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STEP 7 OF 7 · EVERYONE

Becoming a consultant and beyond

Appointments, job planning, leadership and portfolio careers.

  • ⏱ 6 min read
  • Everyone
  • Step 7 of 7
  • Reviewed 24 October 2026
  • Consultant posts are appointed by an Advisory Appointments Committee (AAC) that includes a Royal College representative.
  • You agree an annual job plan that balances direct clinical care, supporting professional activities, teaching and research.
  • Many consultants take on leadership roles: clinical director, medical director, training programme director.
  • You can also develop expertise in medical education, informatics, medicolegal work or global health.

The job in outline

A full-time NHS consultant contract commonly has about ten programmed activities a week split between direct clinical care and supporting professional activities (teaching, audit, research, management and CPD), though job plans vary. Many consultants add private practice, medico-legal work or academic time. Confirm current terms with the BMA and NHS Employers.

  • Read the job description and speak to the team before applying.
  • Understand the on-call commitment, the number of PAs and the support for CPD and leave.
  • Plan your first year: induction, appraisal, mentorship and your plans for service development.

This page is general education, reviewed 24 October 2026. Rules, fees and dates change: always confirm with the official sources below. It is not medical, legal or immigration advice.