The Diploma for Child Health (DCH) - a guide for overseas paediatricians
- December 16, 2020
The Diploma in Child Health (DCH) recognises competence in the care of children in specialties allied to paediatrics.
In this blog we will provide an overview of the DCH and consider the following topics:
- What is the DCH?
- Who is it for?
- Structure and content of DCH
- Am I eligible?
- Where can I take the exam & how much will it cost me?
- How do I apply?
- How do I prepare and what resources are available?
- Passed? What's next?
Skip ahead to the relevant section if you know what you're looking for.
What is the DCH?
The DCH is reflective of current practice in the UK and covers a syllabus mapped by a wide range of medical professions, including paediatrics and GPs. The DCH (Diploma in Child Health) comprises two exams. You must achieve a pass mark in both in order to be awarded DCH.
- Foundation of Practice (FOP) theory exam - this is shared with the MRCPCH (membership exam)
- DCH Clinical exam
Who is it for?
The Diploma is aimed at those practitioners who want to consolidate their knowledge and skills in paediatrics and gain a qualification at the same time. According to the Royal College of Paediatrics and Child Health (RCPCH), the DCH is designed to give ‘recognition of competence in the care of children to general practitioner vocational trainees, staff grade doctors and senior house officers in paediatrics, and trainees in specialties allied to paediatrics’.
It not only helps to consolidate knowledge gained during paediatric training, but it also helps to focus and develop skills needed for the examination of children within primary and secondary care.
Candidates use the DCH as an opportunity for up-skilling, to drive learning and to gain an internationally recognised post graduate medical diploma.
The Royal College of Paediatrics and Child Health recommend that all candidates complete a short period of training in paediatrics before attempting the DCH Clinical examination. The aim of the examination is to assess whether candidates have reached the standard in clinical skills expected of a newly appointed General Practitioner who has completed a short period of training in paediatrics.
What does the syllabus cover?
It is important to note that the DCH has an independent syllabus from the MRCPCH. However, the theoretical elements of the Foundation of Practice theory exam are shared across both.
Before embarking on the diploma, we recommend IMGs take a detailed look at the DCH syllabus which outlines the competencies required in both knowledge and skills. It provides a summary list of topics which are covered, and specifies the depth of knowledge and skills required, as well as guidance for trainees on what they must be taught and learn.
Am I eligible to take DCH?
The Royal College for Paediatrics and Child Health recommend that overseas candidates have at least six months' paediatrics experience.
To be eligible, overseas candidates will simply need to hold a recognised medical qualification and be registered with the GMC.
You do not require a pass in English Language Tests to take the tests, however we have discussed this with several IMGs, and it is important to note that a high standard of English will be required in order to pass. Don’t forget that you will require a sufficient pass in an English Language Test in order to complete registration with the GMC.
Structure and content of DCH:
The Diploma consists of two exams, one theory (FOP) and one clinical exam. You can take the exams in any order, or during the same exam period.
The Foundation of Practice theory exam (FOP) is computer-based and takes place three times a year in the UK and overseas. See our MRCPCH overview for more information on where you can sit the FOP theory exam, dates, times and costs.
How much does the DCH clinical exam cost?
Fees vary depending on where you sit the exam. See below fees and centres for 2023.
|
UK & Ireland |
|
|
Exam |
Exam fee |
| Foundation of Practice (FOP) - single paper |
£350 |
|
Theory and Science (TAS) - single paper |
£350 |
| FOP and TAS - both papers |
£595 |
| Applied Knowledge in Practice (AKP) |
£595 |
Overseas Centres
Jordan, Kuwait, Malta, Qatar, Sri Lanka, Pakistan and Trinidad currently only provide RCPCH theory exams.
Egypt, India, Malaysia, Nepal, KSA, UAE, Oman, Myanmar, Sudan and Singapore provide both theory and clinical exam test centres.
|
Overseas |
|
|
Exam |
Exam fee |
| Foundation of Practice (FOP) - single paper |
£435 |
|
Theory and Science (TAS) - single paper |
£435 |
| FOP and TAS - both papers |
£725 |
| Applied Knowledge in Practice (AKP) |
£835 |
Hong Kong
Candidates in Hong Kong must submit payment to the Hong Kong College exam organiser in HKD via a bank draft, which you can learn more about here.
|
Hong Kong |
|
|
Exam |
Exam fee |
| Foundation of Practice (FOP) - single paper |
4700 HKD |
|
4700 HKD |
|
| FOP and TAS - both papers |
7600 HKD |
| Applied Knowledge in Practice (AKP) |
8800 HKD |
How do I apply for the exams?
To apply for the DCH (Diploma in Child Health), you first need to register online for exams. You just need to do this once.
You need an RCPCH online account (with an RCPCH number). Then you can complete a short registration form – you will require evidence of your primary medical qualification.
How do I register for exams?
