For many overseas pathologists, sitting and passing the FRCPath used to be considered the “Golden Ticket” to senior histopathology jobs in the NHS. But is that still the case? And if not, why not? And what does specialist registration, portfolio pathway (CESR) have to do with all of this? First lets have a look at the job market as of 2025 in the NHS, and then we can start to connect the pieces together and give you the best advice to help your application stand out from others. Histopathology Job Market for IMGs It may sound surprising in the context of the many pathology vacancies advertised that go unfilled, but there has never been a greater demand for and supply of qualified & experienced histopathologists applying for jobs in the NHS. So why do so many NHS posts remain unfilled? There is a vacancy rate of between 10 -15% whilst at the same time workload has never been greater. A combination of factors impact this, and senior healthcare leaders have been repeating this same message over the years - people are living longer, people have more complex morbidities, and a growing and developing diagnostic service in the NHS is essential for the NHS to keep up with demand. It is also widely acknowledged that this is coming at a time or decreasing budgets and increasing costs of industry. When we consider this, we start to understand why despite pathology being the backbone of most medical diagnosis, so many NHS histopathology vacancies are not appointed to - despite many candidates applying to their roles.  NHS experience - why is this so important? Medicine is practiced differently around the world irrespective of the specialty. Whether trained in India, Hong Kong, Singapore, or Nigeria, qualified histopathologists all have something valuable to offer the NHS. Some training programs may lend well to the NHS, and some may take longer to adapt, but generally speaking the consensus is “pathology is pathology”. What does need more time is often the less obvious stuff. New IT systems, new day-to-day language, different reporting expectations, different case referral process etc etc. However, our belief, as a specialist international recruitment company, is that how quickly some adapts is as much down the individual - and good people, open minded professional, quick learners, and motivated pathologist will quickly thrive despite everything being new. Even if it takes a little longer for someone to adjust, ultimately they will adapt and in time become an asset to the United Kingdom’s NHS.  Butfor many NHS Trusts, this is precisely the problem - time is always scarce, as are budgets. And this is why specialist registration and/or NHS experience become so important for them.  GMC Specialist Register - for senior IMGs this means via Portfolio Pathway (CESR) Specialist Registration with the GMC means that a doctor is recognised as a specialist (or consultant grade) in their field, and can work as a consultant in a permanent NHS role. Essentially it is a certification given by the GMC to show that a doctor has completed a vetted specialist training program a medical specialty, or has demonstrated enough experience equivalent to this. The portfolio pathway (formally known as CESR - but still commonly called as such) is the most common route for doctors who haven’t completed a UK or European training programme to join the GMC Specialist Register. This then allows an overseas-trained doctors to work as a permanent consultant in the NHS. Specialist registration - how does this affect your job search? If you’re really not familiar with what specialist registration is, then have a read of this blog before coming back to this article. To understand the content of this blog, and to benefit from our ongoing series discussing portfolio pathways (CESR) applications - you need to be clear on the significance of being on the specialist register, how to compares to the UK CCT training pathways, and the significance of being on the specialist register for your specialty.  In terms of your job search, it is like having or not having NHS experience in some ways. Not being on the specialist register doesn’t necessarily exclude you from being shortlisted for senior or consultant role, but if you have specialist registration - you are all but guaranteed an interview. Histopathology is very much a consultant-led specialty in the UK given the way the training program is structured. People start training and run right through until they’re a consultant, and so most of the histopathology roles in the NHS are consultant positions. If you do not have specialist registration in place, then NHS clients will often look to understand what progress a doctor has made with their CESR portfolio before deciding whether to interview them.  What does this have to do with budgets and finances? If a trust does not feel they can appoint you substantively (permanently) to a role within 2-years, trusts may often hesitate to appoint. With budgets tight across the NHS, and with high levels of governance over budgets, new recruitment can become so difficult to get approved if it is not seen as sustainable. Vacancy control panels, financial approval, NHS process of advertising and onboarding, often will take so much time from an already time-stressed budget holder that if the appointment is only for 1 or 24-months, and not permanently. Thus, being able to offer some a substantive (permanent) contract is a hugely impactful consideration for NHS pathology departments. If a trust feels that a candidate will complete their CESR in 12 to 24-months - then it becomes a much easier consideration for them. Can you complete CESR overseas?  Yes and no. You can in theory complete a portfolio overseas, but in reality its very difficult to do and the best thing IMGs can do is to part-complete their applications overseas, before securing a job and completing the process in the UK. Preparing in advance and organising your portfolio. Make your CV stand out By organising and getting ahead of our portfolio before coming to the UK - you give yourself an edge over other IMGs making the same applications. A candidate presenting themselves with a full and detailed understanding of what they need to do with their portfolio will stand out a mile compared to others - and will often secure interviews for consultant, specialist or specialty doctor roles in the NHS.  If you want to understand more about the portfolio pathway, the process, or your standing in the histopathology job market then register with us and we can have a quick chat before running through in more detail. 

