Apply for ST1 and ST2 - guidance for a new paediatrician

This information is for doctors planning to apply for paediatric specialty training (ST) at ST1 or ST2 in the UK, and includes person specifications. Recruitment is now closed for 2018, and and we will add more detail in August for next year's recruitment round.
Last modified
2 May 2018

Dates for the national recruitment process

Applications typically open for the first round in December. Interviews take place across the country in January and February.

As a guide, you can see this year's time table on Health Education England's website.


Applicants in these categories are eligible to be considered for appointment in both round 1 and  round 1 re-adverts:

  • UK or EEA national
  • Non-UK or non-EEA national:
    • where immigration status allows work without restriction in the UK e.g. those holding dependant status with no restriction against working as a doctor or dentist in training
    • already on Tier 2, applying to continue training with the same sponsor and/or the same training number
    • applying for a specialty in a shortage occupation
    • graduated from a UK medical or dental school, who currently has UK Tier 4 status to work in the Foundation Programme. Applicants in this category will need to apply for Tier 2 sponsorship, but will be exempt from the Resident Labour Market Test (RLMT) if they have had continuous immigration status in the UK since graduation
    • currently has Tier 4 status to complete a Masters or PhD.  Applicants must have completed their Masters or completed 1 year of their PhD to be exempt from the RLMT
    • already on Tier 2 and applying for a different specialty and changing sponsor. Applicants in this category will require Tier 2 sponsorship and will be subject to the RLMT
    • limited leave to remain in the UK, who does not fall into one of the above categories. Applicants in this category will require Tier 2 sponsorship and will be subject to the RLMT
    • does not currently hold a UK visa status.  Applicants in this category will require Tier 2 sponsorship and will be subject to the RLMT.

All training programmes are equally open to those who may, either from the outset or subsequently, wish to train flexibly.

If you have any queries please contact

Vacancies and applications process

You will need to make your application on the Oriel application system.

There are separate vacancies for ST1 and ST2 posts. The vacancies and operational process is managed by PaedsNRO, in conjunction with the HEE Midlands and East office.

If you have any queries on the process, please contact

Person specifications

We recommend that you ensure you meet the requirements outlined in the appropriate person specification. You can download the 2018 versions below or on the HEE Specialty Recruitment website.

Person specifications tend not to change significantly from year to year. But, we strongly advise you check this page from August to see the 2019 versions.

As an applicant, you will need to be registered with and licensed by the General Medical Council (GMC) by the intended start date of the post you are applying for. (You don't need to be registered or licensed by the GMC at the time of application.)

Past application numbers and competition ratio

In 2017, 580 applications were made for 440 posts overall across the UK. 480 applicants were invited to interview.

The competition ratio for paediatric posts was therefore 1:1.31, equivalent to a little under 1-1/2 applicants for each post advertised.

Both overall application numbers and consequently also competition ratios were down for the 2017 national recruitment round 1 and as a consequence, some posts were re-advertised in the national round 1 re-advert.

Some regions do prove more popular than others. However, applicants can preference any or all of the preferences for any or all regions, so it is not possible to give an accurate competition ratio by region.