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 on 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.