Following an extensive review of its assessment strategy, the Royal College of Psychiatrists has announced changes to the delivery of the MRCPsych examinations.
MRCPsych Paper A and B will remain online for the foreseeable future, and the CASC exam will remain online for the May 2023 diet, moving back to an in-person exam from September 2023.
The written MRCPsych papers (Paper A and Paper B) will continue to be delivered through a test centre of your choosing (including international centres). This exciting development was of course accelerated by the COVID-19 pandemic, enabling MRCPsych examinations to be delivered for both overseas doctors and UK trainees.
The structure of MRCPsych Papers A and B remains that candidates complete 150 questions. From these questions, roughly 100 are multiple choice with single answers and 50 are extended matching questions which ask a series of multiple choice questions about information in a single question stem.
The online system is straightforward, requiring only a few checks and guidelines to follow to help you make the process a success.
Subject to final GMC approval, from September 2023 the CASC exam will be delivered face-to-face in the UK, with international centres for face-to-face delivery set to be introduced in 2024. There will be no further online diets after May 2023.
Face-to-face delivery enables candidates to better demonstrate that they meet the key capabilities outlined in the 2022 curriculum.
After consultation with stakeholders, it was clear that the validity and reliability of the examination was of prime importance, and that face-to-face assessment is the optimal way to assess the clinical skills required for psychiatric practice.
The structure of the MRCPsych CASC exam remains unchanged - candidates complete two circuits, each of eight stations. An examiner will evaluate your performance and the invigilator would be on hand to make sure that everything runs to plan.
The September 2023 exam will be held in Sheffield, with international centres to be confirmed for 2024 onwards. If you are an overseas candidate for whom this change will delay when you will sit CASC, email the Royal College who are able to extend validity periods according to individual circumstances.
An online application form must be completed and takes around 15 minutes. For full guidance on the application, please visit the Royal College website here.
Join the IMG Psychiatrists Facebook group to become part of a community of like-minded MRCPsych aspirants and dedicated psychiatry recruiters.
In the group you will find tailored resources for Psychiatry IMGs including our MRCPsych Crash Course.
This course offers weekly sessions covering the entire exam and its various domains, including marking and station requirements. This is accompanied by small group role play sessions to allow IMGs to practice stations across various scenarios with feedback on each station, delivered by an experienced NHS psychiatrist and specialist psychiatry recruiters. These sessions are completely free to all doctors.
You can access our CASC Study Course by joining the Facebook group here.
Don’t hesitate to get in touch using the buttons above (and below) and chat with an IMG Consultant to discuss your options for NHS roles with CESR support and start your journey towards Specialist Registration with IMG Connect.
For access to a community of like-minded psychiatry IMGs and dedicated psychiatry recruiters, join the IMG Psychiatrists Facebook group.
To receive the latest news and updates on all things psychiatry, including the Royal College, GMC registration and the NHS, follow us on social media and join the conversation.
Consultant Psychiatrist – Child and Adolescent Mental Health Service (CAMHS)
South Wales
A dynamic and transformational CAMHS service in South Wales is seeking a Consultant Psychiatrist with a strong interest in child and adolescent mental health. The successful candidate will join a well-established multidisciplinary team delivering specialist care across the region, contributing to service development and clinical leadership within a collaborative and forward-thinking environment. Doctors with MRCPsych, CESR interest, or a European Specialist qualification are encouraged to apply.
This is a fantastic opportunity to work within a progressive mental health service with access to regional tier 4 services and a population of approximately 380,000. The post supports the organisation’s strategic vision to integrate CAMHS more closely into community settings while developing clinical pathways in areas including eating disorders, complex care, youth justice, and neurodevelopmental disorders.
We welcome applications for full-time, part-time, or flexible working arrangements and will support CESR (Certificate of Eligibility for Specialist Registration) development on an individual basis.
JOB REQUIREMENTS AND DETAILS
Salary: £109,725 – £145,478 dependent on Consultant experience.
Full GMC registration with a licence to practise is essential.
Eligibility for inclusion on the GMC Specialist Register or within six months of CCT.
