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!

Are you an overseas doctor looking for an opportunity to advance your career? Alberta, Canada might just be your answer! As of recently, Canada is focusing on attracting IMGs, in particular General Practitioners (GPs), consultants and medical specialists, to address staffing shortages and enhance diversity in the profession. Namely, doctors with CCT or CCST qualifications from the UK or Ireland are high in demand. Does this sound like you? With a growing need for healthcare professionals, job opportunities in Alberta come with competitive salaries and excellent potential for career expansion. With its awe-inspiring scenery and a lifestyle that balances work and play, this province is offering stable and secure jobs for international doctors to join its dynamic healthcare community. This can be where you discover your dream role, but also a take the chance to be part of something bigger—helping to shape the future of healthcare in the province, while enjoying everything Alberta has to offer. And what better place to start your journey than here with us! In this blog, we’ve put together a clear-cut guide to healthcare in Alberta for overseas doctors. We’ll break down the how’s, the what’s and the who’s; how the healthcare system is structured, who has eligible qualifications and what the licensing processes for UK and Irish-trained doctors are. With this information you can explore potential workplaces and gain an idea of what you can expect in terms of salary. So let’s get you well armed with the most relevant information for you to make the move with confidence.   Here is an overview of Alberta's Healthcare System to help answer any Q’s Did you know that Alberta’s healthcare system is publicly funded, offering universal coverage to all residents through the Alberta Health Care Insurance Plan (AHCIP)? This means that, regardless of a patient's financial situation, most healthcare services are available at no direct cost at the point of care. Please see here if you’d like to know more about what services are covered, and to what extent, by the AHCIP. In Alberta, care is provided through a combination of private practitioners, community health centres, hospitals, and long-term care facilities. For GPs, this creates a unique opportunity to foster deeper, more personal connections with patients, as the majority will be covered by AHCIP, allowing for more focused and consistent care. The system is managed by Alberta Health, which oversees funding, policies, and strategic planning. While AHCIP covers a wide range of services, some, like dental care and prescription medications, might not be fully included, but can typically be supplemented through individual health insurance plans.   How to ensure you are licenced to practice in Alberta, CA. As an IMG, moving from one healthcare system to another can be a rewarding and sometimes daunting journey, and we’re here to help you navigate the process. First things first you’ll need to ensure you meet the qualifications to practice medicine in the province. The College of Physicians and Surgeons of Alberta (CPSA) is the regulatory body that ensures all physicians meet the necessary standards. We’ve highlighted 2 crucial steps to follow to ensure you’re fully prepared: Assess Your Qualifications. Your first step is to have your medical qualifications recognised in Canada. This involves an assessment by the Medical Council of Canada (MCC), which includes the Medical Council of Canada Evaluating Examination (MCCEE) and a review of your medical school credentials. If your school isn’t on the list of accredited institutions, you may need to complete additional exams, such as the MCCQE Part 1. For a detailed look at these requirements, check out our resource page here. Applying for Registration with the CPSA. After we’ve helped you through any of the necessary exams, it’s time to apply for registration with the CPSA. There are a few pathways for IMGs: - Independent Practice: If you meet all the requirements, you can apply for an unrestricted medical license to practice independently. - Supervised Practice: If you have limited Canadian experience or haven’t completed your residency here, you might need to go through a period of supervised practice, typically lasting one to two years. - Specialist Registration: If you’re a trained specialist, you’ll need to pass additional exams related to your specialty to obtain a specialist license. We can provide more information on these pathways or write a mini blog explaining them in detail. Finding Employment Opportunities in Alberta, CA. Once registered with the CPSA, you can start the exciting part—finding the right job for you! This is where our specialised recruitment consultants will assist you in finding a perfect match. Here are some common practice settings in Alberta: - Hospitals: From large urban hospitals to smaller rural ones, there are diverse opportunities depending on your specialty. - Family Medicine: As a family doctor, you’ll often be the first point of contact for patients, especially in rural areas. This is also enabled by many family practices being publicly funded. - Specialist Care: Alberta has various needs for specialists, making it a great place for IMGs who have completed their specialist training in countries like the UK and Ireland. - Community Health Centres: These centres focus on serving underserved populations and often seek skilled doctors to join their multi-disciplinary teams. A simple registration with IMG Connect will kick start your journey of finding the most suitable placement in the perfect setting, matching your needs and goals. Visit here to take the first steps at securing your dream job.   Work Permits and Immigration in Alberta, CA. As an IMG looking for doctor jobs in Canada, securing a work permit is essential. Alberta’s immigration system is closely linked to federal policies, with many overseas doctors entering Canada through the Express Entry program or other skilled worker pathways. Check the Canadian Government website here for details on your eligibility for Express Entry. Additionally, you may qualify for specific programs aimed at attracting skilled medical professionals, like the Alberta Immigrant Nominee Program (AINP). You can find out more here. At IMG Connect, we have a secialsed team dedicated to relocating and all the admin that comes with it. Once you have registered with us, you will be put in touch with our relocation specialist to begin discussions on how to gain eligibility to live and work abroad.   What can you expect from life here? So, what can you expect as you settle into life in Alberta? You’ll be happy to know that this province is known for its cultural diversity and vibrant communities, home to around 4.4 million people. Alberta offers a high standard of living and a great work-life balance, although, like many places, the cost of living can vary—especially in cities like Calgary and Edmonton. But not to worry; competitive salaries for doctors and a wealth of benefits make practicing here worthwhile. Let’s dive into what you can look forward to! Salaries. Your earnings in Alberta as a doctor can vary depending on your specialty and role. Top-earning physicians can see annual salaries averaging around $440,000, while the overall average for doctors hovers around $280,000. Factors like your working hours and specialty can influence your income, giving you the potential to earn more based on your commitment and expertise. You can see here for a comprehensive breakdown of how your speciality can effect your salary. Cost of Living and Housing. While Alberta boasts a high quality of life, it's important to consider the cost of living. Cities like Calgary can be pricey when it comes to housing, but smaller towns and rural areas often offer more affordable options. Planning your budget in advance can help ensure a smooth transition, and if you’re working