MTI can cover virtually any medical post as long as it is designed to deliver training and education that will benefit the overseas-based appointee, and that they intend to return home at the end.

If you are an employing Trust please remember to fill out the MTI Starters report and if applicable, the MTI Exception report. These can be found on the MTI applications & Guidance page.

How Trusts benefit from the MTI?

In recent years NHS Trusts have been cultivating strong personal ties between UK consultants and foreign institutions/IMGs. MTI and Tier 5 has worked well for these medical areas where there is a relationship with an overseas hospital and many NHS Trusts are looking to expand their Tier 5 recruitment in given specialty areas as part of their commitment to global health.

Additionally, the MTI has worked well in medical specialties that are undersubscribed, of-need areas for Trusts. Such a scenario would then yield a reciprocal benefit in both providing the Trust in-need with a capable foreign postgraduate doctor, while also providing a training placement for a doctor who might not otherwise be afforded the same opportunity in their home country.   

It is important to note that the MTI is not intended to compete with the UK medical training capacity, but instead capitalises on spare training capacity in areas that are undersubscribed within the UK or uses supernumery Trust and Deanery training posts.

The Trusts will not be bringing these doctors over on their own and will not be the sole sponsor for any doctor on the MTI Scheme. Under the UKVI requirements for Tier 5 temporary exchange scheme entry, individual employers do not act as sponsor of the applicant as they would with a direct overseas appointment. Instead, whilst the scheme has been administered by the Deaneries and the relevant Colleges, the formal process for getting UKVI approval for the applicant is handled by a national umbrella body, the Academy of Medical Royal Colleges.

How the MTI has been used by Trusts

The MTI is a flexible scheme that helps Trusts to fill existing training, LAT or deanery posts where recruitment is difficult or where the posts are surplus to requirements. Increasingly, the Academy is encouraging Trusts to create their own MTI specific posts and to fill theses posts with MTI doctors on a recurring 2 year cycle. Furthermore, the Academy advises that posts be tailored for these graduates who wish to acquire specific skills/knowledge or who are hoping to take a postgraduate exam.

It is important to highlight that the MTI can be used to either fill gaps unfulfilled by the Deanery or those earmarked as dedicated posts. However, these posts must still offer significant training elements (similar to that of an equivalent level UK trainee) and should not be simply used for service. MTI doctors can rotate among Trusts within such a training period, however this will need to be indicated to the AoMRC.

Another scenario that has been facilitated through the MTI is that of specific Trust departments inviting overseas experts to the UK to teach their skills and expertise.

Funding for MTI posts are advised to be equivalent wage of a UK trainee at a comparable level or in line with the amount a Trust doctor with similar expertise/experience would receive. Where appropriate MTI doctors must have access to banding.