Section 12 approval (or eligibility within 6–12 months).
Experience delivering psychiatric care in CAMHS or related services is required.
A collaborative, developmental, and family-focused approach, with excellent communication and leadership skills, is highly valued.
Opportunities for career development through CPD, peer supervision, quality improvement, and service leadership.
CORE DUTIES OF THIS ROLE
Provide consultant-level psychiatric care to children and adolescents as part of a multidisciplinary CAMHS team.
Lead clinical care planning, review, and treatment delivery in partnership with colleagues across mental health, health, education, and social care.
Work closely with specialist regional services including adolescent inpatient units, eating disorder outreach services, and forensic CAMHS consultation teams.
Participate in the CAMHS consultant on-call rota (with prospective cover).
Contribute to service improvement, pathway development, and integrated working in line with strategic planning goals.
Provide supervision and clinical leadership to junior medical staff and allied professionals.
Participate in annual appraisal, job planning, and revalidation, with access to local peer groups and CPD.
Uphold principles of clinical governance, information governance, and risk management across the CAMHS Directorate.
LIFE IN SOUTH WALES
South Wales offers a rare combination of coastal beauty, green open spaces, and urban convenience. With beautiful landscapes, affordable living, and excellent local amenities, it is an ideal location for professionals and families alike. The region is well-connected by public transport and road networks and offers easy access to nearby cities and airports.
Healthcare professionals in the area benefit from a supportive and inclusive working environment and access to a wide network of services across health, education, and social care.
If you are passionate about delivering outstanding CAMHS care and want to help shape future services in a supportive, innovative setting, we welcome your application. Please note that we may close this post early if sufficient applications are received.
HOW WILL IMG CONNECT SUPPORT YOU?
When applying with IMG Connect, you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
CV preparation with a bespoke session with one of our specialists.
Application support with expert knowledge of NHS specialisms & recruitment practice.
At least two video interview preparation sessions.
Contract and offer negotiations for salary, relocation packages, tenure, and more.
Once you have accepted your new role, you’ll be supported by one of our dedicated relocation executives, who will guide you through the process, including:
Document gathering and checking.
COS and Visa Application support, if applicable.
Support sourcing short- and long-term accommodation.
Travel arrangements and family support for finding schools and other aspects of pastoral care.
Consultant Psychiatrist – Acute Inpatient Service
South of England | Close to London
An inclusive and progressive NHS mental health trust in the South of England is seeking a Consultant Psychiatrist with a strong interest in acute inpatient care. The successful candidate will join a compassionate and collaborative multidisciplinary team, providing high-quality psychiatric care to adults and clinical leadership across inpatient services. Doctors with MRCPsych, CESR interest, or a European Specialist qualification are encouraged to apply.
This is a fantastic opportunity to join a leading NHS Foundation Trust known for integrated working, a strong culture of kindness and respect, and its commitment to clinical excellence and innovation.
Applications are welcome for full-time, part-time, or flexible working patterns. CESR (Certificate of Eligibility for Specialist Registration) support is available and tailored to individual needs.
Full GMC registration with a licence to practise is essential.
Eligibility for inclusion on the GMC Specialist Register or within six months of CCT.
Section 12 approval (or eligibility within 6–12 months).
Clinical experience in managing acute adult mental illness in inpatient settings is required.
Strong teamworking, communication, and leadership skills are essential.
Ongoing opportunities for professional development through training, leadership pathways, teaching, and academic engagement.
Provide Consultant-level psychiatric care to adult inpatients, in line with the Trust’s Acute Operational Policy.
Deliver clinical leadership and active involvement in quality improvement initiatives.
Work collaboratively with multidisciplinary teams and contribute to a recovery-focused, trauma-informed approach to care.
Coordinate with specialist and community teams to ensure effective patient transitions and continuity of care.
Supervise and support junior doctors, specialty trainees, and students.
Participate in Consultant on-call rota (details available on request).
Engage in audit, teaching, research, and service development activities.
Located in the South of England, this opportunity offers the perfect balance of professional fulfilment and quality of life. The area combines vibrant urban centres, picturesque countryside, and excellent transport links — with London just 30 minutes away by train, and both Heathrow and Gatwick airports nearby for easy international travel.
This region is known for its historic market towns, outstanding schools, and a wide range of cultural and recreational activities. Whether you\'re relocating alone or with family, it offers something for everyone — from city convenience to coastal calm.
The Trust is committed to inclusivity, wellbeing, and the development of its workforce, offering access to flexible working and a wide range of staff benefits.
When applying with IMG Connect, you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We\'ll support you with:
CV preparation with a bespoke session with one of our specialists.
Application support with expert knowledge of NHS specialisms & recruitment practice.
At least two video interview preparation sessions.
Contract and offer negotiations for salary, relocation packages, tenure, and more.
Once you have accepted your new role, you’ll be supported by one of our dedicated relocation executives, who will guide you through the process, including:
Document gathering and checking.
COS and Visa Application support, if applicable.
Support sourcing short- and long-term accommodation.
Travel arrangements and family support for finding schools and other aspects of pastoral care.
Consultant Psychiatrist (General Adult Psychiatry) – Republic of Ireland
Location: Republic of Ireland - South
Salary: €222,215 to €266,925 per annum
Organisation: Health Service Executive (HSE), Ireland
Specialism: General Adult Psychiatry
Job Type: Inpatient and Community Services
A trust in the South of the Republic of Ireland is seeking a Consultant Psychiatrist with expertise in General Adult Psychiatry to lead a multidisciplinary team delivering both inpatient and community mental health services. The psychiatry department consists of a diverse and well-established team, including Consultant Psychiatrists, Nurse Team Leads, Community Mental Health Nurses, Occupational Therapists, Psychologists, Support Workers, and other allied health professionals.
This role offers an excellent opportunity to work across varied settings, contributing to high-quality care for adults with complex mental health needs. Applicants with European Specialist qualifications or UK CCT are strongly encouraged to apply, and both internationally based and Ireland-based doctors are welcome.
Job Requirements and Details
Core Duties of the Role
Life in the Republic of Ireland – South Region
The South of Ireland is known for its high quality of life, combining vibrant urban life with the tranquillity of coastal and rural living. The region offers beautiful landscapes, excellent schools, rich cultural traditions, and a welcoming community. Well-connected transport links and a variety of recreational and family-oriented opportunities make it a fantastic place to live and work.
How IMG Connect Will Support You
By applying through IMG Connect, you will benefit from dedicated support throughout your relocation and recruitment journey, including:
Once placed, our relocation team will assist with:
This is an exciting opportunity to join a progressive and supportive mental health service, delivering high-impact care in General Adult Psychiatry within one of Ireland’s most scenic and vibrant regions.
Consultant Psychiatrist (Old Age Psychiatry) – Republic of Ireland
Location: Republic of Ireland - South
Salary: €222,215 to €266,925 per annum
Organisation: Health Service Executive (HSE), Ireland
Specialism: Old Age Psychiatry
Job Type: Inpatient and Community Services
A trust in the South of the Republic of Ireland is seeking a Consultant Psychiatrist with expertise in Old Age Psychiatry to lead a multidisciplinary team providing both inpatient and community services. The psychiatry department consists of a diverse team of professionals including Consultant Psychiatrists, Nurse Team Leads, Community Mental Health Nurses, Healthcare Support Workers, Care Home Liaison Nurses, Young Onset Dementia Nurses, Occupational Therapists, Psychologists, Dementia Post-Diagnostic Support, Care Managers, and other support staff.
This role offers a unique opportunity to work across both inpatient and community services, allowing for a broad and varied clinical experience in the field of old age mental health care. The position is open to both international applicants and those already based in Ireland, and those with equivalent qualifications such as a European Specialist qualification or CCT in the UK are strongly encouraged to apply.
Consultant level experience in psychiatry.
Eligible for Medical Council of Ireland (MCI) registration with equivalent European certification.
Prior experience in Old Age Mental Health is essential.
Salary will range from €222,215 to €266,925 depending on experience and qualifications.
