The UK is one of the most attractive destinations in Europe for medical consultants, offering competitive NHS salaries, a world-renowned healthcare system, and one of the most generous pension schemes available. While some European countries may offer higher base pay, the NHS provides a unique combination of job security, professional development, and an excellent work-life balance. Additionally, the NHS pension ensures long-term financial stability, making the UK a top choice for IMGs seeking career success and financial security.
In this article, we compare the salaries, benefits, and work-life balance for consultants in the UK with countries like Romania, Spain, Italy, Lithuania, Germany, the Czech Republic, Croatia, and Poland, where IMG Connect frequently recruits doctors.
So, first, let’s talk about the United Kingdom...
United Kingdom/NHS
Salary range: £100,000 to £139,000 per year, depending on experience and location. You can take a look at NHS pay circulars for England, Scotland, Wales and Northern Ireland via their individual websites, via the NHS Confederation site here, or the BMA site here.
Additional earnings: Consultants can substantially boost their income through private practice or additional NHS work. Combined with the NHS pension scheme, which is one of the best in Europe, it doesn’t take long for UK consultants to see benefits in securing their long-term financial future.
Work-life balance: Contrary to common belief, UK consultants enjoy a highly favourable work-life balance, with generous annual leave and opportunities for flexible or part-time work. Wherever possible, the NHS emphasises well-being and a healthy work-life balance for its staff.
Pension: The NHS pension scheme is a standout feature. Offering a defined benefit pension that guarantees a stable income in retirement, is considerably more reliable and secure than private pension schemes or state systems in many other countries.
Healthcare quality: The NHS is known worldwide for its equity of care, cutting-edge research, and specialist training. And, as we often highlight, it’s one of the most highly regarded healthcare systems globally, especially for its universal access.
Romania
Salary range: €25,000 to €45,000 per year.
Work-life balance: Romanian consultants can face long working hours, particularly in less urbanised areas. However, the system does permit some flexibility and less rigidity to its staff scheduling.
Pension: Romania’s pension system is in line with its national cost of living, but not as generous as the NHS’s, seeing lower retirement benefits and offering less job security.
Healthcare quality: Romania’s healthcare system is still working hard to continue to develop its standards, whilst faced with significant infrastructure challenges. In comparison, the NHS offers a far more advanced system with better working conditions, facilities, and pension benefits.
Spain
Salary range: €45,000 to €80,000 per year.
Work-life balance: Spain is known for providing excellent work-life balance, with longer vacation periods and flexible working hours. However, salaries remain lower than in the UK.
Pension: Spain’s pension system is not as substantial as the NHS pension, particularly in terms of long-term retirement security.
Healthcare quality: While Spain offers a solid healthcare system, notably in urban areas, the NHS excels in research, specialist care, and overall career development for consultants. The NHS pension also provides far greater retirement security compared to Spain’s system.
Italy
Average salary: €60,000 to €90,000 per year.
Work-life balance: Italy offers a decent work-life balance, with flexible working hours, but workloads can be higher in underfunded public hospitals.
Pension: Italy’s pension system is relatively strong, but the NHS pension scheme still trumps this by offering superior benefits, providing far greater financial security and more generous retirement packages.
Healthcare quality: Italy has a well-established healthcare system, but it can struggle with funding issues in certain areas. The NHS, by comparison, provides better infrastructure, training, and career opportunities for consultants.
Lithuania
Average salary: €30,000 to €50,000 per year.
Work-life balance: Lithuania offers some flexibility, but the healthcare system is still developing and growing, which can mean consultants may face heavier workloads in less advanced regions.
Pension: Lithuania’s pension system is modest compared to the NHS, which provides stronger retirement benefits.
Healthcare quality: While improving, Lithuania’s healthcare system still lags behind the NHS in resources, research opportunities, and consultant training. The NHS’s global reputation and robust pension scheme make the UK an appealing option for IMG’s.
Germany
Average salary: €80,000 to €150,000 per year.
Work-life balance: Home to a respected healthcare system, Germany can offer flexibility to its consultant, though working hours can sometimes be longer compared to the UK. Private practice is more common, which can supplement their income.
Pension: Germany’s pension system is solid, but consultants typically rely more on private pension contributions. The NHS pension scheme, by contrast, is a defined benefit system, offering a higher level of security and more generous retirement benefits.
Healthcare quality: Germany has an efficient healthcare system, blending public and private care. However, the NHS’s focus on equitable, universal access and its global recognition for healthcare standards remain major draws for medical professionals.
Czech Republic
Average salary: €40,000 to €65,000 per year.
Work-life balance: Czech consultants enjoy a balanced lifestyle, but salaries are outstandingly lower than in the UK.
Pension: While the Czech pension system provides decent support, it doesn’t compare to the NHS pension, which is much more comprehensive and secure.
Healthcare quality: Although the Czech Republic has made impressive strides in its healthcare, the NHS offers superior opportunities in research, career advancement, and overall resources, putting the UK at the top of the list for consultants looking to relocate.
Croatia
Average salary: €35,000 to €55,000 per year.
Work-life balance: Croatia offers reasonable flexibility, but consultants often deal with heavier workloads due to the country's developing healthcare infrastructure.
Pension: With a comparatively modest pension system in Croatia, consultants receive lower retirement benefits compared to those in the UK. The NHS pension is far more generous, offering consultants a strong foundation for long-term financial security.
Healthcare quality: Croatia’s healthcare system is advancing, but it still has a way to go. The NHS, with its sought-after facilities, world-class training and robust pension scheme, takes the lead on the board for overseas consultants considering their options.
Poland
Average salary: €40,000 to €60,000 per year.
Work-life balance: Poland offers a good work-life balance, but consultants often face challenges with underfunded healthcare facilities in certain regions.
Pension: Although Poland’s pension system is improving, it remains less comprehensive than the NHS pension scheme. The NHS offers a much better long-term financial security for consultants.
Healthcare quality: Poland’s healthcare system has progressed in recent years, but it still falls behind the NHS in terms of resources, specialist care, and career opportunities. The NHS also stands out for its pension benefits, which far exceed those available in Poland.
Key Advantages of the UK for Medical Consultants:
Generous Pension Scheme: The NHS pension is among the best in Europe, offering a defined benefit scheme that ensures long-term financial security. It stands far above many other European pension systems, particularly in countries with emerging healthcare markets.
