Completion of Training and CCT/CESR(CP)

The College monitors the progress of all trainees within the training programme. The purpose of this monitoring is to ensure that trainees receive a balanced programme and that on completion of the GMC approved programme, a recommendation for the award of a CCT or CESR(CP) can be made to GMC.

If you are eligible to apply for entry to the Specialist Register with a CCT or a CESR(CP) the College will notify the General Medical Council (GMC) of your completion of training date during your final year of training. The GMC will then invite you to make an application roughly about four months before your completion of training date.

The Certificate of Eligibility for Specialist Registration (Combined Programmes) (CESR[CP]) is a simplified application process for doctors appointed to a training programme intended to lead to a CESR for specialist registration. It is awarded by the GMC to those trainees who have not completed a GMC approved training programme in its entirety. More information is available here.

Please note that the award of a CCT and inclusion on the Specialist Register are not automatic procedures; you are required to apply for your CCT or CESR(CP) Certificate.  It is a legal requirement for you to be on the Specialist Register before taking up a substantive or honorary NHS consultant post.

Your steps to certification

Towards the end of the CCT training programme trainees will undergo a final summative assessment and, if successful, will be issued with an ARCP Recommendation for completion of training (Outcome 6) by their Postgraduate Dean. Although there may be slight variations between Deaneries, this assessment panel should be convened about three months before a trainee's provisional date for completion of training.
Step 2
When a trainee is within six months of their completion date, trainees should complete the College notification of completion of training form (see below) and send it to the Training Department at the College.
Step 3
Once the Notification form and the ARCP Outcome 6 have been received, the College will formally make a recommendation to the GMC for the award of a CCT or CESR(CP). The trainee will also receive a letter from the Training Department, advising them of the recommendation for the CCT/CESR(CP).


Step 4
At this point the trainee will already have received an email from the GMC inviting them to complete the GMC online application. The Certification applications are now done on the secure web portal, GMC Online, which has made it easier to enter your information and pay the relevant fees.
Step 5
Once the College has made the recommendation to the GMC, there is no further involvement by the College in the process and it becomes a trainee/GMC relationship. GMC add the trainee’s name on to the Specialist Register; the trainee must have indicated this on their certification application. Failure to do this by the trainee will delay specialist registration and being able to take up a consultant post.

Source: General Medical Council