Declaring your fitness to practise

What you need to tell us when you apply for registration

As part of your application, we'll ask you to answer 10 questions about your health and fitness to practise medicine. We've recently updated this process to make it easier for you to see what you do and don't need to declare. We've also reduced the number of things you'll need to tell us about. 

Before you answer the questions, please open our 'What to tell us when you apply' tool. If you need help on a specific question, please read our guide on 'What to tell us when you apply'.

It’s important to remember that if you tell us something, this doesn’t mean we won’t approve your application. We may ask you to give us more information or to send documents to us. We’ll do this by email, so please check your inbox regularly once you’ve submitted your application.

Fitness to practise concerns declared by UK medical graduates in 2023

We’ve published a summary of the number and type of fitness to practise declarations made by graduates in 2023 compared to previous years.

We know many students worry about the declaration, but you may find these data reassuring. In 2023, for example, only 479 students (5.7% of the total number of applications) needed to declare one or more fitness to practise issues. Of these, just one student was refused provisional registration (0.01%). All other applications were granted.

Read the report to find out more about the number and type of declarations made.

Completing the UK Foundation Programme STEP form

Before you finish your studies, you and your medical school will complete the UK Foundation Programme’s Supporting Trainees Entering Practice (STEP) process. This process is intended to support you as you move from undergraduate studies into F1 training.

As part of the process you will be asked to complete a STEP form which provides you with the opportunity to share information with your foundation school and employer about your health, welfare, performance and skills and professionalism. This will enable them to identify suitable support mechanisms and adjustments for when you start work.

The questions on the STEP form are different to those on our fitness to practise and health declaration, as the two forms serve different purposes.

You should follow the guidance relevant to each form and ensure you answer all questions fully and honestly.