Combined Programme (CCT CP)

The CCT (Combined Programme) provides the opportunity for you to combine up to one year of previous relevant experience with the GP training programme. The previous experience may be substantive paid or SAS roles, or relevant overseas experience above Foundation level or equivalent. The amount of time contributing will depend on the breadth of your experience and the quality of evidence you can provide.

If you are transferring to general practice training from another GMC approved specialty training programme, you may be eligible to apply for an alternative flexible training pathway through the Accreditation of Transferable Competences Framework (ATCF)

How to apply for the CCT (CP)

If you would like to apply through the CCT (CP) route, you must first apply to join a standard three year training programme through the GP National Recruitment Office (NRO). You should indicate as part of this application that you would like to be considered for a CCT (CP).

Once you have been accepted onto a GP training programme, the NRO will let your HEE office or deanery know that you would like to work towards a CCT (CP). You should discuss your experience with your HEE office or deanery at the earliest opportunity so they can confirm your eligibility for the pathway. 

If you are eligible to apply for the CCT (CP), your HEE office or deanery will ask you to provide evidence of your previous experience and invite you to complete an online application form in the Trainee Portfolio. The evidence you will need to provide will depend on the type of experience you are bringing with you. You should begin to collect your evidence before your training programme begins and upload it to your Trainee Portfolio within the first month of your GP training programme. 

Applicant guide for applying to a combined training pathway

Your deanery will review your evidence and consult the RCGP Specialist Applications team to determine how much of your previous experience may be able to contribute towards your training programme.  

The final decision on the length of your training programme will be made six months (full time equivalent) into your ST1 phase of training by an ARCP Panel. At this panel, they will consider your progress in GP training, the evidence you have provided to support your previous experience and the College recommendation. They will then confirm your programme length and if appropriate, enrol you on to the CCT (CP) programme.  

If your CCT (CP) application is not successful, you can remain on your training programme and complete the full three year programme for CCT.

Further information

 Combined Training - Detailed process guidance [PDF]

Combined Training - Capability mapping guidance [PDF]

Combined Training - Overseas experience guidance [PDF]

Combined Training - UK experience guidance [PDF]

Combined Training - Appeal process guidance [PDF]

For more information, please visit the Choose GP webpage by Health Education England.


How will my GP training programme be structured if I am successful in applying for CCT (CP)?

All CCT (CP) applicants must complete at least two years (whole time equivalent) of training in an approved general practice training programme. The programme will include at least 12 months in general practice posts. Where possible, your HEE office or deanery will try to ensure that you do not repeat any specialty experience you have included as part of your CCT (CP) application.  

You will complete six months of ST1 before the CCT (CP) pathway is confirmed. If your application is successful, the period contributing to the training programme will be counted towards the remainder of your ST1 year and, if more than six months is approved, the beginning of your ST2 year. 

Do I need to pass the MRCGP examinations if I am applying for a CCT (CP)?

Yes. To qualify for CCT at the end of the training programme, you must pass all components of the MRCGP within the programme. The MRCGP includes the Applied Knowledge Test, Recorded Consultation Assessment and Workplace Based Assessment.  

Can posts completed outside the UK be used towards a Combined Programme application?

Yes. If you consider the experience is relevant to a GP training programme, you can apply to have any training posts or experience from anywhere in the world considered as part of a CCT (CP) application. We usually recommend that experience within the last five years would be most relevant.

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