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Applying for full registration with a licence to practise and entry onto the Specialist Register or GP Register with a CESR or a CEGPR

This page is to help international medical graduates who do not hold registration with the GMC and want to practise in any of the UK health services as an honorary, fixed term or substantive consultant, or as a General Practitioner.

If you are not sure if you are reading the right guidance, you can check by answering a few questions.

If you have already answered these questions and are still unsure, please contact us.

If you are sure this is the right guidance, please read the guidance below.

Please note:

From 11 June 2018, you'll need to have your primary medical qualification independently verified before we can grant your registration with a licence to practise. If you intend to apply after this date, read about what this will mean for you.

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.

What's involved?

If you want to practise in any of the UK health services as an honorary, fixed term or substantive consultant, you must hold full registration with a licence to practise and your name must be entered onto the Specialist Register.

If you want to practise as a GP in any of the UK health services, other than as a trainee, you must hold full registration with a licence to practise and your name must be entered onto the GP Register.

Your application will be made up of two parts:

Full registration with a licence to practise

For full registration, you will be required to provide evidence to show that you have the necessary experience, and the necessary professional knowledge and clinical skills.

Specialist or GP registration

You will need to show that any qualifications, knowledge and experience gained anywhere in the world meet certain assessment standards – these are explained later in this guidance. If successful, you will be awarded a Certificate of Eligibility for Specialist Registration (CESR) or GP Registration (CEGPR).

Making your application

Your application for full registration is separate to your CESR or CEGPR application. But you will apply online for both of them at the same time, and we will handle them together to make the application process more straightforward for you.

The two parts of your application are dependent on each other. You cannot be awarded one without the other. So, if you are not granted full registration, your name will not be entered onto the Specialist or GP Register. Similarly, if you are not successful in your application for a CESR or CEGPR, you will not be granted full registration.

If we decide you meet the requirements for specialist or GP registration via your application for a CESR or CEGPR, we can process your application for full registration with a licence to practise.

Timescales

It can take several months to gather the evidence needed to support your application for full registration and entry onto the Specialist or GP Register with a CESR or a CEGPR.

After you have submitted your application, it can take up to three months before your application is deemed complete and can be evaluated.

It then takes approximately three months to complete the evaluation and for us to confirm whether your application for CESR or CEGPR has been successful.

If your application for CESR or CEGPR is successful we will refer you to our International Applications Team to process your application for full registration with a licence to practise.  Upon completion of this assessment we will issue our decision.

Employment prospects

We recommend that before you apply, you find out whether you have a realistic chance of obtaining the kind of job you want.

The job market in the UK is very competitive and you should think carefully about whether you are willing to take the risks involved in competing for posts. Obtaining registration in its own right does not guarantee you a job.

If you have not worked as a GP in the UK before then we strongly recommend you have a period of induction to learn the processes of General Practice in the UK before taking up formal employment as a GP. 

If your application is successful, you may be eligible to apply for entry onto an Induction and Refresher (I&R) scheme which are available in England, Scotland and Wales. These programmes provide an induction into NHS General Practice. Further information can be found on the GP National Recruitment Office (GPNRO) website: http://gprecruitment.hee.nhs.uk/Induction-Refresher.

You will need to hold full and GP registration with a licence to practise before you will be eligible to apply for this scheme.

Alternatives

You should not make this application if you do not want to practise in any of the UK health services as a fixed term, substantive or honorary consultant or as a GP.

If you want to apply for full registration only, there are alternatives:

  1. Passing the PLAB test
  2. Holding an acceptable postgraduate qualification (PGQ)
  3. Being sponsored by a GMC approved sponsor.

Next steps

Continue reading the guidance for applying for full registration with a licence to practise and entry onto the Specialist Register or GP Register below.

Alternatively you can read the guidance for applying for full registration with a licence to practise if you:

  1. have passed PLAB
  2. hold an acceptable PGQ
  3. are sponsored by an approved GMC sponsor.

Choosing your application

To find the right guidance for you, please read this page and choose the appropriate link.

Each application type has minimum standards that you must meet in order to be eligible to apply. Please follow the links and check that you meet these standards before you apply.

Applying for Specialist or GP registration through:

1. A CESR or CEGPR

This application is for doctors who want to practise as a substantive, honorary or fixed term consultant, or as a GP, in the UK.

Read guidance for applying for full registration and entry onto the Specialist or GP Register with a CESR or CEGPR.

2. A CESR in Academic or Research medicine

This application is for doctors who have followed a career in academic or research medicine.

To be eligible to apply you must demonstrate a significant contribution to your academic or research field.

Read guidance for applying for full registration and entry onto the Specialist Register with a CESR in Academic or Research medicine.

If you do not meet the minimum requirements

If you do not meet the minimum requirements for the application type that applies to you, you are currently not eligible to apply through this route.

If you want to obtain a qualification or training in the UK, you may wish to seek advice from the Royal College or Faculty for your specialty or one of the postgraduate medical education and training organisations:

None of the above

If none of the above applies to you, you can either:

Or