Stage 05 — NHS Job Matching

Your first NHS post, matched to you.

NHS Jobs has 60,000 listings. Maybe 4,000 actually sponsor IMGs. We narrow that to the posts that fit your specialty, grade, visa status and family — with CV review and interview prep built in.

The grade ladder

From IMG arrival up the NHS.

Every NHS grade with the realistic IMG entry route, expected duration and the practical note nobody tells you.

Trust Grade / Clinical Fellow

Most common IMG entry · 1–2 yrs typical

Service post; great way to build NHS references

Specialty Doctor (SAS)

Post-PLAB with experience · Open-ended

Permanent, sponsorable; pay band MN37

Specialty Training ST1–ST3

MSRA / specialty interview · 3 yrs core

Competitive — IMGs apply via Round 1 / Round 2

Specialty Training ST4–ST8

Higher specialty selection · 4–5 yrs

Run-through in some specialties

GP Trainee ST1–ST3

MSRA + SJT · 3 yrs

GP training open to IMGs every February

CESR / CCT consultant

Equivalence portfolio · Post-training

Substantive consultant via Royal College

Sponsoring regions

200+ sponsoring Trusts across every English region.

London

30+ trusts

Good / Outstanding mix

Highest cost of living, biggest IMG community

North West

25+ trusts

Strong sponsorship history

Manchester, Liverpool — strong IMG networks

Yorkshire & Humber

20+ trusts

Good

Leeds, Sheffield — affordable, family-friendly

West Midlands

20+ trusts

Good

Birmingham hubs, Black Country trusts

East of England

15+ trusts

Good

Cambridge, Norwich — research-heavy

South East

20+ trusts

Good / Outstanding

Oxford, Brighton, Kent — premium rents

South West

15+ trusts

Good

Bristol, Exeter, Plymouth — lifestyle appeal

North East

10+ trusts

Good

Newcastle, Middlesbrough — lowest cost of living

Specialty heatmap

Where IMG hiring actually has demand.

SpecialtyIMG demandTypical entry
Internal MedicineVery highTrust Grade → IMT
Emergency MedicineVery highClinical Fellow → ACCS
PsychiatryVery highSAS / CT1
General PracticeHighGP ST1
PaediatricsHighClinical Fellow → ST1
AnaestheticsMedium-HighTrust Grade → CT1
RadiologyMediumClinical Fellow → ST1 (competitive)
Obs & GynaeHighTrust Grade → ST1
Surgery (general)MediumClinical Fellow → CT1
HistopathologyVery highDirect ST1 entry
GeriatricsVery highTrust Grade → IMT
Acute MedicineVery highTrust Grade → IMT

NHS CV anatomy

What NHS shortlisters expect — not your home format.

Two pages, structured these ten ways. Anything else and you're optimising for rejection.

01

Personal details

Full name as on passport, GMC number, contact, NMC if dual.

02

Professional statement

5–6 lines: who you are, where you trained, target role, USP.

03

Qualifications

MBBS / equivalent, postgrad, dates, awarding body — chronological.

04

Employment history

Reverse chronological. Trust / hospital, dates, grade, 3 bullets each.

05

Clinical skills

Procedures with numbers, scope of independent practice, on-call competence.

06

Audit & QI

Title, role, cycle stage, outcome, presentation. NHS interviewers care.

07

Teaching

Formal & informal, learners, feedback metric.

08

Research & publications

PubMed-style citations, conferences, posters.

09

Management & leadership

Rota lead, project lead, committee membership.

10

References

Two clinical referees with email — at least one a consultant.

Interview blueprint

Eight areas every panel covers.

Practice each area against your own portfolio. Our mock interviewers are NHS clinicians who sit on real panels.

01

Clinical scenarios

ABCDE structure, escalation, differential reasoning under time pressure

02

Ethics

Four-quadrant framework, consent, capacity, confidentiality, end-of-life

03

GMP domains

Knowledge, safety, communication, trust — pull examples from your CV

04

Audit & QI

PDSA cycle, your role, outcome, what you'd repeat

05

Commitment to specialty

Why this specialty, why now, what you've done to demonstrate it

06

Personal scenarios

Conflict, difficult colleague, mistake, raising a concern

07

Trust-specific

Recent CQC report, Trust strategy, why this Trust

08

Portfolio walkthrough

Be able to talk to every page — interviewers will pick one

The CoS reality

Not every Trust that can advertise sponsor.

How Trusts allocate
Each Trust holds a finite CoS quota per year tied to their licence.
Timing windows
Most quotas reset April. October sees a second wave of recruitment.
Defined vs undefined
Skilled Worker CoS for in-country starts is 'defined' — issued case-by-case.
CoS reference number
8-character alphanumeric — required before you start your visa application.
Salary on CoS
Must match the role's pay band; mismatch causes UKVI refusal.

Relocation budget

Real relocation bands you'll actually spend.

Single applicant, first six weeks. Family budgets scale roughly 1.5–2× depending on children and school registration.

ItemCost
Visa (H&CW, single)£304
Flights (one-way)£400–£1,200
First month rent (London)£1,800–£2,500
First month rent (N. England)£700–£1,100
Rental deposit (5 wks)5 weeks' rent
Furnishing & basics£500–£1,200
GMC registration£446
Relocation budget (London)£4,500–£7,000
Relocation budget (N. England)£3,000–£5,000

Frequently asked

NHS job questions, answered.

What grade should I apply for first?

Most IMGs start in Trust Grade or Clinical Fellow posts. These give NHS-context references, are sponsorable, and let you apply for Specialty Training in the next recruitment round from a position of strength.

Will every NHS Trust sponsor an IMG?

No. Around 200 NHS Trusts hold sponsor licences but quota varies. We track current licensees and recent IMG hires so you only apply where you can actually start.

When do specialty training rounds open?

Round 1 applications open in November for August start; Round 2 in February for February start. MSRA sittings sit alongside. IMGs are eligible for both rounds.

Do I need to be in the UK to apply?

No. You can apply, interview by video, accept and complete pre-employment checks remotely. You enter the UK once your CoS is issued and visa granted.

What is MSRA?

Multi-Specialty Recruitment Assessment — a computer-based test used for GP, Psychiatry, Radiology and several other specialties. Two papers: clinical problem-solving + professional dilemmas.

Will Trusts pay relocation expenses?

Some do — especially in hard-to-fill regions and specialties. Ask early. Even £1,000–£3,000 helps with the first month.

How does pay work for IMGs?

You're paid on the same NHS pay band as a UK trainee at the equivalent grade. Banding supplements (on-call) add 20–50%. No discount for being international.

Can I bring my family on day one?

Yes — dependant visas are issued alongside yours. The Health & Care Worker visa exempts your dependants from the IHS too.

How does IMG2NHS match me to a Trust?

You give us specialty, grade preference and region. We surface Trusts currently advertising IMG-friendly posts with verified sponsor licences and recent IMG hires.

What if my CV is rejected?

Most rejections trace to one of three causes: missing audit evidence, weak structure for NHS readers, or grade mismatch. Our CV review is built around the three.

NHS Matching launches with the platform.

Founding members get first access to sponsor-verified Trust listings.

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