Working with doctors Working for patients

About CESR and CEGPR

This page is for doctors who want to apply to have their name entered onto the Specialist Register or GP Register through the specialty equivalence route.

If you want to practise as substantive, honorary or fixed term consultant, or as a GP, in the UK health services and have not completed an approved training programme you may be able to apply through the specialty equivalence route for:

  • entry onto the Specialist Register with a CESR

Or

  • entry onto the GP Register with a CEGPR

Applications for a CESR or CEGPR can be complicated and time consuming. The sections below outline the different application types for Specialist Registration through a CESR or CEGPR. Each application type has different eligibility requirements. You should make sure you are eligible before you apply.

The CESR and CEGPR application processes encompasses the General System for the recognition of the evidence of training, set out in The Directive on Recognition of Professional Qualifications.

It is not possible to apply for specialty equivalence without also having full registration with a licence to practise.

You will also need to apply for full registration with a licence to practise if you are not already on the Medical Register – this can be done before or at the same time, depending on your circumstances.

For guidance on how to apply for Specialist or GP Registration through any of the routes below, please see our applications section.

How we make our decision

When processing applications to the Specialist and GP registers, we receive clinical input from the medical royal colleges. We get input from a minimum of two royal college evaluators per application. The final decision on the application rests with the GMC, taking account of the royal college recommendation.

When determining the outcome of an application, we may use specialist partners or specialist applications panels. Panels are bound by these Terms of Reference.

Entry onto the Specialist Register with a CESR in a CCT specialty

If you have knowledge, skills and experience in a specialty that is approved for the award of a CCT by the GMC, but have gained these outside of an approved training programme, you may apply for entry onto the Specialist Register with a CESR in a CCT specialty.

To be eligible to apply you must have either:

  • a specialist qualification in the specialty you are applying in

Or

  • at least six months continuous specialist training in the specialty you are applying in

See a list of CCT approved specialties.

Entry onto the Specialist Register with a CESR in a non-CCT specialty

If you have knowledge, skills and experience in a specialty that is not approved for the award of a CCT by the GMC, you may apply for entry onto the Specialist Register with a CESR in a non-CCT specialty.

To be eligible to apply you must have either:

  • a specialist medical qualification from outside the UK in any non-CCT specialty

Or

  • at least six months continuous specialist training outside the UK in any non-CCT specialty.

See a list of CCT approved specialties.

Entry onto the Specialist Register with a CESR in academic and research medicine

If you have not followed conventional specialist training, have focused on a specific area of narrow research and have made a significant contribution to your academic field, you may apply for entry onto the Specialist Register with a CESR through the academic or research application type.

Entry onto the GP Register with a CEGPR

If you have knowledge, skills and experience in General Practice but have gained these outside of an approved training programme, you may apply for entry onto the GP Register with a CEGPR.

To be eligible to apply you must have either:

  • a specialist qualification in General Practice or Family Medicine

Or

  • at least six months continuous training in General Practice or Family Medicine.

Entry onto the GP Register with a CEGPR (AP)

If you have completed GMC approved GP training, but failed to pass one part of the Membership of the Royal College of General Practitioners exam (MRCGP), you may be eligible to apply for a CEGPR through the approved programme application type (CEGPR (AP)).

To be eligible to apply you must show that:

  • At the time of leaving training you have not passed one part of the MRCGP - either:
    • The Applied Knowledge Test (AKT) or
    • The Clinical Skills Assessment (CSA)
  • You have passed the missing part of the MRCGP at the next available sitting, normally within six months of leaving the training programme
  • Your final ARCP form shows that all other aspects of the training are complete, including Workplace Based Assessment, with no outstanding actions other than the AKT or CSA
  • Your CEGPR (AP) application must be submitted within 12 months of you leaving your GP training programme.

Apply online

If you are sure this is the right route to specialist or GP registration for you, you can apply online now by answering a few simple questions to get the right application guidance.