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In your Final year of training, the RCoA will inform the GMC about your CCT date.  Please note that the award of a CCT and inclusion on the Specialist Register are NOT automatic procedures; you are required to apply for your CCT Certificate.   It is a legal requirement for you to be on the Specialist Register before taking up a substantive or honorary NHS consultant post.

Further information:  http://www.rcoa.ac.uk/training-and-the-training-programme/completion-of-training-and-cctcesrcp

Last working day

If you are planning to leave the department before changeover then it is YOUR RESPONSIBILITY to inform the Rotamaker/College Tutor/Anaesthetic Secretary of your last working day.   If you do not do this, departments may not be able to release you before changeover.

If your CCT date is two or three days after changeover, please speak to the Programme Director to coordinate your last working day with changeover.

Completion of Training

Within six months of your potential CCT date, you need to complete the Notification of Completion of Training form.  Completion of training form

The College require an update of all your training.  In the ‘content of training’ section you need to list all the modules of training undertaken during your Higher and Advanced Years.   If this is not completed thoroughly the form will be returned.

Please ensure the RCoA has received your Intermediate Level Training Certificate (ILTC).   Please note that the RCoA will be unable to formally assess your Completion date until this has been satisfactory completed.

Once the College receives both the Notification of Completion of Training form and the ARCP outcome 6, they will recommend award of CCT and entry onto the Specialist Register, to the GMC.

About four months before your CCT date, the GMC will invite you to apply for entry to the Specialist Register.  This is an online process and you will have to pay a fee to the GMC.   If you have not received an email, please check your junk mail as many trainees have found the request in this folder.

Once you have completed the Notification of Completion of Training form, please email (word version) to your Training Programme Director along with a copy of your Intermediate Level Training Certificate.  This will then be checked by the Programme Director for forwarding to the Training & Examinations Directorate at the College to enable them to recommend you to the STA for your Certificate.

Final ARCP

You should ideally have your final ARCP within the last three months of your CCT date.  If you have not received your invite and are expecting an ARCP please contact: nsaicm.arcp@nhs.net

To avoid any last minute problems please note the following:

Trainees will not be recommended to the GMC for the award of their CCT until the following is uploaded to e-Portfolio/ LLP:

Period Of Notice

Anaesthetic trainees will be expected at all times to give 3 month’s notice of their intention to leave the rotation.  Please contact the LET for further information.


A formal email of resignation is required to the Training Programme Director and HR (Lead Employer Trust).