NHS Doctor Jobs & their Salaries

  • September 03, 2024
 

Navigating the NHS pay scales can be complex for international doctors considering a career in the UK. The NHS features various grades of doctors, each with its own pay scale and role within the National Health Service. This article provides a clear and concise overview of these different doctor grades, their corresponding pay, and the roles they fulfill within the NHS.

In this guide, we will explore:

  • The different grades of doctors in the NHS
  • The pay scales associated with each grade
  • The specific roles and responsibilities of each doctor grade

Whether you’re an IMG preparing for your career in the UK or a current NHS doctor seeking clarity on pay structures, this article will help you understand the key aspects of NHS doctor salaries and job roles.

Designations of UK doctors

Other than for medical students, all doctors we list below are medically qualified and can use the title Dr before their name.  For historical reasons in the UK, surgeons may use the title ‘Mr’, ‘Mrs’, ‘Miss’ or ‘Ms’. A doctor that is a university professor may also use the title ‘Professor’ instead of ‘Dr’.

Medical students

Medical students usually undertake a five-year course of study for undergraduate or a four-year postgraduate course to become a doctor. 

Two years studying basic medical sciences is followed by three years more clinically focused training, during which they will work in hospital wards under the supervision of consultants. 

Following completion of their medical degree, newly qualified doctors gain provisional registration with the GMC. They will receive their primary medical qualification which is typically denoted in the UK by either: MBBS, MBChB, BM, MBBCh.

Junior doctors

Medical graduates enter the medical workforce as junior doctors. They are employed on a national negotiated contract on a two-year work-based training programme known as the Foundation Programme. The Foundation Programme is the first level of clinical training for a qualified doctor, bridging the gap between medical school and Specialty Training.

The Foundation Programme is carried out in hospitals over two years which are referred to as FY1 and FY2. Upon completion of FY1, a doctor will gain full registration with the GMC.

Completion of FY2 allows doctors to apply for further study and training in a specialised area of medicine, known as Specialty Training. Doctors enter Specialty Training at ST1 and the length and type of training will depend on the specialty chosen – specialist training can take up to eight years. 

In the most junior hospital trainee post of Foundation Year 1 (FY1) your basic salary is £32,398. In year two this increases to £37,303. 

If you are a doctor starting your Specialty Training, your basic salary starts at £37,068 and can progress to £46,404.

Staff Grade, Associate Specialist and Specialty Doctors (SAS Doctors):

SAS doctors are in non-training roles where the doctor has at least four years of postgraduate training, two of which being in a relevant specialty (FY1, FY2 and two years specialist training). This means doctors can move into these posts at various levels of experience and seniority whilst also gaining experience and promotion within the grade itself.

SAS doctors are typically more focused on meeting service requirements when compared to trainee or consultant roles. Often, they have considerably fewer administrative duties when compared to consultants and can have very ‘hands on’ roles with lots of patient contact. Specialty doctors currently earn from £59,175 to £95,400 basic pay. As an overseas doctor, there are many factors that will determine where on this pay scale an HR department places you, so it is hard to provide one general rule to help you estimate what salary you might be eligible for.

Whilst the titles staff grade, specialty doctor and associate specialist are all commonly used, recent changes to terminology means that all SAS doctors are now on Specialty Doctor contracts. 


WANT TO KNOW WHERE YOU WOULD BE PLACED ONTO THE NHS PAY SCALES? REGISTER HERE FOR CONSULTATION AND ADVICE.


Consultants

Consultants are senior doctors that have completed full specialist medical training in a specialised area of medicine and are listed on the GMC’s specialist register, gaining the accreditation CCT. Doctors can also meet the criteria for specialist registration via the CESR route, consider your eligibility for CESR here.

Consultants have clinical and administrative responsibilities in managing SAS and junior doctors.

Consultants currently earn from £99,532 to £131,964 basic pay and as an international doctor, your years' completed as a consultant will place you on this scale.

Trust doctors:

Trust doctors in the NHS are employed for service posts, and trust doctor is a term applied to a doctor who is working in the NHS in a non-training post. Trust doctor jobs in the NHS cover a range of grades and apply to all specialties. 

Typically, the title trust doctor is applied to a doctor working at Senior House Level (FY1 & 2), however the term has now become synonymous with all grades. It is now a term most commonly applied to doctors from FY1 to ST3 but can be applied to specialty doctors by some trusts. 

