Routes to the register

Part of the GMC's Quality Assurance Framework involves the recommendation by the JRCPTB of trainees to the UK specialist register through the Certificate of Completion of Training (CCT), the Certificate of Eligibility for Specialist Registration through the Combined Programme (CESR CP), or the Certificate of Eligibility for Specialist Registration (CESR).  

There is no difference in recognition between the types of certificates. Attainment of any one of the awards will mean a doctor is eligible to apply for entry onto the UK specialist register  and thus has the opportunity to apply and to work as a consultant  in the UK.

Visit the GMC website for further information about specialist registration.

Certificate of Completion of Training (CCT)

For a doctor to be recommended for a CCT, all of the training stipulated in the CMT or specialty curriculum must be completed within GMC approved UK training posts.

See the GMC website for further information about CCT.

Certificate of Eligibility for Specialist Registration via the Combined Programme (CESR CP)

For a doctor to be recommended for a CESR CP award, a combination of their training will have been undertaken in both GMC approved and non-approved training posts, hence the phrase ‘combined programme.’ It may also include those doctors who have not acquired the pre-requisite entry qualifications asked for in the curriculum, but who can offer an alternative qualification that has been judged to be an acceptable equivalent by the appointing deanery/HEE local office.

Additionally, doctors who have been appointed at an accelerated level in their training programme (for example at ST5 level as opposed to starting at ST3 level) because of demonstrable competencies gained outside of GMC approved training posts, or competencies gained in a different specialty, will also qualify for the CESR CP award.

Doctors who have been appointed to a training programme at ST3 level but who feel that they have previous experience demonstrable to the curriculum will have until their first ARCP to have the previous experience assessed by their deanery/HEE local office. It is then up to the deanery/HEE local office to decide whether the evidence is of a satisfactory standard and whether it would be appropriate for the doctor to be appointed at an accelerated level. If agreed it will need to be formally documented on the first ARCP outcome with the revised year of training identified as well as the completion of training date. The deanery/HEE local office must then inform us about the revised provisional completion date.

See the GMC website for more information about CESR CP.

Certificate of Eligibility for Specialist Registration (CESR)

Doctors who believe they do not need to undergo further higher specialist training because they have acquired sufficient non GMC approved training, experience and qualifications relevant to the entirety of the curriculum may apply for direct entry onto the UK specialist register with a Certificate of Eligibility for Specialist Registration (CESR).

The CESR application is made to the GMC.  The JRCPTB has written pre-application advice to CESR applicants on physicianly specialties. This includes:

Any queries from applicants on general application matters including legislation, forms, documentation, process and fees should be referred to the GMC.

The GMC website contains a wealth of information and guidance about submitting a CESR application.

Visit the GMC website for more information about CESR.