- Check the person specification for the specialty and level (CT1, ST1, ST3…).
- Create an Oriel account and keep your details current.
- Submit the application in the national window, which for most specialties opens in the winter.
- Complete the shortlisting assessment (self-assessment, a multi-specialty recruitment assessment, or both).
- Attend an interview or selection centre if invited.
- Rank your preferred programmes and respond to offers by the deadline.
- Rounds are timed so that offers are made in spring for August starts. Check NHS England for this year’s schedule and the date of the first offers.
- Self-assessment (portfolio) scoring awards points for qualifications, publications, presentations, teaching, audit and leadership.
- The Multi-Specialty Recruitment Assessment (MSRA) is used by several specialties, including General Practice, and tests clinical problem solving and professional dilemmas.
- Under the Prioritisation Act, offers are made first to the priority group.
Your checklist
- Read my specialty’s person specification
- Created an Oriel account
- Practised for the MSRA
This page is general education, reviewed 24 October 2026. Rules, fees and dates change: always confirm with the official sources below. It is not medical, legal or immigration advice.