Here we look briefly at the CESR route available to overseas consultants and exerienced senior doctors who wish to secure a job in the NHS and relocate to the UK.
Many IMGs have recently asked if they would be eligible for the CESR route to Specialist registration. International Medical Graduates (IMGs) from any country in the world can apply for CESR, provided certain eligibility criteria are met.
To help answer this question we have put together a short article to explain further, including the following topics:
The CESR is for doctors who wish to join the GMC (General Medical Council) Specialist Register, and whose specialist training, qualifications or experience was partly or completely acquired outside an approved CCT (Certificate of Completion of Training) programme in the UK.
It is equivalent to a CCT and certifies that the recipient has all the competences defined in the CCT curriculum, known as specialist registration.
Equivalence describes the process of assessing an overseas applicant’s training and experience against the current training programme requirements, in order to gain a Certificate of Eligibility for Specialist Registration (CESR) for the Specialist Register held by the General Medical Council.
The process involves submitting a written body of evidence to the GMC of:
Each Royal College will assess the application against the relevant Curriculum before providing a recommendation to the GMC, who will then make a decision.
Please note that Equivalence procedures are the responsibility of the GMC.
Applications are made through their Certification Department and initial enquiries should be directed there.
If you have training, qualifications and experience in a CCT specialty but have gained these partly or completely outside an approved CCT training programme (for example, you have trained outside the UK or EEA), you may apply for a CESR in a CCT specialty.
In a nutshell, you will need to compile a portfolio of evidence to prove you have achieved the equivalent skills and experience of a doctor who has completed a full GMC-approved training programme.
You can collect this evidence prospectively through non-training jobs.
Is it the right route for me? Yes, if…
If you have already completed Specialty Training, then you’re unlikely to want to repeat it.
In both scenarios, even if you are willing, you may be overqualified to apply for training.
Doctors who have complete specialist training overseas or via a non-CCT pathway may be eligible for entry without further training. You can check using the guidelines below:
You will need to demonstrate all specialty learning outcomes specified in the relevant CCT curriculum.
It is important to note that you can apply for more senior roles such as a SAS doctor, specialty doctor or a locum consultant (locum consultants are not required to be on the Specialist Register).
This way you will have better pay and the roles and responsibilities are more appropriate to your level of experience compared to a junior trainee. While working in these jobs you can collect evidence of your competences.
This is also a quicker route to the UK than the CESR route, which can take a substantial amount of time.
It is a legal requirement that doctors must have their names entered on the General Medical Council's (GMC's) Specialist Register before taking up substantive NHS consultant posts in the UK.
To apply you will need to have either a specialist qualification or have undertaken a period of specialist training (not less than 6 months anywhere in the world).
Your application is measured against the GMC standard.
The GMC break down the standard into four domains mirroring the headings of Good Medical Practice.
The GMC recommend that you allocate the evidence you provide with your application in the following way:
Domain 1: Knowledge, Skills and Performance - 75%
Domain 2: Safety and Quality - 20%
Domain 3: Communication, Partnership and Teamwork - 5% (combined for
Domain 4: Maintaining Trust - 5% (combined for both domains 3 & 4)
The full list of evidence needed for each specialty is provided here.
As CESR applications are currently a completely paper-based process it is important to think about the evidence you present. You should:
The GMC has strict guidelines for presenting evidence, including verification, anonymising and translating documents. We strongly advise all IMGs to take a look here and familiarise themselves with the criteria.
Following an unsuccessful application, you can apply for a review within 12 months of receiving your decision from the GMC. You can apply for a review of the GMC’s decision on the grounds that:
Please refer to the GMC guidance for further information on applying for a review.
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A leading NHS mental health hospital in the East of England is looking for a Consultant Psychiatrist in Old Age Psychiatry with a focus on functional illness within inpatient care. The service sits within a well-integrated healthcare system combining mental and physical health services. The post is based on a 22-bed ward, supported by a multidisciplinary team including psychologists, occupational therapists, physiotherapists, and speech and language therapists. This Old Age Psychiatry job is open to both international and UK-based doctors, with MRCPsych or EEA specialist certification most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILSConsultant level experience in old age psychiatry
Be eligible for GMC registration, either with MRCPsych (Full), or EEA specialist certification
Consultants with an interest and prior experience in old age psychiatry and inpatient functional illness should apply
The salary will be between £105,504 to £139,882 dependent on experience or grade
Provide medical oversight and psychiatric input for 22 beds (14 for functional illness, 8 for organic illness) on an inpatient ward
Conduct psychiatric assessments, care planning, and contribute to regular MDT reviews
Supervise junior doctors and support their training and development
Collaborate with community teams including the Crisis Resolution and Home Treatment Team for Older People (CRHTT-OP)
Liaise with other services such as social care, physical health teams, and voluntary sector partners to ensure coordinated care
Engage in clinical documentation, audits, research, and educational activities
LIFE IN THE REGION
This region offers a balance of vibrant urban living and tranquil countryside settings. From lively city centres with extensive amenities to quiet villages rich in charm, there’s something for everyone. The area benefits from excellent rail and road connections (50 minutes to London) high-performing schools, and a diverse mix of leisure and cultural attractions.
Steeped in history, the region is known for its architectural heritage and community spirit, making it a highly desirable location for professionals and families alike.
