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:
- UK medical graduate who completed their medical degree at a UK university
- Doctors who graduated from outside the UK with an acceptable primary medical qualification (PMQ) and have passed the Professional and Linguistic Assessments Board (PLAB), but have not completed an internship
- Doctors who qualified within certain European countries but do not hold the accompanying certificate required to complete their relevant European qualification – you can see a full list of these countries here.
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:
- A formal qualification listed in The Directive on Recognition of Professional Qualifications; OR
- An acceptable primary medical qualification from outside the EEA (which has been recognised in Switzerland) with evidence of an acceptable pattern of experience
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:
- A pass in the PLAB test
- Sponsorship by a GMC approved sponsor
- An acceptable postgraduate qualification or overseas licensing exam
- Relevant European Qualification (REQ)
- Eligibility for entry onto the Specialist or GP register
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
OR
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:
AND
- 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
An excellent NHS job opportunity for an experienced Acute Medicine Consultant to join this NHS Trust as a Consultant working in an established acute medicine department in the UK. This NHS job offers CESR Portfolio Pathway support and international applications from IMGs are welcome.
The NHS Trust
This NHS Trust provides integrated acute and community services to around 900,000 people. As one of the top-performing NHS trusts in the UK, it is renowned for its high-quality patient care, research, and innovation. The Trust aims to deliver outstanding care and services, fostering a culture of continuous improvement and professional development. It is dedicated to developing new treatments and technologies that improve patient outcomes and enhance the overall healthcare experience.
The Acute Medicine Department & Team
The Acute Medicine department at this NHS Trust is a dynamic and supportive environment that deals with a high volume of emergency cases. The team consists of experienced consultants, junior doctors, nurses, and allied health professionals who work collaboratively to provide comprehensive care. The department is equipped with state-of-the-art facilities and offers a wide range of diagnostic and therapeutic services, ensuring patients receive timely and effective treatment. The team is dedicated to delivering high standards of care, participating in national clinical audits, and contributing to research initiatives.
Continued Professional Development
This NHS job offers further training and accreditation within acute medicine, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interests. The department is committed to the professional growth of its staff, offering numerous opportunities for continuous medical education, participation in clinical research, and leadership development programs. The Trust supports a culture of learning and innovation, ensuring that all staff members can achieve their career aspirations while delivering exceptional patient care.
Location
This NHS Trust is located in a region renowned for its stunning natural beauty, including two national parks and a picturesque coastline. The area boasts a high quality of life with affordable living costs, excellent schools, and a safe, welcoming community. The region offers a rich cultural heritage with numerous festivals, museums, and theatres, along with a variety of outdoor activities such as hiking, cycling, and water sports. With excellent transport links, including rail and road networks, it is easy to travel to other parts of the UK.
Am I eligible for this role?
UK based candidates:
- Experience in Acute Medicine
EEA candidates:
- Experience in Stroke Medicine
- European Specialist Qualification
Non-EEA candidates:
- MRCP
- Experience in Stroke Medicine
An exciting opportunity has arisen within the Acute Medicine Department. They are looking to appoint an Acute & General Internal Medicine Consultant, a great opportunity to further your medical career in the UK. This NHS job offers CESR Portfolio Pathway support, and international applications from IMGs are welcome.
The successful candidate will be the clinical lead and will drive the development and transformation of acute medicine, where patient-centered care is at the heart of the services. The role involves working within the Acute Assessment Unit, which consists of a 25-bed inpatient area including a 5-bed enhanced care area and an adjacent 6-space Ambulatory Emergency Care Unit.
Health Service
Working for this health service is professionally rewarding, offering high-quality, patient-centered care. Their clinicians lead in developing and managing services, supported by strong links with UK specialists. With a generous study leave budget, doctors are encouraged to pursue further education. Exciting developments include a new general hospital and a new mental health inpatient unit. They foster strong relationships between mental health, primary, and secondary care, promoting joint learning and teaching in their modern education center.
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. This is a unique opportunity to help shape an integrated care system with closer political engagement than in the UK.
Department & Team
Medicine in this health service is fully integrated by age and specialty, with three medical wards: . The EAU has a 5-bedded Enhanced Care Area and a separate intensive care unit led by intensivists. The AEC Unit is supported by a SAS doctor and consultants. The department comprises a 16-bed EAU, staffed by 11 consultants, 8 SAS doctors, 7 FY1 doctors, 2 FY2 doctors, and 6 Clinical Fellows, organized into 8 medical teams and the EAU team.
