Locum doctors in Wales play an essential role across various specialties, ensuring continuous patient care and filling crucial gaps in the workforce. Recognizing their vital contributions, the Welsh Government is set to announce a substantial pay increase that reflects the importance of their work. As the government finalizes the details of these pay adjustments, it’s an exciting time for locum doctors who can look forward to enhanced compensation. Staying informed through unions or professional bodies is key, as these organizations are actively involved in the process, ensuring that the forthcoming changes fairly and equitably benefit locum doctors within the NHS. Key Outcomes: Junior Doctors: A 12.4% pay rise for 2023/24, with 96% voting in favour. The increase will be backdated to April 2023. Consultants: 86% accepted a revised pay scale, enhancing early years and career average pay to retain senior talent. SAS Doctors: Increases ranging from 6.1% to 9.2%, with additional uplifts for associate specialists. 82% of SAS members voted to accept. These pay agreements resolve the disputes and pave the way for improved working conditions in Wales. Looking for Consultant Salaries in Wales? If you're interested in finding out how much a consultant's salary in Wales would be, click here for more details on NHS consultant take-home pay in Wales.

If you're an international doctor considering a career with the NHS in Northern Ireland, understanding the NHS salary structure is essential. Overseas doctors often find the NHS pay scales complex, but knowing how they work is key to planning your move to the UK. Doctors working within HSC (Health and Social Care) Northern Ireland are compensated with competitive pay and comprehensive benefits. However, for international medical graduates, navigating the various NHS pay bands can be daunting. In this guide, we’ll break down the different NHS grades and explain how they relate to pay scales in Northern Ireland, so you can better understand your earning potential as a doctor in the NHS. In this article we will take a look at the following topics:   Typical NHS doctor’s salary in Northern Ireland FY1 & FY2 Specialist Training (ST1 – ST8) Specialty Doctor Associate Specialist Consultants Where do I fit on the pay scale? Doctors in training pay scale Specialty Doctor Pay Scale Specialist Grade Pay Scale Consultant Pay Pcale Additional pay, benefits, pensions and terms & conditions Skip ahead to the relevant section if you know what you're looking for. Trust doctor jobs and IMGs' pay It’s important to understand that most overseas doctors begin their UK careers in a fixed-term Trust doctor role (also known as a service post) before moving into a training position. Doctors at all levels can enter a service post, which means they are not in formal training or pursuing specialty training. Most of our job adverts for fixed-term or permanent roles are for service positions, typically for SAS doctors, consultants, SHO, or Trust doctor roles equivalent to FY2, ST1/2, or ST3+. These posts can be particularly attractive due to the potential for higher, negotiable salaries, based on experience and demand, making them an appealing option for international doctors. The pay scales that we have included in this article are to be used as a guide or starting point for negotiating your Trust doctor role (or service post).  Typical NHS doctor’s salary in Northern Ireland FY1 & FY2 At Foundation Year 1 (FY1), your starting basic salary is £29,566, which increases to £36,371 in your second year (FY2). As a doctor in training, you will receive a basic salary based on a 40-hour workweek, along with additional pay for extra hours worked. This includes a 37% pay enhancement for night shifts, a weekend allowance for weekend work, an on-call allowance, and other potential pay premiums depending on your specific duties and schedule. These enhancements ensure you're fairly compensated for the demands of your role. Specialist Training (ST1 – ST8)  If you are a doctor starting your specialist training, your basic salary starts at £38,780 and can progress to £50,903. As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums.  Specialty Doctor Specialty doctors currently earn from £52,530 to £82,400 basic pay.  The basic contract is for 40 hours. As a specialty doctor you can be paid for additional duties, extra hours worked, weekend work and on calls.  Specialist Grade A key element of recent SAS contract reform is the introduction of a new grade, called the Specialist grade or Associate Specialist, which will provide an opportunity for career progression for highly experienced specialty doctors. Associate Specialists doctors can earn a basic of between £83,945 to £95,275. Consultant Consultants currently earn from £88,799 to £119,723 basic pay. As a consultant you can be paid for additional duties and may be eligible for Clinical Excellence Awards, which reward outstanding performance. The basic contract is for 40 hours per week. If you take on extra responsibilities (i.e. management or education) you can also expect to be paid additional supplements.  So where do I fit on the pay scale? There are a few key points when considering where you fit on the pay scale:  Job title Experience Hours worked Trusts can be different Key Factors to Consider When Evaluating Your NHS Job Offer When applying for NHS jobs as an international doctor, it's essential to fully understand how factors like your job title, experience, hours worked, and the specific NHS Trust can impact your salary. Here’s what you should keep in mind: 1. Job Title Your job title is a key factor in determining your pay scale. At the Consultant level, your role and pay are straightforward—you will be a consultant. However, at the Specialty Doctor level, your title could vary between SAS Doctor, Specialty Doctor, or Trust Grade Doctor. As an ST (Specialty Trainee) or SHO (Senior House Officer), you could work across several levels. Each of these titles commands a different pay scale, depending on the level of responsibility and experience required. It's crucial to carefully check the job title you're applying for and ensure you understand the corresponding pay scale. 2. Experience in Your Specialty Your years of experience in your chosen specialty directly affect your position on the pay scale. For example, when calculating pay for a Specialty Doctor in Medicine, an NHS Trust may deduct two years of experience to account for Core Training in the UK. However, this deduction may not apply in all specialties, so it’s important to verify with an IMG Consultant for specific details related to your field. 3. Hours You Will Work Your working hours are another critical factor. Both SAS Doctors and Consultants typically work based on Programmed Activities (PAs). Each PA represents 4 hours of work, with a standard week consisting of 10 PAs (40 hours). Your basic salary will be calculated based on this 40-hour week, but if you work more than 10 PAs, you will receive additional pay on top of your base salary. This system ensures that you are compensated fairly for any extra hours worked. 