Completing training

Please note it can take up to eight weeks from receipt of paperwork to process a CCT/CESR(CP) recommendation application for entry onto the GMC specialist register . If you have not heard from us within four weeks of receiving your final ARCP, please get in touch via the contact us form.

We know how important GMC specialist registration is to you and we would like to reassure you that processing your application is the absolute priority for the team. We very much appreciate your patience. 


Trainees whose CCT/ CESR CP date is after 28 February 2015 will no longer need to complete a (yellow) notification form. Trainees should ensure they are completing training on the correct curriculum. All trainees were required to move to the current curriculum by 31 December 2015 in accordance with GMC requirements. Where a new curriculum has been introduced, implementation guidance including transfer requirements is available on the JRCPTB specialty webpage.

We are introducing a new process that will ensure trainees are recommended to the GMC for completion of training in a more efficient manner.

What information does the JRCPTB now need to recommend a trainee for Specialist Registration?

A more detailed ARCP – When a deanery/HEE local office issues an outcome 6 to a trainee they now must state that all mandatory PYA targets have been met. They should also comment on any recommended targets that may have been set. If no targets were set they should state “no targets set at PYA”.

Where on the ARCP form should this information be detailed?

When a deanery/HEE local office creates an ARCP form and records outcome 6 this automatically creates a mandatory text box. This box asks for detailed reasons for the recommended outcome. It is within this box that the JRCPTB requires this information to be recorded. Please see below for an example:

ARCP ep screenshot

It is essential that the information is formatted as above so that the relevant SAC can confirm that a trainee has met all curriculum requirements. If the CCT/ CESR CP date has changed from the date set at the trainees PYA a brief explanation should be made within the box.   

If you are accrediting in more than one specialty a separate ARCP outcome must be completed for each specialty. You must ensure that there is an up to date CV in your personal library section prior to their final ARCP review. 

Please note: If you do not apply for your CCT to the GMC within the 12 months immediately after your recommended CCT date, you will have to submit further evidence to satisfy their requirements for entry on the specialist register through CESR. We therefore strongly advise that you apply within 6 months after your recommended CCT date. Please see the latest GMC guidance on changes to the application process.

What are the benefits of this new process?

  • There will be no more paper notification form – Deanery/HEE local office and trainee time saved as no need to complete additional paperwork.  
  • We will be able to provide a more efficient service to the GMC and trainees as advanced notification will be sent at the earliest possible opportunity. This will ensure that trainees are invited to start their GMC online application for Specialist Registration shortly after their final ARCP.  
  • This new process will ensure that most trainees are recommended for Specialist Registration prior to their CCT/ CESR CP date. This is because the SAC will receive CCT/ CESR CP applications for approval within 10 days of a trainee successfully receiving an ARCP outcome 6 and this would ensure that in most cases there is sufficient time for a decision to be issued prior to the CCT/ CESR CP date.
  • There will be a solid link between the PYA and ARCP processes. PYAs inform the decision of a trainees penultimate ARCP and therefore it makes sense that the ultimate ARCP would confirm successful completion of PYA targets.

Competency-based training and completion dates

Training Programme Directors (TPDs) and ARCP panels must recommend trainees for completion of training once they are satisfied that the trainee has attained the required competences and satisfactory evidence of these competencies has been recorded in the ePortfolio, as laid out in the ARCP decision aid.  This means that some trainees may potentially complete training in less than the standard length of training and an earlier completion date is agreed.

Accelerated CCT process

We have issued guidance for Specialist Advisory Committees on the process for recommending an earlier CCT date for trainees acquiring competencies more rapidly than anticipated.  This guidance should apply to all medical specialties supervised by JRCPTB but may be subject to variation depending on subsequent GMC advice.

PDF iconEarly CCT advice for SACs Sept 2014.pdf

Specialty Certificate Examination (SCE) & Postnominal

Please note: this only applies to trainees completing the UK curriculum in a GMC approved programme. Those entering the specialist register through a CESR application to the GMC or mutual recognition are not entitled to the post-nominal.

To be eligible to use the postnominal, you must fulfill all the following criteria:

  • Hold MRCP(UK) or an agreed alternative for your specialty e.g. MRCGP or MRCPCH
  • Have passed the SCE
  • Completed training in a GMC approved programme in the same specialty as the SCE.

If any of these conditions are not met, trainees will not be eligible for the postnominal. Once recommended for specialist registration through the CCT or Combined Programme route, trainees will be granted the right to use the postnominal of the SCE.

For more information on the SCE please visit the MRCP(UK) website.