is RMO work?
There are approximately
230 private hospitals in the United Kingdom. Most are required
to have a Resident Medical Officer (RMO) on site 24 hours a day
to cover for cardiac arrests on behalf of consultants. The hospitals
vary in size, medical complexity and workload but a typical private
hospital will handle elective surgery only. There are relatively
few acute medical admissions, as private hospitals generally
do not accept myocardial infarcts, etc. Only the larger hospitals
(>60 beds) will have ICU or ITUs and most of the clinical
workload is geared towards general ward work and managing post-operative
RMOs usually work 168-hour
shifts, during which time they are required to remain on the
hospital site at all
times. Meals and accommodation
are provided free whilst on duty and the on-call room will usually
have satellite TV. RMOs cover private hospital for emergencies
and general ward work; some hospitals may require RMOs to assist
ACLS and APLS, medical
indemnity cover are compulsory requirements. We typically expect
6-12 month commitment and basic
pay at contract
hospitals is £1615-00 per week worked, including holiday
pay; non-contract work is £18-25 per hour. Re-imbursement
of flights, GMC registration, ACLS and APLS courses are provided
for contract doctors; however, re-imbursements depend on the
length of contract. Subsidised off duty accommodation and a
car are provided
on a first come first served basis.
clinical skills do I need and why do RMO work?
Outside of office hours, the RMO is only doctor on site and must
be confident in dealing with clinical emergencies on behalf of
admitting consultants. All applicants are required to hold full
adult and paediatric resuscitation qualifications (ACLS and APLS
or equivalent). RMO work is ideal for those doctors wishing to
study whilst earning a reasonable salary. Also, with the current
difficulties in organising a substantive post in the UK from overseas
and the unpredictability of NHS locums, RMO work has become the
best way to guarantee work in the UK. It is an ideal way to enter
the UK and will enable one to apply for NHS substantive posts while
earning a salary. NHS locums are often arranged at short notice
and thus difficult to plan around and usually are not guaranteed.
Also, without a car, doctors may find it difficult to organise
happens if I am married?
Cape Medical have several
rotations which are suitable for married couples in terms of
onsite hospital off duty accommodation. Please contact our office
for further information.
about off duty accommodation and transport?
Most RMO hospitals
provide accommodation during duty weeks only. Some hospitals
may allow the RMO to leave some luggage there during "off" weeks
and we have a small number of hospitals do provide free off-duty
accommodation and these posts tend to be filled far in advance.
CMS also has a house
in Worcester available for off duty accommodation with single
and double rooms, satellite TV, etc. RMOs are accommodated
on a first come, first served basis and a small nominal fee per
person per night is charged. Alternatively, RMOs may rent a rent
for their (and their spouse) exclusive use for 3,6 months, etc.
CMS also has a small fleet of cars available for RMO use.
sort of rotas can I work and what about contracts?
Generally, one can
work either one week on/one week off (1 in 2) or a two weeks
on/one week off (2 in 3) rotas. Married couples (where one or
both partners are doctors) generally prefer to work a 1 in 2
rota. All the RMO service provider contracts are broadly similar
although wording will be different. Although somewhat confusing,
most of the total pay packages will be the same although certain
elements may differ. For example, one company may offer a bonus
whereas another will offer holiday pay.
The length of the average
contract is usually 3, 6, 9 or 12 months. Most contracts are
fixed term contracts and doctors are expected
to complete the full term. Where RMOs wish to end earlier than
agreed, some companies may enforce penalty clauses whereby the
RMO is expected to pay costs towards organising a replacement
RMO (typically £4,000).
company should I use?
Obviously, each RMO
company is different and doctors need to speak to the different
companies and choose to work through the company with which they
feel most comfortable. Personal referral from friends is important.
Bear in mind that the jobs vary tremendously in terms of workload,
clinical profile, etc and doctors need to ascertain exactly to
which hospital they will be allocated.
You would be best advised
not to sign any employment contract without first ascertaining
where exactly you will be working and if indeed,
work is actually guaranteed. Also, think carefully before signing
contracts that do not specify agreed salaries, bonuses, etc.
We at CMS believe that
it is also important to consider how doctors are treated once
they started the job. For example, despite our
competitors making similar promises, each Cape Medical RMO
is always met individually on arrival in the UK and taken to
accommodation or hospital. For example, what happens if the
RMO wants to transfer from the hospital or wishes to end the
earlier? What happens when you get a NHS interview during one
of your duty weeks at short notice? In this regard we encourage
RMOs to speak to existing RMOs or better, speak to friends
who have done the job, particularly at the hospitals to which
have been allocated as the RMOs.
work through CMS?
You will deal with
experienced staff working closely with the MD, who has considerable
first-hand experience of the work involved and is able to advise
and mediate on all clinical matters. We actively encourage all
prospective doctors to speak to the outgoing RMO in the hospital
to which they have been allocated so that they may accurately
gauge the job, workload and working environment.
CMS is the only
South African owned and operated UK RMO service provider that
provides personalised one to one service throughout
your stay in the UK. As such, we specialise in assisting doctors
and their families in relocating to the UK. From the time that
you are met at the airport on arrival in the UK, to accompanying
you to open a bank account, registering with a general practitioner,
we are with you. We update every doctor’s CV individually
to NHS standards and before completing a RMO job, each RMO will
undergo a career briefing, which comprises full CV review and forward
much do I get paid?
In total, contracted
RMOs will typically be paid £1,830 for every 168-hour week
worked and is calculated as follows::
PAY PER STANDARD RMO
DUTY SHIFT OF 168 HOURS WORKED
|Holiday pay (typical
figure, depends on rota, length of contract, etc.)
Please note that holiday
pay and bonuses are subject to compulsory tax and National Insurance
deductions. Generally, we will try our best to match most competitor
packages. For example, some RMOs particularly those with anaesthetic/ICU
experience can earn up to £3,000 per week.
CMS will re-imburse
the following expenses:
- GMC registration
or renewal (where doctor is already registered)
- MPS or MDU medical
- ACLS and APLS resuscitation
courses (or update where already held)
- Relocation expenses
From a gross salary
of £1,830 per week worked, after tax and NI (see below),
a RMO will receive approximately £1,100 - £1,300
net pay per week. Please contact the office for current pay packages.
about work permits and visas?
CMS organise the relevant
work permits for all applicant doctors once we have signed a
contract of employment. Doctors who are married and require permits
for their family should contact our office for further advice,
as this will require extra documentation and may take longer
about tax, medical aid and health insurance?
As an employee, one
is obliged to pay income tax on UK earnings and this is deducted
from the weekly pay. Most RMOs are able to claim back some tax
and CMS will usually do this for the RMO for free. The RMO will
have to contribute to National Insurance (NI) that equates to
around £48-80 per week worked and this covers the RMO for
free NHS (government) healthcare which is adequate for most health
needs. We further advise RMOs to take out extra travel insurance
if they intend travelling across Europe, etc. An annual policy
can be arranged for around £68-00 per year, which also
covers a spouse for free.
other services does Cape Medical offer?
We also provide reference
information that you may wish to pass on to your referees for
those doctors who are considering a substantive NHS training
posts. This information will ensure that training posts completed
outside of the UK will be recognised by the relevant UK Royal
College. College recognition will enable doctors will go into
the NHS at the correct (i.e. higher) salary level. Other publications
include Improving your CV which contains vital information on
how to adapt your CV for NHS substantive posts.
This is essential reading for all doctors who have come to the
UK through other agencies as typically these agencies will provide
templates which, while acceptable for RMO work, are unsuitable
for NHS substantive posts. Samples of typical outline CVs can be
downloaded from our website for free although the accompanying
information pack and advice sheets are available to CMS RMOs only.
can also assist you in obtaining anything from discounted laptops
and motor cars to mortgages through our affiliated services providers.
do I apply for a job through Cape Medical Services?
If you are interested
in applying for a post or want to discuss your UK options, please
telephone +44(0) 1905 617 611 or fax on +44(0) 1905 731 511 or
register via our website. The first priority is to register with
the GMC (see below). Secondly, one needs to book adult and paediatric
resuscitation courses as these tend to get booked up, particularly
in December/January each year. You then need to decide which
company you will work through. Once you have signed a contract,
your work permit visas, bank accounts, etc will be organised
by your chosen employer i.e. Cape Medical.
all types of work, we require the following documentation:
curriculum vitae including physical address to courier
work permit to (when issued). If you do not have an
up-to-date CV, please contact our office staff who will
CV template for you to complete.
- Clinical references:
Minimum of three original, recent, satisfactory referees/references
are required (preferable be relevant
i.e. a paediatric referee for paediatric locums). You
should supply CMS with names, telephone AND fax numbers
- Hepatitis B
immunity and hepatitis C status laboratory report (in
English only); this must state
HBVAb titres (and HbsAg if non-responder), and not
just proof of vaccination.
- GMC Status
and Medical Protection Society Status: If you are a member,
supply your GMC and MPS
not a member, let us know and we will forward the
relevant application forms to you. (please see
GMC section later
qualifications (ALS/ACLS/ATLS and APLS/PALS or equivalent)
dates competed or booked;
for a list
of the latest available courses, please contact
Course centres directly.
all documentation to our office address:
27 Sansome Walk
Worcester WR1 1NU