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.
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:
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 |
2 |
1 |
£105,504 |
3 |
2 |
£105,504 |
4 |
3 |
£111,714 |
5 |
4 |
£114,894 |
5 |
||
6 |
||
7 |
||
8 |
||
6 |
9 |
£126,018 |
10 |
||
11 |
||
12 |
||
13 |
||
7 |
14 |
£139,882 |
15 |
||
16 |
||
17 |
||
18 |
||
8 |
19+ |
£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.
Consultants currently earn a basic rate of between £96,963 and £128,841 in Scotland.
Threshold |
Years completed as a consultant |
Basic Salary |
1 |
1 (starting salary) |
£96,963 |
2 |
2 |
£99,011 |
3 |
3 |
£101,957 |
4 |
4 |
£104,906 |
5 |
5 |
£107,846 |
6 |
||
7 |
||
8 |
||
9 |
||
6 |
10 |
£114,846 |
11 |
||
12 |
||
13 |
||
14 |
||
7 |
15 |
£121,846 |
16 |
||
17 |
||
18 |
||
19 |
||
8 |
20+ |
£128,841 |
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.
Consultants currently earn a basic rate of between £100,000 and £146,000 in Wales.
Threshold | Years completed as a consultant | Basic Salary |
---|---|---|
1 | 0 (starting salary) | £100,000 |
2 | 1 | £105,000 |
3 | 2 | £110,000 |
4 | 3 | £115,000 |
5 | 4 | £123,000 |
6 | 5 | £130,000 |
7 | 6 | £138,000 |
8 | 7 | £146,000 |
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.
There is a fixed pay point of £105,401 for locum consultants, which will apply regardless of years of consultant experience.
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.
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.
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.
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.
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