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!

  Are you an NHS or overseas-trained doctor looking to boost your main income? You’re not alone! Many doctors employed in the UK turn to the private sector for extra work at some point, and those considering Jersey as a future employer will be pleased to know it is an excellent place to do just that. With about 30% of Jersey’s population covered by private healthcare insurance, the demand for private services is on the rise. This makes now the perfect time to consider relocating to Jersey, where you can balance public sector responsibilities with exciting opportunities in a growing private healthcare market. Whether you’re looking to enhance your career or simply increase your earnings, Jersey has a lot to offer. Throughout this blog we will be looking into: Health and Community Service’s (HCS) Private Patients Services Strategy Benefits of Working in Jersey’s Private Sector Career Growth Opportunities for IMGs in Jersey’s Private Healthcare How to move from NHS to private Health and Community Service’s (HCS) Private Patients Services Strategy Since the pandemic, Jersey’s private patient revenues took a hit, but things are looking up. In 2023, private patients contributed £12.2 million to Health & Community Services (HCS), about 5% of its total budget. Now, with the launch of the Private Patients Services Strategy, HCS aims to double that figure to over £24 million. This growth presents exciting opportunities for consultants and specialists, allowing for enhanced career and skill development alongside the main bulk of their work in public sector. Having choices in healthcare provision not only brings comfort but can also benefits the entire system. Supporting the option to go private enhances care delivery for both clinicians and patients in Jersey. It’s an exciting time to be part of this evolving landscape! Jersey’s Private Patients Services Strategy: A Vision for 2024-2028 Jersey has unveiled its Private Patients Services Strategy for 2024-2028, aiming to elevate private healthcare on the island over the next five years. Here’s a snapshot of the key goals: Attracting Top Talent: The strategy seeks to draw in highly-skilled consultants and specialists from the UK and EEA region, enriching and diversifying Jersey's healthcare expertise. Expanding Service Options: By broadening the range of private healthcare services, patients will have more tailored choices to meet their specific needs. Boosting Revenue for Community Benefit: The goal is to double private patient income to over £24 million by 2028, contributing to the overall healthcare system and benefiting all islanders. Think of the potential for your fledgling private practice! Supporting Healthcare Professionals: The plan emphasises collaboration with doctors. The HCS private patients’ leadership team will work closely with consultants to develop and grow services, backed by government support through stakeholder engagement, giving you the guidance and security to take this big step! This strategy promises exciting advancements for both healthcare professionals and the community. Benefits of Working in Jersey’s Private Sector Thinking about making the switch from public to private healthcare? Here are some compelling reasons: Career Advancement: The private sector offers numerous opportunities for leadership roles, business partnerships, and even the chance to establish your own practice. For those looking for the next step in their career, this would be great for the portfolio! Better Work-Life Balance: Generally, Jersey’s healthcare workers report lower burnout rates compared to those in the NHS. This may mean you have more time available to supplement your public sector work, with your private sector work, and not just at the expense of your personal time and sanity! Support from HCS: The HCS private patients leadership team collaborates with medical consultants to help them develop and enhance commercial services, ensuring mutual benefits for everyone involved. Government Backing: If you’re interested in the private medical sector, substantial government support is available, whether you want to open your own practice or become a partner, through the Improving Public Health: By easing the demand for state care, you can help reduce waiting lists, allowing patients to receive timely care and avoid worsening conditions. Career Growth Opportunities for IMGs in Jersey’s Private Healthcare Leadership and Business Roles: IMGs can pursue leadership positions, form partnerships, or launch their own practices in Jersey’s expanding private healthcare market. Specialisation and Niche Services: The opportunity to specialise in areas like cosmetic surgery or oncology allows IMGs to introduce unique treatments and thrive in a patient-focused environment. Starting a Private Practice: As previously stated, IMGs receive support from Jersey’s Health & Community Services (HCS) for business planning, marketing, and regulations, ensuring a smooth transition to private practice, as well as financial incentives from the government to help start things up. Networking and Collaboration: Joining a network of specialists offers opportunities for collaboration and knowledge exchange, enhancing career advancement. Leading Service Expansion: IMGs can take on leadership roles in developing and expanding innovative healthcare services as the sector grows. Active Role in the Private Patients Strategy: Contributing to Jersey’s Private Patients Services Strategy allows IMGs to help shape the future of private healthcare. Enhanced Professional Recognition: Working in Jersey’s high-standard private healthcare system helps IMGs build recognition locally and internationally, creating future opportunities worldwide.   