MTI(p) important updates

Keep up to date with the latest news from the Medical Training Initiative (Paediatrics).

Important - Changes to MTI Prioritisation process

The Department of Health, Health Education England and the Academy of Medical Royal Colleges have agreed changes to the arrangements for processing applications for MTI Certificates of Sponsorship (CoS) from applicants from countries other than those identified as DfID priority  countries or World Band Low Income and Lower Middle Income Countries (LI&LMI)

It has been reaffirmed by Department of Health, Health Education England and the Academy of Medical Royal Colleges that the priority focus of the MTI is to provide training opportunities for doctors from DfID priority or LI&LMI countries and have therefore now stated that applicants from countries not considered DfID priority LI&LMI countries can have no guarantee or expectation of receiving a COS.

The current prioritising system has been working effectively but has had unintended consequences for doctors not from DfID priority and LI&LMI countries. These applications were considered at the end of each month and CoS’s allocated if there was available capacity from the monthly quota once the allocations to DfID priority and LI&LMI countries had been made. However the overall volume of applications was resulting in a growing proportion of these applications having to be rolled over for consideration at the end of the following month. The consequence was that these applicants could find themselves waiting up to several months. This delay and uncertainty was understandably causing real problems for individual applicants, employers, Colleges and Deaneries. The Department of Health, Health Education England and the Academy of Medical Royal Colleges all believe that position was unsustainable and unfair to applicants. For the sake of transparency it was felt better to explicitly state that these applicants can have no guarantee or expectation of receiving a COS although they will not be barred from making applications.

 The revised process will be as follows

·         Applicants from countries not considered DfID priority or LI&LMI countriesmay apply at their own risk.If there is any remaining capacity at the end of each month having processed all applications from DfID priority and LI&LMI countries, other applicants will be awarded a CoS taken in order of the receipt of their applications.  Successful applicants will be contacted to confirm whether they still wish to pursue their application. Those not successful will be informed that on this occasion their application has been unsuccessful due to lack of capacity and asked  whether they wish to remain on the list for consideration again the following month. Applicants from these countries and employers will need to recognise that the waiting list may become quite long and reduce only slowly. This means that these applicants may be better off finding alternative routes for employment and immigration through Tier 2 entry. 

·         This process will commence from 1 April 2017. However it has been agreed to process all those applications from other countries on the current waiting list as soon as possible. 

·         New applications from countries  not considered DfID priority or LI&LMI countries received after 1 April 2017 will be placed on a revised waiting list and will be processed if and when there is capacity. This will not begin until the monthly quota rebalances to take account of those we process now from the current list. This is unlikely to be before June. 

·         The Department of Health, Health Education England and the Academy of Medical Royal Colleges believe these arrangements

o   Better reflect the intention and purpose of the MTI

o   Are fairer overall than the current system of uncertainty and delay that candidates from other countries are experiencing 

A detailed statement from the Department of Health, Health Education England and the Academy of Medical Royal Colleges will be going out shortly to all employers, Deans, Colleges and for potential applicants making clear

·         The intention and purpose of the MTI and its focus on DfID priority or LI &LMI doctors

·         That MTI placements are intended for training purposes using local spare capacity. They are not intended as method for employers to cover staff shortages and rota gaps

·         That applicants from other countries, whilst not barred from seeking to use the scheme, would be better advised to use alternative methods to find medical employment or training in the UK

·         Guidance to applicants and employers on alternative routes for employment of overseas doctors using Tier 2 visa arrangements. 

A list of the countries which comprise the DfID priorities and the World Band Low Income and Lower Middle Income countries is set out below. Applicants from any country not in this list will be covered by the new arrangements and can have no guarantee or expectation of receiving a COS.

 Afghanistan, Armenia, Bangladesh, Benin, Bhutan, Bolivia, Burkina Faso, Burundi, Cambodia, Cameroon, Cape Verde, Central African Republic, Chad, Comoros,Cote d'Ivoire, Democratic Republic of Congo, Djibouti, Egypt, Arab Rep, El Salvador, Eritrea, Ethiopia, Gambia, The, Ghana, Guatemala, Guinea, Guinea-Bissau, Haiti, Honduras, India, Indonesia, Kenya, Kiribati, Korea, Dem. People’s Rep, Kosovo, Kyrgyzstan, Lao PDR, Lesotho, Liberia, Madagascar, Malawi, Mali, Mauritania, Micronesia, Fed. Sts, Moldova, Mongolia, Morocco, Mozambique, Myanmar, Nepal,Nicaragua, Niger, Nigeria, Occupied Palestinian Territories, Pakistan, Papua New Guinea, Philippines, Rwanda, Samoa, Sao Tome and Principe, Senegal, Sierra Leone, Solomon Islands, Somalia, South Africa, South Sudan, Sri Lanka, Sudan, Swaziland, Syrian Arab Republic, Tajikistan, Tanzania, Timor-Leste, Togo, Tonga, Tunisia, Uganda, Ukraine, Uzbekistan, Vanuatu, Vietnam, West Bank and Gaza,
Yemen, Zambia, Zimbabwe. 

MTI Conference - September 2016

On 26 & 27 September 2016 the College hosted its annual MTI Induction event. We welcomed current and new MTI Doctors to attend this exciting event.As every year, the even has been a great success and our Programme even more interesting than ever.

Read more about the Conference

IELTS requirements update - from 6 April 2015

The Home Office is making changes to Secure English Language Testing (SELT). For all MTI applicants who are taking their IELTS test on or after the 6 April 2015 your test centre must be within the approved IELTS SELT Consortia (for visa customers applying either outside or inside the UK)

See the full list of approved test centres

Transitional arrangements are in place to make sure applicants who take the language test on or before 5 April 2015 with the current providers will be able to use their certificates until 5 November 2015.

Immigration Health Surcharge introduced by UKVI - April 2015

The health surcharge will be paid by non-EEA nationals who apply to come to the UK to work, study or join family for a time-limited period of more than six months. It will also be paid by non-EEA nationals who are already in the UK and apply to extend their stay. Some exemptions to this rule will apply - see enclosed factsheet for details.

Those who pay the surcharge will be able to access the National Health Service (NHS) in the same way as a permanent UK resident.

The surcharge is set at £200 per year and £150 per year for students, with dependents generally paying the same amount as the main applicant. Payment of the surcharge will be a mandatory requirement for affected groups and will be paid as part of the immigration application process. It will apply to applications where payment is made on or after 6 April.

Applicants must ensure they have completed their immigration application and paid the surcharge.  

The amount payable will cover the entire period of permission to stay. For example, a person coming to the UK as a sponsored skilled migrant or an undergraduate student (Tier 4), will be required to pay the charge in full for the three year period at the point of application for their visa. 

Customer guidance on the surcharge can be found on the UK Visa and Immigration (UKVI) website

Decision to withdraw option for Assessment of Postgraduate Qualification for GMC Registration - May 2014 

In order to practice medicine in the UK you need to be registered with the General Medical Council (GMC). It has three routes of registration:

  • Sponsorship (MTIp)
  • Acceptable Postgraduate Qualification
  • Professional and Linguistic Assessments Board (PLAB) test

The RCPCH have taken the decision to withdraw the option for the Assessment of Postgraduate Qualification for GMC Registration and this has been replaced with two options for sponsorship under the (MTIp) scheme. If you are seeking GMC registration please refer to the details of the two MTI schemes following the links below.

Contact and useful links

Contact mtip@rcpch.ac.uk or find out more about: