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If you have read
the information below you may wish to go directly to our enquiry
form. |
There are many misconceptions
surrounding medical work options in the UK. In an effort to dispel
some of the myths, we have produced a brief overview of available
work options in the United Kingdom. Whilst this is not intended
as an exhaustive guide, our advice is to think carefully about
what your objectives are before committing to a particular route.
We are the only UK medical services provider run by doctors who
can offer all options and will take the time to offer unbiased
advice.
NHS
locums
Still the most popular
option - positive features include high hourly rate of pay, more
socially acceptable hours than RMO work and the positive social
environment i.e. working with other junior doctors of similar
age, experience, etc. but not always the best option, financially
or career-wise for those considering specialising in the UK as
some consultants regard this as more detrimental on your CV than
RMO work. Can be in various specialities, arranged at short notice,
difficult to plan around and short term work -anything from two
days to three months although a week or two is the norm.
Typically
SHO locum pay varies between £18-£25 per
hour before tax but not easy to get more than 56 hours a week (because
of NHS regulatory reduction in doctors’ hours, the so-called
New Deal). NHS locums will suit doctors who do not want to commit
for a long period and resuscitation courses such as APLS and ACLS
are not compulsory. Locums are easier if a doctor has access to
a car although not essential. This can be a useful springboard
into a NHS post. The other drawback of
NHS locums is that the work offered typically comes up at short
notice and likewise, can be
cancelled by the
NHS at short notice. Overall, the vast majority of our NHS locums
are offered to our off duty RMOs as we know that they are available
regularly over the RMO contract period. As NHS hospitals prefer
using the same locum where possible, many of our RMOs are used
for repeat business.
Please also remember,
hospitals offer locums to agencies because they cannot get any
British doctors to fill
the posts. As a general
principle, the more locums available at a hospital, typically
the worse the working conditions. In other words, there are
good reasons
why British people are not interested in the posts. Under the
UK Department of Health Code of Practice introduced in late
2001, NHS hospitals should not be recruiting doctors from developing
countries via commercial locum agencies.
NHS
substantive posts
Probably the best
option for those considering specialising/staying in the UK but
it can be difficult to organise a job from outside the country,
as the candidate doctor is not available for interview. Going
through an agency has its pitfalls as firstly, NHS hospitals
should not be recruiting doctors from developing countries. Also,
these jobs can be cancelled at short notice. NHS hospitals typically
offer jobs to NHS locum agencies when their normal channels of
recruitment have failed i.e. the job is unpopular for some reason
and a lot of these jobs are not recognised for training purposes
by the Royal colleges. This is a vital point if you are considering
writing MRCP/MRCS, etc as time spent in a non-recognised post
will not be credited to you in terms of required experience in
the relevant speciality. Although we offer substantive posts
to doctors outside the UK, we cannot guarantee the posts and
the late confirmation often associated with these type of jobs.
For substantive training
posts, competition can be intense and the required standard of
applications CVs is much higher than that required for RMO
work and NHS locums. Consequently all our RMOs will have their
CVs reviewed
and updated by ourselves and RMOs
will have one to one career counselling in respect of NHS career
paths, etc, including practice interviews, exam planning, etc.
RMO
(private sector)
RMOs cover private hospital
for emergencies; ACLS, APLS and medical indemnity cover are compulsory
requirements. See RMO page for further information.
This option is better
for those who want definite high income (more than NHS locums)
and for those who like us to organise everything for them. Best
also for married couples/friends who wish to travel in their
off weeks.
Summary
Our job is to ensure
that you understand how the medical system works and hopefully
ensure that you make fully informed choices in respect of your
career. In addition, with so many UK hospitals and companies
currently chasing foreign doctors, increasingly we are noting
confusion as to what people should do, who they should go through,
etc. The standard of advice varies tremendously but at the end
of the day, Cape Medical is the only UK service provider run
by a doctor where you can get impartial advice and where you
will leave with a specific, personalised career plan.
Also available
are reference information that you may wish to pass on to your
referees (Using References Appropriately,2002) for those
doctors who are considering a substantive NHS training posts
after their RMO jobs, 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. Improving
your CV 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.
We are still
the only medical service provider in the UK that offers free
one to one career briefing and counselling for all
employees.
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