From 6 October 2019, all medical practitioners have been added to the Shortage Occupation List in the UK. This means that all medical practitioners are exempt from the Resident Labour Market Test (RLMT) and can apply for any specialty in any recruitment round, subject to eligibility.
Applicants to Public Health will still be subject to the RLMT. See Annex D for more information on right to work.
Home Office Requirements
- Criminal Records Certificates
The Home Office requires those applying to come to the UK as a Tier 2 doctor or dentist in training, and their adult dependants, to produce a criminal record certificate from any country in which they have been resident for 12 months or more, consecutively or cumulatively, in the previous 10 years, aged 18 or over.
If applicants are successful in being appointed to a training programme in the UK, and require Tier 2 sponsorship, they will be required to provide the criminal record certificate to the Home Office when they make their visa application. As it can take some time to obtain a criminal record certificate, applicants should begin the process of seeking certificates, if required, at the earliest opportunity. Please note, that this is for entry clearance applications only, so will only be applicable if applying from outside the UK.
Details of how to obtain such a check from the relevant authorities abroad is available on the Home Office website at: https://www.gov.uk/government/publications/criminal-records-checks-for-overseas-applicants
Public bodies cannot offer to certify maintenance on the Certificate of Sponsorship (CoS). If applicants are successful in being appointed to a training programme in the UK, and require Tier 2 sponsorship, they will be required to provide evidence of maintenance (funds) to the Home Office when they make their visa application.
Full guidance can be found at: https://www.gov.uk/government/publications/guidance-on-application-for-uk-visa-as-tier-2-worker
All applicants to CT1/ST1 posts are required to provide evidence of achievement of Foundation Competence within the 3½ years prior to the intended commencement date for the advertised post(s).
The acceptable methods for demonstrating foundation competences are:
- Currently on a Foundation Programme
Applicants currently undertaking a recognised foundation programme in the UK which is due to finish in August 2020, will need to confirm the name of their Foundation School but do not need to submit any other evidence at the point of application. Any offer of a training programme will be conditional upon successful completion of the Foundation Programme and being awarded a Foundation Programme Certificate of Completion (FPCC) before August 2020.
- Already completed a Foundation Programme
Applicants who have already completed a UK Foundation Programme will be asked to confirm that they have been awarded an FPCC or an FACD 5.2, signed no earlier than 3½ years prior to the advertised start date for the training programme to which they are applying. A scanned copy of the FPCC or FACD 5.2 MUST be uploaded to the Oriel application.
- Currently on a Specialty Training Programme
Applicants currently in active clinical or clinical and academic practice in a UK educationally approved training post (CT/ST/LAT or equivalent), holding either a National Training Number (NTN) or Deanery Reference Number (DRN) will be considered as having had their foundation competences assessed on entry to their current post and do not need to demonstrate these again, regardless of when foundation competences were signed off.
Applicants in this category, who relinquish their NTN or DRN between the time of application and commencement will be required to submit a Certificate of Readiness to Enter Specialty Training for the period out of training.
- Previously resigned from the specialty of application
Applicants who have previously resigned voluntarily from the specialty to which they are now reapplying will be considered as having had their Foundation competences assessed previously, providing that they can demonstrate evidence of satisfactory progress in the form of ARCP documentation for the duration of the training undertaken.
- Applicants who have started but who have not satisfactorily completed a 2 year UK Foundation Programme or a standalone UK Foundation Year 2 post are expected to return to the Foundation Programme to complete their training. In exceptional circumstances, where trainees were unable to continue their training in the Foundation Programme at that time, for example due to personal illness or family caring responsibility, applicants can provide a letter written and signed by the Postgraduate Dean where the previous training took place. This letter must use the standard proforma available from the Oriel resource bank and be uploaded to the application form. The letter must include the following information:
- The dates of the previous training
- Confirmation of the reasons for the resignation, removal or relinquishing of their post in the Foundation Programme
- Confirmation that the applicant has met the requirements and/or demonstrated the competences of foundation training
- Confirmation that the applicant has completed a period of remediation, if applicable
- Applicants currently in a Widening Access to Specialty Training (WAST) post need to obtain a fully completed and signed Certificate of Readiness to Enter Specialty Training by the start date of the post to which they are applying. No further evidence needs to be provided at the time of application
Applicants who do not fall into any of the above categories will be required to submit a Certificate of Readiness to Enter Specialty Training signed by a consultant who has supervised them for at least 3 months (whole time equivalent and continuous period) in the 3½ years prior to the advertised start date for the training programme to which they are applying. Applicants must not submit multiple Certificates, from different posts to show evidence of achievement of all competences; only one certificate should be submitted A scanned copy of the certificate MUST be attached to the Oriel application form. Original document(s) will be requested at a later date.
When submitting the Certificate/s, all competences must be signed as achieved at the time of application. Certificates will not be accepted where it is stated that outstanding competences will be achieved before the advertised start date of the post.
Certificates of Readiness to Enter Specialty Training will be accepted where the assessed post has been wholly undertaken in the 3½ years prior to the commencement of the training post to which the applicant is applying; even if the form is not the one dated 2020. Only the 2020 Certificate of Readiness to Enter Specialty Training will be accepted; forms from previous recruitment years will not be accepted .
The signatory for the certificate must not be the applicant’s spouse, partner or family member.
Where the signatory does not currently have GMC registration, it is the applicant’s responsibility to ensure that adequate evidence of their signatory’s standing with a regulatory authority is provided. This evidence must be scanned and attached to the Certificate of Readiness to Enter Specialty Training. Where this evidence is not in English, an official English translation should also be provided. In cases where the signatory has historic but not current GMC registration, it is the current registration that is required; previous GMC registration will not be accepted. Where adequate evidence is not provided, the Certificate of Readiness to Enter Specialty Training and the specialty training application will be rejected.
The only exception to this is if you are a refugee. Refugees (as defined on the UKVI website: https://www.gov.uk/government/organisations/uk-visas-and-immigration) are advised to contact the recruiting organisation for further guidance but should submit a Certificate of Readiness to Enter Specialty Training, if possible.
Please note: Applicants to General Practice and Core Psychiatry are given an extended deadline to demonstrate competence. Full guidance is available from the General Practice and Core Psychiatry National Recruitment Offices.
In addition, applicants are required to have had 12 months experience after achieving full GMC registration (or equivalent post licensing experience) by the start date for the post they are applying for.
Before commencing a Certificate of Readiness to Enter Specialty Training, applicants are advised to read the applicant guidance document, available on the resource bank of the specialty training website; www.specialtytraining.hee.nhs.uk
 UK Affiliated Foundation Programmes include those in Malta. The Maltese Foundation School awards the Foundation Programme Certificate of Competence (and previously FACD 5.2) to the same standards as other UK Foundation Schools and as such is considered equivalent.