Applications for ST1 and ST2

Considering applying to paediatrics? This page contains information about applying for ST1 and ST2 posts, including the application process, person specifications and guidance.

We hope you find the information on these pages helpful. If after reading this information you have any further queries please contact the Recruitment and Careers team (

Not what you were looking for? Go to the ST3 and ST4 posts webpage.

ST1 and ST2 Selection

Applications for ST1 and ST2 open at 10.00 BST on Wednesday 11 November 2015 and close at 16.00 BST on Thursday 3 December 2015.

The recruitment round will include posts for England, Northern Ireland, Scotland and Wales at ST1 and ST2 level.

The ST1 and ST2 advert will be available here and on the NHS jobs website from October 2015.

The following information is for the 2016 round for ST1 and ST2 posts

  1. shutterstock_65225542.jpgCompetition ratios
  2. Application process
  3. The Oriel Application system
  4. 2015 Post numbers and interview dates
  5. Person specifications
  6. Application form
  7. Foundation competences
  8. Guidance for applicants
  9. Preparing your portfolio for interview
  10. Deferred entry
  11. Information for overseas nationals
  12. Broad based training programme
  13. Academic Clinial Fellows
  14. Contact us

1. Competition ratios

ST1 and ST2 Competition ratios 2015 (PDF, 323 KB)

RCPCH strongly advises that you consider competition ratios for information only. As you will see they change annually and so we would always recommend making an application based on where you genuinely wish to work. You can find competition ratios for other specialties on the HEE Specialty Training website.

2. Application process

Applicants will make a single application via the Oriel Application System to a single deanery/LETB. Applicants will ONLY be considered for offers within this single deanery/LETB (unless eligible for the clearing round). On the online application form, applicants will be given the opportunity to select up to an additional three deaneries/LETBs, these are solely for use by the RCPCH if your first preference deanery/LETB exceeds interview capacity (you will not be considered for offers in these additional deaneries/LETBs).


Once applications close, applicants are progressed to the longlisting stage to assess their eligibility against a range of criteria outlined in the person specification. These include right to work in the UK, previous specialty experience and GMC/Fitness to Practise status. Each deanery/LETB is responsible to undertake longlisting for their applicants.


Eligible applicants are considered by their first preference deanery/LETB, using the national shortlisting framework in order to determine a rank if required.

At ST1 all eligible applicants will be offered an interview. Since 2011 all eligible ST1 applicants have been offered an interview in the single deanery/LETB to which they applied. However, in the event that the number of eligible applications extends beyond the maximum interviewing capacity of a deanery/LETB, a shortlisting rank will be used to place applicants in another deanery/LETB that does have interview spaces left. Wherever possible applicants would then be interviewed in their 2nd, 3rd or 4th deanery/LETB location as stated on the application form.

Due to the limited availability of posts at ST2, we do not guarantee interviews for all eligible applicants. Instead invites to interview are based on the interview capacity and the number of posts available in each single deanery/LETB. At ST2 level applications will not be transferred to other deaneries/LETB's.

Following interview

All appointable applicants will be ranked, in accordance with their interview score, within the single deanery/LETB applied to. Offers will be made accordingly .If an applicant is found to be appointable at interview, but did not rank highly enough to receive an offer in that deanery/LETB due to post numbers, the applicant will be eligible for the national clearing round (subject to post availability).

3. The Oriel application system

The UK health departments have been working with trainee doctors and other stakeholders to put in place an offers process allowing applicants to receive all their specialty training offers electronically.  The process for making offers for specialty training posts will co-ordinate all first offers across all specialties so that applicants can accept, reject or hold an offer.

Accessing the Oriel Application System

All specialties/deaneries/LETB's will be using the Online Oriel Application System to coordinate the full application process all the way from application through to offers. If you wish to apply for a paediatric speciatly training post you will need to register on the Oriel Application System before you can submit an application. RCPCH advises that you register on Oriel well in advance of the application window opening.

Selecting and submitting preferences on Oriel

During the selection process, you will be asked to specify your preferences/sub-preferences. Depending on the specialty you have applied to, a preference may mean a deanery/LETB (e.g. West Midlands) or it may refer to a specific programme available at the single deanery/LETB applied to (e.g. Birmingham Children's Hospital).

You will have the facility to view the different preferences/sub-preferences available to you via your applicant dashboard on Oriel. Full instructions on how to select and submit preferences will be available on the preference page and the in the Oriel User Guide. Please note there will be specific timeframes by which you must select your preferences.

Your preferences along with your final rank are used to determine which offer, if any, you receive. If you are deemed appointable after interview, then you may be made an offer of your highest available preference.  The higher you are ranked at interview, the more likely you are to be offered one of your higher preferences, although all offers are subject to eligibility and post availability. 

If you are not prepared to accept an offer of training in a certain location, then you should not select this as one of your preferences.

By ranking a preference (deanery/LETB or specific programmes within a deanery/LETB), you are stating that you would be prepared to undertake a training programme in that area, if none of your other preferences are available to you. It is important that you think carefully about this choice when applying for posts. Interview panels will not have access to your preferences.

Please read the programme descriptions carefully or if required, please contact the individual deanery/LETB for further information on their available programmes.

Receiving an offer on the Oriel Application System

If you receive an offer through Oriel, you will be able to accept, reject or hold the offer until a set date. This date will be clearly identified if you receive an offer. You will have 48 wokring hours from the time your offer is made, excluding weekends and bank holidays, to decide whether to accept, reject or hold it. By responding, you accept certain conditions.

If you intend to reject an offer, please do so as soon as possible as this will allow the offer to be made to another applicant. If you were not offered a post in the initial release of offers, this does not mean you will not be offered one later on, as offers are recycled if other applicants reject them.


If you receive an offer through Oriel, if you choose to accept or hold an offer AND opt in for upgrades, you will automatically receive an upgrade if available.  This means that should one of your higher ranked preferences become available in the deanery/LETB where you have held or accepted an offer, you will automatically be upgraded to this offer with no option to revert to your original offer.

You can opt out of upgrades at any point and this option is on your applicant dashboard on Oriel. If you chose to accept or hold your offer with upgrades, then you will be directed to an additional page, which shows you all your higher preferences. You will be able to edit your higher preferences at this point by opting out of ones you are no longer interested in.

Upgrading will continue until 16:00 BST 24 March 2016 for CT1/ST1 and CT2/ST2 core and run-through training posts. 

4. Post numbers and interview dates

Indicative post numbers and interview dates can be found on the ST 2016 Deanery information page. This information is subject to change, so you are advised to check it regularly.

5. Person specifications

Before applying for an ST post you are advised to ensure you meet the the requirements outlined in the appropriate person specification.

The 2016 person specifications are currently under review by Health Education England (HEE) and will be available shortly.

ST1 2015 Paediatric Person Specification (PDF, 355 KB) .

ST2 2015 Paediatric Person Specification (PDF, 347 KB) 

Please note: with regards to GMC Status. you must be registered with, and licensed by, the GMC by the intended start date of the post you are applying for. You do not need to be registered or licensed by the GMC at the time of application.  

6. Application form

You must complete your paediatric specialty application online via Oriel. Applicants can find out more about completing the application in the Oriel Applicant Guidance 2016 (PDF, 1045 KB). Other Oriel guidance documents can be found in the resource bank on Oriel.You will not be able to access the application form on Oriel until applications open at 10:00 BST Wednesday 11 November 2015.

7. Foundation competences

Applicants to specialty training at CT1/ST1 must demonstrate all the competences listed in the Foundation Curriculum, without exception.

If you are currently in a UK Foundation Programme or already hold a FACD 5.2 (Foundation Completion Certificate) signed within the three years prior to the start date of the post you are applying for, you will not require an Alternative Certificate.

If you are not currently in a UK Foundation Programme or you do not already hold a FACD 5.2 (Foundation Completion Certificate) signed within the three years prior to the start date of the post you are applying for, you will be required to provide a completed '2016 Alternative Certificate' as evidence of achievement of these competences.The Alternative Certificate must be uploaded to Oriel at the point of application.

Why do I need to demonstrate that I have foundation competence?

The possession of all the Foundation Competences is an essential criteria in CT1/ST1 person specifications because they are needed to help successful applicants cope with, and progress through the clinical experience that forms part of their specialty training. They are key attributes that ensure patient safety, in particular those relating to the recognition and management of the acutely ill patient, resuscitation and end of life care.

For further information on Foundation Competences and how to demonstrate you have them, please see the below documents. Please note the 2016 guidance will be available shortly.

Applicant Guide - Evidence of Foundation Competence 2015 (Ms Word, 248 KB)

Signatory Guide - Evidence of Foundation Competence 2015 (PDF, 22.9 KB)

2016 Alternative Certificate of Competency - the 2016 version of this form MUST be used and will be available shortly.

8. Guidance for applicants

We recommend that you read the following guidance documents, which have been designed to assist you throughout the selection process from applicantion through interview and offers.

RCPCH Applicant Guidance 2015 (PDF, 3.76MB) The 2016 guidance will be available shortly.

HEE Applicant Handbook 2015 (PDF, 664 KB) The 2016 guidance will be available shortly.

Oriel Applicant Guide 2016 (PDF, 1045 KB)

Shortlisting Framework 2016 (PDF, 724 KB)

Interview Framework 2016 (PDF, 1.1 MB)

Additional documentation required at time of application

Re-entry into training: All applicants who have previously been removed or resigned from the specialty training programme that are applying to re-enter must submit (on Oriel) at the point of application, a completed and appropriately signed Support for reapplication (re-entry) form. Any applicants who require this form but fail to submit via Oriel with their application will be longlisted out of the process. This document is an eligibility requirement that must be adhered to.

Re-application to paediatric training in a different region: All applicants who are currently training in paediatrics (NTN holders) but wish to reapply to paediatric training programmes with the intention of changing deanery/LETB must complete the Support for reapplication (NTN/DRN holders) form. Any applicants who require this form but fail to submit via Oriel with their application will be longlisted out of the process. This document is an eligibility requirement that must be adhered to.

9. Preparing your portfolio for interview

The specific list of documents we require from your portfolio can be found in the Interview Guidance. If you do not have a portfolio (e.g. Foundation Programme/Paediatric ePortfolio) you may find the below documents useful when collating the evidence needed for that section of the interview. In addition you are advised to look at the assessment pages to get more information about these assessments.

Case-Based Discussion (CBD) 

Clinical Experience Evaluation Exercise (Mini-CEX)

Directly Observed Porcedural Skills (DOPS)

Please note: These guides are subject to change. You are advised to check you are using the most recent version.

10. Deferred entry

Further to the Gold Guide (fifth edition), deferred entry may only be considered for statutory reasons (e.g. maternity, ill health). If you are unsure whether you qualify for deferred entry please email the Recruitment and Careers Team.

11. Information for overseas nationals

If you are subject to immigration control, you will be required to provide evidence of your immigration status as at the closing date of the post to which you are applying. If you have limited leave to remain, you will be considered for the post as long as your immigration category allows you to take up a training programme and is valid on the closing date of the post to which you are applying.

Where an applicant needs to “switch” to another visa category the Resident Labour Market Test will be applied (unless the applicant is a graduate of a UK medical / dental school). If you need to “switch” your visa category, you should check the UK Visas and Immigration (UKVI) Website to see if you may switch within the UK.

If you do not fall within one of the categories cited, any sponsor will have to apply for a “restricted” CoS and you will have to return home and make an application out of country – the issue of a restricted CoS and / or a successful application for new entry clearance cannot be guaranteed.

Non UK / EEA nationals who have graduated from a UK medical or dental school will be exempt from the Resident Labour Market Test when moving from their Foundation Programme directly into specialty training. This is a one off exemption and trainees are advised to seek advice from an immigration agent - see the UKVI website.

ST1 and ST2 round 1 applicants who are subject to RLMT will be longlisted out of the process as the CoS deadline cannot be met for round 1.

Overseas applicants who are RLMT exempt will be made offers alongside UK and EU/EEA applicants. In order to be RLMT exempt there are strict selection guidelines from the UKVI and we advise that you contact the UKVI directly for further discussion.

Information to assist you in determining whether or not you are eligble to apply for a Specialty Training post can be found in the following documents:

Information for Overseas Applicants (PDF, 141 KB)

HEE Applicant Handbook 2015  (PDF, 663 KB) (Refer to Annex C: Information for Overseas Nationals)

12. Broad based training programme

Further inforrmation on the Broad Based Training Programme

13. Academic clinical fellow applications

Academic Clinical Fellowships are specialty training posts that incorporate academic training.  Academic Clinical Fellows (ACFs) spend 75% of their time undertaking specialist clinical training and 25% undertaking research or educationalist training. Academic Clinical Fellow (ACF) posts are recruited locally, via deaneries/LETBs. The recruitment process for these posts in centrally coordinated via the National Insitute for Health Research (NIHR).

ACF timeline

  • Application period: 12 October 2015 to 9 November 2015
  • Shortlisting/interview window: 11 November 2015 to 23 December 2015
  • Initial Offers Out: 11 January 2016
  • Hold Deadline: 29 January 2016

Further information on available posts and interview dates can be found via the relevant deanery/LETB website.

14. Contact us


Phone: 020 7092 6144