4. NHS Trust Variations Lastly, be aware that some NHS Trusts may interpret pay scales and experience differently. While all NHS Trusts are expected to follow the same pay scale structures when recruiting doctors, there can be variations in how they assess your experience and apply salary scales. Make sure to ask questions during the interview process and clarify how your pay is calculated to avoid any surprises. When evaluating your NHS job offer, taking the time to understand the nuances of your job title, experience, working hours, and the specific NHS Trust is essential. These factors will ultimately determine your position on the pay scale and the salary you can expect. This blog is a guideline, and if you are not sure of how to approach this discussion with an HR department, it can be very useful for an IMG Connect consultant to assist with the negotiations to ensure that your experience is always taken into account. NHS Pay Scales in Northern Ireland Doctors in Training: Understanding Service Level Jobs and Pay Scales Service level jobs within the NHS are in high demand across all levels of experience, offering competitive rates of pay for international doctors. Once you're in the UK, you’ll also have the opportunity to apply for training roles, depending on your entry level. The pay scale for doctors in training varies based on entry points, including FY1 (Foundation Year 1), ST1/CT1 (Specialty Training/Core Training Year 1), and ST3/4. These roles come with a standard working week of 10 Programmed Activities (PAs), equating to 40 hours. However, if you work additional hours, on-call shifts, or weekends, your take-home pay will increase accordingly. Use the following pay scale as a guide for service level posts. Keep in mind, by consulting with an IMG Consultant, you may find opportunities to negotiate higher pay based on your experience and the demand for your specialty. It’s very possible to earn more than the standard pay scales listed below. Understanding these factors will help you make informed decisions as you navigate your NHS career and maximise your earnings. Foundation Doctors & Specialty Registrars Scale   Foundation Doctor 1 M220 Foundation Doctor 2 M230 Specialty Registrar (fixed term) M240 Specialty Registrar (core training) MN39 Specialty Registrar (full) MN37 Min £29,566 £36,371 £38,780 £38,780 £38,780 1 £31,334 £38,666 £41,078 £41,078 £41,078 2 £33,099 £40,964 £44,283 £44,283 £44,283 3     £46,224 £46,224 £46,224 4     £48,563 £48,563 £48,563 5     £50,903 £50,903 £50,903 6         £53,243 7         £55,582 8         £57,921 9         £60,261 SAS Doctor Pay Scale SAS stands for Staff Grade, Associate Specialist and Specialty Doctor. They will have at least four years of full-time postgraduate training, two of which have been in the relevant specialty. Specialist Grades and Specialty Doctors in Scotland have their own contracts in place for senior doctors these contracts are based in full-time work commitment of 10 programmed activities per week it has been timetabled value of four hours. The new pay structure will enable SAS doctors to access the top of the pay scale more quickly than the current system, increasing the career average earnings. It is important to note that your pay will reflect your experience within your chosen field.  The pay code on the left-hand side of the table below correlates to the number of years’ experience that you qualify for in your chosen specialty, and the number of years that the HR department are going to attribute to you.  Remember to discount any years that you have worked in an internship. And if you are working in a medicine specialty, deduct any core training years.  In the first threshold, for every year of experience you gain, this entitles you to a pay rise. In the second threshold, you will receive an increase every two years, and in the third, every three years.  The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.  As above, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.  Specialty Doctor Years' Experience Basic Salary Pay Point 0 £52,530 1 1 2 3 £60,519 2 4 5 6 £67,465 3 7 8 9 £74,675 4 10 11 12 £82,400 5 - top 13 14 15 16 17   Specialist Grade Years' Experience Basic Salary Pay Point 1 £83,945 1 2 3 4 £89,610 2 5 6 7 £95,275 3 (top) Consultant Pay Scale Service level consultant doctor jobs are in high demand in Scotland at all levels of experience, each offering competitive rates of pay.  At the consultant grade, HR departments will look at your years of experience within your specialty, as a consultant.  On the table below, you can see that all you need to do is count up the total number of complete years of experience (12 months each) as a consultant, and then count down the rows to establish your salary position.  Like the above, the salary is based on a standard working week of 10 PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.  Remember, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.  Threshold  Years completed as a consultant  Basic Salary  1  1 (starting salary)  £88,799 2  2  £91,581 3  3  £94,362 4  4  £97,141       5  5        £99,913 6  7  8  9        6  10        £106,520 11  12  13  14        7 15        £113,124 16 17 18 19 8 20+ £119,723 The most recent full pay circular for Northern Ireland can be found here.  Additional pay, benefits, pensions and terms & conditions Current national salary scales for medical and dental staff are published in pay and conditions circulars on the NHS Employers website.  You may be eligible for additional pay on top of your basic salary if you work above the standard 10 PAs, work on call & weekends, or take on extra responsibilities. All doctors are eligible for NHS pensions and benefits.  Sources https://www.health-ni.gov.uk/sites/default/files/publications/health/doh-hsc-tc8-03-2022.PDF 

NHS Consultant Salary: Monthly Take-Home Pay for International Doctors in Scotland For international medical graduates (IMGs) interested in NHS jobs in Scotland, understanding what an NHS consultant salary translates to in monthly take-home pay is essential for financial planning. To assist overseas doctors in preparing for life in the UK, we’ve provided examples to give you a clearer idea of your potential monthly earnings. How Much Will I Take Home? In the UK, your take-home pay is the amount you receive in your bank account after all mandatory deductions from your annual salary. These deductions include: Income Tax National Insurance contributions NHS pension payments Our figures serve as a general guideline. They are based on the gross salary for each pay scale and assume no additional sources of income. However, your actual take-home pay can vary based on: Additional responsibilities or extra hours worked Other income sources Your final tax bracket Decisions regarding NHS pension contributions Claims for tax-deductible expenses Take-Home Pay Expectations in Scotland For NHS consultants in Scotland, the monthly take-home pay will depend on these factors. Use our examples as a starting point, but remember that actual earnings can differ. To get the most accurate information for your specific situation, consult with an IMG specialist or financial advisor. Understanding how NHS consultant salaries translate into monthly take-home pay will help you effectively plan your finances and ensure a smooth transition to your new role in Scotland. Threshold Annual gross salary* Estimated annual take-home pay** Estimated monthly take-home pay** 1 £96,963 £5,300 £5,300 2 £99,011 £64,687 £5,391 3 £101,957 £65,808 £5,484 4 £104,906 £66,707 £5,559 5 £107,846 £67,604 £5,634 6 £114,846 £69,739 £5,812 7 £121,846 £71,874 £5,990 8 £128,841 £74,729 £6,227 *before tax and pension **based on standard salary and not inclusive of additional payments for extra hours worked or pension deductions To explore detailed information on NHS pay scales and salary conditions across all grades in the UK, check out our comprehensive series of blogs on career structure and NHS doctor pay in our IMG Resources library. These resources are designed to help international doctors understand their earning potential at various stages of their careers in the NHS.

