Trust grade and IMG interviews
Trust grade (locally employed) and international medical graduate interviews are set by each Trust rather than nationally, but commonly cover why you want to work in the NHS and this Trust, how you would adapt to NHS systems, patient safety and escalation, communication, teamwork, professional standards and your plans for development. This pathway uses generic NHS questions; always check the job description and person specification for your post.
Format based on published 2026 recruitment guidance. Last checked: October 2026. This is general information, not advice about your application — always confirm details with the official source for your round.
Structure
The stations, reproduced with real timings.
The simulator keeps to these durations and moves you on when the clock runs out.
Motivation and NHS understanding
Why the NHS, why this Trust and role, how the NHS is organised, and how you are adapting to working in the UK.
Clinical safety and communication
Escalation, handover, consent and capacity, breaking bad news, and working within multidisciplinary teams.
Professional values and development
GMC standards, raising concerns, reflection, teaching, audit and your plans for training or career progression.
Weighting
Where the marks sit.
Practice is weighted the same way, so your time goes where it counts.
What candidates work on here
- The job description, person specification and Trust values for the post
- The GMC's Good medical practice and how it shapes day-to-day work
- How escalation, handover, incident reporting and Freedom to Speak Up work in NHS hospitals
- Examples from your own practice of teamwork, communication, audit and reflection
Example questions
Original scenarios, written with clinicians.
Each question is mapped to the domains it assesses, so the summary you receive is specific rather than generic.
Motivation
“Why do you want to work in the NHS, and why this Trust in particular?”
A panel would listen for
Specific, honest reasons backed by your own evidence
Patient safety
“A patient you are looking after deteriorates overnight and you are unsure what to do. How would you escalate?”
A panel would listen for
Patient safety first, a clear structure and the right escalation route
Practise this interview until it feels routine.
One free mock interview, no card required. Scores describe your practice performance only.
Start a free mock interview