Joining the NHS as an international medical graduate (IMG) is a milestone filled with excitement, ambition, and sometimes, uncertainty. Your first year in the UK is critical - not just for settling in professionally, but for building a foundation for a long, successful career. This guide brings together expert resources from the BMA, NHS Employers, GMC, and others to provide you with tailored, step-by-step support through your first year in your new NHS job. ✈️ Before You Arrive: Preparation & Planning Get Ready for the Transition to the NHS Before you land in the UK, there are a few key steps to take to ensure a smooth transition into the NHS system. Visa and GMC Registration: Secure your Health and Care Worker visa and ensure your General Medical Council (GMC) registration is in place before you leave your home country. This will be your ticket to work in the UK. GMC Values: Understanding the GMC's core values is key to your practice in the UK. The GMC sets out the ethical standards expected of all doctors, including international medical graduates. Familiarise yourself with the GMC Good Medical Practice guidelines, which outline the standards of professional behaviour expected in the UK. As a new doctor, these values will guide you through your clinical work, ensuring you provide compassionate and safe care to your patients. Secure Your Contract and Start Date: Confirm your contract with the NHS Trust and clarify your exact start date. Make sure all contractual paperwork is in order, including a clear understanding of your role and expectations. Induction Information: Ask your NHS Trust about their induction process. You’ll need to know what support is available on arrival, who your key contacts are, and what you should bring with you (such as passport, documents for NHS registration, etc.).   🏡 Arrival & Setting Up: Your First Week in the UK Get Comfortable in the UK Quickly Your first few days and weeks in the UK are crucial for settling into both your new environment and your job. Here's what you should prioritise: Accommodation: Not many trusts provide short-term housing, so our advice is to secure short term rental in the first instance. This will give you the best chance to explore and find the best location to settle, whether that's close to the hospital, or a short commute. For long term rentals, use platforms like Rightmove or Zoopla to start your search, then begin making connections to estate agents as quickly as possible. The market moves fast, so doing this before you start work can be advisable. Start early, as housing in some areas can be competitive. Banking: Setting up a UK bank account is essential. For quick setup, Monzo and Revolut are ideal for IMGs. Alternatively, bigger banks can offer special accounts for international workers, although you may wish to choose a more ethical option like Triodos, Nationwide or Coop Bank. National Insurance Number (NIN): Check your Visa has provided your NIN. If not, apply for your NIN as soon as possible, which you’ll need to work and pay taxes in the UK. Healthcare: Register with a local GP as soon as possible. This is crucial for your health and any non-urgent medical needs that may arise. Don't worry though, the NHS is free at the point of care, so there will be no charges for signing up. Mobile & Internet: You can buy a SIM card in most UK shops - GiffGaff and EE are popular choices among international doctors. Once you are settled, you can explore a long term contract option, which can be cheaper in the long run. Transport: Getting familiar with public transport and applying for a railcard can make your daily commute more affordable. For your family, the 16-25 Railcard, the Two-Together Railcard, or the Family & Friends Railcard offers great discounts for train travel locally and nationally.   🏥 NHS Induction & Onboarding: Getting to Know the System Understanding Your Role and Responsibilities The NHS induction is your first real step into the medical system. Good induction programs are essential to your success, helping you integrate into your department and understand the NHS’s systems, values, and expectations. Here’s what to expect: General NHS Orientation: Most Trusts offer a comprehensive introduction to NHS policies, procedures, and medical record systems. Pay attention to how patient information is managed (e.g., patient record systems like SystmOne or Cerner). Take time on your own to orientate yourself with the building and departments. You can request additional shadowing to help you in these first weeks. Cultural Sensitivity & Communication Training: Effective communication is at the heart of NHS practice. Training in cultural competency, dealing with diverse patient backgrounds, and