with IMG Connect, we’ll assist you every step of the way! Cultural Diversity and Community Support. One of the highlights of Alberta is its rich multicultural environment. The province welcomes individuals from around the globe, creating vibrant communities filled with diverse food, festivals, and support networks. As an IMG, you’ll find a welcoming community of fellow medical professionals, and you’ll have the chance to engage with patients from a variety of backgrounds. If you’re curious about the experiences of other IMGs who have successfully made the transition, check out their inspiring stories on our website. Alberta also has a strong support network for IMGs, with professional organizations and programs designed to help you integrate into the Canadian healthcare system. Mentorship opportunities and resources are available through the CPSA and various medical associations. Work-Life Balance. Alberta’s healthcare system values work-life balance. Your work hours may vary by specialty, but many physicians enjoy flexible scheduling, particularly in community settings. This flexibility is essential, especially if you’re relocating with family and want to maintain a healthy balance between your professional and personal life.   Challenges and Opportunities for IMGs in Alberta, CA While Alberta offers an abundance of opportunities, it’s essential to be aware of some challenges you may encounter to help secure the job and life that you want. Challenges  Credential Recognition. Getting your international qualifications recognised can take time. You might need to pass exams, undergo supervised practice, and carefully navigate the regulatory processes.  Cultural Adaptation. Although Alberta is welcoming, adjusting to a new country, culture, and medical system can be a journey. Familiarising yourself with Canadian medical practices and patient expectations is key. Opportunities High Demand for Physicians. Alberta’s growing population means there’s a strong demand for healthcare professionals in both urban and rural settings. Being flexible about where you practice can open doors to numerous opportunities, particularly in underserved areas. Support for IMGs. Alberta’s healthcare system and professional organizations provide various resources for overseas doctors from the UK & Ireland, including orientation programs, mentorship, and, in some cases, financial assistance. And you’re not alone in this journey IMG Connect is here to support you every step of the way. In a Nutshell For those who made it this far, you’ll know Alberta is a fantastic place for UK and Irish-trained doctors looking to build a career in Canada. With its strong healthcare system, diverse patient population, and a range of employment opportunities, you’ll find plenty of ways to contribute to healthcare while enjoying life in one of Canada’s most stunning provinces. While there are challenges to navigate—like licensing and cultural adaptation—the rewards of working in Alberta’s healthcare system are significant. If you’re an IMG ready to practice in Alberta or anywhere in Canada, IMG Connect is excited to help! Our experienced team is here to guide you through every stage of the recruitment process, from licensing to relocation, ensuring you start your journey with confidence and all the tools you’ll need. All that’s left to do now is register with us today to learn more about how we can support your medical career in Alberta!

Are you an overseas doctor considering a career in Canada?... ..Then look no further! With its stunning landscapes and high quality of life, Ontario is actively seeking international doctors to join its healthcare workforce and invite into its society to help further enhance the medical community. The recent campaign targets IMGs, especially General Practitioners (GPs), consultants, and medical specialists, to address staffing shortages and enhance diversity within the medical profession. Doctors with CCT or CCST qualifications from the UK or Ireland are particularly sought after. With growing demand, doctor jobs in Ontario offer competitive salaries and excellent opportunities for career progression. Ontario is Canada’s most populous province and home to some of the country’s largest cities, including Toronto, Ottawa, and Hamilton. With its diverse and rapidly growing population, Ontario’s healthcare system offers significant opportunities for IMGs who are interested in pursuing a career in Canadian healthcare. In this blog, we’ll provide an essential guide to healthcare in Ontario for overseas doctors. We’ll cover the structure of the healthcare system, how to get licensed as a UK or Irish trained doctor, where you might work and what your salary can look like.   To answer some of your q’s - here is an overview of Ontario’s Healthcare System Did you know that Ontario’s healthcare system is publicly funded and provides universal coverage to all residents through the Ontario Health Insurance Plan (OHIP). This means that, regardless of a patient’s financial status, most healthcare services are free at the point of use. Healthcare in Ontario is delivered by a mix of private practitioners, community health centres, hospitals, and long-term care facilities. For GPs, this presents both an opportunity and a responsibility, as likely most of their patients will be covered by OHIP and will not pay directly for most medical services, which can make way for a more personal and consistent doctor-patient relationship. Ontario's healthcare system is run by the Ministry of Health and Long-Term Care (MOHLTC), which oversees funding, policies, and planning. While OHIP covers most healthcare services, some services such as dental care or prescription drugs may not be fully covered, but this can be covered by individual health insurance.   How can you work in Ontario as a UK or Irish trained IMG? For IMGs, entering Ontario’s healthcare system can be a rewarding but slightly complex process. This is where we, at IMG Connect, will be at your service to help guide you through the intricate process. The first step is ensuring that you meet the qualifications required to practice medicine in the province. The College of Physicians and Surgeons of Ontario (CPSO) is the regulatory body responsible for ensuring that all physicians in Ontario meet the necessary standards. Here’s a step-by-step look at how IMGs can begin their journey to working in Ontario: 1. Assessing Your Qualifications - the first thing you’ll need to do is ensure that your medical qualifications are recognised in Canada. This involves an assessment by The Medical Council of Canada (MCC). The MCC administers the Medical Council of Canada Evaluating Examination (MCCEE) and also assesses your medical school credentials, read more here for a breakdown of the assessments. If your medical school isn’t on Canada’s list of accredited institutions, you may be required to complete additional exams or qualifications, for example, the Medical Council of Canada Evaluating Examination (MCCQE) Part 1 is often necessary for IMGs to demonstrate that they meet Canadian medical standards. Read more here for a more in depth look at what you might need under your belt as an IMG. 2. Apply for Registration with the CPSO - once you’ve passed the necessary exams, you’ll need to apply for registration with the CPSO. There are three primary pathways for IMGs: Independent Practice. If you meet all the requirements, you can apply for an unrestricted medical license to practice independently in Ontario. Supervised Practice. Some IMGs may need to undergo a period of supervised practice (usually for a year or two) before they are granted independent practice rights. This is common for those with limited Canadian experience or who have not completed their residency training in Canada. Specialist Registration. If you are a trained specialist, you will also need to pass additional exams related to your specialty before being granted a specialist license. 