Are you an international doctor considering a move to the UK and curious about NHS pay in Wales? Understanding what an NHS consultant salary means in terms of monthly take-home pay is crucial for your financial planning. To help overseas doctors like you prepare for life in the UK, we've put together practical examples to illustrate what you can realistically expect to keep each month in Wales. These insights aim to make your transition smoother and more informed. How Much Will I Take Home? In the UK, your take-home pay is the amount that reaches your bank account after mandatory deductions, such as Income Tax, National Insurance, and NHS pension contributions, have been made from your annual salary. Please note that these figures are intended as a guideline. We've based them on gross salary at each pay threshold, assuming no other sources of income. Your actual take-home pay may vary depending on factors like additional responsibilities, extra hours worked, other income sources, your tax bracket, pension choices, and any tax-deductible expenses you claim. By providing these examples, we aim to support your journey towards a fulfilling career in the NHS and a well-prepared life in Wales. Take-Home Pay Expectations in Wales Threshold Annual gross salary* Estimated annual take-home pay** Estimated monthly take-home pay** 1 £100,000 £68,557 £5,713 2 £105,000 £70,457 £5,871 3 £110,000 £72,357 £6,030 4 £115,000 £74,257 £6,188 5 £123,000 £77,297 £6,441 6 £130,000 £80,686 £6,724 7 £138,000 £84,926 £7,077 8 £146,000 £89,166 £7,431   *based on standard salary and not inclusive of additional payments for extra hours worked or pension deductions To explore doctor pay and salary conditions across all grades in the UK, including NHS pay in Wales, check out our series of blogs on career structure and NHS salaries in our IMG Resources library.

Understanding your NHS doctor salary in Scotland is essential for overseas doctors new to the UK. In this guide, we aim to provide clarity on NHS grades in Scotland and how they align with the various NHS pay bands. If you're an international doctor considering a position in the NHS, understanding these pay structures is key to maximizing your earning potential in Scotland. In this article we will take a look at the following topics:   Trust doctor jobs and pay for IMGs Typical NHS doctor’s salary in Scotland FY1 & FY2 Specialist Training (ST1 – ST8) Specialty Doctor Specialist Grade / Associate Specialist Consultant Where do I fit on the pay scale? Doctors in training pay scale SAS Doctor pay scale Consultant pay scale Additional pay, benefits, pensions and terms and conditions Skip ahead to the relevant section if you know what you're looking for. Trust Doctor Jobs & IMGs' Pay It is important to note that the majority of overseas doctors will start their career in the UK in a fixed term trust doctor role (also known as a service post), before taking up a training position. Doctors across all grades can enter a service post which means to say that they are not in training or entering specialty training.  As such, most of our adverts for fixed term or permanent posts will be service level jobs, these are usually SAS doctor, consultant, SHO or Trust doctor posts at the equivalent of FY2, ST1/2, ST3+. These can be attractive due to the improved doctor’s salaries that can be negotiated for fixed term contracts, based on experience and demand.  The salary pay scales that we have included in this article are to be used as a guide or starting point for negotiating your trust doctor role (or service post).  Typical NHS Doctor’s Salary in Scotland FY1 & FY2 In the most junior hospital trainee post of Foundation Year 1 (FY1) your basic salary is £31,082, increasing to a maximum of £38,553. As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums.  Specialist Training (ST1 – ST8) If you are a doctor starting your specialist training in 2019, your basic salary starts at £40,995 and can progress to £54,235. As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums.  Specialty Doctor Specialty doctors currently earn from £58,198 to £90,688 basic pay.  The basic contract is for 40 hours. As a specialty doctor you can be paid for additional duties, extra hours worked, weekend work and on calls.  Specialist Grade / Associate Specialist A key element of recent SAS contract reform is the introduction of a new grade, called the Specialist Grade (or Associate Specialist), which will provide an opportunity for career progression for highly experienced specialty doctors. Specialist Grade doctors can earn a basic of between £88,118 to £100,011. Consultant Consultants currently earn from £96,963 to £128,841 basic pay. As a consultant you can be paid for additional duties and may be eligible for Clinical Excellence Awards, which reward outstanding performance. The basic contract is for 40 hours per week. If you take on extra responsibilities (i.e. management or education) you can also expect to be paid additional supplements.  Placement onto Pay Scale There are a few key points when considering where you fit on the pay scale:  Job title Experience Hours worked Trusts can be different Job Title The first thing to consider is your job title.  At the Consultant level, it is straight forward, you will be a consultant. However, at the Specialty Doctor level, you could be working as an SAS doctor, a Specialty Doctor or a Trust Grade doctor. As an ST or SHO you could also work across several levels.  Each could command a different pay scale depending on the level of work and experience required.  Take some time to check the job title that you are applying and interviewing for, and subsequently the pay scale that you can expect.  Experience within your chosen field Next, consider the number of years of experience you have in your specialty, this is crucial to identifying your position on the pay scale.  This is important as an NHS Trust will calculate your pay for a Specialty Doctor in Medicine by deducting two of your years of experience to compensate for the Core Training years in the UK. Please note, for some specialties this does not apply, check with an IMG Consultant for more information.  Hours you will work The second thing to consider is how many hours you will be working. For more senior doctors, including Specialty Doctors, Associate Specialists/ Specialist Grades and Consultants, the hours are usually established using PAs (programmed activities). Each PA is worth 4 hrs of your week, and a standard week is 40 hrs. A standard salary is based on a full working week of 10 PAs (40 hours). If you work above 10 PAs, then you will gain additional salary on top of your basic pay.  NHS trusts can be different The last thing to consider before we look at the pay scales, is that some NHS Trusts can interpret the pay scales and a doctor’s experience in different ways. All NHS Trusts should be following the same pay scale structures when recruiting and offering salaries to doctors, but this is not always the case!   This blog is a guideline, and if you are not sure of how to approach this discussion with an HR department, it can be very useful for an IMG Connect consultant to assist with the negotiations to ensure that your experience is always taken into account. NHS Pay Scales in Scotland Doctors in Training Service level jobs are in high demand at all levels of experience, each offering competitive rates of pay. It is also important to remember that once in the UK, you will have the option to apply for training, depending on your entry level.  The below pay scale reflects the pay at each level depending on the entry points to training, which are FY1/ F1, ST1/ CT1 and ST3/ 4.  The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.  As above, use the below as a salary guide for service level posts. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.  