Combined Programme (CP)

Combined Programme (CP)

In the UK, clinical radiology trainees complete about five years of specialty training according to the current training curriculum in posts approved by the GMC (years ST1-5). When they successfully complete training they are awarded a Certificate of Completion of Training (CCT) in the specialty of clinical radiology. The CCT allows them GMC specialist registration. 

If you have the training, experience and/or qualifications in the specialty of clinical radiology obtained outside of the approved UK CCT training programme, the Combined Programme (CP) route to specialist registration allows local training programmes to decide that this has allowed you to develop some of the professional capabilities set out in the CCT curriculum. Having taken account of your previous clinical radiology training and experience, the local recruitment process can appoint you to the CCT specialty training programme at a point higher than ST1. The organisations responsible for appointments to local training programmes are deaneries, Health Education and Improvement Wales and Health Education England local teams - from here referred to as ‘deaneries’.

You will need to be appointed to an approved training programme post with a National Training Number (NTN). You then complete your training according to the current CCT curriculum, all in approved posts with an NTN.  The combination of your previous clinical radiology experience and your UK training must cover all the requirements of the current CCT curriculum. Once appointed to an approved training programme, training is managed following the same processes as a CCT trainee. You will need to meet the assessment milestones that a CCT trainee must meet from the point of entry to the training programme, which will include the FRCR Examination.

You must have full GMC registration to take up a CP post – see Routes to GMC Registration.  We do not sponsor doctors for GMC registration for CP posts.

The RCR does not appoint people to training programmes. You must contact a local training programme to establish whether there are any openings for the CP. You can find a list of those organisations here COPMED/deaneries

Once you are appointed to a CP post with an NTN, you and the deanery must advise us as soon as possible so that you can be enrolled as a trainee and your appointment to the CP at a level above ST1 can be confirmed.  The deanery must then advise the GMC that you have been appointed to the CP. Your training proceeds according to the current CCT curriculum; at your first ARCP it should be confirmed that the initial appointment level was appropriate and that your end of training date remains as originally planned.  Changes to the initial appointment will be factored into your training.

Most often when successfully completed the CP allows specialist registration through a CESR. Some doctors who complete the CP may now be awarded a CCT but this only applies to those who have completed a minimum of four years in approved posts in the UK. Those who complete the CP with less than these four years will be awarded a CESR as has always been the case. Both are the same for the purpose of entering the UK specialist register. A CESR has always been considered to be equivalent to the CCT for the purpose of GMC registration and practice in the UK.