Are you a USA trained physician considering a move to the NHS?
- November 08, 2024
As a doctor, considering a move from the United States of America to the United Kingdom can be both an exciting and daunting prospect.
Our highly dedicated and well-trained consultants at IMG Connect specialise in recruiting and relocating international medical graduates (IMGs) to help ease this transition. The National Health Service (NHS) presents a range of opportunities for consultants and specialists, so throughout this guide we'll delve into the bureaucracy, qualifications and registrations necessary for making this significant career move a seamless success, alongside highlighting the pros of working within a world-renowned healthcare system and discussing the main differences between US healthcare and the NHS.
Why do so many American doctors transition to the NHS?
Well, not to brag but... the NHS is a cornerstone of UK society, providing healthcare to millions of residents and visitors. Equally, for its doctors it can offer:
Job Satisfaction - whilst working in any public sector, you’re lucky enough to witness the good, the bad and the ugly parts of human nature. Within the NHS, there is a profound sense of pride in patients and professionals alike where it feels uniquely special to be a part of something so uniquely accessible. As a doctor working in the NHS, you will never have to turn away a patient in need and will be able to abide by the Hippocratic Oath without conflict. Read here for some detailed insights from trusted NHS Staff about their experiences.
Work-Life Balance - many physicians report more manageable work hours compared to the often-gruelling schedules in the US, promoting a healthier work-life balance. In terms of annual leave, you’ll be given a mandatory 27 days paid annual leave, often around 10+ days of paid study leave and always the flexibility, where possible, to fit your work commitments around your personal or family commitments.
Enriched Cultural Experience & Travel - anyone relocating to the UK can see an enriched cultural experience, with opportunities to explore its history, diverse and eclectic cities and its famed countryside, and, if you live in England or Wales you can take a quick train to Scotland and experience its breathtaking natural scenery or explore an ancient castle. It is also no secret that Americans love a city-break in Europe, living in the UK will make that dream a reality. Taking just a 2-3 hour flight to walk along Amsterdam’s canals, visit a Parisian café or drinking wine al fresco in Rome. Further destinations, like Marrakesh, will take just 4.5 hours before you’re there, soaking in the African sun.
Job Security - whilst not particularly unique to the NHS, as one of the largest employers in the world, the NHS provides stable job opportunities with long-term career prospects and can often offer opportunities to not just yourself, but if your spouse is looking for a role too, they’ll often be a position in the local NHS trust that they can apply for!
Professional Growth - the NHS prioritises ongoing education and professional development, allowing doctors to enhance their skills throughout their careers. If you’re looking to continue developing your specialisation whilst in the UK, you won’t be short on opportunities.
Diversity in Practice - the NHS serves a broad demographic, enabling doctors to gain experience in treating a wide range of conditions with diverse patient populations. Equally, the nature of free and assessable healthcare allows for the entire population to be treated, regardless of their socio-economic status or stability of income. We will see many doctors, moving from the US to the UK, seeking to provide non-discriminatory quality of care.
What are the key differences between US healthcare and the NHS?
At IMG Connect, we want you to be as secure and prepared as possible when making any major decisions, so understanding the differences between the US healthcare system and the NHS will help you plan for you big move in the best possible way. Here are some of the main distinctions we think are key to preparing for your new role in the UK:
Funding and Access - the NHS is primarily funded through taxation, providing universal access to healthcare services for all residents. Patients do not receive bills for most services, which can alleviate the financial burden often associated with medical care in the US, where it is largely insurance-based, with a mix of private and public funding.
Care Delivery Model - the NHS emphasises primary care as the cornerstone of its healthcare delivery system. General practitioners (GPs) serve as the first point of contact for patients, coordinating referrals to specialists as necessary. This system fosters continuity of care and a more integrated approach, with the stated aim of treating patients through primary and community care before they end up in hospital which costs the NHS a significant amount more in money and resources.
Administrative Complexity - While the NHS has its own set of complexities, it generally features a more streamlined administrative process compared to the US. The goal is to minimise bureaucracy and focus on patient care, further benefitting the population’s health and stability.