3. Finding employment opportunities in Ontario - once you are registered with the CPSO and raring to go, you can begin the fun part – searching for an ideal opportunity that fits your personal goals, and this is where one of our specialised recruitment consultants can help you find the perfect match. To streamline this process, you can use a comprehensive account-based portal on an MCC web page, called Physicians Apply, to store your medical credentials and other important documents that will be necessary to apply for a doctor job in Canada. When it comes to choosing the right setting to practice in, you have several options available. The most common settings for physicians in Ontario include: Hospitals - Ontario’s hospitals are diverse, ranging from large teaching hospitals in urban centres to smaller community hospitals in rural areas. Depending on your specialty, you might find opportunities in both public and private hospitals. Family Medicine – A family doctor is often the primary healthcare provider, especially for patients who live in more rural areas. These settings are used to treat non-emergency medical issues and will often be practicing in a clinic, like a GP surgery, which are often publicly funded. Specialist care - Ontario has a variety of specialist needs, and many IMGs who have completed specialist training in countries like the UK & Ireland can find work in the province’s various hospitals and clinics. Community health centres - These centres provide primary care to underserved populations and are often looking for skilled doctors. They are a good option if you want to serve in a multi-disciplinary team and address the needs of specific populations, such as newcomers or low-income individuals. 4. Work permits and immigration – as a Uk or Irish trained doctor, you’ll also need to secure a work permit. Ontario’s immigration system is tied closely to federal immigration policies, and many IMGs enter Canada through the Express Entry program or other pathways that offer skilled workers the chance to become permanent residents. Visit the Canadian Government website here for more details about how to check your eligibility to apply for Express Entry. As a physician, you may also qualify for specific programs aimed at recruiting skilled medical professionals to Canada. The Ontario Immigrant Nominee Program (OINP) is a popular pathway for skilled workers, including doctors, looking to live and work in Ontario. Find out more here.   What can you expect life to look like in Ontario? You’ll be pleased to know  that Ontario is a culturally diverse province, home to people from all over the world with a healthy population of just over 16 million. Its cities generally offer a high standard of living and excellent work-life balance, however, keeping with current economic trends, the cost of living can be high, particularly in Toronto. This being said, salaries for doctors are very competitive and there are significant benefits to practicing in Ontario. Read on to understand what some of these benefits are. Salaries – what you earn in Ontario as a doctor can vary, depending on specialisation and what role you are interested in. Top earning doctors in Ontario can see annual salaries of $336,500 on average, where an average salary for a doctor in Ontario can be around $166,000 per anum. There are some ways in which your salary can be affected by your specialisation, for example, the number of hours your role requires you to work, meaning you may have the chance to earn more through longer working hours, or if you are a speci family doctor Cost of living and Housing - while Ontario offers a high quality of life, it is important to understand the cost of living. Toronto, for example, is one of the most expensive cities in Canada in terms of housing. However, you will see that smaller cities, like Ottawa, Hamilton, or those in more rural Northern Ontario have significantly more affordable options. It's important to plan your housing and lifestyle budget ahead of time to ensure a smooth transition, and if you are taking a role with IMG Connect this is what we will help you to do. Cultural diversity and Community support - one of the most celebrated things about Ontario is its multiculturalism. The province is home to people from every corner of the world, and this is reflected in the communities, food, festivals, and cultural support networks available. As an IMG, you’ll find a supportive community of fellow medical professionals, and you’ll likely have the opportunity to interact with patients from diverse backgrounds. If you’re interested in learning about some of our previous successful candidates, who’ve forged strong connections in new countries with second languages to master, have a read of some of our IMG Stories available on our website. Ontario also has a strong IMG community, with many professional networks and organisations aimed at helping you integrate into the Canadian medical system. Programs and mentoring opportunities are often available through the CPSO, medical schools, and other professional groups. Work-life balance - Ontario’s healthcare system places a significant emphasis on work-life balance. While your work hours can vary depending on your specialty, Ontario offers flexible scheduling for many physicians, especially those working in community settings or clinics. This means you can maintain a balance between your professional responsibilities and personal life, which is crucial if you're relocating with your family. Challenges and Opportunities for IMGs in Ontario - while Ontario offers numerous opportunities, it’s important to acknowledge some of the challenges that IMGs may face when starting their careers in Canada. Challenges: Credential Recognition. The process of getting your international qualifications recognized and gaining the necessary certifications can take time. You may need to pass exams, undergo supervised practice, and navigate the regulatory systems carefully. Cultural Adaptation. Though Ontario is welcoming, adapting to a new country, culture, and medical system can take time. You’ll need to familiarise yourself with Canadian medical practices, patient expectations, and the specific health needs of Ontarians. Opportunities: High Demand for Physicians. Ontario’s population continues to grow, and there is a high demand for medical professionals in both urban and rural areas. If you are flexible about where you practice, you may find numerous opportunities in underserved communities. Support for IMGs. Ontario’s healthcare system and professional organisations offer various support mechanisms for IMGs, including orientation programs, mentorship, and financial assistance in some cases. You are never alone in this process and, again, this is where IMG Connect will be at your side to support you through the process.   In a nutshell Ontario offers a wealth of opportunities for UK & Irish trained doctors who are looking for a job in Canada. Ontario is an attractive destination for IMGs who want to contribute to healthcare while experiencing quality of life in one of the world’s most naturally breathtaking and diversely represented provinces. With a strong healthcare system, a diverse patient population, and numerous employment opportunities, we are confident that we can guide you into the perfect role. While there are challenges to navigate, including licensing requirements and the need for adaptation, the rewards of working in Ontario’s healthcare system are plentiful. If you’re an IMG looking to practice in Ontario or any other part of Canada, IMG Connect is here and happy to help! Our expertly-trained team is experienced in guiding doctors through every stage of the recruitment process—from licensing to relocation—so you can start your journey with confidence. Reach out today to learn more about how we can support your medical career in Ontario!

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!

