Certificate of Eligibility for GP Registration

The Certificate of Eligibility for GP Registration (CEGPR) is an alternative route if you are not eligible for a CCT but believe your training, qualifications and experience are equivalent. This might be because:

  • you trained as a general practitioner outside the UK
  • you are combining training in the CCT programme with other relevant training and experience

Before you apply for a CEGPR you must either have a qualification in general practice or at least six months specific training in general practice from anywhere in the world.

This type of application takes time, requiring careful preparation of a range of reports, case studies and other documents as evidence that you have acquired the curriculum competences.

The fee for a CEGPR is set by the GMC. NHS England offers a support package, including help with fees, to all applicants moving to England to work in general practice. See our section below about help with fees and other support for both the standard CEGPR route and the Streamlined Process for Australia.  

Applications are made to the GMC online. You must also submit a folder of paper evidence by post. From November 2018, you will have the option to submit your evidence to the GMC electronically.

You are strongly advised to read the Specialty Specific Guidance and our Guidance for CEGPR applicants [PDF] 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. The next step, if you have never worked in NHS general practice, is to complete a short programme of induction before applying for posts in independent practice. You can register for the Induction and Refresher Scheme through the GP National Recruitment Office website.

Some doctors who gain a CEGPR are also eligible for MRCGP. If you trained in the UK and passed all the assessments you 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).

If you are currently training in a GMC approved CCT training programme for general practice, and would like to shorten your training programme, you may be able to work towards a CEGPR by applying through the Combined Programme.

If you have any questions about applying for a CEGPR contact our GP Specialist Applications team on:

Tel: 020 3188 7656 
Tel: + 44 20 3188 7656 from outside the UK
Email: gpsa@rcgp.org.uk


Streamlined Process for Australia (SPA)

An in-depth mapping study of curricula has shown the health care context, training and assessments in Australia to be close to the UK GP training programme. The amount of evidence required for this type of CEGPR application is therefore significantly reduced. If you trained and qualified as a general practitioner in Australia, you may be eligible to apply for a CEGPR via the streamlined process.

To be eligible to apply through the SPA process, you will need to have achieved either:

  • Fellowship of the Royal Australian College of General Practitioners (FRACGP) under the RACGP 2011 or 2016 curriculum, or
  • Fellowship of the Australian College of Rural and Remote Medicine (FACRRM) under the 2013 curriculum. Your application for a CEGPR must be made immediately after gaining your FACRRM qualification or you may apply later provided your experience as a general practitioner post Fellowship is not in remote rural practice.

In addition:

  • Your application for a CEGPR must be made within the seven years after gaining either FRACGP or FACRRM. During this time, it is expected that you will have maintained your skills by working in general practice but not exclusively in remote rural practice. If you haven't trained or worked in general practice for several years it may be difficult for you to evidence the skills and competences required. Most weight will be given to experience as a general practitioner in the five years preceding your application for a CEGPR.

The evidence you submit to the GMC should focus on your experience as a general practitioner post training. If you gained your FRACGP or FACRRM in the twelve months preceding your application for a CEGPR and have only worked for a short time in independent practice, you will need to refer to the section of the Specialty Specific Guidance for CEGPR (SPA) which applies to you. 

How to apply

  • Write to the GMC Specialist Applications Team at equivalence@gmc-uk.org copying in cegpr@rcgp.org.uk and with CEGPR SPA in the subject field of your email.
  • Ensure you attach your CV to your email.
  • The GMC will determine whether you are eligible to apply and if you are, the GMC will send you the application form and the Specialty Specific Guidance for CEGPR (SPA). 
  • The GMC will guide you through the application process and will tell you how to upload or send your documentary evidence. You can also contact the RCGP at the address below if you are unsure what to include or if you have any questions about selecting and presenting your evidence.

While the RCGP will be asked to evaluate your evidence and provide a recommendation, 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. The next step, if you have never worked in NHS general practice, is to complete a short programme of induction before applying for posts in independent practice. You can register for the Induction and Refresher Scheme through the GP National Recruitment Office website

If you have any questions about the CEGPR Streamlined Process for Australia contact our GP Specialist Applications team on:

Tel: 020 3188 7656 
Tel: + 44 20 3188 7656 from outside the UK
Email: cegpr@rcgp.org.uk


Help with fees and other support

NHS England offers an attractive support package to applicants for a CEGPR through its International GP Recruitment Programme. 

The package is available to applicants for a CEGPR who move to England to work in general practice from countries outside the European Economic Area and includes:

  • A relocation package worth up to £18,500 for General Practitioners moving to England from overseas
  • Help with visa costs and arranging visa sponsorship for non-EEA General Practitioners and their families
  • Application fee for a CEGPR paid in full 
  • A net income of £3,500 per month during the supervised induction period in England
  • Help with indemnity costs and other fees, such as GMC registration and Disclosure and Barring Service checks
  • Cost of occupational health check reimbursed in full

Visit the NHS England website to learn more about career opportunities on NHS England's International GP Recruitment Programme.

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