Foundation Doctors & Specialty Registrars Scale   Foundation Doctor 1 MN13 Foundation Doctor 2 MN13 Specialty Registrar (fixed term) MN35  Specialty Registrar (core training) MN39 Specialty Registrar (full) MN37 Min £31,082 £38,553 £40,995 £40,995 £40,995 1 £33,024 £41,075 £43,504 £43,504 £43,504 2 £34,964 £43,597 £47,007 £47,007 £47,007 3     £49,126 £49,126 £49,126 4     £51,680 £51,680 £51,680 5     £54,235 £54,235 £54,235 6         £56,793 7         £59,384 8         £61,903 9         £64,461 SAS Doctor Pay Scale SAS stands for Staff Grade, Associate Specialist and Specialty Doctor. They will have at least four years of full-time postgraduate training, two of which have been in the relevant specialty. Specialist Grades and Specialty Doctors in Scotland have their own contracts in place for senior doctors these contracts are based in full-time work commitment of 10 programmed activities per week it has been timetabled value of four hours. The new pay structure will enable SAS doctors to access the top of the pay scale more quickly than the current system, increasing the career average earnings. It is important to note that your pay will reflect your experience within your chosen field.  The pay code on the left-hand side of the table below correlates to the number of years’ experience that you qualify for in your chosen specialty, and the number of years that the HR department are going to attribute to you.  Remember to discount any years that you have worked in an internship. And if you are working in a medicine specialty, deduct any core training years.  In the first threshold, for every year of experience you gain, this entitles you to a pay rise. In the second threshold, you will receive an increase every two years, and in the third, every three years.  The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.  As above, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.  Scale Point Specialty Doctor Pay Points 0 £58,198  1 year 1 £58,198   1 year 2 £58,198  1 year 3 £69,427  2 years 4 £69,427  2 years 5 £69,427  2 years 6 £73,678 3 years 7 £73,678 3 years 8 £73,678 3 years 9 £82,184  4 years 10 £82,184  4 years 11 £82,184  4 years 12 £90,688   5 years 13 £90,688   5 years 14 £90,688   5 years 15 £90,688   5 years 16 £90,688   5 years 17 £90,688   5 years   Scale Point Specialist Doctor Pay Points 0 £88,118   1 Year  1 £88,118   1 Year  2 £88,118   1 Year  3 £94,065   2 Years  4 £94,065   2 Years  5 £94,065   2 Years  6 £100,011   3 Years      Consultant Pay Scale Service level consultant doctor jobs are in high demand in Scotland at all levels of experience, each offering competitive rates of pay.  At the consultant grade, HR departments will look at your years of experience within your specialty, as a consultant.  On the table below, you can see that all you need to do is count up the total number of complete years of experience (12 months each) as a consultant, and then count down the rows to establish your salary position.  Like the above, the salary is based on a standard working week of 10 PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.  Remember, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.  Years consultant experience Basic salary Pay point 1 £96,963 1 year 2 £99,011 1 year 3 £101,957 1 year 4 £104,906 1 year 5 £107,846 5 years 6 £107,846 4 years 7 £107,846 3 years 8 £107,846 2 years 9 £107,846 1 year 10 £114,846 5 years 11 £114,846 4 years 12 £114,846 3 years 13 £114,846 2 years 14 £114,846 1 year 15 £121,846 5 years 16 £121,846 4 years 17 £121,846 3 years 18 £121,846 2 years 19 £121,846 1 year 20 £128,841 N/A Additional Pay, Benefits, Pensions and Terms & Conditions Current national salary scales for medical and dental staff are published in the pay and conditions circulars here. You may be eligible for additional pay on top of your basic salary if you work above the standard 10 PAs, work on call & weekends, or take on extra responsibilities. All doctors are eligible for NHS pensions and benefits.  Sources https://www.sehd.scot.nhs.uk/pcs/PCS2022(DD)01.pdf

Navigating the NHS pay scales can be complex for international doctors considering a career in the UK. The NHS features various grades of doctors, each with its own pay scale and role within the National Health Service. This article provides a clear and concise overview of these different doctor grades, their corresponding pay, and the roles they fulfill within the NHS. In this guide, we will explore: The different grades of doctors in the NHS The pay scales associated with each grade The specific roles and responsibilities of each doctor grade Whether you’re an IMG preparing for your career in the UK or a current NHS doctor seeking clarity on pay structures, this article will help you understand the key aspects of NHS doctor salaries and job roles. Designations of UK doctors Medical students Junior doctors SAS doctors Consultants Trust doctors General Practitioners Locum doctors Academic doctors  Pay and conditions circulars Designations of UK doctors Other than for medical students, all doctors we list below are medically qualified and can use the title Dr before their name.  For historical reasons in the UK, surgeons may use the title ‘Mr’, ‘Mrs’, ‘Miss’ or ‘Ms’. A doctor that is a university professor may also use the title ‘Professor’ instead of ‘Dr’. Medical students Medical students usually undertake a five-year course of study for undergraduate or a four-year postgraduate course to become a doctor.  Two years studying basic medical sciences is followed by three years more clinically focused training, during which they will work in hospital wards under the supervision of consultants.  Following completion of their medical degree, newly qualified doctors gain provisional registration with the GMC. They will receive their primary medical qualification which is typically denoted in the UK by either: MBBS, MBChB, BM, MBBCh. Junior doctors Medical graduates enter the medical workforce as junior doctors. They are employed on a national negotiated contract on a two-year work-based training programme known as the Foundation Programme. The Foundation Programme is the first level of clinical training for a qualified doctor, bridging the gap between medical school and Specialty Training. The Foundation Programme is carried out in hospitals over two years which are referred to as FY1 and FY2. Upon completion of FY1, a doctor will gain full registration with the GMC. Completion of FY2 allows doctors to apply for further study and training in a specialised area of medicine, known as Specialty Training. Doctors enter Specialty Training at ST1 and the length and type of training will depend on the specialty chosen – specialist training can take up to eight years.  In the most junior hospital trainee post of Foundation Year 1 (FY1) your basic salary is £32,398. In year two this increases to £37,303.  If you are a doctor starting your Specialty Training, your basic salary starts at £37,068 and can progress to £46,404. Staff Grade, Associate Specialist and Specialty Doctors (SAS Doctors): SAS doctors are in non-training roles where the doctor has at least four years of postgraduate training, two of which being in a relevant specialty (FY1, FY2 and two years specialist training). This means doctors can move into these posts at various levels of experience and seniority whilst also gaining experience and promotion within the grade itself. SAS doctors are typically more focused on meeting service requirements when compared to trainee or consultant roles. Often, they have considerably fewer administrative duties when compared to consultants and can have very ‘hands on’ roles with lots of patient contact. Specialty doctors currently earn from £59,175 to £95,400 basic pay. As an overseas doctor, there are many factors that will determine where on this pay scale an HR department places you, so it is hard to provide one general rule to help you estimate what salary you might be eligible for. Whilst the titles staff grade, specialty doctor and associate specialist are all commonly used, recent changes to terminology means that all SAS doctors are now on Specialty Doctor contracts.  WANT TO KNOW WHERE YOU WOULD BE PLACED ONTO THE NHS PAY SCALES? REGISTER HERE FOR CONSULTATION AND ADVICE. Consultants Consultants are senior doctors that have completed full specialist medical training in a specialised area of medicine and are listed on the GMC’s specialist register, gaining the accreditation CCT. Doctors can also meet the criteria for specialist registration via the CESR route, consider your eligibility for CESR here. Consultants have clinical and administrative responsibilities in managing SAS and junior doctors. Consultants currently earn from £99,532 to £131,964 basic pay and as an international doctor, your years' completed as a consultant will place you on this scale. Trust doctors: Trust doctors in the NHS are employed for service posts, and trust doctor is a term applied to a doctor who is working in the NHS in a non-training post. Trust doctor jobs in the NHS cover a range of grades and apply to all specialties.  