To work as a doctor in Ireland you will need to register with the IMC. The IMC is a public body that maintains the official register of medical practitioners within Ireland and attaining full registration is a multistep process involving a number of different documents. IMG Connect are here to help guide overseas doctors through the various stages of IMC Registration by considering the following topics: Why do I need IMC Registration? How much will it cost me? What are the requirements for IMC Registration? Recognised IMC qualifications English language capabilities Registration and licensing history ID Check What is the process? First, lets understand the types of IMC registration that are available There are several types of IMC registration that are available, and so understanding the registration type that fits you is really the first step. How do you work this out? Well the IMC website has this very useful eligibility route finder and if you have run this already, we recommend checking through this before starting your application. You'll see that there are various different divisions of IMC registration, and the full list reads Trainee Specialist Division, Internship Registration, Specialist Division, General Division, Supervised Division and Visiting EEA Practitioners Division. Whilst it might seem a bit confusing we can simplify this for you and say that most IMGs or overseas doctors we are working with will be applying for either the general or specialists division. And what does that mean in practice? Doctors with specialist registration may practise independently, without supervision and may represent themselves as specialists, and anyone with general registration is permitted to practice under certain specifications or supervision. If you have ever looked at GMC registration, its essentially the same.  Ok, and why do I need IMC registration? Its quite simple really, it is a legal requirement! Practicing medicine in Ireland without IMC registration is illegal, as it is in most countries, so anyone wishing to work in the Irish healthcare system will need to get cracking and ge their IMC registration together.  So how much will IMC registration cost me? The cost of IMC registration varies depending on the type of registration you are applying for. When looking at the IMC website you might find it quite confusing, as did we initially, but to give an overview we can say the total cost of a new application and granted registration can vary, from roughly €1000 to €1,300 depending on the two main associated considerations and costs below. Application Fee - there is a non-refundable fee for submitting your application. This fee can vary, so it’s important to check the IMC website for the most current amount here. Registration Fee - in addition to the application fee, there is the registration fee. Again, this amount depends on what type of registration it is you're applying for i.e. general or specialist.   Whatever the case we recommend budgeting for these costs in advance to avoid any nastyt surprises at the point you are ready to make an application! Ok - so what are the requirements for IMC registration? To be eligible for full IMC registration with a license to practice, you’ll need to fulfill the requirements listed below. They are very similar to other medical registrations, think GMC registration for example, and will follow a similar pattern. Essentially, you'll need to show that you have the qualifications and knowledge to work as a doctor, and that you can communicate to the required minimum levels to practice safely in Ireland. Below we have listed out and explained some of the requirement for a successful application with the IMC. Recognised Primary Medical Qualification - you must have a medical degree from a recognised institution, essentially one that is on the World Directory of Medical Schools. You can easily check by going on their website and finding your medical school. You'll then need to verify this with the EPIC (the online portal managed by the ECFMG) - and you can find some more information on this via our blogs on our website here.  English Language Capabilities - if English is not your first language, you must demonstrate your proficiency through accepted tests such as International English Language Testing System (IELTS) and Occupational English Test (OET). Meeting the IMC’s language requirements is crucial for effective communication in a clinical setting, and they are slightly different to the GMC's scoring requirements for registration. For OET you need 4 B's, and for the IELTS you need to acheive an overall band score of 7.0 and a minimum score of 6.5 in each module. For both OET and IELTS this score mut have been acheived in the last 2-years. Evidence of Knowledge & Skills - this essentially is the qualification or licensing exam that you are using to register with the Medical Council. This might be a reocgnised overseas postgraduate qualification, an Irish postgraduate qualification, a European Specialist Qualification, or the IMCs licensing exam known as the PRES. Either way, for the majority of docotrs applying they will need to show evidence of something additional  Evidence of Registration and Licensing History - you’ll need to provide information about your previous medical registrations and licenses. This includes a proof of registration document showing that you are registered to practice in your home country or any other country where you have practiced. Certificates of Good Standing - a Certificate of Good Standing (CGS) is typically required from the medical regulatory authority in your home country. This document confirms that you have no ongoing investigations or disciplinary actions against you and no application will be accepted without these. You'll need to provide a CGS that is dated within the last 3-months, and from every medical regulatory body with whom you've held a registration with in the last 5-years.​​​​​​ What Is the Process? The process of registering with the IMC involves several steps as below: Document Preparation - gather all required documents, including your medical degree, transcripts, proof of English proficiency, and certificates of good standing. Online Application - complete the online application form on the IMC website. Ensure that all information is accurate and complete to avoid delays. Application Fee Payment - pay the non-refundable application fee when you submit your application. Submit Supporting Documents - upload all necessary documents through the IMC online portal. Make sure everything is clear and readable. Await Assessment - after submission, the IMC will assess your application. This process can take several weeks, so patience is key. Complete Additional Assessments - if required, complete any knowledge and skill tests as specified by the IMC. ID Check & Receive Registration - once your application is approved, you will receive your IMC registration number and will be invited to attend an ID check. Once this has completed you can then practice medicine in Ireland! To summarise Registering with the Irish Medical is a crucial step for any overseas doctors wishing to practice in Ireland. By understanding the requirements and following the outlined process, you can navigate this journey with confidence but we appreciate the process may become difficult or unclear. At IMG Connect we’re here to support you throughout your registration process so if you have any questions or need assistance, don’t hesitate to reach out. Together, we can help you turn your dream of practicing medicine in Ireland into reality!

