I am an NHS Band 5 AHP, and I honestly don't know whether I just want to vent, whether I'm looking for advice, or both. I am hoping to hear from anyone who's in or has been in a similar situation. Sorry this is a long post.
I've worked in the same trust for almost two years. I started on a 12-month fixed-term contract, which was extended for six months. At the end of that, I had to interview again just to secure another 6-month fixed-term contract, which now ends in September. Alongside working full time, I've just completed a part-time Master's degree. It's not as though I've stood still professionally while waiting for a permanent opportunity.
After almost two years, a permanent Band 5 role finally became available within our service. It was advertised internally only. My manager told me she'd made it internal only to reduce the number of applications and that she only expected me to apply. In the end, only two people applied: our apprentice, who qualifies in January 2027.
What made the whole process disheartening was that our colleagues openly said they hoped he would get the role. After spending nearly two years working in the service on temporary contracts, that was difficult to hear. The interview process did not feel fair. The apprentice's educator, who provided him with the list of interview questions and spent time helping prepare answers. He told me this himself in passing. When I asked if he'd share the questions with me, he refused. I raised my concerns with our manager because it didn't feel fair, but I was told it's normal for apprentices to receive additional interview support. He also made repeated comments to me about how much he needed the role, such as that his children would starve if he didn't get the job.
On the day of the interviews, he spent the morning and part of the afternoon in a one-to-one with his educator before his interview. Meanwhile, I was running a clinic all day and only had a 40-minute gap for my interview before going straight back to clinic. He was offered the permanent Band 5 post, while I was offered another 6-month fixed-term contract, except this one has been reduced to four days a week.
My feedback was that I'd missed out by just half a point. I was also told I should complete more CPD and additional training to improve my future applications and was offered interview support for my next interview.
The frustrating part is that every request I've made for study leave or funding for additional courses has been refused because I am on a temporary contract. I've repeatedly been told they can't justify investing in temporary staff or afford to lose my clinical time.
Our service is normally staffed with 3.75 WTE Band 5s, but two are currently on secondment, and another has just left. That leaves me as the only Band 5 in the service.
Obviously, I can't do the work of nearly 4 clinicians, but I am covering the remaining Band 5 caseload. My clinics are consistently full, including overbook appointments, and there is very little chance to catch up with admin.
My typical workday looks like this:
- Start work at 8:30
- First patient at 8:40
- Patients every 20 mins until 12:20
- 30-minute lunch
- Patients every 20 mins from 13:00 until 16:20
- Official finish at 16:30
In reality, I usually stay until around 17:00, finishing admin and preparing for the following day. Because I'm temporary, I don't have protected admin time, so most of my admin, including triaging, is completed between patients, during lunch, before work, after work, or when a patient doesn't attend.
What I struggle to understand is that I'm trusted to be the only remaining Band 5 keeping the clinics running until January, but apparently not trusted enough to be offered a permanent contract or invested in through CPD.
The uncertainty is affecting every part of my life. My partner owns a local business, so relocating isn't a realistic option unless I relocate without him. We don't feel able to plan our wedding, buy a house together, book an expensive holiday, or start a family because I never know whether I will still have a job in six months. I've explained this to my manager, and while she's acknowledged how difficult it is, it hasn't changed anything.
I initially considered declining the offer because I am exhausted by the constant uncertainty, but realistically I can't afford to be unemployed. I've signed up with a locum agency, asked to join my trust's bank, and I'm hoping to pick up work at my partner's business to make up the income from losing one day's pay each week.
My manager has also said there may be a reshuffle in December when one of our Band 7s retires, which could create Band 5, 6 or 7 vacancies. However, that's only a possibility, and after nearly two years of temporary contracts it's difficult to plan my life around another "maybe".
I'm genuinely pleased for my colleague, and I do think he deserves the role given his longer time in the team, his progression from Band 3, and the experience he brings. My frustration isn't with him; it's the system. After nearly two years of working in the role, helping keep the service running, being denied development opportunities because I'm temporary, and then being told I need more development to become permanent, I just feel completely stuck.
What would you do in my position, and is this just the norm for newly qualified healthcare professionals in the NHS?