Training and entry to the GP register

Before you can practise as a GP, you need to be accepted onto the General Medical Council (GMC)’s GP register. The GP Specialist Applications (GPSA) team offers individual advice to general practice trainees and other doctors who would like to be included in the GP Register and work in general practice in the UK. The GPSA Team also works with the General Medical Council, HEE local offices and deaneries to ensure that training programmes meet the statutory requirements.

The main routes to inclusion on the 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)

More information about these routes to certification can be found below.

You can also find information about Accreditation of Transferable Competences Framework (ATCF) programmes and the Broad-Based training (BBT) scheme by following the links on the right of this page.

Certificate of Completion of Training (CCT)

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  trained as a general practitioner outside the UK, or because some of their training in the UK was not in an approved programme. 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 on MAP is available here.
For doctors following a three year programme, it may be possible to reduce the time in GP training with previous relevant experience. The three year training programme can be shortened but will no longer lead to a CCT. 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 held earlier in their career which were not approved for general practice training.

If you hope to reduce your three year programme (by replacing planned training with posts or experience gained earlier in your career), you  should discuss your plans at an early stage with your HEE local office or deanery. 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 HEE local office or deanery at the start of your training programme, usually by indicating that you will be applying for a CEGPR on your first Form R.
  • A firm decision to shorten your training (by up to a maximum of one year) can only be made at the first gateway ARCP Panel, based on evidence of your previous experience and your progress in ST1.
  • We can offer a checklist for documenting previous experience, after you have discussed your plans with your HEE local office or deanery.
  • If the outcome of your first ST1-ST2 ARCP Panel confirms that you can shorten your three year programme and 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, and your first ARCP Panel has passed, and your HEE local office or deanery is still happy for you to complete a shortened programme, you will need to make an application for a standard CEGPR towards the end of your training.

You can find more information about the Combined Programme on the GMC website.

For individual advice, please contact your HEE local office or deanery and the GP Specialist Applications Team.


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: 


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