Clinical Attachments in the NHS: A Practical Guide for IMGs
A short, unpaid clinical attachment can transform your NHS job application. Here's how to find one and make it count.
What a clinical attachment is (and isn't)
A clinical attachment is a short unpaid observation placement in an NHS Trust. You can't treat patients or prescribe, but you can observe ward rounds, join teaching, and build the relationships that lead to your first paid job.
A clinical attachment is not a job — it is a chance to learn how the NHS talks, documents and escalates.
How to find one
Most consultants will consider a short attachment if you email politely, attach your CV, and explain exactly what you hope to learn. Aim for two to four weeks, not longer. Bring a notebook. Ask questions after ward rounds, not during.
Writing an email a consultant will answer
At the end of the placement, request a letter confirming the dates and hours. That letter — plus the reference you can now request — will materially strengthen your next NHS application.
Frequently asked questions
More answers on our FAQs page, or ask an advisor directly.