pathology accessions annually. This involves the examination of approximately 280,000 slides, with a notable 1,000 cases annually seeking second opinions, underscoring the department\'s dedication to providing comprehensive diagnostic support.
This role is tailor-made for ambitious consultants looking to expand their career horizons. The well-funded department is a hub for impactful research, underscored by its recognition in a recent CQC report as an area of outstanding practice. The NHS Foundation Trust has a strong reputation for education and training, supporting junior doctor training programs across various specialties.
Living in London, a vibrant metropolis, provides a unique lifestyle enriched by cultural diversity. Residents can explore scenic spots like Hyde Park and the Thames River. World-renowned schools, including Imperial College London and University College London, contribute to the city\'s intellectual vibrancy. Excellent transport links facilitate easy travel within the city and to major cities and airports. Housing options, ranging from historic townhouses to modern apartments, accommodate diverse preferences, ensuring a comfortable and enriching life for medical professionals in the heart of London.
Apply now for a dynamic career at the forefront of cancer care, complemented by the vibrant and diverse urban lifestyle offered by the capital city.
AM I ELIGIBLE FOR THIS ROLE?
Non-EEA candidates:
- FRCPath
- Experience in Histopathology (sub specialised in Gynae oncopathology)
EEA candidates:
- Specialist certification in Histopathology
- Experience in Histopathology (sub specailised in Gynae oncopathology)
UK candidates:
- CCT, CESR or within 6-12 months of specialist registration
- Experience in Histopathology (sub specialised in Gynae oncopathology)
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
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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.
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The salary will be between £105,504 and £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
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Provide high-quality specialist care to melanoma patients attending the Kent Oncology Centre.
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Attend relevant MDT meetings and coordinate treatment planning with other specialists.
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Participate in departmental research initiatives and contribute to national and local clinical trials.
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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
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