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!
The UK is one of the most attractive destinations in Europe for medical consultants, offering competitive NHS salaries, a world-renowned healthcare system, and one of the most generous pension schemes available. While some European countries may offer higher base pay, the NHS provides a unique combination of job security, professional development, and an excellent work-life balance. Additionally, the NHS pension ensures long-term financial stability, making the UK a top choice for IMGs seeking career success and financial security.
In this article, we compare the salaries, benefits, and work-life balance for consultants in the UK with countries like Romania, Spain, Italy, Lithuania, Germany, the Czech Republic, Croatia, and Poland, where IMG Connect frequently recruits doctors.
So, first, let’s talk about the United Kingdom...
United Kingdom/NHS
Salary range: £100,000 to £139,000 per year, depending on experience and location. You can take a look at NHS pay circulars for England, Scotland, Wales and Northern Ireland via their individual websites, via the NHS Confederation site here, or the BMA site here.
Additional earnings: Consultants can substantially boost their income through private practice or additional NHS work. Combined with the NHS pension scheme, which is one of the best in Europe, it doesn’t take long for UK consultants to see benefits in securing their long-term financial future.
Work-life balance: Contrary to common belief, UK consultants enjoy a highly favourable work-life balance, with generous annual leave and opportunities for flexible or part-time work. Wherever possible, the NHS emphasises well-being and a healthy work-life balance for its staff.
Pension: The NHS pension scheme is a standout feature. Offering a defined benefit pension that guarantees a stable income in retirement, is considerably more reliable and secure than private pension schemes or state systems in many other countries.
Healthcare quality: The NHS is known worldwide for its equity of care, cutting-edge research, and specialist training. And, as we often highlight, it’s one of the most highly regarded healthcare systems globally, especially for its universal access.
Romania
Salary range: €25,000 to €45,000 per year.
Work-life balance: Romanian consultants can face long working hours, particularly in less urbanised areas. However, the system does permit some flexibility and less rigidity to its staff scheduling.
Pension: Romania’s pension system is in line with its national cost of living, but not as generous as the NHS’s, seeing lower retirement benefits and offering less job security.
Healthcare quality: Romania’s healthcare system is still working hard to continue to develop its standards, whilst faced with significant infrastructure challenges. In comparison, the NHS offers a far more advanced system with better working conditions, facilities, and pension benefits.
Spain
Salary range: €45,000 to €80,000 per year.
Work-life balance: Spain is known for providing excellent work-life balance, with longer vacation periods and flexible working hours. However, salaries remain lower than in the UK.
Pension: Spain’s pension system is not as substantial as the NHS pension, particularly in terms of long-term retirement security.
Healthcare quality: While Spain offers a solid healthcare system, notably in urban areas, the NHS excels in research, specialist care, and overall career development for consultants. The NHS pension also provides far greater retirement security compared to Spain’s system.
Italy
Average salary: €60,000 to €90,000 per year.
Work-life balance: Italy offers a decent work-life balance, with flexible working hours, but workloads can be higher in underfunded public hospitals.
Pension: Italy’s pension system is relatively strong, but the NHS pension scheme still trumps this by offering superior benefits, providing far greater financial security and more generous retirement packages.
Healthcare quality: Italy has a well-established healthcare system, but it can struggle with funding issues in certain areas. The NHS, by comparison, provides better infrastructure, training, and career opportunities for consultants.
Lithuania
Average salary: €30,000 to €50,000 per year.
Work-life balance: Lithuania offers some flexibility, but the healthcare system is still developing and growing, which can mean consultants may face heavier workloads in less advanced regions.
Pension: Lithuania’s pension system is modest compared to the NHS, which provides stronger retirement benefits.
Healthcare quality: While improving, Lithuania’s healthcare system still lags behind the NHS in resources, research opportunities, and consultant training. The NHS’s global reputation and robust pension scheme make the UK an appealing option for IMG’s.
Germany
Average salary: €80,000 to €150,000 per year.
Work-life balance: Home to a respected healthcare system, Germany can offer flexibility to its consultant, though working hours can sometimes be longer compared to the UK. Private practice is more common, which can supplement their income.
Pension: Germany’s pension system is solid, but consultants typically rely more on private pension contributions. The NHS pension scheme, by contrast, is a defined benefit system, offering a higher level of security and more generous retirement benefits.
Healthcare quality: Germany has an efficient healthcare system, blending public and private care. However, the NHS’s focus on equitable, universal access and its global recognition for healthcare standards remain major draws for medical professionals.
Czech Republic
Average salary: €40,000 to €65,000 per year.
Work-life balance: Czech consultants enjoy a balanced lifestyle, but salaries are outstandingly lower than in the UK.
Pension: While the Czech pension system provides decent support, it doesn’t compare to the NHS pension, which is much more comprehensive and secure.
Healthcare quality: Although the Czech Republic has made impressive strides in its healthcare, the NHS offers superior opportunities in research, career advancement, and overall resources, putting the UK at the top of the list for consultants looking to relocate.
Croatia
Average salary: €35,000 to €55,000 per year.
Work-life balance: Croatia offers reasonable flexibility, but consultants often deal with heavier workloads due to the country's developing healthcare infrastructure.
Pension: With a comparatively modest pension system in Croatia, consultants receive lower retirement benefits compared to those in the UK. The NHS pension is far more generous, offering consultants a strong foundation for long-term financial security.
Healthcare quality: Croatia’s healthcare system is advancing, but it still has a way to go. The NHS, with its sought-after facilities, world-class training and robust pension scheme, takes the lead on the board for overseas consultants considering their options.
Poland
Average salary: €40,000 to €60,000 per year.
Work-life balance: Poland offers a good work-life balance, but consultants often face challenges with underfunded healthcare facilities in certain regions.
Pension: Although Poland’s pension system is improving, it remains less comprehensive than the NHS pension scheme. The NHS offers a much better long-term financial security for consultants.
Healthcare quality: Poland’s healthcare system has progressed in recent years, but it still falls behind the NHS in terms of resources, specialist care, and career opportunities. The NHS also stands out for its pension benefits, which far exceed those available in Poland.
Key Advantages of the UK for Medical Consultants:
Generous Pension Scheme: The NHS pension is among the best in Europe, offering a defined benefit scheme that ensures long-term financial security. It stands far above many other European pension systems, particularly in countries with emerging healthcare markets.
Favourable Work-Life Balance: Contrary to some perceptions, the UK offers an excellent work-life balance for consultants, with flexible hours, generous annual leave, and part-time work options. This makes the UK a coveted destination for those seeking a rewarding career without sacrificing personal time.
Competitive Salaries: UK consultants benefit from competitive base salaries, with additional earnings possible through private work, overtime, and, crucially, the NHS pension scheme. Together, these elements ensure consultants are well-compensated both during their careers and in retirement.
World-Class Healthcare System: The NHS is globally recognized for its high standards of care, particularly in specialist fields like cardiology, oncology, and surgery. Its reputation for research excellence and consultant training make the UK one of the best places in the world to work as a medical consultant.
Getting started
The UK stands out as one of the top destinations in Europe for medical specialists or consultants, offering a healthy mix of competitive salaries, excellent work-life balance, and one of the most generous pension schemes available.
Compared to countries such as Romania, Poland, Croatia, and Lithuania, the UK provides significantly higher earnings, better career development opportunities, and a more advanced healthcare infrastructure. Even when compared to high-paying countries like Germany, the UK’s balance of professional satisfaction, work-life harmony, and pension security makes it a compelling choice.
For international medical graduates seeking both career success and confidence in their long-term financial stability, the UK remains a top-tier option.
If you're interested in finding out how much a consultant's take-home pay in the UK would be, click here for more information.
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!
Today, we introduce Dr Simone Layton, a highly skilled general adult psychiatrist who, with our support, secured a specialist grade job with CESR support and made the move from Australia to the UK. Now thriving in the NHS and making a huge impact on her service, after a year Simone has recently been promoted to Clinical Director. An incredible achievement, highlighting her incredible journey and talent, as well as the exciting opportunities available to international doctors who are considering a move to the UK to make a positive impact in the NHS.
Tell us about yourself – what should the IMG community know about Simone Layton?
I am a 47-year-old mother of two teenagers from Australia. I’m also a cat lover, active yogi, and history enthusiast. I completed my M.B.B.S in Australia in 2004, then specialized as a psychiatrist, becoming a Fellow of the Royal Australian and New Zealand College of Psychiatrists (FRANZCP) in 2013. For 8 years, I worked as a Consultant Psychiatrist in Brisbane, managing both inpatient and outpatient care at a large private mental health hospital. My area of expertise included complex trauma and dissociative disorders, and before moving to the UK, I managed a busy private practice.
What motivated you to move to the UK?
My children received places at independent boarding schools in the UK, but due to COVID-19, they couldn’t take up their places. I decided to take a 12-month career break and move with them. During this time, I fell in love with the UK and made the decision to stay long-term, which led me to pursue a career in the NHS.
Tell us about your experience gaining your GMC registration.
I was fortunate that my FRANZCP qualification was accepted by the GMC, so I didn’t need to take the MRCPsych exams. However, being on a career break meant I had to provide substantial evidence of my clinical skills. I submitted over 100 pages of evidence to demonstrate that I was up to date, which eventually secured my GMC registration.
How did you navigate and juggle the different aspects of registration whilst working full-time?
I was on a career break when I started my GMC registration process, but this actually caused challenges. I had to provide a lot of additional evidence to prove that I was still fit to practice, which delayed the process slightly.
How did you find a psychiatry job in the NHS?
I started by searching for a recruitment agency online and found IMG Connect, which specializes in helping international doctors secure NHS jobs. They quickly responded to my inquiry and matched me with opportunities that suited my preferences. Within 5 weeks, I had an interview and a job offer at the Herefordshire and Worcestershire Health and Care NHS Trust.
Tell us about a day in the life of a specialist grade psychiatrist in the NHS?
As an Associate Specialist or Specialist Grade in Psychiatry in the NHS, I manage around 180 patients, work independently, and handle various responsibilities, including teaching and supervision. It’s a busy role that involves a lot of meetings, paperwork, and cross-sector collaboration with local authorities and third-party organizations.
What opportunities have become available to you through your work?
Since joining the NHS, my career has accelerated. In just 12 months, I’ve been invited to lecture to GPs, supervise a trainee GP, and was recently promoted to Clinical Director of Community Mental Health for Herefordshire and Worcestershire. The NHS offers numerous opportunities for career growth.
Tell us about your journey to the UK?
My family helped me look after my home in Australia, so I didn’t have to leave everything behind. Securing a rental property, opening a bank account, and getting a car were the trickiest parts, but I was fortunate in other areas.
What have you enjoyed most about living in Gloucestershire in particular?
I love the variety of weather and the beautiful natural environment. The Cotswolds are perfect for hiking, and as a history enthusiast, I’ve enjoyed visiting the stately homes and cathedrals.
What’s been the biggest challenge you’ve faced in moving to the UK?
Even though Australia and the UK share cultural ties, I still felt isolated at first. Navigating the UK bureaucracy was also difficult, especially when it came to things like renting a property and being treated as a 'new driver' despite 30 years of experience.
What have you missed about Australia the most?
I miss the fresh food, particularly the seafood and fruit in Australia, as well as the smooth roads. The English weather, however, is much more pleasant than the extreme heat of Australia.
Is there anything you wish you’d known before you began your journey to live and work in the UK?
I didn’t expect to stay in the UK long-term, so I didn’t have many expectations. However, I don’t regret my decision to remain here and continue working in the NHS.
What has been your experience working with IMG Connect?
IMG Connect was incredible. They were responsive, helped me tailor my CV, prepared me for interviews, and even negotiated a higher salary and a longer contract for me. They also made sure I was emotionally supported throughout the process.
What advice would you give to international doctors who want to move to the UK?
My advice is to trust IMG Connect to guide you through the process. You may need to adjust your expectations and accept a lower level or pay cut initially, but the NHS offers incredible opportunities for career development. Focus on building relationships at work and in your community, and be patient with the system—it can be slow, but things usually work out.
Moving to live and work in the UK is a big decision to make but can be massively rewarding in many ways. International doctors have the chance to find a new home and the NHS presents an incredible opportunity for IMGs to secure rewarding jobs, progress within their fields and explore adjacent opportunities such as CESR, writing publications, teaching opportunities and research.
Whatever route an overseas doctor may take on their journey to the UK, IMG Connect is here to support them through every step and welcome them to the IMG Family.
If you're an international doctor considering a career in Ireland, it's essential to understand the HSE doctor pay scales. For overseas doctors, the pay structure within Ireland's Health Service Executive (HSE) can appear complex at first, but knowing how it works is key to planning your move.
Doctors working for the HSE in Ireland benefit from competitive salaries and comprehensive benefits. So, for international medical graduates, understanding the various pay scales, from junior doctors to consultants, is crucial in making informed career decisions.
In this guide, we’ll break down the different HSE pay grades and explain how they relate to doctor salaries in Ireland, so you can better understand your earning potential as a doctor within the Irish healthcare system.
What We’ll Cover:
Junior Doctor Pay (Interns and SHOs)
Registrar Salary
Consultant Pay
How Pay Scales Work in the HSE
Additional Pay, Benefits, and Overtime
Comparing HSE Ireland to the NHS in the UK
Skip to the relevant section if you know what you're looking for!
Junior Doctor Pay in Ireland
Junior doctors, often called interns or Senior House Officers (SHOs), start their careers with a salary ranging from €43,766 to €70,543, depending on experience and additional responsibilities.
Foundation Year (Intern): Starting salary of around €43,766
Senior House Officer (SHO): €51,578 to €70,543
As a junior doctor, you are also compensated for any additional hours worked, including weekend shifts, on-call duties, and night shifts. These enhancements ensure that junior doctors are fairly compensated for the demanding nature of their work.
Registrar Pay in the HSE
Registrars, who are often mid-career doctors undergoing specialty training, can expect to earn between €65,554 and €77,197 annually. Registrars play a critical role in the hospital setting, often supervising junior doctors and making more autonomous medical decisions.
Basic salary for registrars: starts at €65,554 to €77,197
With overtime, on-call, and weekend shifts, registrars can earn significantly more.
Consultant Pay in Ireland
Consultants are the most senior doctors in the HSE, and their salaries reflect their high level of responsibility and expertise. A consultant’s salary can range from €222,215 to €266,925.
Starting salary: Around €222,215. to €266,925
Consultants with additional responsibilities, such as management roles or educational duties, can earn significantly more.
Consultants may also receive additional pay for on-call duties and overtime work. Furthermore, some consultants may supplement their income by working in private practice, further boosting their overall earnings.
How Do HSE Pay Scales Work?
Several factors influence how you are placed on the HSE pay scale:
Job Title: Your role, whether you're a junior doctor, registrar, senior registrar, or consultant, determines your starting point on the scale.
Experience: More years of experience result in higher pay, regardless of whether this experience was gained in Ireland or abroad.
Specialty: Some medical specialties, such as cardiology or oncology, may offer higher salaries due to their demand and complexity.
Location: Pay rates can vary slightly depending on whether you work in a city hospital or a more rural setting.
Additional Pay, Benefits, and Overtime
Doctors in the HSE are entitled to a range of benefits, including:
Overtime pay for working beyond regular hours.
On-call allowances for being available outside of your standard working hours.
Weekend and night shift allowances to compensate for unsociable working hours.
Continuous professional development (CPD) opportunities.
Access to a pension scheme, offering long-term financial security.
How HSE Pay Compares to the NHS in the UK
Many international doctors consider working in both the NHS (UK) and HSE Ireland. While both offer competitive pay, HSE doctor salaries tend to be higher at all levels compared to the NHS.
For example, an FY1 doctor in the NHS earns around £32,398, while an equivalent intern in Ireland starts at approximately €43,766. Pay scales for consultants and more senior roles are also higher when comparing the two systems, however both offer opportunities for additional pay based on experience and extra responsibilities.
Where Do You Fit on the HSE Pay Scale?
When considering where you fit on the HSE pay scale, there are key factors to keep in mind:
Job Title: Your job title, such as junior doctor, registrar, or consultant, dictates your pay bracket.
Experience: Years of experience in your specialty will determine your progression through the pay scale.
Hours Worked: The more on-call hours, night shifts, and weekend work you do, the more you can expect to earn beyond your base salary.
Understanding the HSE doctor pay scales will help you make informed decisions about your career in Ireland. If you need further assistance or have any questions about pay negotiation, our IMG connect consultants are here to guide you through the process and ensure you receive the best possible offer.
I'm an overseas doctor planning to relocate to the UK. Can I drive immediately?
Good question!
This is a common query raised by IMGs planning their relocation to the UK. In this article we’ll help you understand the process of driving in the UK with a foreign license and, if necessary, to arrange your UK driver’s licence by addressing the following questions:
Is my driver’s licence valid?
What is the difference for EU and non-EU driver’s licence holders?
Exchanging your licence
Is my driver’s licence valid?
Regardless of where you're relocating from, if you hold a foreign driver’s licence, you can drive in the UK immediately. However, the duration and conditions under which you can continue driving depend on whether your licence is from an EU (or a designated country) or a non-EU country.
You can check here to confirm your licence status.
What is the difference for EU and non-EU driver’s licence holders?
For an EU licence holder:
If you hold an EU or European Economic Area (EEA) driver’s licence, you can drive in the UK until the age of 70 or for up to 3 years after becoming a UK resident, whichever is longer. After this period, you must exchange your licence for a UK one, rather than retake the test.
For non-EU licence holders:
If you hold a foreign driver’s licence and are now a resident in the UK, you can drive for a period of 12-months with your current licence. To continue driving beyond this period, you must obtain a UK driving licence by passing both the theory and practical driving tests within the 12 months.
Exchanging your licence:
You can exchange your foreign driver’s licence for a GB licence if it is from:
EU/EEA countries (no time limit for exchange)
Northern Ireland (no time limit for exchange)
Jersey, Guernsey or Isle of Man (must be exchanged before 12 months)
A designated country* (must be exchanged before 12 months)
* Andorra, Australia, Barbados, British Virgin Islands, Canada, Falkland Islands, Faroe Islands, Gibraltar, Hong Kong, Japan, Monaco, New Zealand, Republic of Korea, Singapore, South Africa, Switzerland and Zimbabwe
You can check whether you can exchange your licence here.
How do I exchange my licence?
To exchange your licence, you will need to get a D1 form which you can obtain from any Post Office that handles DVLA transactions or you can apply online through the DVLA website.
When filling out the form you'll need to provide:
Your current driver’s licence
Proof of your identity (e.g. passport or residency card)
A passport-sized photo
A fee of £43, payable by cheque or postal order
The process usually takes about 3 weeks, and your new UK licence will be sent to you via post.
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
In our IMG Resources library you can 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
Get in touch using the buttons above (and below) to discuss doctor job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
As an overseas health and care professional, the main route to the UK is via the HCPC registration.
The Health & Care Professionals Council is the regulator for 16 health and care professions across the UK. This article is tailored for psychology practitioners who have completed professional training outside the UK and who wish to apply to work in the NHS.
Overseas psychologists from any country in the world can register with the HCPC in the UK and use the protected ‘practitioner psychologist’ titles such as clinical psychologist or counselling psychologist, thus qualifying them to practice in the UK.
The process is summarised below along with a broad look at the following topics:
How can I practice in the UK?
Which route is for me?
I qualified and practice outside of the UK, am I eligible?
Am I eligible for full clinical equivalence?
What is the role of the standards of proficiency?
What are the standards of proficiency for practitioner psychologists?
How do I demonstrate that I have met the standards of proficiency?
How to apply via European Mutual Recognition (EMR)
How to apply via International Application
Application steps
What documents will be required?
What if I am unsuccessful?
English language proficiency
Is the HCPC enough? What about the British Psychological Society (BPS)?
Successful? What next?
How can I practice in the UK?
To practice in the UK using any of the HCPC regulated terms, including clinical psychologist or counselling psychologist, you have to satisfy the HCPC that you have broadly equivalent skills to those who trained in the UK.
The HCPC check equivalence based on the British qualification which is at Doctorate level.
If your degree is from outside the UK then the HCPC will want to assess all your qualifications and experience to see what you need to add to reach their standard for a clinical psychologist, or where you would need to join the training path if you have moved to the UK already.
The type of HCPC application you make depends on your country of origin and training. There are two application routes:
European Mutual Recognition (EMR) - this applies if you trained in an EU country.
International application - for those trained outside of the EU, where additional checks for qualifications and language proficiency are required. This is to ensure that overseas applicants meet the UK's safety and competency standards
Which route is for me?
It all depends on where you have trained and qualified, EEA or outside the EEA.
EEA:
If you have trained and are a citizen of an EU member state, then you are eligible for European Mutual Recognition (EMR). If you are eligible for EMR then you must apply via this route.
EMR ensures that EEA qualifications are recognised across Europe as equivalent, and therefore you will only require your English language proficiency to complete your application.
Outside the EEA:
If you have trained outside the EU, then you are eligible for an international application.
Both routes follow the same process, the skills, education and training you submit via your application forms are assessed by Registration Assessors, who make a decision within 60 working days.
I qualified and practiced outside the UK, am I eligible?
To be eligible to apply for registration via the international route, you must have undergone relevant training in psychology and be fully qualified to practice your profession
To be eligible to apply for registration based on European Mutual Recognition you must be:
a citizen of a relevant European State
fully qualified to practice your profession in a relevant European State other than the United Kingdom
Your application will be assessed against the standards of proficiency for practitioner psychologists.
We advise that before you apply you should check you meet, or exceed, the professional standards all registrants must meet in order to become registered in psychology.
Am I eligible for full clinical equivalence?
To be eligible for full clinical equivalence (i.e. to be able to secure a job in the NHS as a Clinical Psychologist) you have to demonstrate you have met:
Meet all the competencies required for a UK Doctorate in Clinical Psychology: This includes knowledge and skills in psychological assessment, intervention, and evaluation.
Demonstrate experience with all core client groups: These include working with adults, older people, children, and individuals with learning disabilities. NHS job roles often require clinicians to show competency in treating a broad range of conditions and client types.
Produce a doctoral standard research project: You need to demonstrate you can conduct research at a doctoral level, contributing to the field of psychology.
What is the role of the standards of proficiency?
The purpose of HCPC registration is to establish the minimum threshold standards that all registrants must meet to practice safely and effectively.
They set clear expectations for overseas psychologists’ knowledge and abilities for when they start practicing in the UK.
What are the standards for practitioner psychologists?
When applying for registration you will have to ensure that your meet 15 standards of proficiency. We have listed the titles below:
A registrant practitioner psychologist must be able to:
1. Practice safely and effectively within their scope of practice
2. Practice within the legal and ethical boundaries of their profession
3. Maintain fitness to practice (ensuring physical and mental health that allows safe practice)
4. Practice as an autonomous professional, exercising their own professional judgement
5. Be aware of the impact of culture, equality and diversity on practice
6. Practice in a non-discriminatory manner
7. Maintain confidentiality and understand its importance
8. Effective communication with service users, carers, and colleagues
9. Work appropriately with others
10. Maintain records appropriately and efficiently
11. Reflect on and review practice to continually improve
12. Assure the quality of their practice by using evidence-based methods
13. Understand the key concepts of the knowledge base relevant to their profession
14. Draw on appropriate knowledge and skills to inform practice
15. Understand the need to establish and maintain a safe practice environment
Request a copy of the full standards and proficiency document for psychologists.
How do I demonstrate that I have met the standards of proficiency in my application?
Include as much as detail possible:
You will be asked to provide detailed information about your experience, education or training. Include as much relevant information as possible in your application.
Detail all your experience:
The HCPC will assess the courses that you have completed. Some courses may be broader with less in-depth coverage, while others are more detailed but have a narrower scope. To mitigate any shortfalls in your qualifications, you should detail as much of your relevant experience as possible.
TOP TIP: HCPC assessors make their determinations based on all the information that you provide. So, provide as much as you can!
How to apply via European Mutual Recognition (EMR):
The EMR application process follows a similar format to that of the international applications process. The skills, education and training you submit via the EMR application forms are assessed by Registration Assessors, who make a decision within 60 working days.
How to apply via International Application:
The International application process follows the format above. The skills, education and training you submit are assessed by Registration Assessors, who make a decision within 60 working days.
Application steps?
The process follows four steps:
Step 1 - submit forms and pay fee of £539
Step 2 - processing
Step 3 - assessment by the HCPC
Step 4 - decision letter
A successful decision letter will confirm your addition to the HCPC register.
What documents will be required?
You will require the following to support your application:
identity documentation
qualifications
good standing and character declaration – part of application
declaration regarding background checks – part of application
Original documents that are not in English will have to be accompanied with a translated version.
TOP TIP: We advise that you prepare your documents and experience as early as possible before making your application, this will not only save you time, but give you the chance to add and edit the content you will provide. Increasing your chances of success!
Step 1 - Submit forms and pay fee
Once you have gathered your documents and have fully considered your experience matched to the standards of proficiency, you can submit your forms and pay the application fee.
The HCPC will take a scrutiny payment of £495 at this stage.
You will receive a confirmation receipt and payment.
You will also receive your application reference number. This reference number is important, and you should use this each time you contact the HCPC to discuss your application.
TOP TIP: If your application is not accepted for processing because of missing information, the HCPC will return it to the address on the form. You will then need to resubmit your application. To avoid this, ensure you have prepared all of your evidence and documentation as above.
Download and complete your form, then send them by post to the address on the front page of the application.
Download the application form for registration – EMR
Download the application form for registration – International application
Step 2 – Processing
During this period (4 weeks from receipt of application), the HCPC will contact your education provider, any relevant regulatory or professional bodies and any professional referees.
This is to verify the information that you have provided in your application.
You do not need to do anything until the HCPC have notified you of the outcome of the next stage of the process.
Step 3 - Assessment
The next stage is the assessment of your regulated education and training and any other relevant education, training or experience included in your application.
Your application will be sent to two assessors from the practitioner psychology register.
They will consider all the information that you have submitted before making their recommendation to the HCPC.
What are they assessing?
To be eligible for full clinical equivalence (to be able to get a job in the NHS as a Clinical Psychologist) you have to demonstrate:
you have met all the competencies required to get a doctorate in the UK
experience of all the core client groups (working age adults, older people, children and families, people with learning disabilities) or core competencies
you have a doctoral standard piece of research.
First, they will compare your regulated education and training with HCPC standards of proficiency. If any shortfalls are identified, they will check your submission to see if these have been made up through any other relevant education, training or experience that you have provided details for.
They will then send a recommendation to the Education and Training Committee (ETC). This recommendation will be then reviewed by the ETC who will send their decision to you.
TOP TIP: The HCPC can only base their decision on the information provided in the application. They do not contact referees, training institutions, or employers to obtain further information about your training or work experience. So, remember to provide as much experience, training and relevant education as possible.
The HCPC will send a Record of Assessment to you within 60 working days of receipt. This Record of Assessment may include a request for further information which will prolong the processing time of your application.
Again, for this reason it is important that you include as much relevant information as possible when you submit your application.
Step 4 - Decision letter
You will be notified of the outcome of your application in writing. In successful cases this will confirm your addition to the Register.
What if I am unsuccessful?
If you have not been successful in your HCPC application, it is likely that there was some information missing from your application to demonstrate that you meet the standards of proficiency.
The HCPC will return your application to the address you provided, you can then add more detailed information to your application forms and resubmit.
If, however, you have failed the application, the following will apply depending on the route that you have applied through:
International application rejected:
you may be able to appeal the decision. You can find out more about appeals here.
EMR application rejected:
your choices are different. If you're a national of an EEA country, and are entitled to practice, you will be required to complete a period of adaptation or an aptitude test to rectify shortfalls in your knowledge or experience. You can find out more about the period of adaptation here.
English language proficiency:
The ability to communicate in English is of course crucial to working effectively in the healthcare profession in the UK. If you are applying via the International Application then you must obtain one of the following scores:
IELTS – 7.0 average in all areas, with no element below 6.5
TOEFL – minimum score of 100/120
If applying via the EMR Application, and are a National of a relevant EEA state, then you are exempt.
Please note that Speach & Language Therapists must obtain higher scores, contact us for more information.
Is the HCPC enough? What about the British Psychological Society (BPS)?
The professional body for psychologists in the UK is the BPS. It is not necessary to be a member to practice, however they have a parallel process for achieving chartered status, which may be of value to some psychologists.
The BPS can provide you with Graduate Basis for Chartered membership (GBC) which is a way of acknowledging your Bachelor’s degree covers enough psychology in enough depth to be a foundation for further study.
It is a standard given to certain degrees in psychology in the UK, and international qualifications can be given this status by the BPS.
To practice in the UK using any of the protected/regulated terms, including clinical psychologist or counselling psychologist, you have to satisfy the HCPC that you have broadly equivalent skills to those who trained in the UK. You can find more information on BPS membership here.
Successful? What next?
First of all, congratulations! Once you have been granted registration with the HCPC, you can apply for work as a practitioner psychologist in the UK.
For more useful blogs & articles on exams, registrations & qualifications to help you find your dream job in the NHS - take a look at our IMG Resources library.
If you have attained HCPC registration don’t hesitate to get in touch with your IMG Consultant to discuss UK job options in psychology, including discussions regarding a typical psychologist’s salary in the UK and the most suitable locations for you.
Connect with us
Passing the FRCR Clinical Oncology 2B exam is a significant milestone for any clinical oncologist, especially for international doctors aiming to secure NHS jobs in the UK. This challenging exam is crucial for progressing in your medical career and obtaining roles within the NHS. Our own IMG Oncology faculty, Dr. Rahul Misra, an experienced UK-based clinical oncologist, shares his top ten tips to help you succeed. With the exam coming up, these tips will enhance your preparation, manage exam stress, and ensure you perform at your best on exam day.
1. Understand the Exam Structure
Familiarize yourself with the exam format, which includes a written component, rapid reporting, and the oral component. Each section tests different skills, so understanding the structure will help you tailor your preparation accordingly. Utilize resources such as the RCR Guidance Notes to get detailed insights.
2. Develop a Study Plan
Creating a structured study plan is crucial. Allocate specific times for studying different topics, and ensure you cover all aspects of the syllabus. Include time for revision and practice exams. Consistency and regular review sessions will reinforce your knowledge and boost your confidence.
3. Practice with Past Papers
Past papers are invaluable. They provide insight into the types of questions asked and help you familiarize yourself with the exam's pacing. Aim to complete several past papers under exam conditions to improve your time management and identify areas where you need further study.
4. Join a Study Group
Collaborating with peers can enhance your learning experience. Study groups provide a platform to discuss difficult topics, share resources, and practice oral exams. Peer feedback can be incredibly beneficial in refining your answers and presentation skills. If you're not already please join the IMG Oncology Facebook group, from there you can register for all upcoming webinars and events!
5. Use Quality Study Resources
Ensure you use high-quality and up-to-date study materials. Resources like Radiology Cafe and Cafe Roentgen offer excellent guides and reading lists. These resources provide comprehensive coverage of the exam topics and often include tips from candidates who have successfully passed the exam.
6. Master Rapid Reporting
The rapid reporting component requires quick and accurate interpretation of radiographs. Practice with timed sessions using a variety of cases to improve your speed and accuracy. Resources like RadioGyan offer excellent tips and case studies for rapid reporting practice.
7. Refine Your Oral Exam Skills
The oral component can be daunting, but practice is key. Engage in mock orals with colleagues or mentors to simulate the exam environment. Focus on clear, concise communication, and be prepared to justify your clinical decisions. This will help you build confidence and improve your performance under pressure.
8. Stay Updated on Current Guidelines
Clinical guidelines and standards of care can evolve, so ensure you are up-to-date with the latest practices. Regularly review journals, attend relevant seminars, and participate in continuous professional development activities to stay informed.
9. Manage Your Stress
Exam preparation can be stressful, so it's essential to manage your stress effectively. Incorporate regular breaks, exercise, and relaxation techniques into your routine. Adequate sleep is crucial for optimal cognitive function, so prioritize your well-being throughout your study period.
10. Simulate the Exam Day
Familiarize yourself with the exam day logistics, such as the venue, timing, and required documentation. Simulate the exam day conditions a few times to get used to the environment and reduce anxiety. Being well-prepared logistically will help you focus entirely on the exam itself.
Final Thoughts
Passing the FRCR Clinical Oncology 2B requires dedication, strategic preparation, and a calm mindset. Utilize the tips and resources provided to enhance your study efforts. Remember, consistent practice and a well-rounded understanding of clinical oncology principles will serve you well in the exam and your future career.
Good luck!
Understanding your NHS job's salary is essential for overseas doctors new to the UK.
Doctors play an integral part in delivering high quality patient care in the NHS and as such, they are rewarded with competitive pay rates and benefits.
NHS pay scales can be confusing, particularly for overseas doctors. Here we hope to provide some clarity to help you understand the NHS grades in Wales and how they fit on the various NHS pay scales.
In this article we will take a look at the following topics:
Trust doctor jobs and pay for IMGs
Typical NHS doctor’s salary in Wales
FY1 & FY2
Specialist Training (ST1 – ST8)
Specialty Doctor
Specialist Grade / Associate Specialist
Consultant
Where do I fit on the pay scale?
Doctors in training pay scale
Specialty Doctor pay scale
Associate Specialist pay scale
Consultant pay scale
Additional pay, benefits, pensions and terms and conditions
Skip ahead to the relevant section if you know what you're looking for.
Trust Doctor Jobs & IMGs' Pay
It is important to note that the majority of overseas doctors will start their career in the UK in a fixed term trust doctor role (also known as a service post), before taking up a training position. Doctors across all grades can enter a service post which means to say that they are not in training or entering specialty training.
As such, most of our adverts for fixed term or permanent posts will be service level jobs, these are usually SAS doctor, consultant, SHO or Trust doctor posts at the equivalent of FY2, ST1/2, ST3+. These can be attractive due to the improved doctor’s salaries that can be negotiated for fixed term contracts, based on experience and demand.
The salary pay scales that we have included in this article are to be used as a guide or starting point for negotiating your trust doctor role (or service post).
Typical NHS Doctor’s Salary in Wales
FY1 & FY2
In the most junior hospital trainee post of Foundation Year 1 (FY1), your basic salary is £30,478, increasing to a maximum of £37,804.
As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums.
Specialist Training (ST1 – ST8)
If you are a doctor starting your specialist training in 2019, your basic salary starts at £40,387 and can progress to £53,443.
As a doctor in training you will earn a basic salary for 40 hours per week, plus pay for additional hours worked, 37% enhancement for nights, weekend allowance for weekend work, on call allowance and other possible pay premiums.
Specialty Doctor
Specialty doctors currently earn from £56,346 to £90,000 basic pay.
The basic contract is for 40 hours. As a specialty doctor you can be paid for additional duties, extra hours worked, weekend work and on calls.
Specialist Grade / Associate Specialist
A key element of recent SAS contract reform is the introduction of a new grade, called the Specialist Grade (or Associate Specialist), which will provide an opportunity for career progression for highly experienced specialty doctors. Associate Specialists can earn a basic of between £69,054 to £113,667.
Consultant
Consultants currently earn from £100,000 to £146,000 basic pay.
As a consultant you can be paid for additional duties and may be eligible for Clinical Excellence Awards, which reward outstanding performance. The basic contract is for 40 hours per week.
If you take on extra responsibilities (i.e. management or education) you can also expect to be paid additional supplements.
Placement onto Pay Scale
There are a few key points when considering where you fit on the pay scale:
Job title
Experience
Hours worked
Trusts can be different
Job Title
The first thing to consider is your job title.
At the Consultant level, it is straight forward, you will be a consultant. However, at the Specialty Doctor level, you could be working as an SAS doctor, a Specialty Doctor or a Trust Grade doctor. As an ST or SHO you could also work across several levels.
Each could command a different pay scale depending on the level of work and experience required.
Take some time to check the job title that you are applying and interviewing for, and subsequently the pay scale that you can expect.
Experience within your chosen field
Next, consider the number of years of experience you have in your specialty, this is crucial to identifying your position on the pay scale.
This is important as an NHS Trust will calculate your pay for a Specialty Doctor in Medicine by deducting two of your years of experience to compensate for the Core Training years in the UK. Please note, for some specialties this does not apply, check with an IMG Consultant for more information.
Hours you will work
The second thing to consider is how many hours you will be working. For more senior doctors, including Specialty Doctors, Associate Specialists/ Specialist Grades and Consultants, the hours are usually established using PAs (programmed activities). Each PA is worth 4 hrs of your week, and a standard week is 40 hrs. A standard salary is based on a full working week of 10 PAs (40 hours). If you work above 10 PAs, then you will gain additional salary on top of your basic pay.
NHS trusts can be different
The last thing to consider before we look at the pay scales, is that some NHS Trusts can interpret the pay scales and a doctor’s experience in different ways. All NHS Trusts should be following the same pay scale structures when recruiting and offering salaries to doctors, but this is not always the case!
This blog is a guideline, and if you are not sure of how to approach this discussion with an HR department, it can be very useful for an IMG Connect consultant to assist with the negotiations to ensure that your experience is always taken into account.
NHS Pay Scales in Wales
Doctors in Training
Service level jobs are in high demand at all levels of experience, each offering competitive rates of pay. It is also important to remember that once in the UK, you will have the option to apply for training, depending on your entry level.
The below pay scale reflects the pay at each level depending on the entry points to training, which are FY1/ F1, ST1/ CT1 and ST3/ 4.
The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
As above, use the below as a salary guide for service level posts. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
Foundation Doctors & Specialty Registrars
Scale
Foundation Doctor 1
MN13
Foundation Doctor 2
MN13
Specialty Registrar (fixed term)
MN35
Specialty Registrar (core training)
MN39
Specialty Registrar (full)
MN37
Min
£30,478
£37,804
£40,397
£40,397
£40,397
1
£32,381
£40,277
£42,866
£42,866
£42,866
2
£34,285
£42,747
£46,319
£46,319
£46,319
3
£48,409
£48,409
£48,409
4
£50,923
£50,923
£50,923
5
£53,443
£53,443
£53,443
6
£55,961
7
£58,480
8
£60,997
9
£63,518
Specialty Doctor Pay Scale
Service level specialty doctor jobs are in high demand in England at all levels of experience, each offering competitive rates of pay.
It is important to note that your pay will reflect your experience within your chosen field.
The pay code on the left-hand side of the table below correlates to the number of years’ experience that you qualify for in your chosen specialty, and the number of years that the HR department are going to attribute to you.
Remember to discount any years that you have worked in an internship. And if you are working in a medicine specialty, deduct any core training years.
In the first threshold, for every year of experience you gain, this entitles you to a pay rise. In the second threshold, you will receive an increase every two years, and in the third, every three years.
The salary is based on a standard working week of 10PAs (40 hours), if you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
As above, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
Specialty Doctor
Pay Scale Code
Scale Value
Basic Salary
MC75-01
1
£56,346
MC75-02
£56,346
MC75-03
£56,346
MC75-04
2
£64,915
MC75-05
£64,915
MC75-06
£64,915
MC75-07
3
£72,366
MC75-08
£72,366
MC75-09
£72,366
MC75-10
4
£80,099
MC75-11
£80,099
MC75-12
£80,099
MC75-13
5
£90,000
MC75-14
£90,000
MC75-15
£90,000
MC75-16
£90,000
MC75-17
£90,000
MC75-18
£90,000
Specialist Grade / Associate Specialist
SAS stands for Staff Grade, Associate Specialist and Specialty Doctor. They will have at least four years of full-time postgraduate training, two of which have been in the relevant specialty. Specialist Grades and Specialty Doctors in Wales have their own contracts in place for senior doctors these contracts are based in full-time work commitment of 10 programmed activities per week it has been timetabled value of four hours. The new pay structure will enable SAS doctors to access the top of the pay scale more quickly than the current system, increasing the career average earnings.
Associate Specialist
Pay Scale Code
Scale Value
Basic Salary
MC70–01
1
£91,500
MC70-02
£91,500
MC70-03
£91,500
MC70-04
2
£95,079
MC70-05
MC70-06
£95,079
£95,079
MC70-07
3
£101,089
Consultant Pay Scale
Service level consultant doctor jobs are in high demand in Wales at all levels of experience, each offering competitive rates of pay.
At the consultant grade, HR departments will look at your years of experience within your specialty, as a consultant. On the table below, you can see that all you need to do is count up the total number of complete years of experience (12 months each) as a consultant, and then count down the rows to establish your salary position.
For NHS locum consultants, pay is assigned a fixed pay point, of £105,401, though locum consultants can earn more due with additional hours or sessions often available. The threshold pay scale below applies to substantive (permanent) contracts only, so therefore if you are not on the specialist register you will only be eligible for this fixed pay point, irrespective of your years completed consultant experience.
For both permanent (substantive) and fixed-term (locum) consultant grades, the salary is based on a standard working week of 10 PAs (40 hours). If you work additional hours, on calls or weekend work, then your take home pay will increase as a result.
Remember, use the below as a salary guide for service level posts in England. It is worthwhile checking with your IMG Consultant the best pay opportunities for you, it is highly conceivable that you can earn more than the pay scales below depending on experience and demand.
Pay point/
Threshold
Basic
Salary (£)
Years within pay point/
Threshold
Min
106,000
1
1
111,300
1
2
116,600
1
3
121,900
1
4
130,380
5
5
137,800
7
6
146,280
7
7
154,760
Top
Additional Pay, Benefits, Pensions and Terms & Conditions
Current national salary scales for medical and dental staff are published in the pay and conditions circulars here.
You may be eligible for additional pay on top of your basic salary if you work above the standard 10 PAs, work on call & weekends, or take on extra responsibilities. All doctors are eligible for NHS pensions and benefits.
Sources
https://www.nhs.wales/files/pc-resources/042023-md-circular/
"What take-home pay can an NHS doctor in training expect from their monthly salary?"
This is one of the most common questions we receive from overseas doctors. To help international medical graduates plan for life in the UK, we’ve compiled examples to show how much of your NHS salary you’ll keep each month after taxes and deductions.
It's important to note that most overseas doctors will begin their careers in the UK as trust doctors in fixed-term service posts before moving into NHS training roles. These service posts can be appealing due to the opportunity to negotiate higher NHS doctor salaries, depending on experience and demand.
The NHS doctor salary pay scales that we have included in this article can be used as a guide or starting point for negotiating your trust doctor role (or service post).
Take home pay for UK doctors in training
Firstly, take home pay in the UK is the amount that you will receive in your bank account after all deductions have been made from your annual salary. Deductions include Income Tax, National Insurance and NHS pensions.
It is important to state that this is just a guideline. We have based our figures on the average annual gross salary for each grade, i.e. you have worked additional hours under a typical working pattern where additional pay has been provided.
The figures can be higher or lower depending on any other sources of income you have, your final tax bracket, whether you opt out of pension, and whether you claim for your tax-deductible expenses.
Take home pay expectations
Grade
Average annual gross salary*
Estimated annual take-home pay**
Estimated monthly take-home pay**
FY1
£32,398
£26,053
£2,171
FY2
£37,303
£29,389
£2,449
ST1-2 / CT1-2
£43,923
£33,890
£2,824
ST3-5 / CT3
£55,329
£41,140
£3,428
ST6-8
£63,152
£45,678
£3,806
*before tax and pension
**tax and pension deducted, tax rebates for tax-deductible expenses not included
To explore the pay & salary conditions across all doctor grades in the UK take a look at our IMG Resources library.
Locum doctors in Wales play an essential role across various specialties, ensuring continuous patient care and filling crucial gaps in the workforce. Recognizing their vital contributions, the Welsh Government is set to announce a substantial pay increase that reflects the importance of their work.
As the government finalizes the details of these pay adjustments, it’s an exciting time for locum doctors who can look forward to enhanced compensation. Staying informed through unions or professional bodies is key, as these organizations are actively involved in the process, ensuring that the forthcoming changes fairly and equitably benefit locum doctors within the NHS.
Key Outcomes:
Junior Doctors: A 12.4% pay rise for 2023/24, with 96% voting in favour. The increase will be backdated to April 2023.
Consultants: 86% accepted a revised pay scale, enhancing early years and career average pay to retain senior talent.
SAS Doctors: Increases ranging from 6.1% to 9.2%, with additional uplifts for associate specialists. 82% of SAS members voted to accept.
These pay agreements resolve the disputes and pave the way for improved working conditions in Wales.
Looking for Consultant Salaries in Wales?
If you're interested in finding out how much a consultant's salary in Wales would be, click here for more details on NHS consultant take-home pay in Wales.