Favourable Work-Life Balance: Contrary to some perceptions, the UK offers an excellent work-life balance for consultants, with flexible hours, generous annual leave, and part-time work options. This makes the UK a coveted destination for those seeking a rewarding career without sacrificing personal time.
Competitive Salaries: UK consultants benefit from competitive base salaries, with additional earnings possible through private work, overtime, and, crucially, the NHS pension scheme. Together, these elements ensure consultants are well-compensated both during their careers and in retirement.
World-Class Healthcare System: The NHS is globally recognized for its high standards of care, particularly in specialist fields like cardiology, oncology, and surgery. Its reputation for research excellence and consultant training make the UK one of the best places in the world to work as a medical consultant.
Getting started
The UK stands out as one of the top destinations in Europe for medical specialists or consultants, offering a healthy mix of competitive salaries, excellent work-life balance, and one of the most generous pension schemes available.
Compared to countries such as Romania, Poland, Croatia, and Lithuania, the UK provides significantly higher earnings, better career development opportunities, and a more advanced healthcare infrastructure. Even when compared to high-paying countries like Germany, the UK’s balance of professional satisfaction, work-life harmony, and pension security makes it a compelling choice.
For international medical graduates seeking both career success and confidence in their long-term financial stability, the UK remains a top-tier option.
If you're interested in finding out how much a consultant's take-home pay in the UK would be, click here for more information.
If you are considering working in Jersey as a doctor, then understanding the salary structure and take-home pay for doctors in Jersey is essential to helping you make an informed decision.
In this guide, we’ll explain how much you can expect to earn, breaking down the salaries for doctors across different grades in Jersey’s healthcare system. Whether you’re just starting your career as a Foundation Doctor or are a seasoned Consultant, Jersey offers competitive pay and additional benefits, making it an attractive destination for medical professionals.
Pay Scales
Doctors in training pay scale
The below pay scale reflects the pay at the entry points of training, which are FY1 and ST1.
The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take-home pay will increase.
Grade
Stage of training
Value (£)
Foundation Doctor Year 1
FY1
32,398
Foundation Doctor Year 2
FY2
37,303
Speciality Registrar (Core Training)
ST1
43,923
ST2
43,923
ST3
55,329
Full details of total salaries for doctors in full-time training is available to download on the pay circular below including:
less than full-time trainee's pay agreements
Staff Grade Pay Scale
Senior doctors who are working out of training in Jersey, are known as Staff Grades (this is the equivalent of the UK Specialty Doctor). They will hold over 4 years of postgraduate experience in their chosen field, and expertise in the breadth of their specialty. They are expected to provide consultation and manage complex cases and they are considered an expert in the care they deliver.
Pay for Staff Grades in Jersey is attractive. The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on-calls or weekends work then your take-home pay will increase as a result.
It is important to note that your pay will reflect our experience within your chosen field.
The pay code on the left-hand side of the table below correlates to the number of years of experience that you qualify for at this level, working within your chosen specialty.
Pay Scale Code
Basic Salary (£)
SGR-1
56,483
SGR-2
61,890
SGR-3
67,298
SGR-4
72,702
SGR-5
78,112
SGR-6
83,519
SGR-7
88,418
SGR-8
93,317
SGR-9
98,219
SGR-10
103,119
Associate Specialist Pay scale:
For those who want to progress but not take on full consultant responsibilities, the Associate Specialist position offers lucrative compensation. In Jersey, Associate Specialists earn between £83,519 and £126,025 annually.
The is significantly higher than in the UK, rewarding experienced medical professionals. Enhanced responsibilities also offer additional earning opportunities, making this role highly rewarding.
The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on-calls or weekends work then your take-home pay will increase as a result.
It is important to note that your pay will reflect our experience within your chosen field.
The pay code on the left-hand side of the table below correlates to the number of years of experience that you qualify for at this level, working within your chosen specialty.
Pay Scale Code
Basic Salary (£)
SAS-01
83,519
SAS-02
88,418
SAS-03
93,317
SAS-04
98,219
SAS-05
103,119
SAS-06
108,018
SAS-07
112,920
SAS-08
117,819
SAS-09
122,720
SAS-10
126,025
Consultant Pay in Jersey
Consultants in Jersey are among the highest earners in the healthcare system. Annual salaries for consultants range from £110,257.50 to £164,372.63, with opportunities to increase earnings through additional duties such as leadership or educational roles.
Consultants can also receive Clinical Excellence Awards, which reward exceptional performance, further enhancing their total take-home pay.
Service-level consultant doctor jobs are in high demand in Jersey at all levels of experience, each offering competitive rates of pay.
When calculating your pay using the consultant pay scale below, HR departments will look at your years of experience within your specialty, as a consultant.
The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on-calls or weekends work then your take-home pay will increase as a result.
Threshold
Years completed as a consultant
Basic Salary (£)
Pay scale code
1
0
110,257
CONN 1
2
1
115,336
CONN 2
3
2
120,413
CONN 3
4
3
125,490
CONN 4
5
4
128,925
CONN 5
6
5
130,209
CONN 6
7
6
131,492
CONN 7
8
7
132,775
CONN 8
9
8
134,060
CONN 9
10
9
143,440
CONN 10
11
10
145,152
CONN 11
12
11
146,862
CONN 12
13
12
148,573
CONN 13
14
13
150,285
CONN 14
15
14
160,095
CONN 15
16
15
161,806
CONN 16
17
16
164,372
CONN 17
Tax Benefits of Working in Jersey
Jersey’s tax system offers several advantages to doctors. The base tax rate is 20%, which is relatively low compared to other regions. Jersey also offers generous pension schemes and comprehensive healthcare coverage, which contribute to the overall benefits of working on the island. Combined with competitive salaries, these tax advantages make Jersey an ideal location for doctors seeking both financial stability and professional growth.
Why Choose Jersey for Your Medical Career?
In addition to competitive salaries, Jersey offers an exceptional quality of life. The island's beautiful landscapes, vibrant culture, and close-knit community make it a desirable place to live and work. Doctors in Jersey not only benefit from higher pay but also enjoy a supportive healthcare environment that encourages both professional and personal development.
