Applying for a review of an unsuccessful application for entry onto the Specialist Register with a CESR or CEGPR

Important information for doctors intending to work as a GP in the UK

To start work as a GP in the UK, you'll need to complete a number of processes. Some of these are handled by organisations other than the GMC.

You must read our General Practice in the UK page for information about applying to join a Performers List and Induction and Returner schemes.

These are extra requirements for you to work as a GP in the UK.

Applying for a review

Eligibility for review

You can apply for a review if:

  • you have extra documentary evidence that you have not previously submitted that addresses the recommendations set out in our evaluation of your application
  • you have completed the training set out in the recommendations and have documentary evidence to support this
  • you believe that the way we processed your application or made our decision was wrong or unfair (for example, you feel that the evidence you submitted met our requirements, but we did not take it into account when we made our decision).

We strongly recommend you contact us to discuss your application for review before you submit it.

When to apply

You must submit your application for a review within 12 months of the date on your decision letter.

If more than 12 months have passed since we sent your decision letter, you will not be able to apply for a review. You will need to submit a new CESR or CEGPR application.

Read the guidance for applying for a CESR or CEGPR.

Your next steps

  • Read the guidance below. It will tell you how to fill in your online application and what evidence to submit.
  • Gather the evidence that you want to submit to support your review application.
  • Log in to GMC Online, complete your application and pay your fee.
  • Send your evidence to the Specialist Applications team.

Guidance on evidence

You should not resubmit evidence that was accepted as part of your original application, as we already have a copy of this.

Often, when submitting review applications, applicants send us too much evidence. You must only send evidence that demonstrates how you have met the recommendations made in our evaluation of your original application.

Our guidance on submitting evidence may have been updated since you submitted your original application. Please refer to the guidance specific to your specialty.


Download and print our divider pack to help you sort and present your evidence. You must follow the structure of these dividers when ordering your evidence.


You should submit an up-to-date CV in line with our guidance.


Any documentary evidence you submit must be authenticated or validated. It must also be anonymised. Please read our guidance on your evidence section before you proceed.

Submitting evidence that has not been correctly authenticated, validated or anonymised is the biggest cause of delays to applications. Only submit your application when your evidence meets our guidance. Evidence that does not follow this guidance will be returned to you.

We’re making changes to how we obtain assurance about evidence provided for CESR and CEGPR applications

From 27 March doctors applying for entry on the GP or Specialist Register through the equivalence route will no longer need all their evidence to be validated by stamping and signing.

Please read our guidance on your evidence for further information.


You must include translations of any documents you are submitting that are not in English. See our guidance on translations for more information.

Recommendations and additional comments

Recommendations from your previous application

When you start your review application in GMC Online, you will see the recommendations from your previous application.

If you do not understand what the recommendations mean, or what documentary evidence to send, you should contact us for advice.

When you apply

You need to show how you have addressed the recommendations from your previous application by telling us what evidence you are going to submit.

In GMC Online, you should list the evidence you intend to submit against each recommendation separately. To do this, click on View/Edit on the right of the screen.

You should:

  • list the documents you are submitting to show that you meet the recommendation
  • explain in the Comments box how you have now met the required standard, and/or
  • explain in the Comments box how you have already met the required standard and where you feel a procedural error has occurred.

You will not be able to submit your review application until you have provided this list against each recommendation.

Adding further comments to your review application

If you have any comments to add to your review application that do not relate to any recommendation, you can enter these in the Additional comments screen in your application.

Evidence - professional experience

You will be asked to give full details of all the posts you have held since your last application, starting with the most recent and working backwards.

If you have worked overseas, please do not change your overseas post title to correspond to a UK title – instead, tell us the actual title you held.

Examples of post titles include:

  • SHO
  • Registrar
  • Staff Grade
  • District Medical Officer
  • Clinical Tutor
  • Assistant Professor and Resident.

Please also give details of any periods longer than one month when you were not practising medicine. This could include:

  • alternative employment
  • clinical attachments
  • vacation
  • study leave
  • maternity leave
  • career breaks
  • unemployment.

You must also give a brief explanation for each period.

Evidence of employment

You need to provide letters of employment for each post you have held since your last application. A letter of employment is a letter from your employer, on headed paper, which gives your post title, the grade of the post and, importantly, the dates you were working in that post.

If you are not submitting the original employment letter, you should make sure the copy of the letter is validated. See our guidance on submitting your evidence.

Evidence - qualifications

You will be asked to give details of any relevant qualifications that you have gained since your last application.

You should submit evidence of the qualification. If the qualification is from outside the UK, the evidence you give us must be authenticated.

If you followed a curriculum or syllabus as part of the qualification, you should give us a validated copy of this. See our guidance on submitting your evidence for how to authenticate and validate your evidence.

If you have not gained any relevant qualifications since your last application, you should tick the box to confirm this.

Paying the fee

Before you submit your completed application, you will be asked to pay a fee. You will not be able to submit your application without paying the fee. However, you can save your application and come back to it later if you need to.


If you withdraw your application, or we are unable to proceed with your application for any other reason, you may be entitled to a refund of part of your fee.

For information on fees and refunds, read our guidance on paying your fee.

Processing your application

When we receive your evidence

A Specialist Applications adviser will check that:

  • we have received all the documents you have listed
  • all of your documents are appropriately authenticated and validated.

We will let you know if anything is incorrect or if any evidence is missing, and will contact you with further advice within 30 days.

If we need any more information at this stage, you must send it to us within 30 days.

What you can do to help us

Dealing with a review application can be complicated and time consuming.

We will probably need to ask you for further information and evidence. Please let us have this as quickly as you can, so that we can work on the next steps of your application as soon as possible.

We will let you know when major milestones in the application process have been passed – for example, we will tell you when your application is complete and being evaluated.

The evaluation of your application

Once your application has been accepted, it will be sent for evaluation. From this point, it takes about three months until we give you your final decision.

Your review application will be evaluated against the same standards as your original application. If you applied in a CCT specialty you will be assessed using the same curriculum as last time.

Possible outcomes of your review application

A successful application will show that you have met all the requirements set out in our recommendations. You will be awarded a CESR or CEGPR and entered onto the Specialist or GP Register.

If you are not successful, we will either repeat our recommendations or give you new recommendations.

See our guidance following an unsuccessful application.

Applying online

Existing users

If you already have a GMC online account, you can log in and make your application in the My Registration section.

Log in here.

New users

If you have a GMC reference number, but have never logged into your online account and do not have log in details, you can activate your account here.

Activate your account.

If you do not have a GMC reference number, please click on the link below and follow the simple instructions in order to set up your account.

Set up an account (opens in a new window).