GP specialist applications: overview
Registering to practise as a GP
The main routes to inclusion on the GMC’s GP Register are:
- Certificate of Completion of Training (CCT), the usual route for doctors trained in the UK
- Certificate of Eligibility for GP Registration (CEGPR)
- Certificate of Eligibility for GP Registration Combined Programme (CEGPR CP)
- Certificate of Eligibility for GP Registration Approved Programme (CEGPR AP)
This is the standard route for most trainees in the UK. The CCT is awarded to doctors who have successfully completed a full GMC approved GP training programme.
Certificate of Eligibility for GP Registration (CEGPR)
The CEGPR (previously Article 11) is an alternative route for doctors who are not eligible for a CCT but believe that their training, qualifications and experience are equivalent. This might be because they completed all or part of their training outside the UK, or in a non-approved training post.
Before you apply for a CEGPR you must either have a qualification in general practice or at least six months continuous specialist training in general practice.
This type of application is more complex and time consuming than the CCT route. Applications are made online to the GMC. A folder of paper evidence is also submitted by post. You are strongly advised to read all the available guidance before making an application. The RCGP plays a part in assessing applications and can offer guidance on suitable evidence to support your application. However, the final decision to award a CEGPR is made by the GMC.
Once you have gained a CEGPR you are automatically included in the GP Register and can apply for posts in independent practice. Some doctors are also eligible for MRCGP. Those who trained in the UK and passed all the assessments may apply directly to the College for MRCGP. If you did not train in the UK but would like to gain MRCGP in addition to the CEGPR you will need to complete MAP (Membership by Assessment of Performance). More information is available here.
The three year training programme can occasionally be shortened but this happens rarely. Once the three year programme is shortened, a CCT cannot be awarded. An application must be made instead for a CEGPR. If a request to shorten the CCT programme is made at the time of recruitment and declared on the first Form R, then it may be possible to work towards a CEGPR through the Combined Programme (CP). If a request to shorten the programme is made later on, then it is not possible to be accepted onto the Combined Programme and a standard application for a CEGPR must be made towards the end of the training period.
Certificate of Eligibility for GP Registration Combined Programme route (CEGPR CP)
The Combined Programme is for trainees who want to combine part of the CCT programme with posts that were not approved for general practice training held earlier in their career.
If you hope to reduce your three year programme (by replacing planned training with posts completed earlier in your career), you might be able to apply for the Combined Programme and a CEGPR(CP). The decision to offer a shortened programme, and allow a doctor onto the Combined Programme, is made at the LETB/Deanery’s discretion. There are some key points which should be borne in mind before you ask to be considered for the Combined Programme:
- You must have made your plans known to your LETB/Deanery at the start of your training programme on your first Form R.
- A firm decision about the length of your training programme can only be made at your first gateway ARCP Panel, based on evidence of your previous experience and your progress in ST1.
- The RCGP can offer guidance on evidence to submit to the LETB/Deanery to support your previous experience, once the LETB/Deanery has given provisional agreement.
- If your LETB/Deanery confirms at your first ARCP Panel that your programme is to be shortened and that you should follow the CEGPR(CP) route, you will not be able to revert to the CCT route at a later stage.
- If you didn’t discuss your plans to shorten your programme at the point of entry to training (noting this on your first Form R), and your first ARCP Panel has passed, and your LETB/Deanery is still happy for you to complete a shortened programme, you will need to make an application for a CEGPR towards the end of your training in the normal way.
More information is available from the GMC website.
Certificate of Eligibility for GP Registration Approved Programme route (CEGPR AP)
If you completed the CCT programme and passed either the AKT or CSA after leaving the programme, you may be eligible to apply for a CEGPR (AP). The criteria for the CEGPR (AP) route and guidance for applicants can be found here.
Applying for a CEGPR (AP) Frequently Asked Questions
If you have any questions about GP specialist applications, contact our GP Specialist Applications team: firstname.lastname@example.org