Jersey Doctor Pay – Competitive and Rewarding
From Foundation Doctors to Consultants, doctor pay in Jersey is highly competitive across all grades. With salaries that surpass those in the UK and additional opportunities for professional growth, Jersey is a great place for medical professionals to advance their careers. Whether you're looking to begin your journey or are an experienced doctor considering a move, Jersey offers both financial rewards and a high quality of life.
If you’re interested in exploring job opportunities and salary conditions in Jersey, reach out to our team at IMG Connect today to learn more about how we can assist you in making your next career move.
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
Skip to the relevant section if you know what you're looking for!
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.
Understanding your NHS job's salary is essential for overseas doctors new to the UK.
Doctors play an integral part in delivering high quality patient care in the NHS and as such, they are rewarded with competitive pay rates and benefits.
NHS pay scales can be confusing, particularly for overseas doctors. Here we hope to provide some clarity to help you understand the NHS grades in Wales and how they fit on the various NHS pay scales.
In this article we will take a look at the following topics:
Trust doctor jobs and pay for IMGs
Typical NHS doctor’s salary in Wales
FY1 & FY2
Specialist Training (ST1 – ST8)
Specialty Doctor
Specialist Grade / Associate Specialist
Consultant
Where do I fit on the pay scale?
Doctors in training pay scale
Specialty Doctor pay scale
Associate Specialist pay scale
Consultant pay scale
Additional pay, benefits, pensions and terms and conditions
Skip ahead to the relevant section if you know what you're looking for.
Trust Doctor Jobs & IMGs' Pay
It is important to note that the majority of overseas doctors will start their career in the UK in a fixed term trust doctor role (also known as a service post), before taking up a training position. Doctors across all grades can enter a service post which means to say that they are not in training or entering specialty training.
As such, most of our adverts for fixed term or permanent posts will be service level jobs, these are usually SAS doctor, consultant, SHO or Trust doctor posts at the equivalent of FY2, ST1/2, ST3+. These can be attractive due to the improved doctor’s salaries that can be negotiated for fixed term contracts, based on experience and demand.
The salary pay scales that we have included in this article are to be used as a guide or starting point for negotiating your trust doctor role (or service post).
Typical NHS Doctor’s Salary in Wales
FY1 & FY2
In the most junior hospital trainee post of Foundation Year 1 (FY1), your basic salary is £30,478, increasing to a maximum of £37,804.
As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums.
Specialist Training (ST1 – ST8)
If you are a doctor starting your specialist training in 2019, your basic salary starts at £40,387 and can progress to £53,443.
As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums.
Specialty Doctor
Specialty doctors currently earn from £56,346 to £90,000 basic pay.
The basic contract is for 40 hours. As a specialty doctor you can be paid for additional duties, extra hours worked, weekend work and on calls.
Specialist Grade / Associate Specialist
A key element of recent SAS contract reform is the introduction of a new grade, called the Specialist Grade (or Associate Specialist), which will provide an opportunity for career progression for highly experienced specialty doctors. Associate Specialists can earn a basic of between £69,054 to £113,667.
Consultant
Consultants currently earn from £100,000 to £146,000 basic pay.
As a consultant you can be paid for additional duties and may be eligible for Clinical Excellence Awards, which reward outstanding performance. The basic contract is for 40 hours per week.
If you take on extra responsibilities (i.e. management or education) you can also expect to be paid additional supplements.
Placement onto Pay Scale
There are a few key points when considering where you fit on the pay scale:
Job title
Experience
Hours worked
Trusts can be different
Job Title
The first thing to consider is your job title.
At the Consultant level, it is straight forward, you will be a consultant. However, at the Specialty Doctor level, you could be working as an SAS doctor, a Specialty Doctor or a Trust Grade doctor. As an ST or SHO you could also work across several levels.
Each could command a different pay scale depending on the level of work and experience required.
Take some time to check the job title that you are applying and interviewing for, and subsequently the pay scale that you can expect.
Experience within your chosen field
Next, consider the number of years of experience you have in your specialty, this is crucial to identifying your position on the pay scale.
This is important as an NHS Trust will calculate your pay for a Specialty Doctor in Medicine by deducting two of your years of experience to compensate for the Core Training years in the UK. Please note, for some specialties this does not apply, check with an IMG Consultant for more information.
Hours you will work
The second thing to consider is how many hours you will be working. For more senior doctors, including Specialty Doctors, Associate Specialists/ Specialist Grades and Consultants, the hours are usually established using PAs (programmed activities). Each PA is worth 4 hrs of your week, and a standard week is 40 hrs. A standard salary is based on a full working week of 10 PAs (40 hours). If you work above 10 PAs, then you will gain additional salary on top of your basic pay.
NHS trusts can be different
The last thing to consider before we look at the pay scales, is that some NHS Trusts can interpret the pay scales and a doctor’s experience in different ways. All NHS Trusts should be following the same pay scale structures when recruiting and offering salaries to doctors, but this is not always the case!
This blog is a guideline, and if you are not sure of how to approach this discussion with an HR department, it can be very useful for an IMG Connect consultant to assist with the negotiations to ensure that your experience is always taken into account.
NHS Pay Scales in Wales
Doctors in Training
Service level jobs are in high demand at all levels of experience, each offering competitive rates of pay. It is also important to remember that once in the UK, you will have the option to apply for training, depending on your entry level.
The below pay scale reflects the pay at each level depending on the entry points to training, which are FY1/ F1, ST1/ CT1 and ST3/ 4.
The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
As above, use the below as a salary guide for service level posts. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
Foundation Doctors & Specialty Registrars
Scale
Foundation Doctor 1
MN13
Foundation Doctor 2
MN13
Specialty Registrar (fixed term)
MN35
Specialty Registrar (core training)
MN39
Specialty Registrar (full)
MN37
Min
£30,478
£37,804
£40,397
£40,397
£40,397
1
£32,381
£40,277
£42,866
£42,866
£42,866
2
£34,285
£42,747
£46,319
£46,319
£46,319
3
£48,409
£48,409
£48,409
4
£50,923
£50,923
£50,923
5
£53,443
£53,443
£53,443
6
£55,961
7
£58,480
8
£60,997
9
£63,518
Specialty Doctor Pay Scale
Service level specialty doctor jobs are in high demand in England at all levels of experience, each offering competitive rates of pay.
It is important to note that your pay will reflect your experience within your chosen field.