Typically, the title trust doctor is applied to a doctor working at Senior House Level (FY1 & 2), however the term has now become synonymous with all grades. It is now a term most commonly applied to doctors from FY1 to ST3 but can be applied to specialty doctors by some trusts.  Many of the doctors accepting service posts are from overseas as this can be a quick way to enter the NHS system and start your career in the UK. Trust doctor posts also offer very competitive rates, so whilst you are getting to know the NHS and settling into life in the UK, you can also ensure that you are financially rewarded. Locum Doctors Locums doctors are fully qualified doctors who temporarily cover a position, often covering things like sick leave or maternity. All doctors can work as a locum aside from FY1 doctors and it can be done via an agency or NHS locum post. Overseas consultants not yet on the specialist register can apply for locum consultant positions, not substantive. Academic Doctors Academic doctors often combine clinical care with teaching and research, doing so to develop the science of medicine. They can be any grade of doctor from an FY2 to a consultant, GP or SAS doctor. Common academic job titles, in order of seniority are: Prof Professor CSL Senior Clinical Lecturer / Associate Professor CRF Clinical Research Fellow CL Clinical Lecturer  ACF Academic Clinical Fellow Pay and Conditions Circulars: Current national salary scales for all medical and dental staff are published in pay and conditions circulars on the NHS Employers' website.  To explore doctor pay and salary conditions across all grades in the UK, including NHS pay in Wales, check out our series of blogs on career structure and NHS salaries in our IMG Resources library.

Passing the FRCPath Part 2 exam is a significant milestone in a histopathologist’s career, marking the transition to consultant-level practice in the UK. We are proud to introduce our expert faculty member, Dr Debdeep Dey, FRCPath, who brings extensive experience and a passion for teaching to our programme. Here are Dr Debdeep Dey’s top 10 tips to help you prepare effectively and pass the FRCPath Part 2 exam: 1. Understand the Exam Structure Familiarise yourself with the format of the FRCPath Part 2 exam, which includes long cases, short cases, frozen sections, and a viva (oral examination). Understanding the structure and expectations for each component will help you tailor your preparation accordingly. 2. Create a Study Plan Develop a detailed study plan that covers all aspects of the exam. Allocate time for reviewing textbooks, practising with histopathology slides, and engaging in mock exams. Consistency is key, so ensure your study plan is realistic and follows a regular schedule. 3. Use a Variety of Resources Diversify your study materials. Utilise textbooks, online resources, and practice slide sets. Resources like the Royal College of Pathologists website, PathSoc, and IMG Connect offer valuable guidance and preparatory materials. 4. Join a Study Group Consider joining a study group or finding a study partner. Discussing cases and sharing insights with peers can provide new perspectives and enhance your understanding. Study groups also offer mutual support and motivation. If you haven't already, join the IMG Histopathology group to find a study partner and stay updated on our free educational webinars! 5. Practise, Practise, Practise Hands-on practice with histopathology slides is crucial. Review as many cases as possible, covering a wide range of pathologies. Practise interpreting slides under timed conditions to simulate the exam environment and improve your speed and accuracy. 6. Attend Courses and Workshops Participate in courses and workshops tailored to the FRCPath Part 2 exam. These courses provide invaluable insights into exam techniques, common pitfalls, and key focus areas. They also offer opportunities to interact with experienced pathologists and examiners. Join the IMG Histopathology group to join our free educational webinars! 7. Focus on High-Yield Topics Identify and prioritise high-yield topics frequently tested in the exam. Common areas include neoplastic and non-neoplastic pathology, dermatopathology, gastrointestinal pathology, and gynaecological pathology. Ensure you have a thorough understanding of these topics. 8. Develop Your Diagnostic Skills Sharpen your diagnostic skills by practising with unknown cases. Aim to provide comprehensive differential diagnoses and consider the clinical context. Focus on formulating concise, accurate reports that demonstrate your ability to manage real-life diagnostic challenges. 9. Prepare for the Viva The viva component assesses your ability to discuss cases, defend your diagnoses, and demonstrate your clinical reasoning. Practise articulating your thought process clearly and confidently. Engage in mock vivas with colleagues or mentors to gain experience and receive constructive feedback. 10. Take Care of Yourself Ensure you maintain a healthy balance between study and personal well-being. Rest, nutrition, and exercise are essential for optimal cognitive function and stress management. Avoid burnout by scheduling regular breaks and leisure activities. Conclusion Passing the FRCPath Part 2 exam requires dedication, thorough preparation, and a strategic approach. By following these tips and leveraging available resources, you can enhance your readiness and increase your chances of success. Persistence and perseverance are key, and each step brings you closer to becoming a consultant histopathologist. Best of luck with your preparation, from all at IMG Connect!

One of the most important questions to consider when searching for an NHS job as a doctor is, 'What salaries do doctors receive in the UK? The NHS is one of the most developed health systems in the world and international doctors form an integral part of delivering high quality patient care, as such they are rewarded with competitive pay rates and benefits.  In this short article we provide an overview of doctor's pay in the UK by grade, salary estimates are based on the NHS Doctor Salary pay scale.  It is important to note that the below rates of pay are a guide based on current NHS pay scales, and it is worthwhile checking with your IMG Consultant the pay opportunities before you start applying for posts in the UK. It is highly conceivable that you can earn more than the pay scales below depending on your experience and demand.  For overseas doctors, posts will include competitive rates of pay, additional pay for extra hours worked, benefits and pensions.  FY1 & FY2 In the most junior hospital trainee post of Foundation Year 1 (FY1), your basic salary is £32,398 and in Year 2 (FY2), your basic salary is £37,303.  As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premia.  Specialty Training (ST1 – ST8)  If you are a doctor starting your specialist training, your basic salary starts at £43,923 and can progress to £63,152. As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premia.  Specialty doctors Specialty doctors currently earn from £59,175 to £95,400 basic pay.  The basic contract is for 40 hours. Consultants Consultants currently earn from £105,504 to £139,882 basic pay. As a consultant you can be paid for additional duties and may be eligible for Clinical Excellence Awards, which reward outstanding performance. The basic contract is for 40 hours per week. If you take on extra responsibilities (i.e. management or education) you can also expect to be paid additional supplements.  Pay and terms and conditions Current national salary scales for medical and dental staff are published in pay and conditions circulars on the NHS Employers website. Why not browse our live doctor jobs and check your doctor's salary in the UK.  You can find more overviews on doctor salary and pay conditions here. 

