Foundation Competencies

You are required to provide evidence of achievement of Foundation Competence when applying

When applying to CT1/ST1 posts, you are required to provide evidence of achievement of Foundation Competence within the 3½ years prior to the intended commencement date for the advertised post(s).

Demonstrating foundation competence

The acceptable methods for demonstrating foundation competence are listed below.

Currently on a Foundation Programme 

If you are currently undertaking a recognised foundation programme in the UK which is due to finish before the post to which you are applying commences, you will need to confirm the name of your Foundation School but do not need to submit any other evidence at the point of application. Any offer of a training programme will be conditional upon successful completion of the Foundation Programme and being awarded a Foundation Programme Certificate of Completion (FPCC) prior to the advertised start date for the post to which you have applied.

Already completed a Foundation Programme

If you have already completed a UK Foundation Programme, you will be asked to confirm that you have been awarded an FPCC , completed no earlier than 3½ years prior to the advertised start date for the training programme to which you are applying. A scanned copy of the FPCC must be uploaded to the Oriel application.

Currently on a Specialty Training Programme 

If you are currently in active clinical or clinical and academic practice in a UK educationally approved training post (CT/ST/LAT or equivalent), holding either a National Training Number (NTN) or Deanery Reference Number (DRN) you will be considered as having had your foundation competence assessed on entry to your current post and do not need to demonstrate these again, regardless of when foundation competences were signed off.

Previously resigned from the specialty of application

If you who have previously resigned voluntarily from the specialty to which you are now reapplying you will be considered as having had your Foundation competences assessed previously, providing that you can demonstrate evidence of satisfactory progress in the form of ARCP documentation for the duration of the training undertaken.

Not completed a 2 year UK Foundation Programme

If you who have started but who have not satisfactorily completed a 2 year UK Foundation Programme or a standalone UK Foundation Year 2 post, you are expected to return to the Foundation Programme to complete your training. In exceptional circumstances, where you were unable to continue your training in the Foundation Programme at that time, for example due to personal illness or family caring responsibilities, you can provide a letter written and signed by the Postgraduate Dean where the previous training took place. This letter must use the standard proforma available from the Oriel resource bank and be uploaded to the application form. The letter must include:

  • the dates of the previous training
  • confirmation of the reasons for the resignation, removal or relinquishing of your post in the Foundation Programme
  • confirmation that you have met the requirements and/or demonstrated the competences of foundation training
  • confirmation that you have completed a period of remediation, if applicable

Widening Access to Specialty Training (WAST)

If you are currently in a Widening Access to Specialty Training (WAST) post, you need to obtain a fully completed and signed Certificate of Readiness to Enter Specialty Training by the start date of the post to which you are applying. No further evidence needs to be provided at the time of application.

Certificate of Readiness to Enter Specialty Training

Those who do not fall into any of the above categories will be required to submit a Certificate of Readiness to Enter Specialty Training (2021 version) signed by a consultant who has supervised you for at least 3 months (whole time equivalent and continuous period) in the 3½ years prior to the advertised start date for the training programme to which you are applying. You must not submit multiple certificates from different posts to show evidence of achievement of all competences and only one certificate should be submitted. A scanned copy of the certificate must be attached to the Oriel application form.

When submitting the certificate, all competences must be signed as achieved at the time of application. Your certificate will not be accepted where it is stated that outstanding competences will be achieved before the advertised start date of the post.

Your Certificate of Readiness to Enter Specialty Training will be accepted where the assessed post has been wholly undertaken in the 3½ years prior to the commencement of the training post to which you are applying. Only the 2021 version of the Certificate of Readiness to Enter Specialty Training will be accepted. Forms from previous recruitment years will not be accepted.

The signatory for the certificate must not be the applicant’s spouse, partner or family member.

Where the signatory does not currently have General Medical Council (GMC) registration, it is your responsibility to ensure that adequate evidence of your signatory’s standing with a regulatory authority is provided. This evidence must be scanned and attached to the Certificate of Readiness to Enter Specialty Training. Where this evidence is not in English, an official English translation should also be provided. In cases where the signatory has historic but not current GMC registration, it is the current registration that is required. Previous GMC registration will not be accepted. Where adequate evidence is not provided, the Certificate of Readiness to Enter Specialty Training and the specialty training application will be rejected.

The only exception to this is if you are a refugee. Refugees (as defined on the UKVI website) are advised to contact the recruiting organisation for further guidance but should submit a Certificate of Readiness to Enter Specialty Training, if possible.

Non-urgent advice: General Practice applicants

Applicants to General Practice are given an extended deadline to demonstrate competence.

Full guidance is available from the General Practice webpages.

In addition, applicants are required to have had 12 months experience after achieving full GMC registration (or equivalent post licensing experience) by the start date for the post they are applying for.

Before completing a Certificate of Readiness to Enter Specialty Training form, applicants are advised to read the applicant guidance.

Foundation Competence and CREST guides

Page last reviewed: 22 September 2022