The Savvy IMG

Settling into the NHS: Tips for New UK IMGs

Embarking on a journey to work in the NHS in the UK as an IMG is an exciting but challenging endeavour. As you prepare to adapt to the NHS and the UK, we want to share some tips to ensure a smooth and successful integration.

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Published June 27, 2023

Embarking on a journey to work in the National Health Service (NHS) in the UK as an international medical graduate (IMG) is an exciting but challenging endeavour. Honestly, it took us several months to really settle in, both at work and at home. In the beginning, there were lots of ups, but probably more downs! Thankfully we got through, we’re both really happy and wouldn’t live anywhere else.

So, you prepare to adapt to the NHS and the UK, we want to share some tips to ensure a smooth and successful integration.

1. Develop the Right Mindset

When beginning your journey as a new UK IMG, cultivating the right mindset is vital for a successful adjustment. Yes, things are hard but the initial stages are always hard. For everyone. This is not the time to cave and give up. It will get better.

We encourage you to embrace the challenge with enthusiasm and a positive outlook, knowing that you have already achieved a significant milestone in becoming a doctor in the UK. This is really an opportunity for both personal and professional growth. Keep looking at the bigger picture, trust us, it will get through those difficult periods.

2. Build Support Networks

Having a support system is vital during your adjustment as a new UK IMG. You might be moving here on your own, with no family and no friends, but there are many doctors here who will share your values, background, and your journey.

Connect with fellow IMGs in your hospital or even online for emotional support and knowledge sharing. Ask about whether there is an IMG buddy programme or mentorship programme in your hospitals. More and more places are organising these so definitely ask around. Remember, you’re not alone in this journey.

3. Social and Professional Integration

Social and professional integration is crucial for new UK IMGs. Connect with colleagues, seek advice, and offer support to create a supportive work environment. Attend professional gatherings, conferences, and workshops to expand your network and stay updated in your field. Engage in social activities and join clubs to foster friendships and gain a deeper understanding of the local culture. People are always willing to share their experiences, so take advantage of these opportunities to learn and build meaningful connections.

4: Overcome Challenges and Build Resilience

As a new UK IMG, know that there will be challenges during your transition. Adjusting to a new healthcare system and cultural differences may feel overwhelming, but cultivating resilience and focusing on your goals will help you navigate with confidence.

Be patient with yourself as you learn the intricacies of the NHS and UK healthcare practices. During moments of self-doubt or setbacks, remember why you chose to pursue your medical career in the UK. Stay connected to your passion and the positive impact you can make on patients’ lives. Maintain a growth mindset and view challenges as opportunities for learning.

Manage stress and prioritise self-care. Don’t neglect your nutrition, fitness and hobbies. These things build our bodies and minds to be strong and resilient to setbacks.

5. Embrace the Culture and Lifestyle

Understanding and embracing British culture is key for a smooth transition as a UK IMG. Get to know the communication norms and engage in small talk to build rapport. Embrace the collaborative healthcare approach and involve patients in their care.

Explore the UK’s cultural experiences, visit museums and historical sites, and engage in social activities to expand your network. Prioritise work-life balance and discover outdoor activities and hobbies that bring you joy.

6. Practical Considerations

To ensure a smooth adjustment as a new UK IMG, address practical considerations proactively. Start by finding suitable accommodation near your workplace with convenient travel to work. Practise your English regularly and familiarise yourself with medical and layman terminology.

Doctors in the UK don’t earn hundreds of thousands like their US counterparts, so financial management is key for long-term stability. Establish a UK bank account, utilise travel cards, and take advantage of NHS discounts, and look into investing early on. Stay vigilant against scams by verifying the legitimacy of providers and familiarising yourself with internet safety.

Addressing these practical considerations streamlines your transition and establishes a solid foundation for success and well-being in the UK.

7. Celebrate Your Impact and Contribution

As a UK doctor, you play a significant role in the NHS and British society. A third of doctors working in the UK are IMGs, so the NHS would truly collapse without us!

Your medical knowledge and commitment to patient care make a valuable difference in the well-being and health of individuals and communities. Take pride in the positive impact you make on the lives of patients, colleagues, and the broader community. Celebrate your accomplishments and milestones, and acknowledge the challenges you overcome and the growth you experience in your career.

Related: Getting ready for your first visit to the UK as an IMG
                10 ways to prepare for your first job in the NHS as an IMG


Settling into the NHS and the UK as a new UK IMG may seem like a daunting task, but with the right mindset, support networks, and practical considerations, you can navigate this transition successfully. Embrace the challenges as opportunities for growth, and remember the impact you can make as a doctor in the UK healthcare system.

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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