The pay code on the left-hand side of the table below correlates to the number of years’ experience that you qualify for in your chosen specialty, and the number of years that the HR department are going to attribute to you.
Remember to discount any years that you have worked in an internship. And if you are working in a medicine specialty, deduct any core training years.
In the first threshold, for every year of experience you gain, this entitles you to a pay rise. In the second threshold, you will receive an increase every two years, and in the third, every three years.
The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
As above, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
Specialty Doctor
Pay Scale Code
Scale Value
Basic Salary
MC75-01
1
£56,346
MC75-02
£56,346
MC75-03
£56,346
MC75-04
2
£64,915
MC75-05
£64,915
MC75-06
£64,915
MC75-07
3
£72,366
MC75-08
£72,366
MC75-09
£72,366
MC75-10
4
£80,099
MC75-11
£80,099
MC75-12
£80,099
MC75-13
5
£90,000
MC75-14
£90,000
MC75-15
£90,000
MC75-16
£90,000
MC75-17
£90,000
MC75-18
£90,000
Specialist Grade / Associate Specialist
SAS stands for Staff Grade, Associate Specialist and Specialty Doctor. They will have at least four years of full-time postgraduate training, two of which have been in the relevant specialty. Specialist Grades and Specialty Doctors in Wales have their own contracts in place for senior doctors these contracts are based in full-time work commitment of 10 programmed activities per week it has been timetabled value of four hours. The new pay structure will enable SAS doctors to access the top of the pay scale more quickly than the current system, increasing the career average earnings.
Associate Specialist
Pay Scale Code
Scale Value
Basic Salary
MC70–01
1
£91,500
MC70-02
£91,500
MC70-03
£91,500
MC70-04
2
£95,079
MC70-05
MC70-06
£95,079
£95,079
MC70-07
3
£101,089
Consultant Pay Scale
Service level consultant doctor jobs are in high demand in Wales at all levels of experience, each offering competitive rates of pay.
At the consultant grade, HR departments will look at your years of experience within your specialty, as a consultant. On the table below, you can see that all you need to do is count up the total number of complete years of experience (12 months each) as a consultant, and then count down the rows to establish your salary position.
For NHS locum consultants, pay is assigned a fixed pay point, of £105,401, though locum consultants can earn more due with additional hours or sessions often available. The threshold pay scale below applies to substantive (permanent) contracts only, so therefore if you are not on the specialist register you will only be eligible for this fixed pay point, irrespective of your years completed consultant experience.
For both permanent (substantive) and fixed-term (locum) consultant grades, the salary is based on a standard working week of 10 PAs (40 hours). If you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
Remember, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
Pay point/
Threshold
Basic
Salary (£)
Years within pay point/
Threshold
Min
106,000
1
1
111,300
1
2
116,600
1
3
121,900
1
4
130,380
5
5
137,800
7
6
146,280
7
7
154,760
Top
Additional Pay, Benefits, Pensions and Terms & Conditions
Current national salary scales for medical and dental staff are published in the pay and conditions circulars here.
You may be eligible for additional pay on top of your basic salary if you work above the standard 10 PAs, work on call & weekends, or take on extra responsibilities. All doctors are eligible for NHS pensions and benefits.
Sources
https://www.nhs.wales/files/pc-resources/042023-md-circular/
"What take-home pay can an NHS doctor in training expect from their monthly salary?"
This is one of the most common questions we receive from overseas doctors. To help international medical graduates plan for life in the UK, we’ve compiled examples to show how much of your NHS salary you’ll keep each month after taxes and deductions.
It's important to note that most overseas doctors will begin their careers in the UK as trust doctors in fixed-term service posts before moving into NHS training roles. These service posts can be appealing due to the opportunity to negotiate higher NHS doctor salaries, depending on experience and demand.
The NHS doctor salary pay scales that we have included in this article can be used as a guide or starting point for negotiating your trust doctor role (or service post).
Take home pay for UK doctors in training
Firstly, take home pay in the UK is the amount that you will receive in your bank account after all deductions have been made from your annual salary. Deductions include Income Tax, National Insurance and NHS pensions.
It is important to state that this is just a guideline. We have based our figures on the average annual gross salary for each grade, i.e. you have worked additional hours under a typical working pattern where additional pay has been provided.
The figures can be higher or lower depending on any other sources of income you have, your final tax bracket, whether you opt out of pension, and whether you claim for your tax-deductible expenses.
Take home pay expectations
Grade
Average annual gross salary*
Estimated annual take-home pay**
Estimated monthly take-home pay**
FY1
£32,398
£26,053
£2,171
FY2
£37,303
£29,389
£2,449
ST1-2 / CT1-2
£43,923
£33,890
£2,824
ST3-5 / CT3
£55,329
£41,140
£3,428
ST6-8
£63,152
£45,678
£3,806
*before tax and pension
**tax and pension deducted, tax rebates for tax-deductible expenses not included
To explore the pay & salary conditions across all doctor grades in the UK take a look at our IMG Resources library.
Locum doctors in Wales play an essential role across various specialties, ensuring continuous patient care and filling crucial gaps in the workforce. Recognizing their vital contributions, the Welsh Government is set to announce a substantial pay increase that reflects the importance of their work.
As the government finalizes the details of these pay adjustments, it’s an exciting time for locum doctors who can look forward to enhanced compensation. Staying informed through unions or professional bodies is key, as these organizations are actively involved in the process, ensuring that the forthcoming changes fairly and equitably benefit locum doctors within the NHS.
Key Outcomes:
Junior Doctors: A 12.4% pay rise for 2023/24, with 96% voting in favour. The increase will be backdated to April 2023.
Consultants: 86% accepted a revised pay scale, enhancing early years and career average pay to retain senior talent.
SAS Doctors: Increases ranging from 6.1% to 9.2%, with additional uplifts for associate specialists. 82% of SAS members voted to accept.
These pay agreements resolve the disputes and pave the way for improved working conditions in Wales.
Looking for Consultant Salaries in Wales?
If you're interested in finding out how much a consultant's salary in Wales would be, click here for more details on NHS consultant take-home pay in Wales.
If you're an international doctor considering a career with the NHS in Northern Ireland, understanding the NHS salary structure is essential. Overseas doctors often find the NHS pay scales complex, but knowing how they work is key to planning your move to the UK.
