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Certificate of Completion of Training (CCT)

Frequently Asked Questions. (Image Source Made by S.Lund)Frequently Asked Questions 

Questions for GP trainees only


How do I apply for a CCT?

Please contact your College / Faculty for specific application procedures. In addition to the College/Faculty requirements you are required to apply to GMC via the Certification online system. This system enables you to complete your application in a secure environment and submit your documents at a time convenient to yourself. Your parent College/Faculty will provide you with details on how to access the online system between three and six months prior to your end of training date. 

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What evidence will my Parent College/Faculty require?

Each College or Faculty has their own process and you should contact them for details of this. You will usually be contacted by your parent College/Faculty a few months prior to your expected CCT date with details of what you need to do.

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When can I apply for a CCT?

You may apply for your CCT online up to six months prior to your expected completion of training date and no later than six months after your expected completion date. Your application will not be processed however until your College/Faculty has submitted their recommendation to GMC. 

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How can I find out the status of my application?

The Certification Online system enables you to check the status of your application at a time convenient to yourself.

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When will I receive my CCT?

CCTs are issued within approximately three weeks following GMC receiving both your online application and the recommendation from your College/Faculty. Your CCT will be sent to the address you submit as part of your application, by recorded delivery (if you change your address during the application process you may submit this information via the Certification Online system). Your CCT will not be issued to you any earlier than 10 days prior to your completion of training date.

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When will my name be included on the Specialist/GP Register?

The GMC takes up to five working days from this notification to include your name on the Specialist Register.

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Are there any peak times of the year and will this affect when I receive my CCT or my name is entered on the Specialist/GP Register?

There are two stages during the year which may effect GMC processing times in issuing CCT certificates within our advised timeframe. This is due to trainee GPs finishing their training during the:

  • Last week of January and the first week of February; or
  • Last week of July and the first week of August.

 

Almost 1,500 trainee GPs will complete GP Registrar training in the last few days of July and the first two days of August. This is the busiest of the GP bulges and it may take slightly longer than the usual 10-15 working day timeframe to complete administrative checks, award CCT certificates and submit doctors' names to the General Medical Council (GMC) for entry onto the GP or Specialist Register.

Due to the demands placed on GMC’s Certification unit during these periods, there will be no guarantee that we can process last minute applications in time to enable doctors to start practice during the first week of February or August.

GMC will endeavour to continue processing CCTs for specialists completing their training around this time, but GPs will be given priority as, unlike specialists, they cannot take up alternative posts whilst waiting for their name to be entered onto the GP Register. We would therefore advise specialists making enquiries to GMC that it may be necessary for them to arrange with their prospective employer to take up their post in a locum capacity until their name is entered on the Specialist Register.

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What date will be on my CCT?

The date GMC puts on the certificate is:

  • Your CCT date (if GMC are in a position to send you your certificate in advance of your CCT date);
  • The date that it makes its decision on your applications, which is usually the same date it issues the certificate (if GMC is not in a position to send you your certificate before your CCT date).

 

Therefore, the date on your CCT should be within 10 working days of when GMC have received a completed Certification online application and a recommendation from your college which confirms that the applicant has successfully completed the CCT programme including passing all parts of the assessment system (including all parts of any examinations) whilst within an approved training programme.

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What information is detailed on my CCT?

The following will appear on your certificate:

  • A scan of the photograph that you submit as part of your online application (in colour);
  • Your name as it is listed in the GMC register;
  • Details of your primary medical qualification as it is listed in the GMC register;
  • The specialty in which the CCT is awarded.

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How do I get my sub-specialty recorded on the Specialist Register?

At the same time as applying for a CCT
You may apply at the same time as you apply for your CCT to have your sub-specialty training recognised for inclusion on the Specialist Register. Complete the relevant section of the online application form where you are asked to indicate the name of the sub-specialty training programme completed. Your parent College/Faculty will inform you of the evidence they require for them to make an evaluation as to whether you have completed this programme of training.

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I have just found out that I have not passed all the components of the College/Faculty (including nMRCGP) examination. How will this affect my CCT?

Providing you retain your NTN and remain in a GMC -approved training programme, GMC will defer making a decision on your application until the next sitting of the examination. 

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If I do not pass the exam before my expected CCT date, what happens to my CCT application?

When six months have passed from your initial expected CCT completion of training date, your application will be withdrawn by GMC as being incomplete and your application fee will be returned less an administration fee. Once you have been successful in the relevant examination you may reapply for a CCT, CEGPR/CESR(CP) or a CEGPR/CESR depending on your circumstances.

