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STEP 5 OF 7 · EVERYONE

The CCT and joining the specialist register

What the final ARCP, the CCT and registration mean.

  • ⏱ 5 min read
  • Everyone
  • Step 5 of 7
  • Reviewed 24 October 2026
  1. Complete the curriculum, pass all required exams and receive a satisfactory final ARCP (outcome 6).
  2. Your Royal College recommends you for a CCT.
  3. The GMC awards the CCT and adds you to the Specialist Register or GP Register.
  4. You can apply for consultant posts (or GP partner/salaried posts).

The CCT is typically needed to be appointed as a substantive NHS consultant in England. In general practice the GP Register is similarly required to work as a GP.

Timing and practicalities

  • You can usually apply for consultant posts in the months before your expected CCT date; check the rules with your Royal College and the employer.
  • Keep copies of your final ARCP outcome, exam certificates and curriculum sign-offs.
  • After registration, you must keep up with revalidation and CPD like every other doctor.

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.