Doctors working within HSC (Health and Social Care) Northern Ireland are compensated with competitive pay and comprehensive benefits. However, for international medical graduates, navigating the various NHS pay bands can be daunting.
In this guide, we’ll break down the different NHS grades and explain how they relate to pay scales in Northern Ireland, so you can better understand your earning potential as a doctor in the NHS.
In this article we will take a look at the following topics:
Typical NHS doctor’s salary in Northern Ireland
FY1 & FY2
Specialist Training (ST1 – ST8)
Specialty Doctor
Associate Specialist
Consultants
Where do I fit on the pay scale?
Doctors in training pay scale
Specialty Doctor Pay Scale
Specialist Grade Pay Scale
Consultant Pay Pcale
Additional pay, benefits, pensions and terms & conditions
Skip ahead to the relevant section if you know what you're looking for.
Trust doctor jobs and IMGs' pay
It’s important to understand that most overseas doctors begin their UK careers in a fixed-term Trust doctor role (also known as a service post) before moving into a training position. Doctors at all levels can enter a service post, which means they are not in formal training or pursuing specialty training.
Most of our job adverts for fixed-term or permanent roles are for service positions, typically for SAS doctors, consultants, SHO, or Trust doctor roles equivalent to FY2, ST1/2, or ST3+. These posts can be particularly attractive due to the potential for higher, negotiable salaries, based on experience and demand, making them an appealing option for international doctors.
The pay scales that we have included in this article are to be used as a guide or starting point for negotiating your Trust doctor role (or service post).
Typical NHS doctor’s salary in Northern Ireland
FY1 & FY2
At Foundation Year 1 (FY1), your starting basic salary is £29,566, which increases to £36,371 in your second year (FY2).
As a doctor in training, you will receive a basic salary based on a 40-hour workweek, along with additional pay for extra hours worked. This includes a 37% pay enhancement for night shifts, a weekend allowance for weekend work, an on-call allowance, and other potential pay premiums depending on your specific duties and schedule. These enhancements ensure you're fairly compensated for the demands of your role.
Specialist Training (ST1 – ST8)
If you are a doctor starting your specialist training, your basic salary starts at £38,780 and can progress to £50,903.
As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums.
Specialty Doctor
Specialty doctors currently earn from £52,530 to £82,400 basic pay.
The basic contract is for 40 hours. As a specialty doctor you can be paid for additional duties, extra hours worked, weekend work and on calls.
Specialist Grade
A key element of recent SAS contract reform is the introduction of a new grade, called the Specialist grade or Associate Specialist, which will provide an opportunity for career progression for highly experienced specialty doctors. Associate Specialists doctors can earn a basic of between £83,945 to £95,275.
Consultant
Consultants currently earn from £88,799 to £119,723 basic pay.
As a consultant you can be paid for additional duties and may be eligible for Clinical Excellence Awards, which reward outstanding performance. The basic contract is for 40 hours per week.
If you take on extra responsibilities (i.e. management or education) you can also expect to be paid additional supplements.
So where do I fit on the pay scale?
There are a few key points when considering where you fit on the pay scale:
Job title
Experience
Hours worked
Trusts can be different
Key Factors to Consider When Evaluating Your NHS Job Offer
When applying for NHS jobs as an international doctor, it's essential to fully understand how factors like your job title, experience, hours worked, and the specific NHS Trust can impact your salary. Here’s what you should keep in mind:
1. Job Title
Your job title is a key factor in determining your pay scale.
At the Consultant level, your role and pay are straightforward—you will be a consultant.
However, at the Specialty Doctor level, your title could vary between SAS Doctor, Specialty Doctor, or Trust Grade Doctor.
As an ST (Specialty Trainee) or SHO (Senior House Officer), you could work across several levels.
Each of these titles commands a different pay scale, depending on the level of responsibility and experience required. It's crucial to carefully check the job title you're applying for and ensure you understand the corresponding pay scale.
2. Experience in Your Specialty
Your years of experience in your chosen specialty directly affect your position on the pay scale.
For example, when calculating pay for a Specialty Doctor in Medicine, an NHS Trust may deduct two years of experience to account for Core Training in the UK. However, this deduction may not apply in all specialties, so it’s important to verify with an IMG Consultant for specific details related to your field.
3. Hours You Will Work
Your working hours are another critical factor. Both SAS Doctors and Consultants typically work based on Programmed Activities (PAs).
Each PA represents 4 hours of work, with a standard week consisting of 10 PAs (40 hours).
Your basic salary will be calculated based on this 40-hour week, but if you work more than 10 PAs, you will receive additional pay on top of your base salary.
This system ensures that you are compensated fairly for any extra hours worked.
4. NHS Trust Variations
Lastly, be aware that some NHS Trusts may interpret pay scales and experience differently. While all NHS Trusts are expected to follow the same pay scale structures when recruiting doctors, there can be variations in how they assess your experience and apply salary scales.
Make sure to ask questions during the interview process and clarify how your pay is calculated to avoid any surprises.
When evaluating your NHS job offer, taking the time to understand the nuances of your job title, experience, working hours, and the specific NHS Trust is essential. These factors will ultimately determine your position on the pay scale and the salary you can expect.
This blog is a guideline, and if you are not sure of how to approach this discussion with an HR department, it can be very useful for an IMG Connect consultant to assist with the negotiations to ensure that your experience is always taken into account.
NHS Pay Scales in Northern Ireland
Doctors in Training: Understanding Service Level Jobs and Pay Scales
Service level jobs within the NHS are in high demand across all levels of experience, offering competitive rates of pay for international doctors. Once you're in the UK, you’ll also have the opportunity to apply for training roles, depending on your entry level.
The pay scale for doctors in training varies based on entry points, including FY1 (Foundation Year 1), ST1/CT1 (Specialty Training/Core Training Year 1), and ST3/4. These roles come with a standard working week of 10 Programmed Activities (PAs), equating to 40 hours. However, if you work additional hours, on-call shifts, or weekends, your take-home pay will increase accordingly.
Use the following pay scale as a guide for service level posts. Keep in mind, by consulting with an IMG Consultant, you may find opportunities to negotiate higher pay based on your experience and the demand for your specialty. It’s very possible to earn more than the standard pay scales listed below.
Understanding these factors will help you make informed decisions as you navigate your NHS career and maximise your earnings.
