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Guide two · a checklist to live in, not read once

Your first 90 days

Moving countries and starting in the NHS at the same time is a lot — so don’t hold it in your head. Tick things off here as you go. Nothing on this list is urgent all at once, and thousands of doctors have walked this exact path before you.

Phase one

Before you arrive

Ideally the month or two before you travel ·

Get your GMC registration and licence in order

Know your registration date and what identity checks remain after you land — your employer’s HR team will chase documents, so keep certified copies of everything in one folder (paper and cloud).

Sort your visa with the BMA toolkit beside you

Most NHS doctors come on the Health and Care Worker visa. The BMA toolkit for doctors new to the UK and GOV.UK are the two sources to trust over any forum post.

Claim your free BMA membership

The BMA offers free first-year membership to international doctors new to the UK — contract checking and employment advice you’ll be glad to have.

Book the GMC’s Welcome to UK Practice workshop

Free, half a day, and repeatedly rated by IMGs as the thing they wish they’d done sooner — book it here for your first weeks.

Start the free NHS induction e-learning for IMGs

The national e-learning induction programme can be done from anywhere — even before you fly.

Plan the unglamorous practicalities

Somewhere to stay for the first few weeks, and enough funds to bridge the gap to your first pay day (often a month or more after starting). Ask your employer about early-pay or relocation support — many trusts offer it.

Phase two

Your first two weeks

The admin fortnight — it gets easier after this ·

Apply for your National Insurance number

You need it for payroll and it can take a little while — apply on GOV.UK as soon as you arrive (you can usually start work while it’s pending).

Open a UK bank account and get a UK SIM

A UK address helps; several banks open accounts with a passport plus an employer letter. The SIM matters more than it sounds — NHS systems and patients will need to reach you.

Register yourself (and your family) with a GP

Yes — doctors need a GP too, and you’ll experience your new system from the patient side, which is quietly excellent training.

Complete your employer induction, occupational health and IT setup

Smartcard, clinical system logins, e-portfolio access. Befriend the practice manager and the rota coordinator early — they solve more problems than any consultant.

Learn who to call when you’re stuck

Your clinical supervisor, your educational supervisor, and the duty doctor arrangement where you work. Asking early and often is read here as safe practice, never as weakness.

Phase three

Your first three months

Settling in, finding your people, starting to thrive ·

Attend Welcome to UK Practice and finish the induction modules

Between them they cover consent, confidentiality, prescribing culture and raising concerns — the things that differ most between health systems.

Find your people

Join a network that feels like home — BAPIO, BIDA, MANSAG, BIMA — and ask your deanery about its IMG programme and buddy schemes. Community is not a luxury; it’s how people flourish here.

Sit with the UK consultation culture on purpose

Watch experienced colleagues consult. Notice how they ask about ideas, concerns and expectations, share decisions, and safety-net. These are learnable, examined skills — start collecting phrases you like.

Give your exams a calm structure (when you’re ready)

Once life admin settles, sketch your MSRA/AKT/SCA timeline. Our Revision Hub and Core Calendar exist to give you structure without overwhelm — and the IMG Hub will keep growing alongside you.

Settle the rest of life

Council tax, driving licence rules for your country of origin, schools if you have children. One thing a week is a perfectly good pace.

Expect the dip — and be kind to yourself through it

Around months two to three many people feel a wobble: competence questioned, home missed, everything effortful. It’s the well-known shape of adjusting to a new country, and it passes. Talk to your buddy, your network, your supervisor — you are not the first, and you’re not alone.

Core Revision Tip

Your ticks save on this device, so you can come back to this page across the whole 90 days. If you’d like this as a printable PDF, tell us at admin@corerevision.com — it’s on our list.

General information, not immigration, legal or financial advice — for visa and employment questions use the BMA and GOV.UK. Written by the Core Revision team · Reviewed by a practising GP · Last reviewed July 2026.