To sit the MCQ you must:

  • be registered with the GP National Recruitment Office (NRO)
  • have been approved by the HEE Educational lead
  • register to sit the MCQ

At this stage, you can also register with the e-Learning for Healthcare (ELfH), Royal College of General Practitioners (RCGP), and Fourteen Fish Portfolio (14FP) websites, and start to access the necessary e-Learning modules.

You must take the MCQ in an approved test centre, which are located in a number of UK and worldwide sites.

In addition, there is an option for an Observation Placement if you are in the UK prior to sitting the MCQ.

For further information, please visit the MCQ and Learning Needs Assessment (LNA) for HEE GP scheme page.

MCQ band outcomes

There are two parts to the MCQ: the Professional Dilemmas (PD) paper, a situational judgement test, and the Clinical Problem Solving (CPS) paper. In the PD paper only a pass is required in order to proceed. The CPS paper will give one of five possible outcomes:

Band 5

Band 5 outcomes will be able to enter the short one-month placement Programme. Final approval by the NHSE/I Medical Director is subject to completion of a satisfactory “Short End of Placement report”.

Bands 3 and 4

Bands 3 and 4 will be able to enter a placement lasting 3 to 6 months, depending on previous experience. Final approval by the NHSE/I Medical Director is subject to completion of a satisfactory “Full End of Placement report”.

Bands 1 and 2

Bands 1 and 2 need to arrange a telephone appointment to review the outcome and to consider their Learning Needs and how this can be achieved. They will need to re-sit and pass the MCQ (max 4 attempts allowed) before they can progress further with the programme.

Page last reviewed: 20 July 2022
Next review due: 20 July 2023

Further information

Related information