You can register for exams at any time throughout the year. After your registration is accepted, you can apply for an exam but only during relevant open application periods.
It takes at least 10 working days to process registration.
During exam application periods we are not able to process registrations. Please register three to four weeks before exam application period opens to help ensure you do not miss your preferred exam diet. The best dates to register for exams are usually January, May and September.
How do I book an exam?
- Log in to your RCPCH account
- Go to My Account
- From your dashboard, go to the Exams panel, and from your exam dashboard, follow links to apply
What do I need to know about the exam day?
Bring your ID:
You will need to bring one of the following forms of ID:
- passport with photograph and signature - this must be current or no more than six months expired
- valid driving license with photograph and signature
- national identity card with photograph and signature
*Only original documents will be accepted.
For more information take a look at the Royal College of Paediatrics and Child Health website
How do I prepare?
With lots of materials online we have discussed with IMGs the best place to start looking for resources and materials relating to the exams. Most IMGs recommended starting with the Royal College, who have created useful resources to help you to prepare for the exams.
A good start is to take a look at Clinical Cases in Paediatrics: DCH Clinical Textbook. It will cost your £35 but is a logical foundation for a start to any revision.
Useful online revision courses include those run by PASTEST and the Institute of Child Health.
As ever at IMG Connect, we believe in preparation. In order to succeed in the clinical exam, IMGs have told us that it is vital that you practise your clinical examinations as frequently as possible, preferably under the supervision of a senior colleague. This will give you confidence in approaching and examining children with examiners present.
Passed? What next?
If you pass both DCH Clinical and Foundation of Practice (FOP) exams, you will receive a Diploma certificate. This certifies you are a holder of the Diploma in Child Health (RCPCH).
IMG Jobs
Search and find live NHS doctor jobs in the UK
IMG Resources
In our IMG Resources library you can read more useful articles on finding an NHS trust doctor job, pay scales & doctor’s salary in the UK, relocation and much more!
Get in Touch
Get in touch using the buttons above (and below) to discuss doctor job opportunities in the NHS, including discussions regarding a typical doctor salary in the UK and the most suitable hospital locations for you.
Relevant Jobs
A leading NHS hospital is seeking a Consultant Paediatrician with an interest in Respiratory Medicine. The Paediatric Respiratory department includes a team of experienced consultants and middle grade doctors. This is an excellent opportunity for UK-based and international applicants, particularly those with MRCPCH or equivalent specialist qualifications.
JOB REQUIREMENTS AND DETAILS
- CCT or equivalent qualification and specialist registration in Paediatrics with an interest in Respiratory Medicine.
- Proven experience in Paediatric Respiratory care and clinical leadership.
- Salary range: £105,504 - £139,882 per annum, dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Lead the Paediatric Respiratory service, providing specialist care for complex cases.
- Support and develop junior doctors and medical staff.
- Contribute to clinical governance and service development.
LIFE IN SOUTH WEST
South West England offers a dynamic mix of coastal, rural, and urban living, with excellent transport links and a rich cultural and historical heritage. From stunning landscapes like Dartmoor and the Jurassic Coast to vibrant cities such as Bristol and Exeter, the region provides a high quality of life for families and professionals 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
- 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
A leading NHS hospital in the UK is seeking a Consultant in Community Paediatrics to join its growing team. The department includes experienced consultants, associate specialists, and middle-grade doctors, providing high-quality paediatric care. This role is open to both UK-based and international candidates, with preference for those holding CESR or entry on the GMC Specialist Register.
Portfolio support (formerly CESR) is available and can be discussed on a case-by-case basis.
JOB REQUIREMENTS AND DETAILS
- Full GMC Registration and CESR or entry on the GMC Specialist Register are required.
- Training in Safeguarding, Neurodisability, or Social Paediatrics is highly desirable.
- The salary will range from £105,504 and £139,882 per annum (pro rata), based on experience.
CORE DUTIES OF THIS ROLE
- Deliver expert care in Community Paediatrics, supporting children with developmental and safeguarding needs.
- Collaborate with a multi-disciplinary team, including specialist nurses, therapists, and social care teams.
- Participate in safeguarding assessments, neurodevelopmental clinics, and complex case reviews.
- Engage in medical education, clinical governance, and service development initiatives.
LIFE IN THE REGION
The hospital is located in a beautiful UK region, known for its high quality of life, excellent transport links, and access to scenic coastal and countryside areas. Families benefit from great schools, a range of outdoor activities, and a thriving cultural scene.
With a strong maritime history and modern healthcare infrastructure, the region provides an exceptional working environment for medical professionals.
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 role, 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 any other aspects of pastoral care.
