The Savvy IMG

The NHS Job Scene: A Guide for International Medical Graduates

In this article, we take you through the some of the key factors you need to take into consideration when navigating the NHS job scene.

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Published June 27, 2023

For international medical graduates (IMGs), working in the NHS is a significant career goal. The NHS offers globally recognised training, career development, and a reputation for high-quality patient care. It’s not the highest paying country for doctors, but there is an emphasis on work-life balance that can be hard to find elsewhere.

If you’re looking for quality of life as well as financial stability, the UK should be on your list of options. We personally chose it over the US after long hard deliberation, and we still don’t regret our decision!

In this article, we take you through the some of the key factors you need to take into consideration when navigating the NHS job scene.

The NHS Job Market

The job market for doctors in the NHS offers ample opportunities, but it’s crucial to understand its dynamics and address common concerns faced by IMGs.

The Demand for Doctors in the UK

The UK has a significant demand for doctors in many specialties. They also accept experience overseas without the need to start from scratch. So while concerns about saturation and competition may arise, it’s important to note that the demand remains high and it’s still very much possible to find your place here.

Common Concerns Faced by IMGs

  1. Lack of Responsiveness from Hospitals After Applying: It can be frustrating when you don’t receive a response after submitting your application. Remember that hospitals receive a large number of applications, leading to recruitment process delays. Check the application closing date and be patient. It may take weeks or even months before you hear back. Use this time to explore other opportunities and enhance your qualifications.
  2. Difficulty Finding Jobs in Preferred Locations: Geographical restrictions or personal preferences may limit the regions where you can work. This narrows down available job options, particularly in competitive areas like London. Diligently search for job advertisements specific to your preferred location and invest extra effort into creating a strong application to stand out. Also consider branching out and applying in other areas.
  3. Challenges in Finding the Right Level/Position: The NHS offers different levels of doctors. The most suitability level for you will depend on your experience and qualifications. It will also depend on the willingness of the department to provide an adjustment period to help you settle in.

Related: UK doctor titles 101

The Application Process

Securing an NHS job requires a systematic approach to the application process. By following key steps and strategies, you can improve your chances of success.

  1. Check the Application Closing Date: Submit your application well before the closing date to increase your chances of consideration. Responses are typically sent out 2-4 weeks after the closing date, but it may take longer if there is a high volume of applications.
  2. Tailor Your Application to Match the Job Description: Customise each application to align with the specific job requirements, person specifications, and responsibilities outlined by the hospital. Highlight relevant skills, experiences, and qualifications.
  3. Dealing with Non-Responsiveness from Hospitals: If you don’t receive feedback or follow-up after an interview, don’t take it personally. Focus on improving your application and interview skills, seek guidance from networks or mentors, and stay determined.
  4. Highlight Relevant Achievements and Experiences: Showcase your accomplishments without being overly modest. Emphasise experiences that demonstrate your skills, dedication, and ability to excel in the medical field.
  5. Provide Comprehensive Details of Past Duties and Tasks: Be thorough in explaining your previous roles, especially for recruiters unfamiliar with your healthcare system. Provide comprehensive information about your responsibilities, accomplishments, and contributions to patient care.

Geographical Restrictions and Preferences

Managing geographical restrictions and preferences is a challenge for international medical graduates (IMGs) seeking jobs in the NHS. Here are some strategies for navigating these limitations and finding suitable job opportunities.

Manage Location Limitations and Preferences

You might have specific location requirements due to personal reasons or family restrictions. These preferences can narrow down the pool of available job opportunities. While it’s natural to have specific preferences, it’s essential to be diligent in your job search and consider a range of locations that meet your requirements.

Diligently Search for Jobs in Your Desired Regions

Proactively search for job vacancies in your desired regions or cities. Regularly check the NHS Jobs website and other job boards for opportunities. Keep in mind that popular areas may have more competition, requiring a stronger application and longer waiting periods for responses.

Factors to Consider for Highly Competitive Areas

Securing a job in highly competitive areas like London may be more challenging due to the large number of applicants. To stand out, highlight relevant experiences and skills that align with the demands of these competitive areas. Continue to improve your CV and as much as possible, continue working to avoid recent gaps in your clinical career.

Explore Opportunities in Smaller Towns or Areas with Limited Posts

Consider exploring job opportunities in smaller towns or areas with limited job posts. These locations often have a lower volume of applicants which increases your likelihood of being shortlisted. Once you have NHS experience under your belt, find your next job will become easier.

Being Flexible and Adaptable

Flexibility and adaptability are crucial when searching for the right job in the NHS. Being open to different locations and considering a range of job options can significantly increase your chances of securing a position. Remember that the goal is to gain valuable experience and establish yourself in the NHS. Being flexible with your preferences can lead to unexpected opportunities and career growth.

Related: Steps to secure an NHS job as an IMG

Resources and Support for International Doctors

Leverage available resources and support networks tailored to IMGs:

  1. Professional Organisations: Join organisations catering to international doctors, offering guidance, networking, and support. Such organisations include medical indemnity organisations such as the Medical Protection Society, and a trade union like the BMA.
  2. Mentorship and Peer Support: Seek mentorship from experienced doctors and connect with peer support groups to share experiences and gain valuable insights.
  3. Online Platforms and Courses: Explore online platforms and courses designed for IMGs, providing insights into the NHS, interview preparation, and cultural integration.
    1. Here are some to look into:

Utilise these resources to enhance your knowledge, skills, and understanding of the UK healthcare system.

Related: 8 organisations you’ll encounter as a doctor in the UK


  • The NHS (National Health Service) in the UK is an attractive career option for international medical graduates (IMGs) due to its globally recognised training, career development opportunities, and emphasis on work-life balance.
  • The job market for doctors in the NHS has a significant demand in various specialties, and experience gained overseas is valued.
  • Common concerns faced by IMGs include not receiving a response from hospitals after applying, difficulty finding jobs in preferred locations, and challenges in finding the right level/position within the NHS.
  • Strategies for navigating the NHS job market include submitting applications well before the closing date, tailoring applications to match job descriptions, dealing with non-responsiveness from hospitals, highlighting relevant achievements and experiences, and providing comprehensive details of past duties and tasks.
  • Managing geographical restrictions and preferences can be a challenge, but diligent job searching, considering a range of locations, and exploring opportunities in smaller towns or areas with limited job posts can increase chances of finding suitable positions.
  • Being flexible and adaptable, along with leveraging available resources and support networks tailored to IMGs, such as professional organizations, mentorship and peer support, and online platforms and courses, can be beneficial in securing an NHS job and enhancing knowledge and skills in the UK healthcare system.

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Looking for a step-by-step guide?

Subscribe to the Savvy IMG and grab your FREE 2-year roadmap to UK residency as an IMG.


Looking for a step-by-step guide?

Subscribe to the Savvy IMG and grab your FREE 2-year roadmap to UK residency as an IMG.


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Meet the Team

Hi, we’re Drs Nick & Kimberly Tan, the two IMGs behind The Savvy IMG. We write comprehensive guides, create courses, and provide one-to-one guidance to help other overseas qualified doctors on their journey to the UK.
We have scoured the official guidance to put these posts together, but we can make mistakes! If you spot anything that is incorrect, please get in touch and we’ll put it right.
Photo of Dr Nicholas Tan