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If I pass the exam after my initial expected CCT date, how quickly will I get by CCT and get onto the GP/Specialist Register?

Providing you have already applied via the Certification online system and your documents have been accepted, as soon as GMC receive the recommendation from your College/Faculty that confirms that you have successfully completed the CCT training programme and have applied from within a GMC -approved post, GMC will begin the approval process. GMC will make every effort to complete this within 10 working days of having both your completed online application and the recommendation from the College/Faculty. It is advisable that you plan your employment to allow for these timeframes.  

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If I do not remain in a GMC -approved training post can I still apply for a CCT?

The legislation only allows applications for CCT from those that have been appointed to a CCT programme approved by GMC which is undertaken in approved training posts.  Therefore, if you leave the programme or training post without having successfully completed all assessment elements of the programme which includes Colleges examinations necessary, you will need to apply for a CEGPR/CESR. Therefore, you are strongly advised to remain in a GMC -approved training post until you have received a decision from GMC.

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How will the GMC or the College know whether I am in a training post when I apply for my CCT or CEGPR/CESR?

The College/Faculty will require confirmation as to your status from your Postgraduate Dean to confirm that you have remained in a GMC -approved training post. Your Postgraduate Dean will not be able to provide you with a final ARCP form if you are not holding a GMC -approved training post when you pass the final examination.

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If I do not pass the exam that is a requirement of the CCT curriculum will I be able to apply for entry to the GMC GP/Specialist Register?

If you leave your GMC -approved training programme before successfully completing all the CCT requirements you will not be eligible to apply for a CCT. You would be eligible to apply for a CESR/CEGPR. However, you will need to be able to supply documentary evidence that you have demonstrated equivalence to completing a CCT training programme and that includes equivalence to the relevant examinations or the examination itself after you have left training. This may take you some time to achieve beyond the structured CCT training programme duration.

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I undertook my training prior to 1 August 2007.  What curriculum will you assess me against?

If you are applying for a CCT or a CEGPR/CESR via the Combined Programme route, you will be assessed against the curriculum in place when you began your training (unless you have transferred to the new training scheme). 

If you are applying for a CEGPR/CESR, you will be assessed against the curriculum current at the time of making an application.    

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Questions for GP trainees only

How many times will I be allowed to sit the nMRCGP examinations?

The RCGP will provide details of the number of attempts permitted for the examination and the timing of the examinations.

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I have a partial assessment from the JCPTGP or GMC on behalf of JCPTGP. Is this still recognised?

Prior to 29 September 2005, the Joint Committee on Postgraduate Training for General Practice (JCPTGP) offered a service where they assessed the previous training and experience of an individual to ascertain what further training was required. A letter was issued detailing these requirements (which was signed by either a Joint Honorary Secretary or the Registrar/Chief Executive).

Over the transition period, when GMC took on responsibility for certification, those applications for partial assessment that were in progress were undertaken by GMC (on behalf of the JCPTGP). These partial assessment letters have the same standing as those issued by the JCPTGP. Any applicants that did not respond to correspondence from GMC (requesting more evidence) had their application closed.

Where time spent in posts (outlined in the above question, points 1-4) was accepted as part of this partial assessment, then the individual is not eligible to apply for a CCT and must apply for a Certificate of Equivalence for General Practice Registration (CEGPR). Applicants may, however be eligible to apply through the Combined Programme route.

Your partial assessment is recognised by GMC , however whether you are entitled to a CCT or CEGPR through the full or Combined Programme route is dependent on whether you have fulfilled the CCT requirements. If you consider that you fulfil these requirements, please contact the Royal College of General Practitioners (RCGP) Certification Unit, telephone 020 3170 8230, or email certification@rcgp.org.uk. If any of the time you wish to have considered falls outside the CCT requirements then you will need to apply for a CEGPR, but may be eligible to apply via the Combined Programme route. For details of the current CCT requirements, please refer to the GMC -approved curriculum.

Please note the Royal College of General Practitioners no longer offers an informal assessment of an individuals training and/or experience.

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Does the seven-year rule still apply for GP trainees applying for a CCT?

No. These were the old JCPTGP rules which required that GP training had to be completed within a period of seven years in order for a doctor to be awarded a CCT (previously a certificate of prescribed experience). Therefore, a trainee who has completed all their training in an approved programme and/or posts will be eligible for a CCT even if they take longer than seven years to complete the programme, as long as they successfully demonstrate that they have met the curriculum requirements through the relevant assessments for GP training. There are a small number of trainees where summative assessment forms part of their programme. The seven-year rule still applies for these doctors.   

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