Many of the doctors accepting service posts are from overseas as this can be a quick way to enter the NHS system and start your career in the UK.

Trust doctor posts also offer very competitive rates, so whilst you are getting to know the NHS and settling into life in the UK, you can also ensure that you are financially rewarded.

Locum Doctors

Locums doctors are fully qualified doctors who temporarily cover a position, often covering things like sick leave or maternity. All doctors can work as a locum aside from FY1 doctors and it can be done via an agency or NHS locum post. Overseas consultants not yet on the specialist register can apply for locum consultant positions, not substantive.

Academic Doctors

Academic doctors often combine clinical care with teaching and research, doing so to develop the science of medicine. They can be any grade of doctor from an FY2 to a consultant, GP or SAS doctor. Common academic job titles, in order of seniority are:

  • Prof Professor
  • CSL Senior Clinical Lecturer / Associate Professor
  • CRF Clinical Research Fellow
  • CL Clinical Lecturer 
  • ACF Academic Clinical Fellow

Pay and Conditions Circulars:

Current national salary scales for all medical and dental staff are published in pay and conditions circulars on the NHS Employers' website

To explore doctor pay and salary conditions across all grades in the UK, including NHS pay in Wales, check out our series of blogs on career structure and NHS salaries in our IMG Resources library.

 

Relevant Jobs

105,504 - 139,882
An NHS hospital in South West England is looking for a Consultant Gastroenterologist with an interest in gastrointestinal endoscopy and general gastroenterology. The Gastroenterology department is made up of a team of consultants and supported by middle-grade doctors. This role is open to both UK-based and international candidates, with preference given to those holding MRCP (UK) or equivalent and CCT in Gastroenterology +/- General Internal Medicine (GIM).

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS
  • Candidates must hold MRCP (UK) or equivalent and be eligible for CCT in Gastroenterology +/- GIM (or obtain within six months of interview).
  • Experience in gastrointestinal endoscopy, ward-based gastroenterology, and outpatient services is required.
  • The salary will be between £93,666 – £126,281 per annum, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
  • Provide treatment and care for gastroenterology patients, including inpatient, outpatient, and endoscopy services.
  • Participate in the on-call rota for gastroenterology emergencies and out-of-hours ward cover.
  • Engage in teaching and training of junior doctors, contributing to their professional development.
  • Support clinical governance activities, including audits, quality initiatives, and structured judgement reviews.
LIFE IN SOUTH WEST ENGLAND

This hospital is located in a scenic region of South West England, offering a mix of urban and rural living. Candidates can choose to live in a lively market town with excellent amenities or opt for a more peaceful setting in the surrounding countryside. The region provides good transport links, excellent schools, and a variety of leisure activities including hiking, cycling, and water sports.

Historically, this area is known for its rich cultural heritage, historic landmarks, and strong local traditions, making it a great place 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 excellent NHS hospital in the UK is seeking a Consultant in Dermatology with a focus on skin cancer and paediatric dermatology. The department consists of three experienced consultants and is supported by a diverse team of middle-grade doctors. This role is open to both UK-based and international candidates, with preference for those holding GMC Specialist registration or equivalent.

Portfolio support (formerly CESR) is available and can be discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

  • GMC Registration with a licence to practice is required for this role, and individuals with a special interest in skin cancer and paediatric dermatology are encouraged to apply.
  • The salary will range from £105,504 and £139,882 per annum, based on experience.

CORE DUTIES OF THIS ROLE

  • Deliver high-quality dermatology care, specializing in skin cancer and paediatric dermatology.
  • Engage in the education and training of junior staff and medical students.
  • Participate in clinical governance, audit, and continuing medical education.
  • Contribute to the Cornwall Skin Cancer MDT and other department activities.

LIFE IN THE REGION

The area offers a perfect mix of urban and rural living. The main city provides vibrant city life, while rural areas offer quiet retreats with breathtaking views of the coastline. There are excellent transport connections with easy access to London, and multiple leisure opportunities are available, including outdoor activities like hiking and sailing.

The region is rich in history, particularly maritime history, and is home to several iconic landmarks. The local hospital is a significant part of the community, offering outstanding medical services.

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 your new role 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 any other aspects of pastoral care
105,504 - 139,882

A leading NHS hospital in the UK is seeking a Consultant in Hepatology to join its growing Gastroenterology and Hepatology team. The department consists of experienced consultants and specialist nurses, providing a dedicated hepatology service. This role is open to both UK-based and international candidates, with preference for those holding CESR or entry on the GMC Specialist Register.