Understanding your NHS job's salary or pay is essential for overseas doctors new to the UK. Doctors play an integral part in delivering high quality patient care in the NHS and as such, they are rewarded with competitive pay rates and benefits.  NHS pay scales can be confusing, particularly for overseas doctors. Here we hope to provide some clarity to help you understand the NHS grades and how they fit on the various NHS pay scales. In this article we will take a look at the following topics:   Typical NHS doctor’s salary in the UK FY1 & FY2 Specialist Training (ST1 – ST8) Specialty doctors Specialist Grade Consultants Where do I fit on the pay scale? Doctors in training pay scale Specialty Doctor pay scale Specialist Grade pay scale Consultant pay scale Additional pay, benefits, pensions and terms and conditions Skip ahead to the relevant section if you know what you're looking for. Trust doctor jobs and IMGs' pay It is important to note that the majority of overseas doctors will start their career in the UK in a fixed term trust doctor role (also known as a service post), before taking up a training position. Doctors across all grades can enter a service post which means to say that they are not in training or entering specialty training.  As such, most of our adverts for fixed term or permanent posts will be service level jobs, these are usually SAS doctor, consultant, SHO or Trust doctor posts at the equivalent of FY2, ST1/2, ST3+.These can be attractive due to the improved doctor’s salaries that can be negotiated for fixed term contracts, based on experience and demand.  The salary pay scales that we have included in this article are to be used as a guide or starting point for negotiating your trust doctor role (or service post).  Typical NHS doctor’s salary in the UK FY1 & FY2 In the most junior hospital trainee post of Foundation Year 1 (FY1) your basic salary is £32,398. As an FY2 this increases to £37,303.  As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums.  Specialist Training (ST1 – ST8)  If you are a doctor starting your specialist training in 2019, your basic salary starts at £43,923 and can progress to £63,152. As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums.  Specialty doctors Specialty doctors currently earn from £59,175 to £95,400 basic pay.  The basic contract is for 40 hours. As a specialty doctor you can be paid for additional duties, extra hours worked, weekend work and on calls.  Specialist Grade A key element of recent SAS contract reform is the introduction of a new grade, called the Specialist grade, which will provide an opportunity for career progression for highly experienced specialty doctors. Specialist Grade doctors can earn a basic of between £96,990 to £107,155. Consultants Consultants currently earn from £105,504 to £139,882 basic pay. As a consultant you can be paid for additional duties and may be eligible for Clinical Excellence Awards, which reward outstanding performance. The basic contract is for 40 hours per week. If you take on extra responsibilities (i.e. management or education) you can also expect to be paid additional supplements.  So where do I fit on the pay scale? There are a few key points when considering where you fit on the pay scale:  Job title Experience Hours worked Trusts can be different Job title: The first thing to consider is your job title.  At the Consultant level, it is straight forward, you will be a consultant. However, at the Specialty Doctor level, you could be working as an SAS doctor, a Specialty Doctor or a Trust Grade doctor. As an ST or SHO you could also work across several levels.  Each could command a different pay scale depending on the level of work and experience required.  Take some time to check the job title that you are applying and interviewing for, and subsequently the pay scale that you can expect.  Experience within your chosen field:  Next, consider the number of years of experience you have in your specialty, this is crucial to identifying your position on the pay scale.  This is important as an NHS Trust will calculate your pay for a Specialty Doctor in Medicine by deducting two of your years of experience to compensate for the Core Training years in the UK. Please note, for some specialties this does not apply, check with an IMG Consultant for more information.  Hours you will work:  The second thing to consider is how many hours you will be working. For both Specialty Doctors and Consultants, the hours are usually established using PAs (programmed activities). Each PA is worth 4 hrs of your week, and a standard week is 40 hrs. A standard salary is based on a full working week of 10 PAs (40 hours). If you work above 10 PAs, then you will gain additional salary on top of your basic pay.  NHS trusts can be different:  The last thing to consider before we look at the pay scales, is that some NHS Trusts can interpret the pay scales and a doctor’s experience in different ways. All NHS Trusts should be following the same pay scale structures when recruiting and offering salaries to doctors, but this is not always the case!   This blog is a guideline, and if you are not sure of how to approach this discussion with an HR department, it can be very useful for an IMG Connect consultant to assist with the negotiations to ensure that your experience is always taken into account. Pay scales: Doctors in training pay scale Service level jobs are in high demand at all levels of experience, each offering competitive rates of pay. It is also important to remember that once in the UK, you will have the option to apply for training, depending on your entry level.  The below pay scale reflects the pay at each level depending on the entry points to training, which are FY1, ST1/CT1 and ST3/4.  The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.  As above, use the below as a salary guide for service level posts. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.  Specialty Registrar (StR) (Core Training) Grade Stage of training  Grade Code  Nodal Point  Value (£)  Foundation Doctor Year 1 FY1 MF01 1 32,398 Foundation Doctor Year 2 FY2 MF01 2 37,303 Specialty Registrar (StR) (Core Training) CT1 MC51 3 43,923  CT2 MC52 55,329 CT3 MC53 4 55,329  Specialty Registrar (StR) (Core Training) ST1 / SpR1 MS01 3 43,923  ST2 / SpR2 MS02 ST3 / SpR3 MS03   4       5   55,329       63,152  ST4 / SpR4 MS04 ST5 / SpR5 MS05 ST6 / SpR6 MS06 ST7 / SpR7 MS07 ST8 / SpR8 MS08 Full details of total salaries for doctors in full-time training is available to download in the pay circular below including: banding supplements total salaries for trainees working less than 40 hours a week less than full-time trainees pay arrangements. The BMA has also produced pay tables which estimate pay for full-time doctors in training, based on your own working patterns, which you can find here. Specialty Doctor pay scale:  Service level specialty doctor jobs are in high demand in England at all levels of experience, each offering competitive rates of pay.  It is important to note that your pay will reflect your experience within your chosen field.  The pay code on the left-hand side of the table below correlates to the number of years’ experience that you qualify for in your chosen specialty, and the number of years that the HR department are going to attribute to you.  Remember to discount any years that you have worked in an internship. And if you are working in a medicine specialty, deduct any core training years.  In the first threshold, for every year of experience you gain, this entitles you to a pay rise. In the second threshold, you will receive an increase every two years, and in the third, every three years.  