The specialty of Acute Medicine is based within the Emergency Assessment Unit (EAU). The service includes a 25-bed Acute Assessment Unit (AAU) featuring 5 enhanced care beds and an Ambulatory Emergency Care (AEC) Unit. The post holder will work across both the AAU and the AEC.
Continued Professional Development
The health service offers further training & accreditation within psychiatry, including CESR Portfolio Pathway Support, access to specialty training, and the opportunity to develop sub-specialist interest. The post holder will have ample opportunities to develop knowledge, skills, and experience through attendance at relevant courses, conferences, and locally organized CME events. Health & Community Services supports Continuing Medical Education with time and financial support, offering study leave of 30 days in 3 years, and an annual study leave allowance.
Life in the area
Living in the area presents significant financial benefits. The flat income tax rate is notably advantageous compared to the U.K., and they provide a generous public sector pension scheme that isn\'t constrained by U.K. lifetime or annual contribution limits. The Consultant Contract closely mirrors the U.K. model but offers higher incremental levels. Incremental progression is automatic from points 1 to 17 on the pay scale based on satisfactory performance, while formal applications are necessary for points 18 to 20.
Am I eligible for this role?
UK based candidates:
• Experience in Acute & General Internal Medicine
EEA candidates:
• Experience in Acute & General Internal Medicine
• European Specialist Qualification
Non-EEA candidates:
• MRCP
• Experience in Acute & General Internal Medicine
A Northern English NHS Trust is looking for a Consultant Histopathologist to join their team at. They are considering either UK or overseas-trained doctors for a permanent contract type. The trust will support with CESR support for those who are looking to attain CESR and Specialist Registration. This is a high performing and friendly department for overseas doctors new to the NHS, or UK-based doctors looking to further careers in the UK.
This is a great job for any overseas Pathologists looking for CESR-support and great career development in a beautiful part of England.
What is the NHS Foundation Trust like?
The NHS Foundation Trust offers top-notch hospital and community healthcare services to a population exceeding 400,000 individuals across several areas/ With two primary hospital locations boasting a combined total of 553 beds, and their hospitals situated approximately 15 miles apart - along with a community hospital, the Trust ensures comprehensive care coverage. Its extensive range of services and specialties includes Bariatric Services, Orthopaedics, Urology, Cardiology, Diabetes Care, Elderly Care, Emergency Care, Gastroenterology, Obstetrics and Gynecology, Radiology, Respiratory Medicine, Rheumatology, Stroke Care, Critical Care, Neonatology, Pain Services, and Pathology.
What is the department & team like?
The Histopathology Department is staffed by a dedicated team of consultants and junior doctors committed to delivering outstanding patient care. The team comprises experienced consultants and supportive junior doctors, ensuring comprehensive coverage and expertise in diagnosing a wide array of cases. The department is actively involved in the diagnosis and management of diverse histopathology and cytology cases, encompassing oncological, gastrointestinal, dermatological, and respiratory conditions, among others.
They offer a range of treatments tailored to meet the specific needs of each patient, with a focus on delivering timely and accurate diagnoses to support effective treatment plans. Equipped with advanced facilities and state-of-the-art technology, the department boasts modern laboratory equipment and diagnostic tools. These resources enable them to efficiently process and analyze histopathological specimens, facilitating prompt and precise diagnoses.
On average, the histopathology department handles a substantial volume of cases each year, covering a broad spectrum of pathology types. Through the collaborative approach and commitment to excellence, they strive to uphold the highest standards of patient care and contribute to advancements in diagnostic medicine.
Career Development & Opportunities Available
The Trust and Histopathology team are dedicated to supporting their doctors career development through. For example, the new appointee will have the opportunity for the development of teaching experience as they would be expected to undertake formal and informal teaching of trainees within the department, and participate with other consultants in teaching/lectures as part of the Trust’s postgraduate education program. There will also be the opportunity for the development of personal research interests through the Research and Development Department. Research is highly encouraged at this trust and is undertaken during SPA sessions. The new consultant will also be able to increase their experience in MDTs, as these are regularly held within the department.
Life in North East
The North East of the UK offers a diverse blend of rural and urban settings, providing both tranquility and vibrant city life. Residents can explore scenic landscapes such as the Northumberland Coast or enjoy cultural attractions in cities like Newcastle upon Tyne. The region boasts esteemed universities like Durham and Newcastle, along with quality schools. Transportation links are well-established, connecting the area to major cities and airports. Housing options vary from historic properties in market towns to modern developments in bustling urban centers, catering to diverse preferences and lifestyles.
AM I ELIGIBLE FOR THIS ROLE?
EEA Candidates:
- Experience of working in Histopathology
- Specialist European Qualification in Anatomic Pathology
- Full and Specialist registration (and with a licence to practise) with the General Medical Council (GMC), or be eligible for registration within six months of interview.
- An understanding of Clinical Governance
Non-EEA Candidates:
- FRCPath
- Full and Specialist registration (and with a licence to practise) with the General Medical Council (GMC), or be eligible for registration within six months of interview.
- An understanding of Clinical Governance
UK based applicants
- Full GMC registration
- Within 6 - 12 months of completing CCT
- An understanding of Clinical Governance
We are looking to recruit a Consultant Psychiatrist to a Crisis & Assessment Team role 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 Department & Team
The Crisis and Assessment Team (CAT) serves as the primary gateway to adult and older people\'s mental health services, conducting assessments in the community and emergency settings, alongside medical reviews. They collaborate closely with law enforcement, responding to Adult Protection Notices and coordinating mental health law assessments. This role within the CAT focuses on streamlining referrals, providing short-term crisis interventions, and ensuring individuals receive appropriate ongoing care. You\'ll engage with both working-age adults and older adults, with responsibilities extending to police referrals and mental health law assessments during standard working hours, with on-call commitments.
Continued Professional Development
Professional development is integral to their ethos, offering CESR Portfolio Pathway support, access to specialty training, and opportunities for sub-specialist development. They prioritize ongoing learning through conferences, local CME events, and a generous study leave allowance.
Life in the area
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:
- Experience in General Adult Psychiatry
- Specialist Registration or locum consultant experience
EEA candidates:
- Experience in General Adult Psychiatry
- European Specialist Qualification
Non-EEA candidates:
- MRCPsych
- Experience in General Adult Psychiatry
We are looking to recruit a Consultant Psychiatrist to an Old Age role 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%.
What is the health & community service like?
Working in this location is professionally rewarding, offering high-quality, patient-centered care. Clinicians lead in developing and managing services, supported by strong links with UK specialists. With a generous study leave budget, doctors are encouraged to pursue further education. Exciting developments include a new general hospital and a new mental health inpatient unit. The service fosters strong relationships between mental health, primary, and secondary care, promoting joint learning and teaching in a modern education center.
What is the department & team like?
The inpatient services are currently undergoing extensive refurbishment, including two wards for older adults. One ward offers 14 assessment beds for individuals over 65 experiencing functional mental health issues, with some flexibility for those under 65. The other ward provides 10 assessment beds for patients with dementia. Following the refurbishment, the latter ward will feature 8 acute assessment beds and 8 transitional/step-down beds for those with dementia or enduring mental health problems who cannot be supported in local nursing or residential homes.
The Older Adults Community Mental Health Team (OACMHT) manages a caseload of about 300 patients, including new referrals triaged by the Crisis and Assessment team, providing both short-term treatment and long-term care coordination. The role involves providing medical support to the OACMHT alongside two other consultants and a staff grade doctor.
The post holder will join an established team, comprising 2 WTE older adult consultants, 1.0 WTE Associate Specialist (Memory Assessment Service), 2.0 WTE staff grades (inpatient and community), and 1.0 WTE F1 doctor (inpatients and community). Dedicated administrative support includes a 0.5 WTE medical secretary and ward and team secretarial support.
Continued Professional Development
This position offers further training and accreditation within psychiatry, including CESR Portfolio Pathway support, access to specialty training, and the opportunity to develop sub-specialist interests. The post holder will have ample opportunities to develop knowledge, skills, and experience through attendance at relevant courses, conferences, and locally organized CME events. The organization supports Continuing Medical Education with time and financial support, offering study leave of 30 days in 3 years and an annual study leave allowance. Regular case discussions, teaching sessions, and MDT supervision ensure ongoing professional development, meeting the Royal College of Psychiatrists\' CPD requirements.
Living in the Area
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?Am I eligible for this role?
UK based candidates:
- Experience in Old Age Psychiatry
- Specialist Registration or locum Consultant Experience
- Experience in Old Age Psychiatry
- European Specialist Qualification
- MRCPsych
- Consultant experience in Old Age Psychiatry