Lower fees in 2018

From 1 April 2018, you’ll pay less for your registration and annual retention fees

Changes include:

  • a fixed-term discount for recently qualified doctors (see breakdown below)
  • £35 saving on the annual retention fee for all other doctors who hold registration with a licence to practise
  • removing the charge for paying in quarterly or monthly instalments.

All of these changes will take effect from doctors’ registration and renewal dates from 1 April 2018 onwards.

We're also removing the transaction charge for paying by credit card from 13 January 2018, in line with a government directive. For a full list of fees, see our fees page.

Why we’re lowering fees

We're determined to reduce the cost of regulation, both for individual doctors and the system as a whole. We've been extremely focused on driving efficiencies and this has resulted in large savings. It's only right that we pass these savings on to doctors, and every doctor on the register will benefit from some reductions.

In the first years of their work, doctors face a host of new expenses – student loans, indemnity insurance, monthly subscriptions and ongoing training. It's important that we include financial support among the other support we provide to doctors in training.

Who is eligible for the discounts for newly qualified doctors?

If you are applying for provisional registration from April 2018, or have recently held provisional registration:

  • you'll save £40 on your provisional registration fee (if you haven't already joined the provisional register) and save £50 on your full registration fee
  • you'll save £275 each year on your annual retention fee, up to your fourth payment.

If you join the register within five years of gaining your primary medical qualification and do not hold, or have not previously held, provisional registration:

  • you'll save £50 on your full registration fee
  • you'll save £275 on your annual retention fee for the forthcoming year, until you have been qualified for more than five years
Our fees for newly qualified doctors from April 2018
Fixed term discounts for newly qualified doctors  Effective from 1 April 2016 to 31 March 2018  Effective from 1 April2018
Application for provisional registration with a licence to practise  £90  £50 
Application for full registration with a licence to practise  £200  £150 
Annual retention fee for full registration with a licence to practise (for the timeframes indicated in question 1)  £425  £150 
Annual retention fee for registration without a licence to practise  £152  £55


Do I have to apply for these new discounts?

We'll organise all of the adjustments to your fees – there is no need to apply or contact us.    

What other support is available for doctors experiencing financial difficulty?

All doctors registered with a licence to practise will benefit from a £35 reduction on their annual retention fee from 1 April 2018 onwards. If you are registered without a licence to practise you will benefit from a £12 reduction. You can also pay your annual retention fee in quarterly or monthly instalments, and from 1 April 2018, there will be no transaction fee for this option.

We continue to offer a discount on fees, if a doctor's income falls below a certain threshold. Further information is available on our income discount page.

What happens if I have just missed the cut-off?

If you have missed the cut-off, you'll still receive savings – you'll pay £35 less on your annual retention fee with a licence to practise (£12 without). The fixed-term discounts are there to support doctors early on in their career.

What happens if I take a career break during my early years on the register?

If you join the register and then decide to leave the register (for example, for a career break), you may still receive a discount when returning to the register, if this is within five years of your first full registration.

We may also be able to support you if your income falls below a certain threshold, beyond your early years on the register. Further information is available on our income discount page.

Doctors who temporarily pause their practice may also be able to give up their licence, to further reduce the fee further and benefit from paying a lower fee of £140, or £55 if they are eligible for the fixed term discount. See our guidance on giving up your licence to practise.

Are you removing the charge to pay by instalments?

Yes, this will be removed from 1 April 2018. We've listened to feedback from doctors, who expressed their concern in paying these charges. We've made significant savings since then, and we're in a position to cover these costs, to support doctors.

We know that this may have resulted in some doctors switching their method of payment, and we apologise for the inconvenience caused. If you want to change your Direct Debit frequency to quarterly or ten-monthly instalments, please contact us. You do not have to cancel your current instruction with your bank.

Please note, any changes requested to your Direct Debit instruction within 14 days of your payment being due, may not take effect until the next payment due date.

How are my fees used?

You can find out more about how we use your fees to support doctors and protect patient safety on our How we use your fee page. This page includes a chart, showing the breakdown of costs for each area of our work.

Can you confirm that the new fees will be tax deductible?

We're on the list of HM Revenue and Customs (HMRC) approved organisations. This means you may be entitled to tax relief on your annual retention fee. Further information can be found on the HMRC website.