understanding the different regional dialects within the UK can be very useful. Take time to chat with local colleagues about dialects, accents, and get familiar with how the MDT communicates. Every trust or service will have it's intricancies. Role-Specific Induction: Expect an overview of your specific role within the team, how you’ll interact with patients, the multidisciplinary teams (MDTs), and key personnel (e.g., consultant, ward managers). You can also take the front foot and get to know your team, ask for a chat over a coffee when possible, and involve yourself in the team. Shadowing: This is often part of the induction process. You’ll likely be paired with an experienced colleague for the first few weeks. This “shadowing” period helps you learn the ropes and get used to the way your new Trust operates. If you feel that additional shadowing would be beneficial for you, then ask for this. Access to Resources: Some Trusts offer an IMG champion or buddy, someone to help guide you through the induction and integration process. This can be vital as a point of contact to help with questions, big and small. If you havenot been allocated one, then this does not necessarily mean that one would not be available, perhaps your service are just not aware, so explore.   👩‍⚕️ Clinical Practice: Your First 6 Months Stepping into Clinical Work in the NHS The first few months in clinical practice will be filled with learning, adaptation, and growth. Here are some key areas to focus on: Supervision and Support: You may start under close supervision, which is normal and helpful. You’ll be supported by both senior doctors and supervisors, so it’s important to ask for feedback regularly. Your nursing colleagues are often an excellent point of support, and know how things are done, be sure to ask for their support. In the NHS, everyone, no matter their grade or profession, should be approachable for support, so don't hold back when you need to raise a question, or need support. Portfolio Development: Make sure you’re actively building your portfolio from day one. This is particularly crucial if you’re working towards the Portfolio Pathwway (formerly known as CESR - Certificate of Eligibility for Specialist Registration) or preparing for your next career step in the NHS. Ask Questions: Never hesitate to ask for clarification or further training if you’re uncertain about a procedure or a specific task. NHS teams are generally supportive, and it’s important to demonstrate an eagerness to learn. Clinical Safety: Early in your career, patient safety is paramount. Stick to protocols, seek guidance when unsure, and always prioritise patient care.   📑 Know Your Rights: Join the BMA Support Through the British Medical Association Becoming a member of the British Medical Association (BMA) is one of the best decisions you can make for your career and wellbeing. Here's why: Visa and Immigration Support: The BMA offers guidance for IMGs on work visas, immigration law, and any changes to the rules. Having this support can make all the difference as you settle in. Workplace Rights: The BMA advocates for fair working hours, salary expectations, and safe working conditions, ensuring that you're not subjected to unfair practices. Contract Review: Before you sign anything, the BMA provides expert advice on understanding and negotiating your contract, particularly as it relates to salary, benefits, and responsibilities. Health and Wellbeing: The BMA offers confidential counselling, wellbeing resources, and support services that help you navigate life as an IMG, including mental health and career stress. Legal Protection: The BMA also offers legal representation should you need it—be it for disputes, complaints, or GMC investigations.   For full benefits, you can join the BMA via this link. 🌱 Career Development & Progression in the NHS Mapping Your Career Path The NHS offers a variety of career pathways for IMGs. Understanding your options from day one can help you build a roadmap for success: Specialist and Associate Specialist (SAS) Grade: If you don’t want to enter formal training programs, Specialist Grade roles can be a great way to continue gaining senior experience, work autonomously, and build a rewarding career whilst progressing to Consultant. Consultant Pathway: Many IMGs choose to pursue a Consultant role, either via the Portfolio Pathway (formerly known as CESR - Certificate of Eligibility for Specialist Registration) route or through training. Understanding these pathways early will help you plan ahead. Your colleagues can offer advice based on their first hand experinece, and you will be allocated a mentor/supervisor who can discuss the best course of action for your NHS career. Training Posts: After working in the UK for some time, you may decide to apply for a specialty training post (e.g., core medical training). This route can lead to a long-term career in a specialist field. Continuing Professional Development (CPD): As an NHS doctor, you’re entitled to study leave and support to attend courses or conferences. Keep a record of all CPD activities for your portfolio. Be sure to discuss your SPAs when job planning, so as to ensure the best impact on the service and patient outcomes, as well as your own development and career growth.   