Certificate of Eligibility for Specialist Registration - Combined Programme (CESR (CP))
The GMC awards trainees who have successfully completed an entire GMC approved training programme* with a Certificate of Completion of Training (CCT). This allows the doctor to be entered onto the GMC Specialist Register and apply for substantive consultant posts across the UK. The CCT is also the recognised European qualification for graduates in the UK.
For trainees who have not completed a GMC approved training programme in its entirety, the Certificate of Eligibility for Specialist Registration Combined Programme (CESR (CP)) is an application process that combines previous training, outside a GMC approved programme. For example, if a trainee enters the UK paediatric training programme at ST2, because they have paediatric training from India, the trainee is completing only part of their training in the UK, and so would be eligible for a CESR (CP).
On Specialist Registration at the GMC, your name will not be listed with a CESR (CP). The Specialist Register only lists your specialty against your name, and the date of registration, but not how you got onto the Register. The only legal requirement to be a consultant in the NHS is to be on the Specialist Register.
The current GMC approved run-through training programme consists of:
Level one (ST1-3) (This was SHO training on the previous Calman system). A minimum of 24 months training, but normally 36 months
Level two (ST4 & 5) (This was Core SpR training on the previous Calman system). A minimum of 12 months training, but normally 24 months
Level three (ST6-8) (This was (optional) subspecialty SpR training on the previous Calman system). A minimum of 24 months training, but normally 36 months.
Therefore, a run-through training programme usually takes 8 years (96 months) but can be completed in 5 years (60 months), if all competencies are met (determined by ARCP panel).
Who is eligible for CESR (CP)?
If a trainee joined the GMC approved run-through programme above ST1 they will eligible for CESR (CP) if:
They entered at ST2 and do not have any previous training in UK approved* training posts. They would initially be issued with a CCT training number (NTN). If they complete ST2 & ST3 satisfactorily (determined by successful ARCP (Annual Review of Competence Progression)) they will have the required 24 months of training at level one (L1 - ST1-3), and will be on the CCT route. Should the trainee complete less than 24 months at L1 in approved training* then they will be deemed as CESR (CP) candidates and a replacement NTN issued.
They entered at ST3 and do not have 12 months previous training in UK approved* training posts. These trainees should be issued with a CESR (CP) NTN as it would be expected that they will only gain 12 months of approved (L1) training, but this should be reviewed at the end of their training year. If they enter with 12 months of approved (L1) training* then they should be issued with a CCT NTN on the expectation that they will gain a further 12 months in approved (L1) training. If they complete ST3 satisfactorily (determined by successful ARCP) they will have the required 24 months of training at level one, and therefore eligible for CCT.
- They entered at ST4 and do not have the required 24 months of approved (L1) training in UK approved* posts they should be issued with a CESR (CP) NTN. If they enter having completed a minimum of 24 months approved (L1) training then they should be placed on the CCT route and NTN issued to reflect this.
* Those trainees who undertook their training outside of the UK but within the European Union can count their training towards the CCT route providing that they are able to supply confirmation from the competent authority that their training was part of a recognised programme.
What happens next?
When a trainee is appointed to the run-through programme above ST1, the College will work with the Deanery to determine which training number should be issued (CCT or CESR (CP)). This will be approved by the Head of School at the Deanery. If the CCT route is reliant upon successful completion of a particular year (determined by the ARCP process), the NTN will be altered to reflect change from CESR (CP) to CCT.
If a trainee is following the CESR (CP) route they will be asked to submit evidence in support of their previous training (outside GMC approved training posts). This is the documentation that is usually submitted at time of ST interview and should include evidence of satisfactory performance in the previous posts. Apart from this required documentation, the CESR (CP) application route for Specialist Registration is the same as for those eligible for a CCT. Please view our CCT & CESR (CP) application page for guidance.
For more information about CESR (CP) please see the GMC website* The GMC is responsible for the regulation of postgraduate medical education and training in the UK. In regulating training, the GMC must approve programmes of speciality training, the curriculum used for specialty training and the assessment system. Approval is granted when it is demonstrated that the proposed programme, curriculum and assessment system meet the GMC’s standards for curricula and assessment systems.