The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.  As above, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.  Pay Scale Code Years' Experience Basic Salary (£) Period before eligibility for next pay point MC75-01 0 59,175  3 years MC75-02 1 59,175  2 years MC75-03 2 59,175  1 year MC75-04 3 68,174  2 years MC75-05 4 68,174  1 year MC75-06 5 68,174  1 year MC75-07 6 75,998  3 years MC75-08 7 75,998  2 years MC75-09 8 75,998  1 year Threshold MC75-10 9 84,121  3 years MC75-11 10 84,121  2 years MC75-12 11 84,121  1 year MC75-13 12 95,400  5 years MC75-14 13 95,400  4 years MC75-15 14 95,400  3 years MC75-16 15 95,400  2 years MC75-17 16 95,400  1 year MC75-18 17 95,400  - Specialist Grade:  The introduction of a new Specialist grade will provide an opportunity for progression for highly experienced specialty doctors. The introduction of the role will help to recruit, motivate and retain senior doctors and contribute to SAS grades being a positive and fulfilling career choice. The new pay structure will enable SAS doctors to access the top of the pay scale more quickly than the current system, increasing the career average earnings. Pay Scale Code Years' Experience Basic Salary (£) Period before eligibility for next pay point MC70–01 0 96,990 3 years MC70-02 1 96,990 2 years MC70-03 2 96,990 1 year MC70-04 3 100,784  3 years MC70-05 MC70-06 4 5 100,784  100,784  2 years 1 year MC70-07 6 107,155  - Consultant pay scale:  Service level consultant doctor jobs are in high demand in England at all levels of experience, each offering competitive rates of pay.  At the consultant grade, HR departments will look at your years of experience within your specialty, as a consultant.  On the table below, you can see that all you need to do is count up the total number of complete years of experience (12 months each) as a consultant, and then count down the rows to establish your salary position.  Like the above, the salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.  Remember, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.  Years completed as a consultant: Threshold Years complete as a consultant Basic Salary (£) Period of eligibility for next threshold Pay scale code 1 0 105,504   1 year YC72 Point 00 2 1 105,504  1 year YC72 Point 01 3 2 105,504  1 year YC72 Point 02 4 3 111,714  1 year YC72 Point 03 5 4 114,894 5 years YC72 Point 04   5 114,894 4 years YC72 Point 05   6 114,894 3 years YC72 Point 06   7 114,894 2 years YC72 Point 07   8 126,018  1 year YC72 Point 08 6 9 126,018 5 years YC72 Point 09   10 126,018  4 years YC72 Point 10   11 126,018  3 years YC72 Point 11   12 126,018  2 years YC72 Point 12   13 126,018  1 year YC72 Point 13 7 14 139,882   5 years YC72 Point 14   15 139,882  4 years YC72 Point 15   16 139,882  3 years YC72 Point 16   17 139,882  2 years YC72 Point 17   18 139,882  1 year YC72 Point 18 8 19 139,882 - YC72 Point 19 Additional pay, benefits, pensions and terms & conditions Current national salary scales for medical and dental staff are published in pay and conditions circulars on the NHS Employers website.  You may be eligible for additional pay on top of your basic salary if you work above the standard 10 PAs, work on call & weekends, or take on extra responsibilities. All doctors are eligible for NHS pensions and benefits.  Getting started  NHS Trusts can interpret the NHS consultant pay scales above and an international doctor’s experience in different ways, so use this blog as a guideline for understanding what you may be eligible for when coming to work in the NHS.  Your IMG Consultant is happy to assist with any negotiations related to your job plan to ensure your experience is taken into account.  For more information on NHS doctor benefits and pay scales across the UK, take a look at our IMG Resources library. 

Celebrating the Junior Doctor Pay Offer: A Positive Step for International Recruitment At IMG Connect, we are pleased to share the news of the new pay offer for junior doctors in England. This development comes after nearly two years of negotiations between the British Medical Association (BMA) and the government. It marks a significant milestone in improving the appeal of the NHS for international doctors. A Competitive Edge in Global Recruitment If approved by BMA members, the proposed pay increase will average 22.3% over two years. This adjustment is crucial for restoring junior doctors' salaries and aligning them more closely with international standards. Historically, the pay disparity between the NHS and other countries, such as Australia, the United States, and Canada, has been a barrier to attracting top talent from abroad. The enhanced pay scales aim to make the NHS a more competitive choice for doctors worldwide. Attracting Global Talent The new pay agreement positions the NHS as a more attractive option for international doctors. By offering more competitive salaries, the NHS can appeal to doctors from countries with higher pay standards, thereby expanding the pool of qualified candidates interested in contributing to the UK healthcare system. A Bright Future for the NHS This agreement is not just a financial adjustment; it's a commitment to the healthcare professionals who are vital to the NHS. Fair compensation for junior doctors helps create a supportive environment where they can develop both professionally and personally. At IMG Connect, we believe this pay offer is a positive step toward a more sustainable and high-quality healthcare system. As we continue to assist NHS trusts in attracting the best talent from around the world, this new pay offer strengthens our efforts and demonstrates a commitment to building a robust healthcare workforce. This agreement is a win for junior doctors, international recruits, and the future of the NHS.   IMG Jobs  Search and find live NHS doctor jobs in the UK IMG Resources Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!   Get in Touch Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor's salary in the UK and the most suitable hospital locations for you. For regular news and updates, follow IMG Connect on social media using the links below:                  

Preparing for the MRCP PACES can be a daunting task, but with the right strategy and mindset, success is within reach. We are proud to introduce our expert faculty, Dr. Joseph Barker, MRCP, and Dr. Nabil Ilyas, MRCP, who bring extensive experience and a passion for teaching to our program. Having both passed PACES, they have compiled their top tips to help you excel. 1. Understand the Exam Format The MRCP PACES exam consists of five stations, each designed to test different clinical skills. Familiarise yourself with the structure and timing of each station to manage your time effectively during the exam. Each station is 20 minutes with 5-minute intervals in between. The stations include: Station 1: Respiratory and Communication (10 minute, 10 minute)  Station 2: Consultation (15 minutes with 5 minute QA with examiner) Station 3: Cardiovascular and Neurological System Examination (10 minute, 10 minute) Station 4: Abdominal and Communication (10 minute, 10 minute) Station 5: Consultation (15 minutes with 5 minute QA with examiner) 2. Practice Clinical Examinations Thoroughly Practice as you’re examined.  Regularly practice clinical examinations on colleagues, friends, patients, mum & dad or even a pillow. Pay special attention to performing systematic examinations and articulating your findings clearly. This will help you build muscle memory and fluency in your exam technique. Make sure to practice in front of people who make you nervous, that way you get used to performing under pressure. 3. Develop a Structured Approach Create a consistent and structured approach for each clinical examination. This ensures that you cover all necessary aspects and don't miss key points under pressure. WIPE – Wash your hands, Introduce yourself, Permission, Expose … then inspection, palpation, percussion, and auscultation – look how simple the examination stations are! Same for the history – presenting complaint, patient concern*, history of presenting complaint … past medical history… you know the rest. *Bring up the patient's concerns early so you can shape the consultation around them as people. 4. Refine Your Communication Skills Effective communication is vital for ALL stations especially consultation and communication stations. Practice explaining medical conditions, treatment options, managing complaints and delivering bad news with empathy and clarity. Seek feedback from peers or mentors to improve your communication style. 5. Master the Art of Differential Diagnosis Develop a strong foundation in formulating differential diagnoses. There is no substitute for being out on the wards and this really is where the examiner can get the measure of a candidate. For each clinical scenario you encounter, practice thinking through possible diagnoses and justifying your reasoning in a STRUCTURED manner- there is a theme here. Practice out loud, we promise it will help. 6. How to investigate and manage patients You will have passed MRCP Part 1 and 2. You have the knowledge but PACES tests decision making; you need to know emergency cases thoroughly and have a logical and STRUCTURED approach to care. # Investigations start with bedside investigations, then bloods, then imaging, then special tests. For management patient care is ALWAYS “dictated by degree of severity and patient choice”, whilst management options more often than not “include conservative, medical and surgical options”  - these stock phrases buy you time to think of what goes after. Use them. 7. Simulate Exam Conditions Recreate exam conditions by timing your practice sessions and simulating the exam environment. Nominate an examiner and don’t break character until time is up, however excruciating the line of questioning. This will help you get accustomed to the time constraints and pressure of the actual exam. Consider joining a study group or attending mock exam sessions for added realism. IMG Connect Medicine Facebook group can help you find study partners. 8. Focus on Common* Conditions (*common = common for PACES) While preparing, prioritise common and high-yield conditions that are frequently tested in PACES. Things that are stable in outpatient but have excellent signs, like dialysis, transplant and congenital heart disease. Ensure you can confidently assess, diagnose, and manage conditions such as COPD, heart failure, stroke, and diabetes. Don’t forget that if a patient doesn’t show up the examiners will go and fish someone from the wards. Keep an eye out for cannulas, wrist bands and drains which can be a clue as to their inpatient status. 9. Seek Feedback and Reflect Ask anyone that will watch you to give you feedback. Your final exam technique will be the sum of the best titbits from every one of these people, whether they are supervisors, mentors, peers or family. Reflect on your performance, identify areas for improvement, and adjust your preparation strategy accordingly. Continuous feedback and self-reflection are key to ongoing improvement. 10. Balance Medicine is a marathon, not a sprint. The PACES process, including the months of build-up, is mentally and physically demanding, requiring you to stay focused on your goal for a long time. We all thought PACES was impossible at some point… and now we are teaching it. You will get there but make sure to maintain good health by getting adequate rest, exercise, nutrition and to have fun in the build up to reduce stress and improve stamina. 11. Clinical consultation (CC) station: Answering patient concerns carries more marks than one can imagine. It is the make or break of the CC station. PLEASE DO NOT wait for the “bell at 2 mins remaining” but start to address patient concerns maybe with 5 mins left on the clock as the patient/surrogate always have follow-up concerns.  Many candidates feel that they’ve got the “case” and they feel confident about the station. But they don’t realize that this cardinal mistake has happened leading them to score less than they would have liked.  12.  Examination Station Practice, Practice, Practice on presenting your examination findings in under 2 minutes in an orderly fashion. Everyone knows how to examine an abdomen, everyone knows ascites or a hepatomegaly or what ballot-able kidneys feel like but only a few know ‘how to put it all together’ and present it in a very systematic and neat manner leading to an accurate differential. Conclusion  Passing the MRCP PACES requires a combination of clinical knowledge, practical skills, effective communication and self-belief. By following these ten tips, you can enhance your preparation and boost your confidence for the exam. Remember, consistent practice, a structured approach and a positive mindset are your best allies in achieving success.   IMG Jobs  Search and find live NHS doctor jobs in the UK IMG Resources Read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!   Get in Touch Don’t hesitate to get in touch using the buttons above (and below) to discuss doctor job options in the NHS, including discussions regarding a typical doctor's salary in the UK and the most suitable hospital locations for you. For regular news and updates, follow IMG Connect on social media using the links below:                  

What does an NHS specialty doctor take home as their monthly salary? Overseas doctors frequently ask us what their monthly take-home pay would be when working as an NHS specialty doctor. So, to help IMGs plan for life in the UK we put together some examples to give a better idea of what you'll actually keep each month. We hope they are of use! How much will I take home? Firstly, take home pay in the UK is the amount that you will receive in your bank account after all deductions have been made from your annual salary. Deductions include Income Tax, National Insurance and NHS pensions.  It is important to state that this is just a guideline. We have based our figures on the gross salary for each pay threshold and have assumed that you do not have other sources of income.  The figures can be higher or lower depending on any additional responsibilities or hours worked, other sources of income you have, your final tax bracket, whether you opt out of pension, and whether you claim for your tax-deductible expenses.  Specialty Doctor Take-home Pay Expectations Pay threshold Annual gross salary* Estimated annual take-home pay** Estimated monthly take-home pay**  Min £59,175  £44,879 £3,740 1 £68,174 £50,098 £4,175 2 £75,998  £54,636 £4,553 3 £84,121 £59,348 £4,946 4 £95,400  £65,889 £5,491 *before tax and pension **based on standard salary and not inclusive of additional payments for extra hours worked or pension deductions   Specialist Grade Take-home Pay Expectations Pay threshold Annual gross salary* Estimated annual take-home pay** Estimated monthly take-home pay**  Min £96,990  £66,812 £5,568 1 £100,784  £68,855 £5,738 2 £107,155  £71,277 £5,940 *before tax and pension **based on standard salary and not inclusive of additional payments for extra hours worked or pension deductions To explore the pay & salary conditions across all doctor grades in the UK take a closer look here.