Applications for ST1 and ST2

Considering applying to paediatrics? This page contains information about applying for ST1 and ST2 posts in 2016-17, including the application process, person specifications and guidance.

If after reading this information you have any further queries please contact the Specialty Recruitment Office on

Not what you were looking for? Go to the ST3 and ST4 recruitment page.

Smiling woman in front of line of people

On this page

  1. 2018 recruitment round 1
  2. Competition ratios
  3. Application process
  4. The Oriel Application system
  5. 2017 Post numbers and interview dates
  6. Person specifications
  7. Application form
  8. Foundation competences
  9. Guidance for applicants
  10. Preparing your portfolio for interview
  11. Deferred entry
  12. Information for overseas nationals
  13. Academic Clinical Fellows
  14. Contact us

2018 Recruitment round 1

The recruitment process for the 2017 round has now closed. Details of 2018 dates will be released in September. 

1. Competition ratios

The full table is available in the RCPCH ST1/2 Applicant Guidance (PDF)

ST1 and 2 Competition ratios 2016 (PDF, 22.01KB)

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. For the 2017 round applicants will be able to select any or all regions (deanerys/LETBs) that are submitting posts for the round.


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. If you select a variety of different regions you will be longlisted by the deanery/LETB that you selected as your first preference.


Eligible applicants can select any of the six interview centres to be interviewed at and are not restricted to the deanery/LETB that was picked as first preference.

At ST1 all eligible applicants will be offered an interview. However, in the event that the number of eligible applications extends beyond the maximum interviewing capacity, a shortlisting rank will be used in order to define the final invites to interview.

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.

Following interview

Following interview, appointable applicants will receive a national ranking and will be permitted to receive offers from the highest possible of their preferences selected at the application stage, depending on their ranking and the preferences of other appointable applicants.

If an applicant is found to be appointable at interview, but did not rank highly enough to receive an offer, the applicant will be eligible for the national clearing round (subject to 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 specialty 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 application process, you will be asked to specify your preferences. 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 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. 

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 hours from the time your offer is made, excluding weekends but not 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 4.00 pm 16 March 2017 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 2017 Deanery information page. This information is subject to change, so you are advised to check it regularly.

Post numbers will be updated as soon as they are given by the deanerys/LETBs. 

5. Person specifications

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

ST1 2017 Paediatric Person Specification (PDF, 355 KB).

ST2 2017 Paediatric Person Specification (PDF, 360 KB).  

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 user guide which can be downloaded from the Oriel website by clicking on the following link

The application opened at 10:00 am Wednesday 9 November 2016.

7. Foundation competences

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

Foundation competences can be demonstrated in three ways:

A. Currently on a foundation programme: If you are undertaking a recognised foundation programme in the UK which is due to finish in August 2017, you will be asked to confirm the name of your Foundation School on the application form. You do not need to submit any evidence with your application to confirm this and you DO NOT need to complete the Alternative Certificate.

B. Already completed a Foundation Programme: If you have already completed a UK Foundation Programme we will ask you to confirm that you have been awarded a FPCC (Foundation Programme Certficate of Completion), signed no earlier than 1st January 2013.You MUST upload and attach a scanned copy of your FPCC to your application before submission

C. Anybody who is not in either A or B above: If you have not undertaken a UK Foundation programme on or after 1st January 2013, you will be required to submit a completed 2017 Alternative Certification of Competency signed by a consultant who has supervised you for at least 3 months (continuous period) since 1st August 2013. You MUST upload and attach scanned copies of the alternative certificate(s) to your application before submission. You will be expected to provide the original alternative certificate(s) at interview.

For further information on Foundation Competences and to download the 2017 Alternative Certificate of Competency form please visit the Oriel website by clicking on the link below:

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 application through interview and offers.

Please note that the HEE Applicant Handbook and RCPCH Applicant guide have changed from last year and applicants should review both documents carefully, as each holds different information that will be beneficial to applicants.

ST1/2 Applicant Guidance 2017 (PDF, 8 MB)

HEE Applicant Handbook 2017 (PDF, 1 MB)

Oriel Applicant Guide 2016 (PDF, 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 (Word, 76KB). Any applicants who require this form but fail to submit 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 to same specialty (NTN holders) form (Word,75KB). Any applicants who require this form but fail to submit 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

Applicants are required to prepare a small selection of documents from their portfolio. 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. Please note that you should bring no more than 8 sides of A4 paper for your porfolio.