Foundation Doctors & Specialty Registrars
Scale
Foundation Doctor 1
M220
Foundation Doctor 2
M230
Specialty Registrar (fixed term)
M240
Specialty Registrar (core training)
MN39
Specialty Registrar (full)
MN37
Min
£29,566
£36,371
£38,780
£38,780
£38,780
1
£31,334
£38,666
£41,078
£41,078
£41,078
2
£33,099
£40,964
£44,283
£44,283
£44,283
3
£46,224
£46,224
£46,224
4
£48,563
£48,563
£48,563
5
£50,903
£50,903
£50,903
6
£53,243
7
£55,582
8
£57,921
9
£60,261
SAS Doctor Pay Scale
SAS stands for Staff Grade, Associate Specialist and Specialty Doctor. They will have at least four years of full-time postgraduate training, two of which have been in the relevant specialty. Specialist Grades and Specialty Doctors in Scotland have their own contracts in place for senior doctors these contracts are based in full-time work commitment of 10 programmed activities per week it has been timetabled value of four hours. The new pay structure will enable SAS doctors to access the top of the pay scale more quickly than the current system, increasing the career average earnings.
It is important to note that your pay will reflect your experience within your chosen field.
The pay code on the left-hand side of the table below correlates to the number of years’ experience that you qualify for in your chosen specialty, and the number of years that the HR department are going to attribute to you.
Remember to discount any years that you have worked in an internship. And if you are working in a medicine specialty, deduct any core training years.
In the first threshold, for every year of experience you gain, this entitles you to a pay rise. In the second threshold, you will receive an increase every two years, and in the third, every three years.
The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
As above, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
Specialty Doctor
Years' Experience
Basic Salary
Pay Point
0
£52,530
1
1
2
3
£60,519
2
4
5
6
£67,465
3
7
8
9
£74,675
4
10
11
12
£82,400
5 - top
13
14
15
16
17
Specialist Grade
Years' Experience
Basic Salary
Pay Point
1
£83,945
1
2
3
4
£89,610
2
5
6
7
£95,275
3 (top)
Consultant Pay Scale
Service level consultant doctor jobs are in high demand in Scotland at all levels of experience, each offering competitive rates of pay.
At the consultant grade, HR departments will look at your years of experience within your specialty, as a consultant.
On the table below, you can see that all you need to do is count up the total number of complete years of experience (12 months each) as a consultant, and then count down the rows to establish your salary position.
Like the above, the salary is based on a standard working week of 10 PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
Remember, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
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
16
17
18
19
8
20+
£119,723
The most recent full pay circular for Northern Ireland can be found here.
Additional pay, benefits, pensions and terms & conditions
Current national salary scales for medical and dental staff are published in pay and conditions circulars on the NHS Employers website.
You may be eligible for additional pay on top of your basic salary if you work above the standard 10 PAs, work on call & weekends, or take on extra responsibilities. All doctors are eligible for NHS pensions and benefits.
Sources
https://www.health-ni.gov.uk/sites/default/files/publications/health/doh-hsc-tc8-03-2022.PDF
NHS Consultant Salary: Monthly Take-Home Pay for International Doctors in Scotland
For international medical graduates (IMGs) interested in NHS jobs in Scotland, understanding what an NHS consultant salary translates to in monthly take-home pay is essential for financial planning. To assist overseas doctors in preparing for life in the UK, we’ve provided examples to give you a clearer idea of your potential monthly earnings.
How Much Will I Take Home?
In the UK, your take-home pay is the amount you receive in your bank account after all mandatory deductions from your annual salary. These deductions include:
Income Tax
National Insurance contributions
NHS pension payments
Our figures serve as a general guideline. They are based on the gross salary for each pay scale and assume no additional sources of income. However, your actual take-home pay can vary based on:
Additional responsibilities or extra hours worked
Other income sources
Your final tax bracket
Decisions regarding NHS pension contributions
Claims for tax-deductible expenses
Take-Home Pay Expectations in Scotland
For NHS consultants in Scotland, the monthly take-home pay will depend on these factors. Use our examples as a starting point, but remember that actual earnings can differ. To get the most accurate information for your specific situation, consult with an IMG specialist or financial advisor. Understanding how NHS consultant salaries translate into monthly take-home pay will help you effectively plan your finances and ensure a smooth transition to your new role in Scotland.
Threshold
Annual gross salary*
Estimated annual take-home pay**
Estimated monthly take-home pay**
1
£96,963
£5,300
£5,300
2
£99,011
£64,687
£5,391
3
£101,957
£65,808
£5,484
4
£104,906
£66,707
£5,559
5
£107,846
£67,604
£5,634
6
£114,846
£69,739
£5,812
7
£121,846
£71,874
£5,990
8
£128,841
£74,729
£6,227
*before tax and pension
**based on standard salary and not inclusive of additional payments for extra hours worked or pension deductions
To explore detailed information on NHS pay scales and salary conditions across all grades in the UK, check out our comprehensive series of blogs on career structure and NHS doctor pay in our IMG Resources library. These resources are designed to help international doctors understand their earning potential at various stages of their careers in the NHS.
Are you an international doctor considering a move to the UK and curious about NHS pay in Wales? Understanding what an NHS consultant salary means in terms of monthly take-home pay is crucial for your financial planning.
To help overseas doctors like you prepare for life in the UK, we've put together practical examples to illustrate what you can realistically expect to keep each month in Wales. These insights aim to make your transition smoother and more informed.
How Much Will I Take Home?
In the UK, your take-home pay is the amount that reaches your bank account after mandatory deductions, such as Income Tax, National Insurance, and NHS pension contributions, have been made from your annual salary.
Please note that these figures are intended as a guideline. We've based them on gross salary at each pay threshold, assuming no other sources of income. Your actual take-home pay may vary depending on factors like additional responsibilities, extra hours worked, other income sources, your tax bracket, pension choices, and any tax-deductible expenses you claim.
By providing these examples, we aim to support your journey towards a fulfilling career in the NHS and a well-prepared life in Wales.
Take-Home Pay Expectations in Wales
Threshold
Annual gross salary*
Estimated annual take-home pay**
Estimated monthly take-home pay**
1
£100,000
£68,557
£5,713
2
£105,000
£70,457
£5,871
3
£110,000
£72,357
£6,030
4
£115,000
£74,257
£6,188
5
£123,000
£77,297
£6,441
6
£130,000
£80,686
£6,724
7
£138,000
£84,926
£7,077
8
£146,000
£89,166
£7,431
*based on standard salary and not inclusive of additional payments for extra hours worked or pension deductions
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.
