Competition ratios for the 2026 recruitment round

Round 1 competition ratios

In 2026 Round 1, each applicant could only apply once per specialty, however they  could apply to a maximum of 5 specialties each. The overall competition ratio for the round is as follows:

Round 1 overview
Applicants Posts Round 1 Competition ratio
Applicants 39387 Posts 10682 Round 1 Competition ratio 3.69

The number of applications and posts available for each specialty are listed below.

Round 1 breakdown by specialty
Specialty Applications Posts Competition ratio
Specialty ACCS Emergency Medicine ST1 Applications 4410 Posts 357 Competition ratio 12.35
Specialty Anaesthetics CT1 Applications 5766 Posts 547 Competition ratio 10.54
Specialty Broad Based Training (Scotland) CT1 Applications 926 Posts 15 Competition ratio 61.73
Specialty Cardiothoracic Surgery ST1 Applications 202 Posts 14 Competition ratio 14.43
Specialty Clinical Radiology ST1 Applications 2849 Posts 327 Competition ratio 8.71
Specialty Community Sexual and Reproductive Health ST1 Applications 583 Posts 9 Competition ratio 64.78
Specialty Core Psychiatry Training CT1 Applications 11940 Posts 552 Competition ratio 21.63
Specialty Core Surgical Training CT1 Applications 4975 Posts 720 Competition ratio 6.91
Specialty Core Surgical Training (Northern Ireland) CT1 Applications 1013 Posts 42 Competition ratio 24.12
Specialty Emergency Medicine (Northern Ireland) ST1 Applications 768 Posts 10 Competition ratio 76.80
Specialty General Practice ST1 Applications 24014 Posts 5064 Competition ratio 4.74
Specialty General Practice and Public Health Medicine (Dual CCT Programme) ST1 Applications 800 Posts 13 Competition ratio 61.54
Specialty Histopathology ST1 Applications 681 Posts 79 Competition ratio 8.62
Specialty Internal Medicine Training CT1 Applications 8468 Posts 1683 Competition ratio 5.03
Specialty Internal Medicine Training (Scotland) CT1 Applications 885 Posts 124 Competition ratio 7.14
Specialty Neurosurgery ST1 Applications 378 Posts 16 Competition ratio 23.63
Specialty Obstetrics and Gynaecology ST1 Applications 3532 Posts 354 Competition ratio 9.98
Specialty Ophthalmology ST1 Applications 1141 Posts 115 Competition ratio 9.92
Specialty Oral and Maxillo Facial Surgery ST1 Applications 64 Posts 19 Competition ratio 3.37
Specialty Paediatrics ST1 Applications 2605 Posts 508 Competition ratio 5.13
Specialty Public Health Medicine ST1 Applications 2241 Posts 100 Competition ratio 22.41
Specialty Trauma and Orthopaedic Surgery (Scotland) ST1 Applications 494 Posts 14 Competition ratio 35.29

Round 1 unique applications

The number of unique applicants that only applied to one specialty are detailed below:

Round 1 breakdown by specialty
Specialty Applications Unique applications for this vacancy only % unique applications Unique applications appointed % Unique applications appointed
Specialty ACCS Emergency Medicine ST1 Applications 4410 Unique applications for this vacancy only 481 % unique applications 10.91 Unique applications appointed 111 % Unique applications appointed 23.08
Specialty Anaesthetics CT1 Applications 5766 Unique applications for this vacancy only 1012 % unique applications 17.55 Unique applications appointed 220 % Unique applications appointed 21.74
Specialty Broad Based Training (Scotland) CT1 Applications 926 Unique applications for this vacancy only 13 % unique applications 1.40 Unique applications appointed 2 % Unique applications appointed 15.38
Specialty Cardiothoracic Surgery ST1 Applications 202 Unique applications for this vacancy only 24 % unique applications 11.88 Unique applications appointed 7 % Unique applications appointed 29.17
Specialty Clinical Radiology ST1 Applications 2849 Unique applications for this vacancy only 369 % unique applications 12.95 Unique applications appointed 76 % Unique applications appointed 20.60
Specialty Community Sexual and Reproductive Health ST1 Applications 583 Unique applications for this vacancy only 34 % unique applications 5.83 Unique applications appointed 3 % Unique applications appointed 8.82
Specialty Core Psychiatry Training CT1 Applications 11940 Unique applications for this vacancy only 770 % unique applications 6.45 Unique applications appointed 225 % Unique applications appointed 29.22
Specialty Core Surgical Training CT1 Applications 4975 Unique applications for this vacancy only 968 % unique applications 19.46 Unique applications appointed 288 % Unique applications appointed 29.75
Specialty Core Surgical Training (Northern Ireland) CT1 Applications 1013 Unique applications for this vacancy only 23 % unique applications 2.27 Unique applications appointed 7 % Unique applications appointed 30.43
Specialty Emergency Medicine (Northern Ireland) ST1 Applications 768 Unique applications for this vacancy only 13 % unique applications 1.69 Unique applications appointed 1 % Unique applications appointed 7.69
Specialty General Practice ST1 Applications 24014 Unique applications for this vacancy only 7115 % unique applications 29.63 Unique applications appointed 2158 % Unique applications appointed 30.33
Specialty General Practice and Public Health Medicine (Dual CCT Programme) ST1 Applications 800 Unique applications for this vacancy only 13 % unique applications 1.63 Unique applications appointed 2 % Unique applications appointed 15.38
Specialty Histopathology ST1 Applications 681 Unique applications for this vacancy only 203 % unique applications 29.81 Unique applications appointed 33 % Unique applications appointed 16.26
Specialty Internal Medicine Training CT1 Applications 8468 Unique applications for this vacancy only 5053 % unique applications 59.67 Unique applications appointed 1509 % Unique applications appointed 29.86
Specialty Internal Medicine Training (Scotland) CT1 Applications 885 Unique applications for this vacancy only 359 % unique applications 40.56 Unique applications appointed 118 % Unique applications appointed 32.87
Specialty Neurosurgery ST1 Applications 378 Unique applications for this vacancy only 49 % unique applications 12.96 Unique applications appointed 4 % Unique applications appointed 8.16
Specialty Obstetrics and Gynaecology ST1 Applications 3532 Unique applications for this vacancy only 346 % unique applications 9.80 Unique applications appointed 130 % Unique applications appointed 37.57
Specialty Ophthalmology ST1 Applications 1141 Unique applications for this vacancy only 170 % unique applications 14.90 Unique applications appointed 49 % Unique applications appointed 28.82
Specialty Oral and Maxillo Facial Surgery ST1 Applications 64 Unique applications for this vacancy only 25 % unique applications 39.06 Unique applications appointed 11 % Unique applications appointed 44.00
Specialty Paediatrics ST1 Applications 2605 Unique applications for this vacancy only 870 % unique applications 33.40 Unique applications appointed 285 % Unique applications appointed 32.76
Specialty Public Health Medicine ST1 Applications 2241 Unique applications for this vacancy only 1374 % unique applications 61.31 Unique applications appointed 76 % Unique applications appointed 5.53
Specialty Trauma and Orthopaedic Surgery (Scotland) ST1 Applications 494 Unique applications for this vacancy only 27 % unique applications 5.47 Unique applications appointed 2 % Unique applications appointed 7.41

Page last reviewed: 21 October 2026