🧠 Wellbeing and Support Networks Thriving as an IMG in the NHS Living and working in a new country can be challenging, so it’s vital to prioritise your mental and physical wellbeing. Here’s how you can seek support: Peer Networks: Many NHS Trusts have specific IMG groups or mentorship programs to help you connect with colleagues who have walked the same path. Diaspora Medical Networks: Groups such as the British International Doctors’ Association (BIDA) and the African Caribbean Medical Society (ACMS) provide an invaluable support network. There are often local network groups for IMGs. Freedom to Speak Up: This is a critical initiative that ensures you have a confidential and safe space to raise any concerns about bullying, discrimination, or patient safety.   🏅 Shadowing, Training & Continuous Professional Development Taking Advantage of Ongoing Learning Opportunities E-Learning for Healthcare (eLfH): The NHS offers a free e-learning platform that covers a broad range of topics, from clinical skills to communication. Study Leave: As part of your NHS contract, you’ll be entitled to study leave. Be sure to take full advantage to attend courses, conferences, or engage in research. Shadowing Advanced Practitioners: Shadowing more experienced colleagues in specific areas can give you exposure to various specialties and is highly recommended for those interested in further career advancement.   🚨 Managing Paperwork & Revalidation Stay Organised with Documentation Throughout your time in the NHS, you’ll need to maintain key documents for revalidation and career progression: Documentation for Appraisal: Keep a log of all your clinical work, feedback from supervisors, and any professional development activities. Appraisals take place annually, and you should speak with your employer to establish their process and protocols. Revalidation: Be mindful of your revalidation deadlines, which occur every five years. Keep track of your CPD, training, and assessments to ensure smooth revalidation.   🛡️ Indemnity Cover: MDU and MPS Protecting Yourself with Indemnity Insurance Indemnity cover is a vital consideration for every doctor in the UK, particularly for IMGs, who may be unfamiliar with the nuances of medical malpractice protection in the UK. MDU & MPS: The Medical Defence Union (MDU) and Medical Protection Society (MPS) are the two leading indemnity providers for doctors in the UK. You’ll need to be covered by one of these organisations for the duration of your career to ensure you're legally protected in case of any claims or complaints. Choosing Your Provider: It’s important to compare the available options and choose the one that best suits your career. MPS and MDU offer support for both NHS and private practitioners, and can assist in legal defence if needed. Explore more here.    🗣️ Seeking Advice or Whistleblowing: Knowing Your Rights Support & Protection When Things Aren’t Right As an IMG, you may find yourself in situations where you need to seek guidance or raise concerns about your workplace. The NHS has several systems in place to support you: Seeking Advice: If you feel unsure about your practice, don’t hesitate to ask your senior colleagues, supervisors, or the BMA. You can also seek advice from your Trust's HR department or the GMC, who can offer expert guidance on professional conduct or specific medical concerns. Whistleblowing: The NHS has a Freedom to Speak Up policy to protect workers who raise concerns about patient safety, malpractice, or other unethical behaviour. As an IMG, this protection is crucial, and you can raise concerns confidentially without fear of retaliation. The NHS also offers a Whistleblowing Hotline for confidential support.   🎉 Final Words: You’re Part of Something Bigger Being an IMG in the NHS is a unique and rewarding journey. Your contribution matters not only to the healthcare system but to the communities you serve. As you continue to grow in your role, remember that the NHS offers boundless opportunities for learning, leadership, and career progression. You belong here, and we’re excited for you to thrive in your new NHS job!

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: