NHS Wales is a distinct, devolved health system. This independent guide brings its structures, national terms and practical career routes together in clear language for doctors.
New appointments use the new Welsh terms from 1 August 2026. Foundation doctors, doctors on unbanded rotas and specified groups transfer first; other groups follow the national timetable.
Read the official source ↗The official circular sets the current Welsh scales, including the 2021 Specialty Doctor and Specialist grades, resident doctors and locally employed doctors on local medical terms.
Read the official source ↗Eligible Specialty Doctors can ask to be assessed for progression to Specialist grade through the central NHS Wales Employers process.
Read the official source ↗Checked against official sources on 7 September 2026. Always confirm the version in force before acting.
Start with the page that matches the decision you need to make. Each guide links back to the current national source.
How the Welsh system differs, who does what, pay, contracts, sessions and what changed in August 2026.
Seven health boards, areas served, principal hospital locations and a useful orientation before starting work.
Eligibility, service need, the central application, evidence, panel outcomes, feedback and appeal—step by step.
Health policy and NHS delivery in Wales are the responsibility of the Welsh Government. English policies and pay documents do not automatically apply.
Health boards plan and provide hospital, community, mental-health and primary-care services for their populations and commission care where needed.
Welsh medical contracts, pay circulars and workforce policies must be read in their Welsh versions. Some familiar terms also differ.
Welsh has official status. Employers provide local induction on language duties, services and the practical support available to staff.
This site explains; the organisations below remain the authority for policy, employment and service details.
Where to begin when looking for development support, local representation and national SAS resources in Wales.
This guide is built only from public, independently verifiable material. It contains no individual cases, internal employer information or unpublished service plans. It is educational information, not individual employment or legal advice.
Map whole-practice evidence, plan feedback and build a realistic PDP. Keep appraisal, employment progression and specialist registration distinct.
Appraisal, Revalidation & Professional Portfolio →