Case-Based Discussion (CBD)

Clinical Experience Evaluation Exercise (Mini-CEX)

Directly Observed Procedural Skills (DOPS)

You will be able to find more information in the applicant guidance on the type of documents that you could use. 

10. Deferred entry

Further to the Gold Guide (sixth 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 Specialty Recruitment Office on

The Gold Guide can be downloaded from the HEE website, please click on the following link

11. Information for overseas nationals

Anyone wishing to work in the UK must have the sufficient immigration status to do so. RCPCH staff members are not regulated to provide immigration advice and so are prohibited from doing so. If you are unsure as to what your immigration status is or whether your immigration status deems you eligible to apply for a post, please contact UK Visas and Immigration (UKVI) or the Office of the Immigration Services Commissioner (OISC).

If you are subject to immigration control (including limited leave to remain), you will be required to provide evidence of your immigration status (biometric residence card, date stamped passport and/or identity card). All of these documents need to be dated as at or prior to the application closing date 1 December 2016. You should be aware that failure to meet the required standards, or provide sufficient information on your application form may result in your application being delayed or rejected.

Please note: it is the applicant’s responsibility to inform us of any changes to their immigration status during the process.

Please refer to the 'Right to work' and 'Annex C information for overseas nationals' sections of the 2017 HEE Applicant Handbook for further information.  

UK/EEA nationals

Applicants who are UK/EEA (European Economic Area) nationals do not require special dispensation from the UK Home Office to take up a specialty training post in the UK. Although, there are instances where this guidance differs, for example Croatian nationals are not automatically entitled to take up specialty training. For specific details on working in the UK as a Croatian national, please visit the UKVI website.

Non-UK/EEA nationals (without restriction)

Applicants who are non-UK/EEA nationals, but whose immigration status entitles them to work without restriction in the UK, will be considered on an equal basis with UK and EEA nationals.

Non-UK/EEA nationals (with restriction)

Round 1 ST1 and ST2 applicants who are non-UK/EEA nationals with restrictions on working in the UK may not be eligible to apply for ST paediatric training, or may require a Certificate of Sponsorship (CoS) and be subject to the Resident Labour Market Test (RLMT) in order to take up a post. The RLMT stipulates that a non-UK/EEA national, whose visa paperwork holds restrictions on working in the UK, cannot be offered a post until the UKVI is satisfied that there are no remaining suitable domestic applicants to whom the post could be offered. We advise that you visit the following websites for further information before applying.

Please note: In the national round one timetable, ST1 and ST2 paediatric applicants who are subject to the resident labour market test may not be considered eligible to apply as offers made via clearing will not meet the deadline date for Certificates of Sponsorship. Applicants are advised to apply in round 2 instead.

Further information on RLMT and sponsor guidance

Further information on switching immigration status, and to see whether you can switch within the UK

Categories that are not cited in the above guidance will require a “restricted” Certificate of Sponsorship (RCoS) from the sponsor. You will be required to return to your home country to make an application out of country. If you are unsure of the correct route to follow, please gain immigration advice from an authorised advisor/lawyer. We cannot provide advice regarding leave applications or immigration, please instead contact UK Visas and Immigration (UKVI). Applications requiring RCoS cannot be guaranteed as they are dependent on the monthly allocation panel and there are a limited number of places available.

RLMT Exemptions

Non UK/EEA nationals who have graduated from a UK medical or dental school will have an additional one off exemption from the RLMT when moving from their Foundation Programme (in Tier 4) directly into specialty training (in Tier 2). This is a one off exemption when switching from Tier 4 to Tier 2.

Nationally sponsored trainees (i.e. those sponsored by Health Education England or NHS Education for Scotland) requiring sponsorship for Core training/Higher Specialty Training will be classed as extension applications and will also be exempt from the RLMT within their sponsorship area. Please note: nationally sponsored trainees will need to meet the RLMT if and when they apply for posts outside of their sponsorship area. 

12. 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, not the RCPCH. The recruitment process for these posts is centrally coordinated via the National Institute for Health Research (NIHR) and further information can be found on the Trainees Coordinating Centre website.

ACF timeline

  • Application period: 10 October 2016 to 7 November 2016
  • Shortlisting/interview window: 9 November 2016 to 23 December 2016
  • Initial Offers Out: 9 January 2017
  • Hold Deadline: 16 January 2017

Applicants who would require clinical benchmarking if they were successful at the ACF interview will need to complete the relevant specialty training application when the national round opens on the 9th November 2016.

Further for further information on the ACF process please consult the HEE 2017 applicant handbook which can be downloaded from the following website

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

13. Contact us


Phone: 020 7092 6144