Understanding your NHS doctor salary in Scotland is essential for overseas doctors new to the UK.
In this guide, we aim to provide clarity on NHS grades in Scotland and how they align with the various NHS pay bands. If you're an international doctor considering a position in the NHS, understanding these pay structures is key to maximizing your earning potential in Scotland.
In this article we will take a look at the following topics:
Trust doctor jobs and pay for IMGs
Typical NHS doctor’s salary in Scotland
FY1 & FY2
Specialist Training (ST1 – ST8)
Specialty Doctor
Specialist Grade / Associate Specialist
Consultant
Where do I fit on the pay scale?
Doctors in training pay scale
SAS Doctor pay scale
Consultant pay scale
Additional pay, benefits, pensions and terms and conditions
Skip ahead to the relevant section if you know what you're looking for.
Trust Doctor Jobs & IMGs' Pay
It is important to note that the majority of overseas doctors will start their career in the UK in a fixed term trust doctor role (also known as a service post), before taking up a training position. Doctors across all grades can enter a service post which means to say that they are not in training or entering specialty training.
As such, most of our adverts for fixed term or permanent posts will be service level jobs, these are usually SAS doctor, consultant, SHO or Trust doctor posts at the equivalent of FY2, ST1/2, ST3+. These can be attractive due to the improved doctor’s salaries that can be negotiated for fixed term contracts, based on experience and demand.
The salary pay scales that we have included in this article are to be used as a guide or starting point for negotiating your trust doctor role (or service post).
Typical NHS Doctor’s Salary in Scotland
FY1 & FY2
In the most junior hospital trainee post of Foundation Year 1 (FY1) your basic salary is £31,082, increasing to a maximum of £38,553.
As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums.
Specialist Training (ST1 – ST8)
If you are a doctor starting your specialist training in 2019, your basic salary starts at £40,995 and can progress to £54,235.
As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums.
Specialty Doctor
Specialty doctors currently earn from £58,198 to £90,688 basic pay.
The basic contract is for 40 hours. As a specialty doctor you can be paid for additional duties, extra hours worked, weekend work and on calls.
Specialist Grade / Associate Specialist
A key element of recent SAS contract reform is the introduction of a new grade, called the Specialist Grade (or Associate Specialist), which will provide an opportunity for career progression for highly experienced specialty doctors. Specialist Grade doctors can earn a basic of between £88,118 to £100,011.
Consultant
Consultants currently earn from £96,963 to £128,841 basic pay.
As a consultant you can be paid for additional duties and may be eligible for Clinical Excellence Awards, which reward outstanding performance. The basic contract is for 40 hours per week.
If you take on extra responsibilities (i.e. management or education) you can also expect to be paid additional supplements.
Placement onto Pay Scale
There are a few key points when considering where you fit on the pay scale:
Job title
Experience
Hours worked
Trusts can be different
Job Title
The first thing to consider is your job title.
At the Consultant level, it is straight forward, you will be a consultant. However, at the Specialty Doctor level, you could be working as an SAS doctor, a Specialty Doctor or a Trust Grade doctor. As an ST or SHO you could also work across several levels.
Each could command a different pay scale depending on the level of work and experience required.
Take some time to check the job title that you are applying and interviewing for, and subsequently the pay scale that you can expect.
Experience within your chosen field
Next, consider the number of years of experience you have in your specialty, this is crucial to identifying your position on the pay scale.
This is important as an NHS Trust will calculate your pay for a Specialty Doctor in Medicine by deducting two of your years of experience to compensate for the Core Training years in the UK. Please note, for some specialties this does not apply, check with an IMG Consultant for more information.
Hours you will work
The second thing to consider is how many hours you will be working. For more senior doctors, including Specialty Doctors, Associate Specialists/ Specialist Grades and Consultants, the hours are usually established using PAs (programmed activities). Each PA is worth 4 hrs of your week, and a standard week is 40 hrs. A standard salary is based on a full working week of 10 PAs (40 hours). If you work above 10 PAs, then you will gain additional salary on top of your basic pay.
NHS trusts can be different
The last thing to consider before we look at the pay scales, is that some NHS Trusts can interpret the pay scales and a doctor’s experience in different ways. All NHS Trusts should be following the same pay scale structures when recruiting and offering salaries to doctors, but this is not always the case!
This blog is a guideline, and if you are not sure of how to approach this discussion with an HR department, it can be very useful for an IMG Connect consultant to assist with the negotiations to ensure that your experience is always taken into account.
NHS Pay Scales in Scotland
Doctors in Training
Service level jobs are in high demand at all levels of experience, each offering competitive rates of pay. It is also important to remember that once in the UK, you will have the option to apply for training, depending on your entry level.
The below pay scale reflects the pay at each level depending on the entry points to training, which are FY1/ F1, ST1/ CT1 and ST3/ 4.
The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
As above, use the below as a salary guide for service level posts. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
Foundation Doctors & Specialty Registrars
Scale
Foundation Doctor 1
MN13
Foundation Doctor 2
MN13
Specialty Registrar (fixed term)
MN35
Specialty Registrar (core training)
MN39
Specialty Registrar (full)
MN37
Min
£31,082
£38,553
£40,995
£40,995
£40,995
1
£33,024
£41,075
£43,504
£43,504
£43,504
2
£34,964
£43,597
£47,007
£47,007
£47,007
3
£49,126
£49,126
£49,126
4
£51,680
£51,680
£51,680
5
£54,235
£54,235
£54,235
6
£56,793
7
£59,384
8
£61,903
9
£64,461
SAS Doctor Pay Scale
SAS stands for Staff Grade, Associate Specialist and Specialty Doctor. They will have at least four years of full-time postgraduate training, two of which have been in the relevant specialty. Specialist Grades and Specialty Doctors in Scotland have their own contracts in place for senior doctors these contracts are based in full-time work commitment of 10 programmed activities per week it has been timetabled value of four hours. The new pay structure will enable SAS doctors to access the top of the pay scale more quickly than the current system, increasing the career average earnings.
It is important to note that your pay will reflect your experience within your chosen field.
