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Training usually starts with a five year first degree in medicine and two years of foundation training. You will then take three years of core training (CT1-3), followed by three years of specialist training (ST3-6). This period of training will include completing your royal college exams. Length of training can vary according to your circumstances.Working hours should not exceed 48 hours a week. The working hours may sometimes extend beyond the normal working day including early mornings, evenings, weekends and on call. The basic salary ranges from £29,384 to £34,012. Once you start your specialty training as a general psychiatrist 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 empathy, compassion, emotional resilience and initiative to work in highly pressurised and emotive situations.The ability to monitor developing situations and anticipate issues is important. You'll also need to be flexible with an analytical and scientific approach. Also important are excellent communication, leadership and problem solving skills with the ability to work well in a team. You'll also need a high level of motivation, good organisational skills and the ability to work well in a team. Good problem-solving skills using logical/lateral thinking are also important.There are approximately 2,724 general psychiatrists working in the NHS in England. In 2020, there were 174 applications for 155 specialty training places. You'll specialise in liaison psychiatry, rehabilitation psychiatry or substance misuse psychiatry.
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Although gardeners and grounds staff often join the NHS fully qualified and experienced, it may be possible to train in gardening and grounds maintenance. Employers usually ask for GCSEs (or equivalent) including English and maths. Where employers are seeking qualified staff, they usually expect a qualification in horticulture or landscaping, such as an NVQ, certificate or diploma. They may also expect some experience of horticulture work (eg from paid or voluntary work, an apprenticeship or through experience at home). When you start work in gardening or grounds maintenance, you will get the training you need and be encouraged to take further qualifications. Your employer will expect you to keep your skills up to date by going on short courses. These could include topics such as handling pesticides, using tractors or using cutting tools. Employers may ask for a driving licence.Estates staff working in the NHS are paid on the Agenda for Change (AfC) pay system. As a gardener/estates support worker, you would typically start on AfC band 2. As a qualified craftsperson in estates maintenance, you will typically start on AfC band 3. With further training and experience, you could apply for more senior positions at bands 4 and above. Gardeners and grounds staff in the NHS work standard hours of around 37.5 a week. The job may involve early starts and weekend working. Terms and conditions will usually be different for gardeners and grounds staff working outside of the NHS.Gardeners and grounds staff need to be interested in gardening and horticulture, willing to work outside in all weathers, able to use tools, including power tools, physically fit for digging, lifting, carrying, etc; have an eye for design and colour and be able to work flexibly, according to seasons and weather. They also need to be good at working in a team and have good communication and practical skills.With experience, you could become a team leader overseeing the work of other gardeners and grounds staff. With further experience, you could become a manager, responsible for the gardening and grounds service for a hospital, area or trust. There are opportunities outside the NHS.