Portfolio support (formerly CESR) is available and can be discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS

  • Full GMC Registration and CESR or entry on the GMC Specialist Register are required.
  • The role includes responsibilities in outpatient hepatology, inpatient care, and endoscopy.
  • The salary will range from £105,504 to £139,882 per annum, based on experience.

CORE DUTIES OF THIS ROLE

  • Deliver specialist hepatology care, including managing liver disease, cirrhosis, and hepatobiliary conditions.
  • Work as part of a multi-disciplinary team, collaborating with gastroenterologists, radiologists, and oncologists.
  • Participate in endoscopic procedures, including diagnostic and therapeutic interventions.
  • Take part in teaching, training junior doctors and medical students.
  • Engage in clinical governance, research, and quality improvement projects.
  • Contribute to the on-call gastroenterology service and weekend cover.

LIFE IN THE REGION

This role is based in a highly desirable UK region, known for stunning landscapes, excellent transport links, and a rich cultural history. The area offers outstanding schools, a range of family-friendly activities, and a fantastic work-life balance.

With historic landmarks, world-famous attractions, and a modern healthcare infrastructure, the region provides an ideal environment for professionals looking to develop their careers.

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 and family support for finding schools and any other aspects of pastoral care.
96,990 - 107,155
An independent healthcare service is looking for a Staff Grade Psychiatrist to join a Community Mental Health Team. The department comprises a multidisciplinary team providing care for individuals with severe mental health challenges. This role is open to both international applications and UK-based doctors.

JOB REQUIREMENTS AND DETAILS
  • A medical degree, full professional registration, and suitable psychiatric qualifications are required for this role. Experience in community or inpatient mental health services is essential.
  • The salary will be competitive and dependent on experience or grade.
CORE DUTIES OF THIS ROLE
  • Conduct psychiatric assessments and formulate treatment plans for individuals with severe mental health challenges with adult populations. 
  • Participate in multidisciplinary team meetings and care planning sessions.
  • Provide supervision to junior doctors and engage in research or quality improvement projects.
  • Maintain professional standards through continuous learning and contribution to educational activities.
LIFE IN THE REGION

This position is based in a location offering both urban and rural living options, with easy access to local amenities, beaches, and countryside homes. Families will appreciate the excellent schools, transport links, and diverse leisure activities available in the area. The region is known for its rich history, scenic landscapes, and vibrant community, making it an attractive place to live and work.
105,504 - 139,882
An NHS district general hospital in South West England is looking for an Interventional Radiology Consultant with an interest in vascular and non-vascular intervention. The Radiology department consists of a team of interventional radiologists and is supported by a large team of middle-grade doctors. This role is open to both international and UK-based doctors, with preference given to those holding FRC or equivalent, Radiology training CCT or CESR.

Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.

JOB REQUIREMENTS AND DETAILS
  • Candidates must hold FRCR or equivalent, full GMC registration, and Radiology training
  • Three years of Radiology speciality training is required for this role, and anyone with a experience in Vascular and Non-Vascular IR should apply.
  • The salary will be between £93,666 – £126,281 per annum dependent on experience or grade.
CORE DUTIES OF THIS ROLE
  • Perform a wide range of vascular and non-vascular interventional radiology procedures, including aneurysm repair, peripheral and visceral revascularisation, catheter-assisted thrombolysis, and embolisation procedures.
  • Provide on-call interventional radiology services as part of a regional network rota, covering vascular and non-vascular cases.
  • Contribute to diagnostic imaging and reporting, as well as participation in vascular and aortic aneurysm MDTs, IR clinics, and general radiology reporting.
  • Support the teaching and training of junior doctors, radiographers, and medical students, with opportunities for research and development.
LIFE IN SOUTH WEST ENGLAND

Located in a scenic region of South West England, this hospital serves both urban and rural communities. Candidates can choose to live in a bustling market town with easy access to major cities or opt for a more peaceful setting in the countryside, surrounded by national parks and coastal areas. The region offers excellent schools, strong transport links, and a wide range of leisure activities including hiking, cycling, and watersports.

Historically, this area is known for its rich cultural heritage, historic landmarks, and vibrant local traditions, making it an attractive place 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

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