How to move from NHS to private in 10 steps   Understand Jersey’s Healthcare System: Jersey has its own independent healthcare system. Consultants often work in private practices or a hybrid model with Jersey General Hospital, where many patients pay for services directly or through insurance. Research Private Hospitals and Clinics: Key private providers include Lido Medical Centre and Clinique Pinel. Explore opportunities at Jersey General Hospital, which may offer private consulting roles. Jersey License to Practice: Ensure you’re licensed to practice in Jersey by registering with the Jersey Care Commission, which regulates healthcare professionals on the island. Private Practice Setup: If starting your own practice, register it with Jersey's Government and secure medical indemnity insurance. Build relationships with private insurers like Bupa and AXA PPP. Finding Job Opportunities: Jersey has a demand for specialists in fields like orthopaedics and cardiology. Check job listings at Jersey General Hospital and private clinics. Building a Patient Base: Success in private practice relies on referrals from local GPs and maintaining a strong professional reputation. Consider marketing yourself through websites and local directories. Work Flexibility: Many consultants work in both public and private sectors. Decide if you want to focus solely on private care or split your time. Finances and Earnings: Private consultants can earn significantly more than NHS counterparts, but consider Jersey’s higher cost of living when planning your finances. Housing and Relocation: Understand local housing rules, as competition for rentals can be high. Your employer might assist with relocation. Legal and Tax Considerations: Familiarise yourself with Jersey’s tax laws, which differ from the UK. Private earnings must be declared to the Jersey tax authorities.   Wrapping Up! To transition from an NHS role to Jersey private healthcare as a consultant or specialist, you must: Familiarise yourself with Jersey's healthcare system and private sector. Obtain the necessary medical licenses and register with the Jersey Care Commission. Explore employment or business opportunities at private clinics, Jersey General Hospital, or set up your own practice whole researching all opportunities. Establish a patient base, including networking with local GPs and insurers. Understand the financial and legal implications of practicing privately in Jersey.

Navigating maternity pay can be a complex process, especially within the NHS. It's crucial to understand the eligibility criteria and the benefits you're entitled to under the NHS maternity pay scheme. Here's a comprehensive breakdown to help you navigate through this important aspect of maternity leave. Eligibility Criteria: To qualify for NHS maternity pay, you need to meet the following criteria: 1. Continuous Employment: You must have completed 12 months of continuous employment with the NHS. This period doesn't necessarily have to be with the same employer but should have no breaks exceeding three months. 2. Timing: By the time you reach 11 weeks before your expected week of childbirth, you should meet the continuous employment requirement and comply with the NHS notice requirements. Understanding NHS Maternity Pay Structure: Once you meet the eligibility criteria, you become entitled to a structured maternity pay scheme. Here's how it works: 1. Full Pay (8 Weeks): You'll receive eight weeks of full pay, which is subject to deduction for Statutory Maternity Pay (SMP) and Maternity Allowances. 2. Half-Pay (18 Weeks): Following the full pay period, you'll receive 18 weeks of half-pay, in addition to SMP and Maternity Allowances. 3. SMP or Maternity Allowance (13 Weeks): The final phase of maternity pay involves 13 weeks of receiving either SMP or Maternity Allowance. Maternity Allowance is paid at a fixed rate, which was £156.66 per week (April 2022 – April 2023) or 90% of your average earnings if lower. Notification Requirements: It's essential to adhere to the notification requirements set by the NHS. You must notify your employer at least 15 weeks before your due date. However, as a good practice, most individuals tend to inform their employers sooner, especially considering visible signs of pregnancy by that stage. Final Thoughts: Understanding the intricacies of NHS maternity pay is vital for expecting parents working within the NHS. By meeting the eligibility criteria and adhering to the notification requirements, you can ensure a smooth transition into maternity leave while availing of the benefits provided under the NHS maternity pay scheme. In conclusion, navigating maternity pay within the NHS involves understanding eligibility criteria, the structure of maternity pay, and notification requirements. By being informed, expectant parents can make the most out of the benefits provided by their employer, ensuring a seamless transition into parenthood.   Reference - https://www.rcn.org.uk/Get-Help/RCN-advice/having-a-family#:~:text=It%20is%20likely%20you%20are,13%20weeks%20SMP   IMG Jobs  Search and find live NHS doctor jobs in the UK IMG Resources Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!   Get in Touch Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor's salary in the UK and the most suitable hospital locations for you. For regular news and updates, follow IMG Connect on social media using the links below: