Working in the UK

Here you will find a variety of frequently asked questions on working in the UK.
If you can’t find the answer to your question here, please do feel free to visit our LinkedIn page and engage with different members of the AGMS.

How can I speed up my registration with the General Medical Council (GMC)?
Things happen quickly if you go there personally. You should take all documents and the required fee with you, though. Dealing with the GMC by mail or phone is an adventure that can take weeks (and many times you are still left without all documents). The website is more helpful. You will have to bite the bullet and be patient.

I have been offered an interview/a job in XYZ-hospital. How can I find out more about the hospital and the job?
It is common practice in the UK to ring up the doctor holding your post at present. He / she will be able to describe in detail what to expect and can tell you about ups and downs. Don’t hesitate calling them well before your interview. Ask them all the questions you might have. Most consultants encourage you to do so anyway because it is considered your “homework” when preparing for a new job or an interview.

Is there a dress code in British hospitals?
Yes, there is! Don’t show up in German sandals. Don’t dress in white only – they might mistake you for a cricket player! Men should wear a smart shirt with short or rolled-up sleeves, but don’t wear a tie (deemed an infection risk). Wear decent trousers and clean leather shoes. Women can wear either a skirt or trousers, but again their outfit should not be too casual and they must wear short sleeves. Jeans are a not appropriate. White coats (Kittel) are also not permitted.

What should my Curriculum Vitae (CV) look like?
Create your own layout. Don’t use a pre-printed form from the internet. There is no need for expensive folders for your application documents, as is common practice in Germany. Some hospitals even consider faxed applications. However, using a clear layout and clean paper will increase your chances. British CVs do not need a passport picture, so don’t use a photograph unless explicitly required (e.g. in some application forms).

British CVs also have a short paragraph about your “career aims”. This should consist of a few lines explaining why you are applying for this particular job. German applicants are used to writing this information in their covering letter, however, in many cases this letter will not even be forwarded to the consultants on the interview panel.
Try to make your qualifications comparable to British qualifications. If necessary, explain marks and scores you have achieved in exams. Give the British equivalent to the exam you passed (eg. Abitur = A-Level).

At the end of your CV there should be a section of “Referees“. These are physicians or other respected persons that are willing to give information about you and your previous performance at work. It is not common to enclose written letters of reference “to whom it may concern” with your application. Instead, the referees stated on your CV will be contacted by phone, fax or letter once your appointment is considered. Therefore you should only list referees that are able to speak English.

Sometimes, not only is a CV is required but also an application form that will be sent to you from the medical staffing department. Try to get the document by email or on disk and fill it in on your computer. It may not be enough to fill the sections of this form with “see CV”. Unfortunately, these forms are now common and take a considerable amount of time to fill in.

Do I need to pass a language test when coming to the UK from Europe?
If you qualified within the European Union you don’t need to pass any test although it might improve your chances of getting the job you want. If you qualified outside the EU you will have to pass the Professional Language Assessment Board (PLAB) test to get full registration (no matter whether you are a native English speaker or your university taught in English as it applies to Prague or Budapest). The IELTS or TOEFL test can be required, too.

I am a trained specialist with some years of experience in Germany. Can I work in the UK as a consultant?
In theory, yes. The Certificate of Completion of Specialist Training (CCST) should be recognised all over the European Union. However, despite European directives there are still major problems. The authority to contact is the Specialist Training Authority (STA) in London that is in charge of recognising your training and experience.
You also have to register with the General Medical Council (GMC) – a process that can be rather tedious for foreigners since the efficiency of this body leaves room for improvement. Another essential address is the Royal College of your specialisation. The colleges are responsible for training specialists in the UK and seem to be quite well informed. You might also find help from the British Medical Association (BMA).
There are certain specialities that don’t exist in the UK (e.g. trauma is an orthopaedic not a surgical subject) or are named differently and will thus not be recognised (e.g. Dermatology in the UK vs. Dermatology / Venerology on the Continent). The recognition of the German “Allgemeinarzt” will be done by the Joint Committee for Postgraduate Training in General Practice (J.C. P.T.G.P.) at the Royal College of General Practice. This takes about 6-8 weeks and is not always easy.

How do I find a job in the UK?
There are three main ways:

What does it mean if a job is not recognised for training?
Most junior doctors in the NHS are working in training posts helping them to complete their specialist training. These jobs are approved for training by the postgraduate dean of that area, i.e. they have a regular teaching programme, study leave, funds for courses and conferences and the European working time directive applies.
There are other jobs though, created by hospitals or trusts in order to provide a service (called “Trust Grade”, “Staff Grade”, etc.). Doctors in these posts usually don’t have study leave or funds for courses. They only work to treat patients and not to complete their training. In some circumstances these jobs can be quite attractive; some don’t have to work nights or weekends, some are better paid, some are less competitive. For foreigners, they might be useful to get a foot into the British system. However, even recognition in their home country can be difficult. One should be informed about the differences before accepting a job.

I would like to take up a job in London. What do I have to do?
In general, it is difficult to find a job in a London hospital straight away if you are coming from abroad. London has an excess of doctors due to its many medical schools and its attractiveness. However, unlike in Germany, it is common that doctors in smaller towns find a job in London after some time. Thus it would be advisable to start off somewhere else to get your foot in the door. Once you are established in the British system and once you have British referees, the way to London seems to be smoother. Don’t expect it to be easy, though!

Useful links

The following links may also be of interest:
The General Medical Council: http://www.gmc-uk.org/
The British Medical Journal: https://jobs.bmj.com/
The NHS jobs portal: https://www.jobs.nhs.uk/