A general hospital on a scenic island is looking for a Consultant in Paediatric Medicine with an interest in general paediatrics and neonatology. The paediatric department comprises a team of 6 consultants supported by 7 middle-grade doctors. This paediatrics job is open to both international (IMG) applications and UK-based doctors, though those with equivalent specialist qualifications or Royal College certifications 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
NHS experience, MRCOG / European specialist paediatrics qualifications and extensive experience in paediatrics and neonatology are required for this role. Anyone with an interest in acute paediatrics or neonatal transport should apply. The salary will be between £56 to 103k dependent on seniority and experience.
CORE DUTIES OF THIS ROLE
-
Deliver acute and ambulatory medical care to children, including neonatal care.
-
Participate in a non-resident on-call rota covering paediatrics and neonates.
-
Conduct ward rounds and outpatient clinics, with significant focus on direct clinical care.
-
Engage in departmental teaching, governance, and training activities.
LIFE ON THE ISLAND
This island offers an ideal mix of urban and rural lifestyles, with vibrant towns and serene coastal villages. The region features great transport connections, including quick access to the mainland, and a wide variety of excellent schools, recreational opportunities, and family-friendly activities. Historically significant, the island is celebrated for its wartime history and beautifully preserved castles and coastlines.
An NHS hospital in the South East region is looking for a Specialty Doctor in General Paediatrics with an interest in Neonatology or another special interest. The Paediatrics department comprises a team of 15 consultants and is supported by a large team of middle-grade doctors. This Paediatrics job is open to both international applications and UK-based doctors, though those with European Specialist qualifications or MRCPCH 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
At least three years of experience in General Paediatrics, including Neonatal medicine at a middle-grade level, are required for this role. Anyone with an interest in developing their subspecialty expertise should apply. The salary will be between £52,530 and £82,400 dependent on experience or grade.
CORE DUTIES OF THIS ROLE
- Support the inpatient service, SSPAU, and level 1 SCBU.
- Participate in a 1:8 Tier 3 Rota providing general paediatric services.
- Provide teaching and participate in education activities in General Paediatrics.
- Contribute to clinical governance, incident reporting, and audit projects.
LIFE IN SOUTH EAST ENGLAND
The hospital is located in a well-connected area, with towns such as Eastbourne and Bexhill-on-Sea offering both urban and rural living options. There are excellent schools, transport links, and leisure facilities for both adults and families. The region has a rich history, including its role in the famous 1066 Battle of Hastings, which shaped British history.
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 through all the way to starting your new role 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
We are looking to recruit a Consultant Paediatrician in the Channel Islands, a UK territory sitting off the coast of France and just a 1 hour flight from London. This job presents a great opportunity to advance your medical career in the UK.
The health service, separate from the NHS, is an integrated, taxation-funded system, free at the point of delivery, managed by the Health and Community Services Department on the island. Key benefits of working there are higher salaries than the NHS, lower taxes and sunnier weather.
Consultant Pay range - £110,257 to £164,372
Single rate of tax - 20%.
The Service
The service is committed to delivering high-quality healthcare services to its community. Funded by local authorities, the Trust oversees a comprehensive range of health services including hospital care, public health, and environmental health. With a modern hospital featuring a significant number of acute beds and specialized facilities, the Trust ensures exceptional care for both residents and seasonal visitors. The organization emphasizes excellence in patient care and continuous improvement, making it a prominent healthcare provider in its region.
Department & Team
The Paediatrics Department at this service provides essential care to children and includes a dedicated team of Paediatric Consultants, Staff Grades, and trainee doctors. The department offers a full spectrum of services such as Neonatal Care, Acute Paediatric Medical Care, and Ambulatory Care. With strong links to tertiary centers, the department ensures access to advanced medical treatments and maintains a robust governance system to support high standards of patient care and continuous professional development.
Continued Professional Development
This NHS job offers further training & accreditation within Paediatrics, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interests. The Trust is committed to your professional growth, providing generous study leave, financial support for relevant courses, and opportunities for involvement in clinical audits and teaching. This support will help you achieve your career goals and meet the requirements for revalidation and ongoing professional development.
Location
The region features diverse natural beauty, including stunning coastlines and scenic landscapes. With a moderate cost of living, excellent educational facilities, and a safe, welcoming community, it offers a balanced lifestyle. The area’s rich cultural heritage and local traditions add to its charm.
Financial benefits
Living in this location offers significant financial benefits. The flat income tax rate of 20% is notably advantageous compared to the UK, and a generous public sector pension scheme is provided, not constrained by UK lifetime or annual contribution limits. The consultant contract closely mirrors the UK model but offers higher incremental levels starting at £110,257 and with a top basic salary of £164,372.
Am I eligible for this role?
UK based candidates:
- Specialist Training in Paediatrics
- Consultant or Specialist Experience in Paediatrics
- RCPCH qualification
EEA candidates:
- Consultant or Specialist Experience in Paediatrics
- European Specialist Qualification
Non-EEA candidates:
- RCPCH qualification
- Specialist Training in Paediatrics
- Consultant or Specialist Experience in Paediatrics