Recognised qualifications, endless potential For European-qualified anatomical pathologists, transitioning to the NHS is now smoother than ever. Recognition of specialist qualifications from EEA countries means that most anatomical pathologists can register with the GMC and work as histopathology consultants in the UK. However, it’s not just about recognition; understanding the NHS’s unique approach to pathology can make a significant difference for those making the move. This series explores the evolution of NHS pathology services, beginning with the Carter Review, which catalysed key changes in UK histopathology. We’ll dive into the practical impact on subspecialisation, digital pathology, and NHS networks, mapping how these changes could shape your NHS experience. The Carter Review - a catalyst for modernising NHS pathology In 2008, the UK government commissioned the Carter Review, a significant report aimed at transforming pathology services in the NHS. Led by Lord Carter of Coles, the review highlighted areas for improvement, pushing for efficient, cost-effective, and patient-centred pathology services. For European pathologists joining the NHS, understanding these reforms provides valuable context for today’s NHS setup. Here’s a look at the key reforms and why they matter: Centralisation of Pathology Services - centralising pathology services into regional labs, instead of maintaining many smaller units, was one of the Carter Review's foundational recommendations. This shift aimed to reduce duplicate work, improve quality control, and facilitate better investment in advanced equipment for enhanced diagnostic capabilities. Emphasis on Digital Pathology - digital pathology was a major focus and something most pathologists get excited about! Digital platforms streamline histopathology workflows, enabling faster reporting, reducing storage needs, and allowing for easier peer reviews. The UK is currently one of the most digitally developed pathology systems in Europe—a potential game-changer for those accustomed to more traditional setups. Standardised Processes and Reporting - the Carter Review recommended standardised protocols to ensure uniformity across NHS services. With a more consistent approach to diagnostics, patients receive equitable care, regardless of which hospital they attend, and what laboratory their biopsy gets sent to. This also aligns with the Royal College’s points-based system which is designed to support system-wide adoption of best practices. You can read more about the RCPath Points based-system here. Optimising Workforce Efficiency - the review recognized the importance of a balanced, efficient workforce, advocating for an increased role for biomedical scientists (BMS) to relieve histopathologists, allowing them to focus on complex cases. This support system is crucial in reducing diagnostic backlogs and improving patient outcomes. Building Clinical Networks for Subspecialisation - recognising the benefits of subspecialisation, the review encouraged collaboration across clinical networks. With centralised hubs, referrals to subspecialist pathologists are more efficient, improving access to expert diagnostics, especially for rare or complex cases. The Modern NHS - so what can a European (EEA) pathologist expect? In the years following the Carter Review, the NHS has made strides toward a more digital, centralised, and specialised pathology landscape. While some regions are more advanced in implementing these changes, the NHS’s commitment to modernisation is clear. For European pathologists, this means: A digitalised workspace - NHS laboratories now offer state-of-the-art digital infrastructure, providing opportunities for remote working, enhanced workflows, and digital archiving. Opportunities for subspecialisation - pathologists can increasingly specialise in one, two, or three specific organ systems or pathology subspecialties, supported by an efficient referral network not just in their laboratory, but in their regional (and national) network. Job security and flexible working conditions - with high demand and ongoing recruitment needs, NHS consultants enjoy secure employment with the flexibility to work from home as digital systems continue to advance. Competitive compensation - recent updates to NHS consultant pay scales have increased earning potential, making the NHS an attractive option for European-trained histopathologists. Here you can find the NHS pay circulars, and here we discuss their comparison with other European healthcare systems, focusing on the consultant pay in particular. With pay in the NHS now far higher than many other European countries, its a great moment to take that step upwards into the NHS and UK pathology sector.  Joining the Digital NHS Landscape If you’re a European pathologist interested in joining the NHS, now is the time to explore your options. The UK welcomes EEA-qualified pathologists to contribute to a healthcare system embracing innovation and collaboration. If you're curious about GMC registration or how your experience could translate to NHS practice, reach out to IMG Connect to discover how you can step into a modernised, supportive, and specialised NHS environment. Alternatively, you can read through our Route to the UK blog for Pathologists blog published on our IMG Library.  Whether you’re ready to make the move or just starting to explore the possibilities, the NHS offers a promising, high salaried, digitally integrated, and patient-centred future for European-trained anatomical pathologists

  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.

Considering a career move to Jersey’s healthcare system? Many UK-trained medical consultants have likely been approached by recruitment agencies regarding job opportunities in Jersey. Whether you’re an IMG doctor, a European-qualified specialist, or an established NHS consultant with a CCT, Jersey might be a career destination that you don’t know much about beyond a few myths and legends. In this article, we’ll explore the key aspects of working as a doctor in Jersey’s healthcare system. Whether you’re an IMG or a UK trainee, we hope to provide you with a clearer perspective on whether Jersey could be an exciting next step in your career.   A Small Island with Big Opportunities! Whilst not technically being part of the UK, Jersey, the farthest of the Channel Islands from mainland Britain, offers a unique blend of professional opportunities and an enviable lifestyle. It's size may not be impressive, but its healthcare system certainly is. Here’s a snapshot of what you need to know about working in Jersey’s healthcare system, with some notable comparisons to the NHS. Like most things in Jersey, its healthcare system is robust, well-financed, and highly respected. Whilst still being part of the UK, Jersey operates independently of the NHS, meaning it has its own health service structure, policies, and funding. Jersey also has a thriving private healthcare sector, with an estimated 30% of the population who have private healthcare insurance, providing another avenue for professionals seeking diverse career opportunities. Working in private healthcare in Jersey allows for a more individualised patient care experience, often with access to state-of-the-art facilities and even more flexibility in clinical practices. Whether in public or private settings, the healthcare landscape here is designed to cater to both professionals and patients. If you are relocating from the NHS, you may find the transition smooth. Luckily, many of the clinical standards, training, and governance procedures mirror the NHS, so your qualifications will be seamlessly transferable. Some Key Differences from the NHS: Smaller Scale, Personal Touch: Jersey’s healthcare system is compact, bringing with it certain advantages. A petit population means fewer patients to manage, so there’s often more time to dedicate to each case, fostering a closer doctor-patient relationship. You’ll be part of a smaller team, which can offer a more personalised, collaborative working environment in Jersey have been expanding compared to larger NHS trusts. Focus on Mental Health: Mental health services, with a strong focus on community-based care. As a mental health professional, you'll find a commitment to delivering integrated care in both hospital and community settings, providing you with diverse experiences and opportunities for specialisation in your preferred area of practice. Work-Life Balance: The island’s healthcare system is known for offering a better work-life balance. While NHS roles can often involve long hours and on-call obligations, Jersey’s healthcare professionals frequently report lower levels of burnout. The island’s slower pace of life, along with the stunning beaches and outdoor lifestyle, means you can recharge more effectively during your time off. Pay and Benefits: Salaries for healthcare professionals in Jersey are competitive and often higher than those offered in mainland UK, as well as other parts of Europe. You can find the Jersey pay scales in full here, whilst we have simplified the pay scales, for your ease, here. Competitive Tax Rates: And you may’ve heard, but there’s also no VAT in Jersey, which means you can see your earnings go much further. While the cost of living, particularly housing, can be higher, this is often offset by the attractive salary packages and tax rates (a maximum of 20%). Pensions: When comparing to the NHS’s robust pension schemes, you will see the key differences within the tax environment and contribution rates. This makes Jersey particularly attractive for high-earning specialists or consultants due to the potential to save more into their pensions without hitting the same tax barriers that UK practitioner must adhere to. Shorter Waiting Lists = More Flexibility: As much as we cherish the NHS, there’s no secret to the pressures it faces day-to-day. Jersey’s healthcare system is not as stretched, where you’ll see waiting times for patients are significantly shorter, and as a clinician you have more flexibility to make important decisions without the same level of resource constraints. Licensing and Registration One of the most important steps when making the move is ensuring your qualifications are recognised in Jersey. Most UK-trained doctors and mental health professionals will find this straightforward, but you’ll need to register with the General Medical Council (GMC) or, as a mental health practitioner, the Health and Care Professions Council (HCPC) and obtain a licence to practice in Jersey. The process is akin to the NHS, and guidance is readily available to help you through it on the GMC website. If you are coming from abroad, the process is similar to what is required for practicing in the UK. You'll need to comply with the following: Obtain a GMC registration: If you're not already registered, you'll need to meet the GMC's requirements, which may involve providing proof of qualifications, passing relevant exams (such as the PLAB), and demonstrating your English language competence. This process includes psychiatrists, where they will also be required to Obtain a licence to practice: In addition to being registered, you'll need an active licence to practice. Jersey operates under the same framework, so an active GMC licence is essential. Visa and work permits: If you're moving from outside the UK or the European Economic Area (EEA), you’ll also need to ensure you have the correct visa and work permits to live and work in Jersey. Employers often assist with this process. Specialist Registration: As a specialist doctor practicing in Jersey, you will also need to be listed on the GMC's Specialist Register. This requires demonstrating your specialty training, typically through certification of completion of training (CCT) in psychiatry or equivalent qualifications from your home country. For mental health and care professionals, if you're a psychologist or physiotherapist for example, you would need to register with the relevant UK bodies such as the HCPC, depending on your profession. Professional Development The state of Jersey is committed to professional development and getting the most out of its residents, whereby they provide access to a variety of training programmes to enhance your career and opening doors to progression. As previously mentioned, the island has strong ties with UK institutions, and you'll often find that continued professional development follows similar frameworks to the NHS, meaning you won't miss out on growth opportunities! Perks of the Job Relocating to Jersey means more than just a new job—it’s a new lifestyle. The island is known for its uniquely stunning landscapes, mild climate and strong sense of community. With its breathtaking beaches, outdoor sports amenities, and short commutes, you’ll enjoy a much calmer, more relaxed pace of life. And with quick travel links to the UK, France and the rest of Europe, you’ll never feel too far from home or adventure. [CS2]  Housing and Relocation Support It’s worth noting that Jersey has a controlled housing market, and your residential status will determine where you can live. However, many healthcare roles come with relocation support, including assistance with accommodation. Whether you're moving from mainland Britain or further afield, Jersey’s healthcare employers are well known for their generosity with assisted relocation packages, aiming to ensure as smooth as possible transition.   So, Why Jersey?   Career advancement: Jersey’s healthcare system offers varied and rewarding career opportunities, with less bureaucracy and more flexibility than the NHS. Competitive salary: Higher wages, lower tax rates, and no VAT make your money go further. Improved work-life balance: Enjoy shorter commutes, less stress, and a lifestyle focused on health and wellbeing, leaving you full of (Jersey) beans! Seamless transition: Familiar standards and processes make it easy for NHS and EEA professionals to adapt.   Relocating to Jersey offers the chance to make a real difference. It gives you the exclusive opportunity to progress in a uniquely vibrant healthcare system while enjoying a high quality of life. If you're ready for your next career move, Jersey’s healthcare community is waiting to welcome you!  

The NHS pension scheme (2015) is a defined benefit pension plan, which means it guarantees a certain level of retirement income based on your salary and length of service.   It is considered one of the best pension schemes in the UK, offering long-term financial security and peace of mind for healthcare professionals, including doctors, consultants, nurses, and other NHS staff.    The 2015 Scheme is a Career Average Revalued Earnings (CARE) scheme. This is a form of defined benefit pension scheme, which means you get a guaranteed level of benefit at retirement payable according to a fixed formula. Pension benefits for all members are calculated using the same method and revaluation rate.  Key Features of the NHS Pension Scheme:  Employer Contributions: The NHS contributes a significant portion to your pension, making it a valuable part of your overall compensation package.  Lump-Sum Option: Upon retirement, you can choose to take part of your pension as a lump sum, which is tax-free up to a certain limit.  How Is the NHS Pension Calculated?  The way your NHS pension is calculated depends on which section of the NHS pension scheme you are a part of. There are three main sections:  The amount of pension you earn each year is determined by what is known as the ‘build-up rate’ which is usually shown as a fraction of your pensionable earnings. In this Scheme the build-up rate is 1/54th, so you earn a pension each year of 1/54th of your pensionable earnings.   For example, if you earn £18,000 in a year you would earn a pension for that year of 1/54th of £18,000, which is £333 (rounded down for illustration purposes only). This is the pension you would build up for that year  Your pension earned each year will be increased each year by a rate, known as ‘revaluation’, in the period before you retire or leave. In this Scheme the revaluation rate is determined by Treasury Orders plus 1.5% each year. Treasury Orders are the method by which the Treasury notifies the value of the change to be applied as part of revaluation  2015 Scheme (Career Average Revalued Earnings or CARE Scheme)  This scheme calculates your pension based on your average earnings throughout your NHS career rather than your final salary.  Each year, a portion of your salary is added to your pension pot, and it’s revalued with inflation annually.  Formula: Pension = (Annual earnings x Accrual rate) + Previous years’ pension  Example: If you earn £60,000 in a year and the accrual rate is 1/54, then:  £60,000 ÷ 54 = £1,111 added to your pension pot for that year.  Retirement Age and Pension Benefits  In the 2015 scheme, it aligns with your state pension age or the age of 65.   You can continue to build up pension rights in this Scheme until age 75 with no limit to the number of years’ pensionable earnings that can be taken into account.   This Scheme offers flexibility around retirement and you can choose to take part or all of your benefits between ages 55 and 75.  International doctors who work in the NHS will typically be placed in the 2015 scheme, although transfers from previous overseas pension schemes may be possible.  Costs and contributions   The cost of providing the NHS Pension Scheme is shared between members and employers. As a member you pay a contribution towards your pension based upon your pensionable earnings; the more you earn, the higher your contribution rate may be. Employers pay the rest.  Additional Benefits of the NHS Pension Scheme  Death in Service Benefits: Should something happen to you while working for the NHS, your dependents could receive a lump sum and a pension.  Ill-Health Retirement: If you are unable to work due to illness, the NHS pension scheme offers an early retirement option with pension benefits.  Employer Contributions: The NHS will contribute up to 23.7% of your pensionable pay, which is a significant boost to your retirement savings.  Reduce the amount of tax you pay: Pension contributions are taken from your pay before tax so you receive tax relief on any amount you pay. This can reduce the net amount that you pay depending on your contribution rate, earnings level and personal rate of tax  Why the NHS Pension Scheme Is Attractive to International Doctors  Financial Security: As an international doctor, securing a long-term financial future is essential. The NHS pension scheme ensures a stable income upon retirement, allowing you to focus on your career and patients.  Higher Employer Contributions: Few employers in the UK contribute as much as the NHS does toward pensions, making this a valuable benefit for those seeking NHS jobs.  Guaranteed Benefits: Unlike many private pension schemes, the NHS pension is guaranteed. You will know exactly what to expect at retirement, regardless of market fluctuations.  Work-Life Balance: NHS jobs come with excellent work-life balance, and the pension scheme is an added benefit to ensure your retirement is equally fulfilling.  The NHS pension scheme is one of the best retirement options available for medical professionals in the UK, offering a defined benefit plan that guarantees financial security. For international doctors interested in NHS jobs, this pension scheme is a huge perk.   Whether you are planning to work as a consultant or a junior doctor, the NHS ensures your retirement will be taken care of.  If you are considering a medical career in the UK, the NHS pension scheme is just one of the many reasons why the UK remains a top choice for international doctors.  Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salaries in the UK, relocation and much more! 

As an IMG looking to join the NHS, you might be wondering, "Where can I find NHS jobs?" The answer is straightforward: NHS Jobs is the official website where most medical roles within the NHS are advertised. It's your go-to platform for seeking employment across various hospitals and trusts in the UK, whether you're a junior doctor, consultant, or specialist (SAS). Navigating the NHS Job Application Process Register for an Account Start by creating a profile on NHS Jobs. Provide your personal details, professional qualifications, and career history. Search for Jobs Utilize the search tool to find jobs that match your specialty and experience. You can filter results by grade, salary, and contract type. Draft Your Application Once you identify a suitable role, prepare your application. Highlight your medical training, employment history, and qualifications to align with the job requirements. Submit Your Application After finalising your application, submit it through the NHS Jobs website. Be ready to include necessary documentation, such as proof of GMC registration and references. While this process may seem straightforward, it can be quite complex for international doctors unfamiliar with the UK medical recruitment system. This is where IMG Connect can significantly enhance your experience. Why Choose IMG Connect? Working with a specialised recruitment agency offers several advantages for international doctors: Personalised Support and CV Writing We assist you in crafting a compelling CV tailored to NHS standards, ensuring that your qualifications and experience are effectively presented. Comprehensive Job Application Assistance Our team guides you through every step of the application process, ensuring you submit a complete and competitive application. Interview Preparation We help you prepare for interviews, providing insights on what to expect and how to excel. Visa and GMC Registration Support Navigating visa applications and GMC registration can be daunting. We offer extensive support to simplify this process, ensuring all your legal documents are in order. Relocation Assistance Our relocation specialist, Anastasia, helps you find the right job location, arranges flights, and assists with accommodation and settling in. Salary Negotiation We advocate on your behalf to secure the best possible salary and employment package, reflecting your experience and qualifications. Ongoing Support After Relocation Even after you’ve started your role in the NHS, we continue to provide support, helping you navigate any challenges as you settle into your new life in the UK. Which Option is Best? While applying directly through the NHS Jobs website is a viable option, working with IMG Connect offers a smoother, more personalized experience. We take into account every aspect of your journey—from applying for your first NHS role to settling into life in the UK—maximizing your chances of success. Start Your NHS Journey Today Whether you choose to apply directly or with the support of a recruitment agency, the NHS Jobs website is an excellent starting point. For a simplified process and enhanced support in securing your dream role, contact IMG Connect today. We’re here to assist you every step of the way in your journey to becoming a doctor in the UK!

As an overseas doctor looking to work in the UK, it is essential to understand the salary that comes along with your NHS job and how this can be different from one country in the UK to another.   Whilst the NHS has guides that are used to fairly and uniformly determine consultant pay, these do differ across the UK.   Basic Pay  Consultants in England and the other home countries each have their own consultant contracts in place. These are based on a full-time work commitment of 10 programmed activities (PAs) per week, each having a time-tabled value of four hours.   The basic pay thresholds in England and their equivalents in the rest of the home countries are shown below:  England  Scotland Wales Northern Ireland England  Consultants currently earn a basic rate of between £105,504 and £139,882 in England.  Threshold  Years completed as a consultant  Basic Salary  1  0  £105,504 2a After 3 years completed £111,714   2b After 4 years completed  £114,894 3 After 8 years completed  £126,018 4  After 14 years completed £139,882   The most recent full pay circular for England can be found here.  The National Clinical Impact Award (NCIA) scheme aims to reward consultants who contribute most to the delivery of safe and high-quality care and the improvement of NHS services. You can apply for a new award after you have completed a full year in an eligible role.  Scotland  Consultants currently earn a basic rate of between £107,144 and £142,369 in Scotland.  Threshold  Years completed as a consultant  Basic Salary  1  0 (starting salary)  £107,144 2  1 £109,407 3  2  £112,662 4  3 £115,921       5  4        £119,170 5 6 7  8       6  9       £126,905  10 11 12  13       7  14        £134,640 15 16  17  18  8  19  £142,369 The most recent full pay circular for Scotland can be found here.  All consultants who have reached point five of the pay scale are eligible for consideration for discretionary points, except for distinction award holders. Consultants granted discretionary points are not normally considered again for two years, although this may vary.  Wales  Consultants currently earn a basic rate of between £106,000 and £154,760 in Wales.  There is a fixed pay point of £116,600 for locum consultants, which will apply regardless of years of consultant experience.  Threshold  Years completed as a consultant  Basic Salary  1 0 (starting salary)  £106,000 2 1 £111,300 3 2 £116,600 4 3 £121,900  5 4 £130,380 6 5 £137,800 7 6 £146,280  8 7 £154,760 The most recent full pay circular for Wales can be found here.  Please note that the pay scale above is for substantive or permanent doctors in Wales.  Commitment awards are available to all consultants after three years’ service at the top of the consultant pay scale, who demonstrate their commitment through satisfactory job plan reviews. They are then eligible at three-yearly intervals, until they have achieved eight award levels.  Northern Ireland  Consultants currently earn a basic rate of between £88,799 and £119,723 in Northern Ireland.  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  8  16+  £119,723  The most recent full pay circular for Northern Ireland can be found here.  When would I see an increase in my pay?  We are confirming when exactly SAS doctors would see the increase to their pay, but it has been agreed that the uplifts will be backdated to April 2024. Job Planning and Programmed Activities  As part of your contract, your job plan will be created in partnership with your new NHS employer. This is an annual agreement that sets out your duties, responsibilities and objectives for the length of your contract.  There are four basic categories of contractual work which will be included in your job plan: direct clinical care (DCC), supporting professional activities (SPAs), additional responsibilities and external duties.  There are ways that consultants will be able to earn more than the basic rates above and these can include additional rotas and PAs. This will also be discussed in the creation of your job plan.  For more information on NHS doctor benefits and pay arrangements in the UK, take a look at our IMG Resources library.   

For international doctors looking to work in the UK, it is important to understand the salary you will be offered with your NHS job and how this can be different depending on the country you are working in within the UK.   The NHS follow pay guidelines that are used to fairly and uniformly determine consultant pay, however, these do differ across countries in the UK.   What is an SAS doctor? 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 their relevant specialty.  They are experienced and senior doctors in fixed term or permanent posts (outside a training pathway).  Many SAS doctors have made a positive choice to step into a SAS position from a traditional consultant training pathway. This could be for reasons such as geographical stability or wanting to familiarise themselves with the NHS system before working up to a consultant position.  SAS doctors maintain their skills through the CPD system and there are routes, through gaining CESR (Specialist Registration) or applying for a training post, for SAS doctors to become consultants if they wish to.  Basic Pay Specialist Grades and Specialty Doctors in England and the other home countries have their own contracts in place for senior doctors. These contracts are based on a full-time work commitment of 10 programmed activities (PAs) per week, each having a time-tabled value of four hours.   The basic pay thresholds in the UK are shown below:  England Scotland Wales Northern Ireland England SAS doctors currently earn a basic rate of between £59,175 and £95,400  as Specialty Doctors and from £96,990 to £107,155 as Specialist Grade doctors in England.  Specialty Doctor  Years of experience  Basic Salary  0 (min)  £59,175 1  2  3  £68,174  4  5  6  £75,998  7  8  9  £84,121  10  11  12  £95,400 13  14  15  16  17    Associate Specialist / Specialist Grade  Years of experience  Basic Salary  0 (min)  £96,990  1  2  3  £100,784  4  5  6  £107,155 The most recent full pay circular for England can be found here.  Scotland SAS doctors currently earn a basic rate of between £47,905 and £89,329 as Specialty Doctors and from £67,163 to £109,259 as Associate Specialists in Scotland. Specialty Doctor  Scale point   Basic Salary  0  £61, 690  1  £61,690 2  £61,690  3  £73,593  4  £73,593  5 £73,593  6 £78,099  7 £78,099  8  £78,099  9  £87,115  10 £87,115  11 £87,115  12 £96,129  13 £96,129  14 £96,129  15 £96,129  16 £96,129  17 £96,129    Associate Specialist  Years of experience  Basic Salary  0  £96,990  1  £96,990  2  £96,990  3  £100,784  4  £100,784  5 £100,784  6 £100,784    The most recent full pay circular for Scotland can be found here.  Wales SAS doctors currently earn a basic rate of between £56,346 and £90,000 as Specialty Doctors and from £91,500 to £101,089 as Specialists in Wales. Specialty Doctor  Pay Scale Point Basic Salary  01 £59,727 02 £59,727  03 £59,727  04 £68,810 05 £68,810 06 £68,810 07 £76,708 08 £76,708 09 £76,708 10 £84,905 11 £84,905 12 £84,905 13 £95,400 14 £95,400 15 £95,400 16 £95,400 17 £95,400 18 £95,400   Specialist Grade Pay Scale Point  Basic Salary  01  £96,990 02 £96,990 03 £96,990 04 £100,784 05  £100,784 06 £100,784 07 £100,784 The most recent full pay circular for Wales can be found here.  Northern Ireland SAS doctors currently earn a basic rate of between £52,530 and £82,400 as Specialty Doctors and from £83,945 to £95,275 as Associate Specialists in Northern Ireland. Specialty Doctor Years of experience  Basic Salary  Pay Point 0   £59,175   1   1 2 3   £68,174   2 4 5 6   £75,998 3 7 8 9   £84,121 4 10 11 12   £95,400 5 - top 13 14 15 16 17   Specialist Doctor Years of experience  Basic Salary  Pay Point 1   £96,990     1   2 3 4   £100,784    2 5 6 7 £107,155  3 (top)   The most recent full pay circular for Northern Ireland can be found here.  Job Planning and Programmed Activities As part of your contract, your job plan will be created in partnership with your new NHS employer. This is an annual agreement that sets out your duties, responsibilities and objectives for the length of your contract.  There are four basic categories of contractual work which will be included in your job plan: direct clinical care (DCC), supporting professional activities (SPAs), additional responsibilities and external duties.  There are ways that consultants will be able to earn more than the basic rates above and these can include additional rotas and PAs. This will also be discussed in the creation of your job plan.