The pay code on the left-hand side of the table below correlates to the number of years’ experience that you qualify for in your chosen specialty, and the number of years that the HR department are going to attribute to you.
Remember to discount any years that you have worked in an internship. And if you are working in a medicine specialty, deduct any core training years.
In the first threshold, for every year of experience you gain, this entitles you to a pay rise. In the second threshold, you will receive an increase every two years, and in the third, every three years.
The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
As above, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
Scale Point
Specialty Doctor
Pay Points
0
£58,198
1 year
1
£58,198
1 year
2
£58,198
1 year
3
£69,427
2 years
4
£69,427
2 years
5
£69,427
2 years
6
£73,678
3 years
7
£73,678
3 years
8
£73,678
3 years
9
£82,184
4 years
10
£82,184
4 years
11
£82,184
4 years
12
£90,688
5 years
13
£90,688
5 years
14
£90,688
5 years
15
£90,688
5 years
16
£90,688
5 years
17
£90,688
5 years
Scale Point
Specialist Doctor
Pay Points
0
£88,118
1 Year
1
£88,118
1 Year
2
£88,118
1 Year
3
£94,065
2 Years
4
£94,065
2 Years
5
£94,065
2 Years
6
£100,011
3 Years
Consultant Pay Scale
Service level consultant doctor jobs are in high demand in Scotland at all levels of experience, each offering competitive rates of pay.
At the consultant grade, HR departments will look at your years of experience within your specialty, as a consultant.
On the table below, you can see that all you need to do is count up the total number of complete years of experience (12 months each) as a consultant, and then count down the rows to establish your salary position.
Like the above, the salary is based on a standard working week of 10 PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
Remember, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
Years consultant experience
Basic salary
Pay point
1
£96,963
1 year
2
£99,011
1 year
3
£101,957
1 year
4
£104,906
1 year
5
£107,846
5 years
6
£107,846
4 years
7
£107,846
3 years
8
£107,846
2 years
9
£107,846
1 year
10
£114,846
5 years
11
£114,846
4 years
12
£114,846
3 years
13
£114,846
2 years
14
£114,846
1 year
15
£121,846
5 years
16
£121,846
4 years
17
£121,846
3 years
18
£121,846
2 years
19
£121,846
1 year
20
£128,841
N/A
Additional Pay, Benefits, Pensions and Terms & Conditions
Current national salary scales for medical and dental staff are published in the pay and conditions circulars here.
You may be eligible for additional pay on top of your basic salary if you work above the standard 10 PAs, work on call & weekends, or take on extra responsibilities. All doctors are eligible for NHS pensions and benefits.
Sources
https://www.sehd.scot.nhs.uk/pcs/PCS2022(DD)01.pdf
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
Medical students
Junior doctors
SAS doctors
Consultants
Trust doctors
General Practitioners
Locum doctors
Academic doctors
Pay and conditions circulars
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.
Are you a Doctor considering a career move to Jersey? Understanding doctor pay in Jersey is crucial when planning the next step in your career.
Jersey, the largest of the Channel Islands, not only offers a stunning living environment but also provides highly competitive salaries for medical professionals. As our team at IMG Connect partners with Jersey Health and Community Services, placing doctors into their excellent services, we thought we'd put together a short guide to delve into Jersey doctor pay by grade, helping you make an informed decision about your future career.
Foundation Doctors (FY1 & FY2) Pay in Jersey
For newly qualified doctors, starting in Jersey offers an appealing financial incentive. The salary for a Foundation Year 1 (FY1) doctor begins at approximately £32,398 per year—higher than the equivalent in the UK. Moving into Foundation Year 2 (FY2), the pay increases to around £37,303 annually. These figures reflect base salaries, but additional earnings can be accrued through compensation for unsocial hours, night shifts, and weekend work. This makes Jersey an excellent starting point for medical professionals beginning their careers.
Specialty Training (ST1 – ST3) Pay in Jersey
Jersey doctor pay becomes even more attractive as you move into Specialty Training (ST1 to ST3). Salaries for Specialty Trainees in Jersey range between £43,923 and £55,329 per year. The exact salary depends on your level of training and experience. Just like in the UK, these figures can be increased with enhancements for extra hours, night shifts, and weekend duties, making doctor pay in Jersey highly rewarding for those in specialty training.
Associate Specialist Pay in Jersey
For doctors who are looking to step up without taking on a full consultant role, the Associate Specialist position in Jersey offers lucrative opportunities. Jersey doctor pay for Associate Specialists ranges from £83,519 to £126,025 annually. This pay scale is higher than that of the UK, reflecting the island’s higher cost of living and the demand for skilled medical professionals. The role also includes potential earnings through additional responsibilities, further enhancing doctor pay in Jersey.
Consultant Pay in Jersey
Consultant roles in Jersey are particularly well-compensated, with annual salaries ranging from £110,257.50 to £164,372.63. Beyond this base pay, consultants have the opportunity to earn more through additional responsibilities, such as management roles or educational duties. Jersey also offers Clinical Excellence Awards to recognise and reward outstanding performance, further enhancing the potential earnings for consultants on the island.
Tax Benefits of Working in Jersey
These include a base 20% tax rate, generous pension schemes, comprehensive healthcare coverage, and ample opportunities for professional development. Jersey’s healthcare system is known for its supportive environment, which fosters both personal and professional growth, making Jersey doctor pay and lifestyle a compelling combination.
Why Choose Jersey for Your Medical Career?
Choosing Jersey means opting for more than just competitive salaries. Jersey doctor pay is complemented by the island's beautiful landscapes, rich culture, and a tight-knit community. If you’re looking for a career that offers both financial reward and a high quality of life, Jersey could be the perfect destination for your next professional chapter.
Conclusion: Jersey Doctor Pay – Competitive and Rewarding
Doctor pay in Jersey is highly competitive across all levels, from Foundation Doctors to Consultants. With salaries that often surpass those in the UK and a range of additional benefits, Jersey offers a unique opportunity for medical professionals. Whether you are just starting or are an experienced doctor, Jersey doctor pay combined with the island's exceptional living conditions makes it an ideal location for advancing your medical career.
If you want to read more about the top places to visit on the Island of Jersey click here to read this blog!
For more information on Jersey doctor pay and job opportunities, don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in Jersey. To view the full Government of Jersey - Doctors and Medical Consultants click here!