Compare roles in health

Not sure where to start with the hundreds of NHS careers? Use our compare roles section to get bite-size information on the entry requirements and training, pay and conditions, prospects and skills needed of up to three roles. If there is something that you think you could do, then get more in-depth information on the role.

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  1. General internal medicine

    Doctors working in general internal medicine treat patients with a wide range of acute and long-term medical conditions. 

    Training usually starts with a five year first degree in medicine. Then there's two years foundation doctor training, two years core training (CT1-2), followed by three years specialists training (ST3-5). This period of training will include your royal college exams. Length of training can vary according to your circumstances.
    Doctors may work up to 48 hours a week. The working hours may sometimes extend beyond the normal working day to include early mornings, evenings and weekends. You will also need to be on call. The basic salary ranges from £29,384 to £34,012. Once you start your specialty training as a doctor in general internal medicine employed by the NHS, you can expect to earn a salary of at least £40,257, which can increase to between £84,559 and £114,003 as a consultant.
    You'll need excellent communication skills to manage a wide range of relationships with colleagues, and patients and their families. You'll be emotionally resilient, have excellent problem-solving and diagnostic skills and work well in teams and under pressure. You'll also be very organised for the benefit of patients.
    There are approximately 891 consultants working in general internal medicine in the NHS in England. You could specialise in acute internal medicine, cardiology, endocrinology and diabetes, gastroenterology, geriatric medicine, renal medicine or respiratory medicine.
  2. Project manager

    NHS project managers set up and lead projects that are vital to patient care being of the highest possible standard.

    In project management, gaining management qualifications while working will improve your career prospects and performance greatly. It is encouraged in most healthcare organisations. The Association for Project Management provides a range of qualifications, incorporating a mix of tools, techniques, processes and skills.
    Staff in the NHS will usually work a standard 37.5 hours per week. They may work a shift pattern. Most jobs in the NHS are covered by the Agenda for Change (AfC) pay scales. This pay system covers all staff except doctors, dentists, and the most senior managers (where very senior managers pay apply). Your career in project management in the NHS could start at Agenda for Change Band 6 or 7, with the most senior roles rising to Band 9. Terms and conditions of service can vary for employers outside the NHS.
    You’ll typically need an ability to influence others to adopt proposals and implement solutions; ability to use your own initiative and work as part of a team; good negotiating skills; ability to lead change management and innovation; effective business acumen; the ability to stick to deadlines; good communication skills; leadership skills; organisational skills; a willingness to work with others and respect their views; confidence with numbers; confidence with information technology; the ability to challenge the way things are and find better alternatives; a commitment to the ideals of quality and fairness in delivering healthcare.
    With further training and/or experience, you can develop your expertise in project management further into more senior managerial roles, including those at director level.
  3. Health records staff

    Health records make sure that vital patient information is recorded and stored accurately so their frontline colleagues can access it at any time and at any place. 

    There are no set entry requirements for health records staff. Employers usually expect good literacy, numeracy and IT skills. They may ask for GCSEs or equivalent qualifications. For some jobs, employers may ask for other skills or qualifications such as word processing or data entry. You may be able to enter through an apprenticeship. You will get the training you need to do the job and may be offered the chance to take qualifications from organisations such as AMSPAR, BSMSA and IHRIM
    Health records staff in the NHS work standard hours of around 37.5 a week. Some may work shifts, which could involve early starts, evenings and weekends. NHS staff working in health records will usually be paid on the Agenda for Change pay system. In health records you could start on AfC band 2 and with further training and qualifications, progress to posts at AfC band 5 and higher. Health records staff outside of the NHS will have different terms and conditions of service.
    To work in health records staff, you'll need to be accurate and methodical, able to work in a team but use your own initiative, willing to follow instructions and procedures, able to work with all types of people, be confident using the phone. You'll need good organisational, IT and customer service skills
    With experience, you could become a team leader, coordinating the work of a team of health records staff. With further experience, you could become a manager, responsible for the work of a health records department. Some health records staff move into more specialist roles such as medical secretary or PA. Others move into areas such as finance or HR. You may also have the opportunity to move into informatics, specialising in electronic data, or into IT.
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