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 calling interview preparation sessions
Contract and offer negotiations for salary, relocation packages, tenure, and more
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you all the way to starting your new post, including:
Document gathering and checking
COS and Visa Application support if applicable
Support sourcing short- and long-term accommodation
Travel arrangements
Family support for finding schools and any other aspects of pastoral care
An NHS hospital in Southeast Wales is looking for a Speciality Doctor in Stroke Medicine. The department includes 10 consultants and a strong team of middle grade doctors. This Stroke Medicine job is open to both UK-based and international doctors, particularly those with MRCP (UK) or equivalent European qualifications.
CESR support is available and will be discussed on an individual basis.
JOB REQUIREMENTS AND DETAILS
The salary will be between £59,727 to £95,400 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
LIFE IN SOUTHEAST WALES
This area of Southeast Wales offers a mix of vibrant city living in Cardiff or Newport and quieter rural options in areas like Monmouthshire. There is good access to schools, healthcare, public transport, and family-friendly amenities.
The region is known for its historic role in founding the NHS and remains a centre of medical excellence and innovation.
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
Let me know if you’d like me to produce another version or tweak anything!
An NHS general hospital in the East of England is looking for a Consultant in Endocrinology & Diabetes with an interest in General Internal Medicine. The Diabetes and Endocrinology department comprises a team of 4 consultants and is supported by a large team of middle grade doctors. This Diabetes and Endocrinology job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP(UK) qualifications are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
Eligibility for full registration with the GMC is essential, and inclusion on the GMC Specialist Register (or within six months of CCT) in Diabetes & Endocrinology and General Internal Medicine are preferred though not essential, as well as NHS epxerience. Anyone with an interest in inpatient diabetes care, diabetes technology, endocrine testing or specialist clinics such as painful neuropathy, foot care or thyroid management should apply.
CORE DUTIES OF THIS ROLE
Provide consultant-led care for Diabetes and Endocrinology patients through clinics and inpatient responsibilities under the Consultant of the Week model.
Participate in the general internal medicine on-call rota, currently 1 in 17 weekends.
Contribute to specialist diabetes clinics (e.g. antenatal, foot, pump) and endocrine clinics, with opportunity to develop further subspecialist areas of interest.
Participate in teaching of medical students, junior doctors and other healthcare professionals, and contribute to the delivery of UEA Module 6 in Diabetes and Endocrinology.
LIFE IN THE EAST OF ENGLAND
The hospital is located in a picturesque region with thriving towns like Ipswich and Colchester offering urban living, while tranquil countryside retreats can be found in Dedham Vale or near the coast.
There are excellent transport links, schools (including grammar schools), and plenty of options for recreation including beaches, cultural venues and green spaces.
Historically rich, the region includes Britain\'s oldest recorded town, stunning coastal heritage, and links to renowned British artists and authors.
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:
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
An NHS hospital in Wales is looking for a Consultant in Acute General Medicine with an interest in Same Day Emergency Care. The Acute Medicine department comprises a team of consultants and is supported by a large team of middle grade doctors. This Acute Medicine job is open to both international applications and UK-based doctors, though those with European Specialist or MRCP (UK) qualifications are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
Full GMC registration, MRCP (UK) or equivalent, and experience in acute/general medicine are required for this role, and anyone with an interest in Same Day Emergency Care should apply. The salary will be between £91,732 and £119,079 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
Deliver acute assessment and treatment to patients at the hospital\'s \"front door\" including the Emergency Department, Clinical Decision Unit, and Same Day Emergency Care.
Develop and deliver a comprehensive 7-day acute medicine service.
Provide “hot” clinics and take an active role in reducing hospital admissions.
Offer effective leadership to multidisciplinary staff and support the development of teaching, training, and research.
LIFE IN WALES
This role is based in a scenic area of Wales, where candidates can enjoy both rural charm and easy access to urban amenities. While some prefer the peaceful villages in the countryside, others choose to live in nearby towns or cities for a livelier pace of life.
The region offers strong school options, convenient transport links across South Wales, and plenty of leisure activities such as hiking, sports, and visiting historic coastal areas—ideal for individuals and families alike.
Known for its rich cultural heritage, the area is steeped in Welsh history and folklore, with deep roots in medieval tradition and legend.
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:
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including:
An NHS acute hospital in the West Midlands is looking for a Locum Consultant Dermatologist with an interest in skin cancer and surgical management. The Dermatology department comprises a team of consultants and is supported by a large team of middle grade doctors. This Dermatology job is open to both international applications and UK-based doctors, though those with European Specialist or CESR qualifications are most encouraged to apply.
Anyone requiring portfolio support (formally known as CESR) can have their required support discussed on a case by case basis.
JOB REQUIREMENTS AND DETAILS
Full GMC registration and completion of specialist training in dermatology (or expected within 6 months) are required for this role, and anyone with an interest in skin cancer and surgical dermatology should apply. The salary will be between £105,504 - £139,882 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
Provide clinical dermatology services across multiple sites, including outpatient care and participation in multidisciplinary meetings.
Support the regional dermatology service with a focus on skin cancer, surgery, and developing new care pathways.
Collaborate with emergency care services to improve patient outcomes and hospital flow.
Contribute to education, audit, and cross-site service planning.
LIFE IN THE WEST MIDLANDS
This role is based in a scenic part of the West Midlands, offering vibrant city life in locations like Worcester and peaceful rural options nearby.
Excellent transport links, good schools, and a wealth of outdoor and cultural attractions make it ideal for families and professionals alike.
The area is steeped in British history, playing a significant role in the English Civil War and famous for its unique cultural contributions.
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:
Once you have accepted your new role, you’ll then be supported and led throughout by one of our dedicated relocation executives who will guide you through all the way to starting to your new role including: