Types of GMC Registration

  • November 08, 2023

The General Medical Council’s medical register is a full list of all the doctors qualified to work in the UK. Within this, there are different types of registration which doctors must hold to work in different posts in the UK. 

All practicing physicians must hold one of these types of registration with a license to practice. 

In this article we will discuss the following:  

1. Provisional Registration

The purpose of provisional registration is to allow medical graduates to complete an approved internship (FY1). After this, trainees will receive a certificate of experience with which they can apply for full registration. 

Provisional registration can be held for a maximum of three years and 30 days (1,125 days) only, which would be enough time within which to complete a 12-month internship. This registration will expire after the allotted time, and you will be removed from the register, however, more time can be provided, and you can find out whether you will be eligible here

What roles can I take with provisional registration? 

With provisional registration, the only service post you are able to take is an FY1 service post, other than an approved UK FY1 programme. 

Who can apply for provisional registration? 

If you are eligible for full registration, you cannot apply for provisional registration. 

Applications for provisional registration will be considered from:  

2. Full Registration

Doctors require full registration to work in unsupervised medical practice in the NHS, UK private practice, or to move onto the second year of their internship (FY2) in an approved training programme require a full license to practice. 

What roles can I take with full registration? 

With full registration, doctors can take up any post aside from GP posts and substantive consultant posts. 

Who can apply for full registration? 

There are certain criteria you must meet before you are eligible for full registration: 

1. Completed the first year (FY1) of the Foundation Programme in the UK 

2. Be a Swiss or UK national (or benefit from enforceable community rights) and have either: 

3. Be an international medical graduate (IMG) with an acceptable PMQ, and enough clinical experience to practice medicine in the UK – you can do this in one of 5 ways: 

Full registration does not have a time limit, but doctors should note that they are required to go through a revalidation process every five years to avoid the license to practice being withdrawn. 

You can read more about the routes to GMC Registration through our IMG Resources library

3. Specialist Registration

The specialist register is an online list of doctors who are eligible to work as fixed term, honorary or substantive consultants in the NHS, excluding foundation trusts. 

If a doctor is on the Specialist Register, it will say so as part of their status on the register, and you will be able to see the specialties (and sub-specialties) they are qualified in, as well as the date they joined the specialist register in each specialty. 

Types of Specialist Registration 

There are three types of certificates issued by the GMC, and the type of certificate you will receive at the end of your training defines which training route you are on. 

You can read more about Specialist Registration for IMGs here

What roles can I take with Specialist registration? 

Doctors who are on the Specialist Register can take up permanent or substantive consultant positions.  

Who can apply for Specialist registration? 

Eligibility for Specialist Registration depends on your nationality, qualifications and experience. To meet the minimum eligibility requirements to apply you must have either:  

  • A specialist qualification in the specialty you’re applying in 


  • At least six months continuous specialist training in the specialty you’re applying in  

You’ll need to provide evidence of how you’re eligible as part of your application. This could be a copy of your qualification or evidence of your employment. In your application you must show that you meet the requirements of the CCT curriculum in your specialty.   

4. GP Registration

GP Registration is a requirement for any doctor who wishes to be eligible for appointment to a general practitioner (GP) position in the UK. 

Please note that unlike in many countries, GPs in the UK are family and community medicine specialists and if you are an IMG general physician, you would need to apply for full registration, not GP registration. 

What roles can I take with GP registration? 

Doctors who are on the GP Register can take up posts as General Practitioners in the UK. As well as being on the GP Register, you’ll need to complete a number of other processes before you can start work as a GP in the UK. You'll need to join a Performers List and an Induction or Returner Scheme. You can read more about this here

Who can apply for GP registration? 

Doctors may be eligible for entry onto the GP Register if you have a relevant European GP qualification. You can check which GP qualifications are accepted on the GMC’s evidence of qualifications page. You must also check your qualification is on the list of relevant European qualifications, and that: 

  • The title of it is exactly the same as the one in the list 


  • The qualification was issued on or after the reference date listed. 

#IMG Tips

  • Use the GMC website – there are many useful resources on the GMC website, including a very helpful registration route finder to help you determine which registration you should apply for. 
  • Research/ think about the types of evidence you will need and make a plan for your application, particularly if you will have to sit any exams. 
  • If you want to contact our specialists use our Candidate Portal today!

So there it is, the different types of GMC registration in a nutshell. This is important to understand, particularly for IMGs looking to relocate to the UK and find work in the NHS. If you have any further questions about GMC registration or your route to the UK, please get in touch with us here.  

Follow us on social media through the links below for regular news and updates on the Royal Colleges, relocating to the UK and working in the NHS:  




Relevant Jobs

50,00 - 80,000

IMG Connect are proud to be representing NHS England in the recruitment of a paediatric & perinatal fellowship role, providing overseas pathologist the access to specialist registration / CESR in their field, without the need to enter specialty training. With the opportunity to work in either one or multiple of the UK\'s largest and most established NHS pathology departmetns, this Fellowship in Paediatric and Perinatal Pathology is ideal for either paediatric pathologists with extensive overseas experience, or young-aspiring pathologists with a strong interest and desire to train further in paediatric & perinatal pathology.

The Fellowship is designed as an 18 month training programme for international medical graduates who are experienced paediatric/perinatal foetal pathologists who are willing to work as consultants in this field in the UK. You will work and train in one or two of the NHS\'s largest and most renowned institutions.

Am I eligiible?

  • Full FRCPath Histopathology is desirable
  • FRCPath Part 1 is essential
  • Current active duties in adult autopsy
  • 5-years histopathology experience, including some performance of perinatal autopsies as well as adult autopsy.
  • Pass in either IELTS or OET

An exciting opportunity has arisen for a full-time Consultant in Acute Medicine within this ambitious new medical inpatient model. A leading healthcare provider is seeking a dedicated individual keen on embracing recent technological advances in patient care, contributing to their evolving vision for the future of the multi-specialty medical team. This position offers support for CESR. Join them in shaping the future of acute and general internal medicine in the UK healthcare system.

This is a high performing and supportive department for overseas doctors new to the NHS, or UK-based doctors looking to further careers in the UK.

What is the NHS Foundation Trust like?

The NHS Foundation Trust, a leading healthcare provider in East Anglia, serves a population of nearly 800,000 residents with hospital and community health services spanning a wide geographical area. Operating two main hospitals in Colchester and Ipswich, alongside six community hospitals, clinics, and home-based care, their extensive network ensures comprehensive healthcare coverage. With a dedicated team of nearly 10,000 staff and an annual budget exceeding £650 million, they are the largest NHS organization in the region.

Committed to delivering exceptional care and enhancing patient experiences, the Trust has allocated £100 million over five years to upgrade hospital facilities, prioritizing optimal environments for both patients and staff. Emphasizing a supportive workplace culture, they offer diverse opportunities for development, innovation, research, education, and training. Their patient-centered philosophy revolves around the value of time, aiming to reduce stress and optimize care delivery while empowering staff to utilize their skills effectively.

What is the department & team like?

The Department of Acute Medicine, nestled within the Division of Medicine, operates as a vital component of their healthcare ecosystem. The team of seven dedicated consultants collaborates within the recently refurbished Emergency Assessment Unit (EAU), equipped with state-of-the-art facilities. With a primary focus on providing efficient and compassionate care for their local community, the department remains committed to adapting and expanding their acute services in response to evolving emergency care strategies.

As a Consultant in Acute Medicine, the successful candidate will play an integral role in their interdisciplinary approach, working closely with Specialty Medicine, Surgery, and Diagnostic Imaging departments to ensure comprehensive assessment processes for all medical emergencies. Effective communication and seamless collaboration with allied health professionals and consultant colleagues within EAU are essential components of their mission to deliver excellence in emergency care.

Career Development & Opportunities Available

The Trust supports the consultants with opportunities to support the multi-professional teaching and development along with active participation in teaching programmes for Foundation, IMT, GP, Higher Specialty Training. Consultants on the specialist register will be given autonomy and will freedom to develop their special interests, with access to additional leadership, research and teaching duties available for those that want it. 

All consultants will receive a full induction process and will be involved in clinical audit and governance.

Life in East England

East England offers a diverse landscape, blending urban centers with picturesque countryside. Residents can explore historic landmarks like Cambridge University or unwind in scenic areas like the Norfolk Broads. The region boasts esteemed schools and universities, including the University of East Anglia and Cambridge University. Transportation links are robust, with efficient train services connecting to major cities like London and airports such as Stansted Airport. Housing options range from charming cottages in rural villages to modern apartments in bustling towns, catering to varied preferences and lifestyles. East England provides a perfect balance of urban amenities and rural tranquility.


EEA Candidates:

  • Experience of working in Acute Medicine
  • European Specialist Qualification 

Non-EEA Candidates:

  • MRCP or equivalent
  • Experience of working in Acute Medicine

UK based applicants

  • Experience of working in Acute Medicine
  • Within 6 - 12 months of completing CCT
99,532 - 131,964
Step into an exciting NHS job opportunity to become an integral part of the NHS Acute Medicine team at this Teaching Hospital NHS Foundation Trust. With the Hospital boasting 570 beds and the sister Hospital offering community beds, the trust is a cornerstone of healthcare in the region. The bustling Acute & Emergency Department caters to over 310,000 individuals annually, providing round-the-clock care to 85,000 new patients. Their facilities span a wide range of specialties, ensuring comprehensive medical services, and their recent \'Good\' rating from the CQC underscores their commitment to excellence in care. Join them in shaping the future of healthcare.

This NHS vacancy is ideal for overseas Consultants, Specialist Grades, or Specialty Doctors seeking to establish themselves in the NHS. Suitable for EEA specialists or experienced IMGs aiming for CESR completion.

What is the NHS Trust like?

The NHS Foundation Trust epitomizes compassion and innovation, dedicated to ensuring optimal patient outcomes and fostering a supportive environment for our staff. Their vision extends to excellence in patient care, community service, and staff satisfaction, making them a premier destination for healthcare, employment, and education. Their hospitals serve a combined population of over 330,000 residents, strategically positioned to meet the evolving healthcare needs of their communities.

One of the NHS Trust\'s main site serves as the epicenter of their emergency and critical care services, alongside women\'s and children\'s health, including maternity care. Their other hospital, on the other hand, specializes in elective procedures and houses an Urgent Treatment Centre, complemented by shared services across both sites and community hubs within their catchment area. Having garnered a \'good\' rating from the Care Quality Commission (CQC), with notable \'outstanding\' attributes, they are on a trajectory toward university hospital status, having achieved teaching hospital status in 2019.

Their diverse workforce, representing over 50 nationalities and comprising nearly 5,000 individuals across both sites, underscores their commitment to equality, diversity, and inclusion. Recognized as a trailblazer in these areas, they strive to maintain an equitable and inclusive environment for all staff, fostering a culture of excellence and innovation.

The Acute Medicine Department and Team

The Acute Medical Unit (AMU) serves as the primary gateway for all medical admissions, with exceptions for those requiring direct admission to specialized units such as ITU, HDU, CCU, or Stroke Unit. Recently reorganized, AMU comprises an Assessment area, an ambulatory area, and short-stay beds with a maximum duration of 48 hours. The unit is staffed by three consultants, who provide flexible coverage throughout the day, gradually reducing to two consultants in the afternoon and one in the evening. A goal is to ensure all patients, barring overnight admissions, are seen by a consultant within 4 hours of arrival, with a further consultant review within 12 hours of admission.

The Same Day Emergency Care (SDEC) unit, inaugurated in July 2022, aligns with national guidelines, facilitating the swift evaluation and management of patients within a single day. The unit, jointly serving surgical and medical specialties, promotes collaborative care. Plans within the initial year involve optimizing patient throughput. Consultants allocate one day per week to the unit, which also offers rapid access Acute Medicine clinics to support early discharge from the Acute Medicine department.

In terms of consultant medical on-call responsibilities, the medical team admits an average of 50 to 75 patients over a 24-hour period. Consultants conduct reviews of medical admissions in the afternoon of their on-call day, commencing with a post-take ward round around 1:30 pm. The following morning, acute physicians review admissions to AMU from the previous evening and overnight, with the on-call consultant attending the 9 am handover and completing reviews of any remaining admissions on outlying wards.

Life in the Cheshire

The area offers a blend of urban convenience and nearby rural escapes, catering to varied lifestyles for doctors. Residents enjoy scenic walks along the rivery or exploring historic landmarks. The area boasts a range of quality schools and accessibility to nearby universities such as the University of Chester. Excellent transportation links via train and bus networks connect the area to neighboring major cities like Liverpool and Manchester, as well as to airports such as Manchester Airport. Housing options range from modern apartments to traditional suburban homes, accommodating diverse preferences.

Career Development & Opportunities Available

The NHS Foundation Trust provides a myriad of career development and advancement opportunities for Acute Medicine consultants. Firstly, consultants can benefit from ongoing professional development programs tailored to their specific needs, including access to training courses, workshops, and conferences to enhance clinical skills and knowledge. Additionally, the Trust fosters a culture of innovation and research, encouraging consultants to engage in academic activities, publish papers, and contribute to advancements in the field of Acute Medicine.


EEA Candidates:

  • Experience of working in Acute Medicine
  • Board Certified Specialist in Acute Medicine

Non-EEA Candidates:

  • MRCP
  • Experience of working in Acute Medicine

UK based applicants

  • Experience of working in Acute Medicine
  • Within 6 - 12 months of completing CCT
99,532 - 131,964

The University Hospitals Dorset NHS Foundation Trust is seeking to appoint a consultant in acute medicine, CESR is supported. You will collaborate closely with acute consultant colleagues in this NHS job, as well as Emergency Department consultants, medical specialties, and AMU staff across each hospital site to provide optimal patient care and ensure the team remain leaders in Acute Medicine. The NHS vacancy is suitable for overseas doctors (IMGs) including candidates who are pursuing CESR Portfolio Pathway. Specialists in Acute Medicine, holding a specialist certification would be suitable for this post, based on experience entering at either Specialty Doctor or Consultant grade. 

Overseas applications from experienced Specialty Doctors and Consultants are welcomed. 

What is the NHS Foundation Trust like?

The NHS Foundation Trust is a district general hospital trust managing three hospitals. The Trust serves the different towns, delivering a broad range of medical services. They are performing at a good level across their services and continuously provides huge opportunities and benefits to the way they deliver patient care. The Trust focuses on delivering excellent general hospital services, serving a population of approximately 750,000 with the help of more than 9,000 staff members. The hospitals have around 1,100 beds in total, offering services including General Medicine, General Surgery, Neurology, Rheumatology, Gastroenterology, Dermatology, Gynaecology, and Paediatrics.

The Trust achieved foundation status in 2005 and, in October 2020, merged two of its hospitals to create a new organization, establishing one of their hospitals as the emergency care site and another as the planned care site. The Trust remains dedicated to continuous improvement, striving to provide high-quality, patient-centered care across all its facilities.

What is the department & team like?

The Acute Medical Unit (AMU) is a 30-bed assessment and short stay unit for general and acute medical patients, handling approximately 8,000 to 9,000 patients annually. Adjacent to the unit is the Ambulatory Emergency Care (AEC) area, which includes three clinic rooms and a four-trolley assessment area. The AMU team comprises one ACM SpR, one ACCS trainee, one F1, two Physician Associates, and two F2/3s, along with 10 ANPs for Ambulatory Care (two per day, Monday to Friday, and one on weekends), and a dedicated DVT Band 6 nurses. The on-call medical team is based within the AMU in blocks from Monday to Thursday and Friday to Sunday. This team includes one SpR, one SHO, and one F1.

The Acute Medicine Directorate has experienced rapid change and improvement in its SDEC models over the past year. With new investment, they are looking to build on this progress and continue their transformation journey towards the 2026 Major Emergency Site model, as outlined in the Dorset Clinical Services review. This fixed-term position is to replace a colleague who is leaving, with the expectation that it will become a full-time substantive post. New post holders will be expected to work flexibly across both sites.

Career Development & Opportunities Available

With an extremely active education/teaching programme supported by the consultant team, there is opportunity to work towards and complete CESR, get involved in active research and many aspects of CPD. Participation in research and educational activities will be encouraged.

  • Attractive salary and relocation package
  • Training and development opportunities
  • CESR support for those eligible
  • Tier 2 Health and Care Visa (sponsorship for the whole family)
  • Guidance regarding the CV and full interview preparation
  • Assistance regarding the GMC registration, visa, accommodation and transportation by an experienced onboarding specialist
  • Complete IMG Relocation service from start to finish of process
Life in the area

Nestled along England\'s picturesque south coast, the area offers a unique blend of urban amenities and coastal charm. Doctors enjoy proximity to both bustling city life and tranquil seaside retreats. Residents indulge in sailing adventures around harbour or stroll along its sandy beaches. The area boasts reputable schools and universities, nurturing young minds for future success. Transportation links are robust, with easy access to neighboring cities like Bournemouth and Southampton, as well as major airports. Housing options range from waterfront apartments to quaint cottages, catering to varied tastes and lifestyles. Poole epitomizes the quintessential coastal living experience.


EEA Candidates:

  • Experience of working in General and Acute Medicine
  • Board Certified Specialist

Non-EEA Candidates:

  • MRCP
  • Experience of working in General and Acute Medicine

UK based applicants

  • Experience of working in General and Acute Medicine
  • Within 6 - 12 months of completing CCT
£83945 - £95275
An excellent opportunity has arisen for a Specialist Grade in General Adult Psychiatry to join a trust on the south coast of England. This is a high-performing and supportive department for overseas doctors new to NHS jobs or UK-based doctors looking to advance their careers in the UK. CESR support is available.

MRCPsych - preferred 
S12 - preferred 
12 years post graduate experience with 6 years in psychiatry

What is the NHS Trust like?
The NHS Trust provides a range of high-quality specialist mental health, learning disability, and neurodiversity services, in the South West region. The Trust is passionate about promoting good mental health and wellbeing, striving to use the expertise and resources within the organization, and through partnerships, to deliver safe, high-quality services focused on people\'s recovery.

With an annual income exceeding £206 million, the Trust employs around 3,600 staff. Each year, it receives approximately 74,000 referrals and supports around 26,000 people every month. This passion and commitment shape the Trust\'s vision, mission, and strategy. The staff are pivotal in all activities, and the Trust is committed to fully involving them in the development of the organization and its services.

General Adult Psychiatry Department & Team

The Community Mental Health Services provide secondary care interventions for individuals referred by Mental Health Assessment workers and other teams, such as acute and inpatient services. The community teams manage caseloads that include individuals with a wide range of mental health difficulties and complexities, from those requiring intensive long-term care to those receiving short-term psycho-social interventions. The team collaborates constructively with various agencies within Torbay to ensure a coordinated approach to managing risk issues.

The team comprises a full-time Clinical Team Leader, Mental Health Nurses, Occupational Therapists, Social Workers, and Support Time and Recovery Workers. All three Community Mental Health Teams share an Accommodation Officer, a Personality Disorder Lead, and a Carers Support Team. The team employs a strong multidisciplinary approach, working cohesively to provide an effective and safe recovery-focused service to those referred. 

Life in South West

The South West of England offers both rural and urban settings, providing diverse living options. The region features stunning landscapes, including the Jurassic Coast, Dartmoor, and Exmoor, perfect for hiking and outdoor activities. There are high-quality schools and renowned universities, such as the University of Exeter and University of Bristol. Excellent transportation links include major motorways, rail services to London and other cities, and airports in Bristol and Exeter. Housing options range from urban apartments and suburban homes to countryside cottages, catering to a variety of lifestyles and preferences.

Am I eligible for this role?

MRCPsych - preferred
S12 - preferred 
12 years post graduate experience with 6 years in psychiatry - necesary 

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