Focus on Preventive Care - the NHS places a strong emphasis on preventive care and public health initiatives, striving to keep populations healthy and reduce the burden of chronic diseases. This focus is integrated into primary care practices.
Work Environment and Culture - working in the NHS often involves a collaborative team approach, where multidisciplinary teams play a crucial role in patient care. This environment can foster camaraderie and support among healthcare professionals.
Common US qualifications and their recognition in the UK
Whilst the UK widened its acceptance of overseas qualifications in recent years, the honest truth is that many USA-trained doctors will not have qualifications that are automatically recognised by thew GMC, the UK’s regulatory body. Anyone with USMLE that was completed prior to 2004 (roughly speaking) and after March 2019 (when the pandemic started) will not have sat the Step 2 Clinical Skills (CS), and without this important component, no USMLE qualifications will be accepted by the GMC. Step 3 is not accepted, neither is the Step 2 CSA. There is unfortunately, no bending on this whatsoever from the GMC.
Beyond the USMLE, generally speaking only those holding board certification in radiology and anaesthesiology can register fairly easily with the GMC, and beyond that it is treated on a case-by-case basis. The list of GMC recognised postgraduate qualifications is always changing however, so check their website here to see if yours is on their accepted list.
If you’ve not got any qualifications that are accepted, then you’ll likely need to pass either the PLAB exams or submit a portfolio for specialist registration (the CESR route as its commonly known). You can read more about PLAB here and CESR / The Portfolio Pathway here.
7 Top Tips for American-trained doctors moving to the UK!
Navigating the organisation of paperwork and various application processes can feel overwhelming, but we are here to support you. Here’s a step-by-step breakdown of what to expect:
1. Understand & be comfortable with the salary difference. Consider what your earnings from working full-time in the NHS will look like in relation to your living expenses. There is no sugar coating it that you’ll earn less with an NHS post as your main point of income. It is always possible to seek out ways to boost your earnings through locum or private work in the UK, it is also crucial to know the boundaries and limitations you would face if balancing NHS work with private work, especially for consultants. Read more here to understand the dos and don’ts. If salary and higher tax is a real sticking point but you’re still keen on the move, speak to one of our team about job opportunities in Ireland and the Channel Islands.
2. Check your GMC eligibility early! To practice as a doctor in the UK, you need to be registered with the General Medical Council (GMC). This process involves several steps, and it’s essential to get it right. Check out our previous blog for a detailed guide on GMC registration and, considering the points above, make sure to understand what your eligibility is based on either your USMLE or accepted overseas postgraduate qualifications.
3. Prepare and book the PLAB Test if you need to. For US-physicians that don’t have a USMLE or postgraduate qualification that is accepted you’ll need to take the PLAB to have your registration and license to practice recognised in the UK. Check out our PLAB blog here to understand a bit about this licensing exam, and remember to check the GMC website for the most complete and up to date information regarding PLAB.
4. Search for and secure a job offer early. We will assist you throughout this process, our recruitment specialists will help match you with opportunities that align with your qualifications, career goals and preferred location. We will then set up and help prepare you for interviews, either in person or video.
5. Understand the visa and immigration process required. Securing your right to work in the UK is a crucial step. Most doctors will apply for a Tier 2 (General) visa, which allows skilled workers to live and work here. Here’s what you need. Please check this blog we made for a more detailed overview of how to complete this process.
6. Don’t stress too much about relocation – it is important to consider logistics like housing, schools (if you have children), and how to settle into your new community, and for this reason we have a whole process and team that supports each doctor with their move. We have a catalogue of promotional location packs that help you assess what an area/region is like and how it aligns with your needs and preferences. Once your visa is approved, our relocation specialist will begin their role in supporting you with your relocation.
7. Research & Preparation. Gather your documentation! It might sound obvious but, before you move, start collecting essential documents such as your medical degree, training certificates, proof of English proficiency and your CV!
We want you to feel at home, so here are a few ways we think you can achieve that..
Discover Your Community. Take time to explore your new surroundings. Engaging with local culture can ease the transition and make you feel more at home. For example, we Brits love our pubs, and it’s not just a place to drink! These beloved establishments have shaped our society and allowed for people from all walks of life to integrate and come together. Whether you’re watching your favourite sports team play on the big screen on a Sunday or partaking in a mid-week pub quiz with your mates (or colleagues), you’ll never feel alone.
Join Professional Networks. As a doctor, connecting with other healthcare professionals in your area can boost you experience tenfold. Joining local medical societies or groups can provide support and networking opportunities, as well as fostering a holistic understanding of what the public might expect form you as a healthcare provider.
Join Social Networks & Clubs. We know it is so important to nurture your other passions, hobbies and social batteries when your line of work is so emotionally demanding and comes home with you. There are many ways in which you can make human connections or get stuck into an activity in your area, or further afar if you fancy an adventure. Facebook is one way you can connect with locals and activity groups that reflect your interests.
Inform yourself on UK guidelines and practice. The GMC and Royal Colleges have loads of content to help prepare and inform overseas doctors, so you can hit the ground running. Whilst there are many similarities, there are also lots of differences, and it pays to get ahead of yourself to avoid feeling overwhelmed once you’re in the UK. Understanding the healthcare landscape will help you navigate your new role effectively.
To summarise
For many, relocating from the USA to the UK as a doctor is a significant yet rewarding endeavour. As well as the NHS, there are lots of job opportunities for US-trained physicians in Ireland, and the Channel Islands. By understanding the acceptance of your qualifications and / or USMLE by the GMC, and partnering with IMG Connect, you can successfully navigate this transition and the UK job market and embark on a fulfilling career in healthcare in the UK.
If you’re ready to take the next step or have questions about the process, reach out to IMG Connect today. We’re here to support you in making your move to the UK a seamless experience!
Relevant Jobs
An NHS district general hospital in the West Midlands is looking for a Specialist Grade Haematologist with an interest in haemato-oncology, laboratory haematology and blood transfusion. The Haematology department comprises a team of 3 consultants and is supported by a large team of middle grade doctors. This Haematology job is open to both international applications and UK-based doctors, though those with European Specialist or FRCPath (or equivalent) 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
FRCPath (or equivalent) and broad experience in clinical and laboratory haematology are required for this role, and anyone with an interest in clinical trials, haemato-oncology, education, or blood transfusion should apply. The salary will be between £96,990 to £107,155 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
-
Provide clinical support in both inpatient and outpatient settings, working closely with consultants and the multidisciplinary team.
-
Participate in the delivery of chemotherapy and specialist care via the dedicated oncology/haematology unit.
-
Contribute to clinical governance, teaching of junior doctors and nurse practitioners, and development of service pathways.
-
Assist with laboratory haematology duties including blood film reporting, and advise on transfusion and diagnostic services.
LIFE IN THE WEST MIDLANDS
This hospital is located in a picturesque region of the West Midlands, with access to both rural retreats and small city living. Residents enjoy a mix of traditional market towns and vibrant city centres, with good schools, easy rail access to Birmingham, and plenty of green spaces for outdoor activities. The area has deep historical roots, from medieval cathedrals to Roman forts, offering a unique combination of 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
An NHS hospital in South East England is looking for a Consultant in Clinical Oncology with an interest in Upper and Lower GI cancers. The Oncology department comprises a team of four Clinical Oncologists and a Consultant Radiographer, supported by a large team of middle-grade doctors. This Clinical Oncology job is open to both international applications and UK-based doctors, though those with European Specialist Registration, GMC Specialist Register, CCT, or CESR 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
GMC registration with a license to practice, CESR, or a GMC-recognised qualification such as FRCR is required for this role. Anyone with an interest in Upper and Lower GI cancer should apply. The salary will be between £105,504 – £139,882 dependent on experience.
