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STEP 4 OF 4 · EVERYONE

The UK system explained: GMC, NHS, Royal Colleges and more

The organisations you will meet at every step, and what each one does.

  • ⏱ 7 min read
  • Everyone
  • Step 4 of 4
  • Reviewed 24 October 2026
OrganisationWhat it does
GMC (General Medical Council)Regulates all doctors. Keeps the register, sets standards (Good Medical Practice), approves medical education and runs PLAB and revalidation.
Medical schools / Medical Schools CouncilTeach and examine UK medical students; the Council represents UK schools and designs the UKMLA knowledge test.
UCAS and the UCAT ConsortiumUCAS handles university applications; UCAT runs the admissions test most UK medical schools use.
UK Foundation Programme Office (UKFPO)Runs the national application and allocation for Foundation Programme places.
NHS England (workforce, training and education) and the devolved nationsCommission and manage postgraduate training and national recruitment through the Oriel system. Scotland, Wales and Northern Ireland have their own bodies.
Royal Colleges and FacultiesSet the curricula and run the exams for each specialty (MRCP, MRCS, MRCGP, FRCA, MRCOG and so on).
BMA (British Medical Association)The doctors’ trade union and professional body.
NHS Employers / employing trusts and boardsEmploy you, run payroll and provide supervision.
Home Office / UKVIDecide visas and sponsorship for non-UK doctors.

Terms you will see everywhere

  • ARCP: Annual Review of Competence Progression, the yearly review every trainee must pass.
  • CCT: Certificate of Completion of Training, awarded at the end of specialty training.
  • Oriel: the online system for specialty and foundation recruitment.
  • Trust grade / locally employed doctor: a hospital job outside the national training programmes.
  • FY1/FY2, CT1, ST3: Foundation Year 1/2, Core Training year 1, Specialty Training year 3.
  • Revalidation: the five-yearly process proving you remain fit to practise.

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.