The NHS has long relied on international medical graduates (IMGs) to fill critical workforce gaps. With a third of NHS hospital and community service doctors in England coming from outside the UK, these professionals play a vital role in sustaining healthcare delivery. While the NHS is welcoming, many IMGs face unique challenges that can impact their integration, well-being, and career progression.

The Reality of IMG Experiences

Many international doctors arrive in the UK with high hopes, but their initial experiences can be demanding. Common challenges include:

• Adapting to a New System: The NHS has its own structure, terminology, and way of working. Without proper induction, IMGs may feel unprepared. A structured onboarding programme can help ease this transition.
• Lack of Structured Training: Some IMGs expect accredited training but find themselves filling rota gaps instead. Clear guidance on career progression and development opportunities is essential.
• Administrative and Financial Barriers: Delayed payments, complex visa processes, and high renewal costs create uncertainty. Clear employment policies and financial support could make a significant difference.
• Social Isolation and Well-being: Moving to a new country can be challenging, especially for single IMGs. Building strong peer networks and cultural communities can provide much-needed support.
• Bias and Discrimination: While the UK is diverse, some IMGs still experience subtle bias. Encouraging inclusivity and providing support networks can help foster a more positive working environment.

How to Improve the IMG Experience

To ensure IMGs feel valued and supported, healthcare organisations can implement key initiatives:

1. Comprehensive Induction: A structured shadowing period before starting clinical duties helps IMGs understand NHS systems and processes.
2. Mentorship and Peer Support: Pairing IMGs with experienced colleagues provides guidance and reassurance during their transition.
3. Clear Employment Guidelines: Transparent communication about entitlements, pay structures, and visa processes reduces stress and uncertainty.
4. Stronger Support Networks: Encouraging IMGs to join professional groups such as the British Medical Association (BMA) and local associations helps them integrate.
5. Policy Reforms: Reducing visa costs, simplifying leave-to-remain applications, and offering retention incentives would encourage more IMGs to stay in the NHS long-term.

Conclusion

International doctors are the backbone of the NHS, yet their journey can be complex. By offering structured support, fostering inclusivity, and addressing administrative challenges, the NHS can ensure IMGs feel valued and supported. This not only benefits IMGs but strengthens the entire healthcare system.

At Chequers Academy, we specialise in supporting international healthcare professionals as they transition into NHS roles. Our courses simplify complex topics, providing practical guidance on NHS structures, career pathways, and professional development. Whether you are just starting or looking to advance, Chequers Academy is here to help you succeed. Learn more about our training programmes today.

References

MJ 2023;382:p1618 http://dx.doi.org/10.1136/bmj.p1618 Published: 19 July 2023