Provide clinical leadership in Old Age Psychiatry services across both inpatient and community settings.
Supervise and support the training and professional development of junior doctors.
Work collaboratively with the multidisciplinary team to provide high-quality care to patients.
Participate in the development and improvement of services within the department.
The South of Ireland offers a wonderful blend of vibrant urban areas and peaceful rural settings. With stunning coastlines, charming villages, and bustling cities, it’s an ideal location for both professional and personal life. Major cities offer excellent cultural, recreational, and family-oriented opportunities.
Transport links are efficient, and the region is home to highly regarded schools, a wealth of outdoor activities, and a rich cultural scene. Ireland\'s unique history and traditions provide a welcoming and enriching experience.
When applying through IMG Connect, you’ll receive the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We will support you with:
CV preparation with a bespoke session with one of our specialists.
Application support with expert knowledge of Irish medical specialties and recruitment processes.
Interview preparation including at least two video calling interview sessions.
Contract and salary negotiations for the best possible relocation package, including accommodation and other benefits.
Once you have accepted your new role, IMG Connect’s relocation team will guide you through the entire transition, including:
Document gathering and verification.
Visa and work permit assistance if required.
Accommodation support for both short- and long-term housing.
Travel and relocation assistance, including support for your family in finding local schools or any other necessary pastoral care.
This is an exciting opportunity to join a dynamic team and contribute to the ongoing development of services in the field of Old Age Psychiatry in the Republic of Ireland\'s South Region.
A Health Board on the South Wales coast is seeking a Consultant Psychiatrist to join a central clinic as part of an evolving mental health service committed to delivering a 24-hour single point of admission, supported by two treatment wards and five dynamic community mental health teams.
This is a fantastic opportunity to lead clinical change within a supportive and multidisciplinary environment, where collaboration with management and clinical colleagues is highly valued.
This opportunity is open to both UK-based and international doctors, with CESR portfolio support available to help progress toward specialist registration.
Job Requirements and Details
Qualifications: Full GMC registration with a licence to practise, MRCPsych preferred, CCT or equivalent specialist qualification and training in Psychiatry.
Experience: Applicants must have significant experience in general adult psychiatry.
Desirable: Previous leadership roles, community mental health experience, and involvement in service development or clinical governance.
Salary: £106,000 to £154,760 per annum, dependent on experience and length of service.
Core Duties of This Role
Take overall clinical responsibility for outpatient care, including the development and oversight of Care and Treatment Plans.
Provide leadership and supervision to the multidisciplinary team, with clear delegation of responsibilities.
Contribute to service planning in line with the strategic direction of the Health Board.
Provide educational supervision to junior medical staff, supporting training and development in line with Royal College guidelines.
Actively participate in quality assurance, clinical governance, risk management, and clinical audit processes.
Fulfil on-call commitments on a 1:14 rota, with prospective cover across the SBUHB area.
Engage in continuous professional development, including annual job plan review and maintenance of Royal College CPD requirements.
Opportunities for involvement in research and innovation are encouraged and supported.
Living and Working on the South Wales Coast
The South Wales coast offers a unique blend of coastal beauty and urban convenience. With stunning beaches, nearby national parks, and a thriving cultural scene, the region provides a high quality of life for professionals and families.
The area is well connected, with excellent schools, vibrant communities, and strong transport links to Cardiff, Bristol, and London. Whether you\'re seeking outdoor adventure or a peaceful place to call home, the South Wales coast offers an ideal setting for both work and leisure.
How Will IMG Connect Support You?
When applying with IMG Connect, you’ll have the full support of an expert recruitment team who will be your recruitment and relocation partners throughout the process. We will assist you with:
CV preparation with a bespoke session from one of our NHS recruitment specialists.
Application support tailored to psychiatric roles and NHS expectations.
Two comprehensive video interviews to prepare for your NHS panel.
Contract negotiation including salary, relocation, and service expectations.
Post-offer, your IMG Connect relocation executive will guide you through:
Visa sponsorship (including COS and application support).
Accommodation search assistance.
Family relocation support (schools, childcare, etc.).
Local area orientation and integration advice.