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:
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.
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 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.
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.
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.
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 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.
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 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:
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.
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
CORE DUTIES OF THIS ROLE
LIFE IN THE REGION
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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:
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.
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.
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:
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: