Certificate of Completion of Training: CCT and CESR (CP)

Paediatricians are legally required to be listed on the Specialist Register at the General Medical Council (GMC) when they take up a substantive, honorary or fixed-term consultant appointment in the NHS. As a trainee, you must apply to the College for confirmation of your completion of training to enter the Specialist Register. 

On this page:

How to apply

You can manage your completion of training through your RCPCH ePortfolio.

When your outcome 6 ARCP is available on ePortfolio, go to your account dashboard and create a new event:

  • 'Completion form (CCT and CESR-CP)', or
  • 'Completion form (CCT and CESR-CP) GRID version' if you are an NTN Grid (subspecialty) trainee

The completion form will guide you through submitting the details needed to approve your completion of training.

After you submit your form, we may contact you for additional details.

If you already have a paper form, you can use this. However, we are phasing out paper forms, and will no longer send these.

CCT or CESR (CP)?

These applications are made in the same way, so you do not need to find out which route is yours before applying.

Trainees who have undertaken a complete training programme are awarded the Certificate of Completion of Training (CCT). Trainees who have received partial credit towards specialist training, based on previous training taken outside the CCT programme, are awarded the Certificate of Eligibility for Specialist Registration Combined Programme (CESR (CP)).

As a CESR (CP) trainee, you may be asked to submit further documentation of previous posts to be credited towards training.

The two certificates are equivalent routes to Specialist Registration. The GMC does not list your type of certification in your entry on the Specialist Register. More information about the CESR (CP)

Subspecialty recognition

Only trainees who have been approved for subspecialty training within the NTN grid may have a subspecialty listed on the Specialist Register.

If you use the 'completion form (CCT and CESR-CP) GRID version', the relevant sub-specialty Training Advisor will review this.

Completing your application

You will need to supply a CV with details of all posts held while in training. The RCPCH requires only certain details from your relevant posts, so please consult the CV template and formatting guidelines (PDF).

We will contact you if further details or documentation are required, such as ARCPs not on ePortfolio or OOPT/OOPR approvals. CESR (CP) applicants may be requested to supply details of posts taken before entering UK specialist training.

Your application will need to be approved by your Regional Advisor and your Postgraduate Dean or Head of School before it is approved by the RCPCH. (Grid trainees will also need approval from a subspecialty Training Advisor.)

You will receive guidance from us on completing your application as necessary, but to see a full explanation of the process please consult the User Guide - Completion of Training (PDF).

Please note: If you post completed CCT/CESR (CP) application forms or supporting documentation, please use recorded delivery. Incomplete or misplaced applications may result in the award of the CCT/CESR (CP) being delayed.

What happens next?

The RCPCH will review your application to ensure that all your training requirements have been met and then make a recommendation to the GMC. When the recommendation has been made, the College will inform you by email.

The GMC will contact you once you have submitted your application to the RCPCH, to inform you about completing your entry to the Specialist Register and what fees are payable. You do not pay a separate fee to the College.

Postal applicants may submit their application in advance, but completion of training will not be certified until an outcome 6 ARCP has been issued. The GMC will not enter you on the Specialist Register until your training has finished.

At peak times of the year it may take up to six weeks to process applications. 

Late applications

You must complete your application for CCT/CESR (CP) within 12 months from your end of training date. A 'last minute' application submitted to the RCPCH may not be reviewed and approved in time for the GMC to accept it.

Any doctor who does not have their certification approved by the GMC within that time will have to apply for Specialist Registration through equivalence.

If you apply for CCT/CESR (CP) more than six months after completing training, the GMC may require you to submit further documentation, including reasons for the delay and evidence of professional activities since the completion date, before Specialist Registration is approved.

If you do not appear on the Specialist Register by the time you are due to start a consultant post you will need to request a locum contract from your Trust.

The College will continue to charge for your training fees until we have processed your CCT/CESR (CP) application.

There is a six month period of grace after the end of training during which you may retain your NTN if a consultant post has not been secured. One-off extensions beyond the period of grace may be granted in exceptional circumstances by the Postgraduate Dean or Head of School.

Frequently asked questions

When can I start applying for consultant posts?

Application for NHS consultant posts may be made if the date for interviews is not more than six months before your expected CCT/CESR (CP) date.

Do I need to be on the Specialist Register to start a Consultant post?

You must be in a training post on your CCT/CESR CP date, so you cannot start a consultant post until you are past your completion date. If your CCT/CESR CP application is delayed and you have a consultant post already lined up, you can usually start the post as a Locum until your name is on the Specialist Register.

Why is my application being delayed?

Even when applicants have supplied all the requested information, we may still need further details or clarification from the Deanery or Regional Advisor before a full record of successful training can be confirmed.

Why hasn’t the GMC contacted me yet?

The GMC should first contact you after the College has received your CCT/CESR (CP) application. It may take up to three weeks for the GMC to process an application once the recommendation and fee have been received. If you have not received your CCT/CESR (CP) after the three weeks has passed please contact the GMC directly.

Why is my registration date on the Specialist Register wrong?

Your CCT/CESR (CP) date does not appear on the Specialist Register, just the date the GMC approved your registration, even if this is a long time later.

What do I do if not all of my training was in ST posts?

When you submit your application, the RCPCH will tell you if it needs further information to confirm your posts were approved for training. This may include approval for out of programme posts to count towards training, approval for Acting Up, and/or training reports from your supervisor.

How do I tell if I am CCT or CESR (CP)?

The RCPCH will determine if your certification is CCT or CESR (CP). Your training route would have been confirmed by the Deanery when you entered the run-through training programme.

Can I submit a late application?

The RCPCH will accept all applications and make recommendations to the GMC accordingly, but the GMC has advised that it will not accept recommendations received more than 12 months after completion of training. The GMC will decide on whether or not a late application is acceptable.

How much does it cost?

The RCPCH will process your CCT/CESR CP application as part of your membership. You will need to make a payment to the GMC to process your entry on the Specialist Register. The GMC will contact you about this once you submit your application to the RCPCH.