CORE DUTIES OF THIS ROLE
-
Provide expert oncology care for patients diagnosed with Upper and Lower GI cancers, overseeing treatment plans and managing patient care.
-
Participate in multidisciplinary team (MDT) meetings across sites to coordinate treatment.
-
Contribute to research and clinical trials within the Oncology department, promoting innovation in GI cancer treatment.
-
Engage in teaching opportunities with medical students and junior doctors, especially in preparation for the launch of a new postgraduate medical programme.
LIFE IN SOUTH EAST ENGLAND
This hospital is located in the South East of England, a region known for its mix of lively coastal cities and peaceful countryside towns. It offers great transport links to London, top-performing schools, and diverse leisure options, including historic landmarks, nature trails, and vibrant cultural scenes. The area is rich in maritime and military history, making it a unique and engaging place to live and work.
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 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
-
An NHS district general hospital in Yorkshire is looking for a Consultant Dermatologist with an interest in skin cancer and minor skin surgery. The Dermatology department comprises a team of locum consultants, an experienced Specialty Doctor, and a Biologic Nurse Consultant, supported by a large team of middle grade doctors. This Dermatology job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) or SCE 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 significant experience in general dermatology and minor surgery, are required for this role. Anyone with an interest in skin cancer management and dermatological surgery should apply. The salary will be between £109,725 and £145,478 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Deliver high-quality general dermatology services, including urgent and routine outpatient clinics.
- Participate in subspecialty clinics, particularly for skin cancer diagnosis, management, and surgery.
- Contribute to departmental management, teaching, and supervision of junior doctors and medical students.
- Support service development and clinical governance through audit, guideline development, and education initiatives.
LIFE IN THE NORTH OF ENGLAND
???????This hospital is situated in the north of England, with popular residential areas including vibrant cities and picturesque countryside locations. Urban dwellers may enjoy city life in places like Sheffield or Leeds, while rural enthusiasts might prefer the surrounding villages and national parks. The region offers great schools, excellent transport connections, and a wide variety of leisure activities for all lifestyles. Historically significant for its industrial roots, the area remains a vital and evolving part of British 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
An NHS cancer centre in Northern Ireland is seeking a Consultant Clinical Oncologist with a specialist interest in Upper GI and Breast cancers. The department includes 11 oncology consultants and is supported by a team of middle grade doctors and specialty trainees. This position is open to both UK-based and international doctors, particularly those with FRCR or European Specialist Registration.
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 have full GMC registration and at least 6 years of postgraduate experience in Clinical Oncology. The salary for this role is between £88,799 and £119,723, dependent on experience.
CORE DUTIES OF THIS ROLE
-
Manage patients with Upper GI and Breast cancers across inpatient and outpatient settings.
-
Engage in tumour site-specific MDTs and contribute to treatment planning and decision-making.
-
Support the training and mentoring of oncology registrars and junior doctors.
-
Contribute to service development, teaching, and clinical governance.
LIFE IN NORTHERN IRELAND
Based in the north-west region of Northern Ireland, this location offers both city and rural living, with access to scenic countryside, the coast, and neighbouring towns. The area features well-rated schools, convenient transport infrastructure, and rich opportunities for cultural, historical, and recreational pursuits. It’s a growing destination for healthcare professionals seeking balance between professional development and quality of life.
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
-
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.
CORE DUTIES OF THIS ROLE
- Deliver Haematology services across multiple NHS hospital sites, with inpatient care based at the main centre.
- Conduct outpatient clinics, lab-based diagnostics, MDT participation, and administrative responsibilities.
- Participate in the on-call rota (1 in 8), including weekend ward rounds and lab duties.
- Support the development of junior doctors and engage in audit, research, and quality improvement.
The hospital is based in the central belt of Scotland, with urban living options like Glasgow and more rural choices such as the Clyde Valley. The region offers a good range of schools, strong public transport, and plenty of leisure activities for both professionals and families. Historically rich and industrially significant, this area has evolved into a hub for modern healthcare delivery and research.
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
- 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