The Foundation Programme
FAQs

Please note that this page is currently under review as a result of changes to the Foundation Programme 2013 application process. The revised FAQs will be available in June. For any queries that are not answered on this page please email enquiries@foundationprogramme.nhs.uk

1 general


  1. What is the Foundation Programme?
  2. Why was the Foundation Programme introduced?
  3. Who is responsible for delivering/overseeing the programme?
  4. What are postgraduate deaneries?
  5. What are foundation schools?
  6. I have been allocated to a foundation school and not sure whether I want to accept this post – what other options do I have available to me ?
  7. Due to a change in my circumstances, I find that I may not be able to take up my post in the foundation school to which I have been allocated. What can I do?
  8. How do I apply for flexible training?
  9. If I have any pending investigations into my fitness to practice, is there any action I need to take?
  10. Can I appeal against the outcome of my application?
  11. Where can I find more information about the national application form and process?
  12. How do I apply for an F2 post?
  13. What is the Malta Foundation School?

2 Application Process


  1. How do preferences work when it comes to allocating applicants to places?
  2. What happens if there are not enough foundation training jobs for everyone who applies?
  3. If I have a criminal conviction (which I must declare on my application form), what do I do?
  4. What happens if I do not wish to accept the post?
  5. Can I apply to specialty training?
  6. Can I appeal against the outcome of my application?
  7. What is the reference process for Foundation Programme 2012?
  8. What if my referee does not complete the reference by the deadline?
  9. How do I know if a reference has been submitted?
  10. Can I change my referee?
  11. What is the difference between date of qualification and date of graduation?
  12. I applied for an Academic Foundation Programme but was unsuccessful. Do I need to enrol again for national recruitment round?

3 Eligibility


  1. I do not hold the right to work in the UK. Can I still apply for the Foundation Programme?
  2. Can I provide proof of my right to work documentation after the eligibility period has closed?
  3. What type of GMC registration do I need in order to apply for the Foundation Programme?
  4. What happens if I have full GMC registration?
  5. What evidence do I need to submit in order to meet the UKFPO's eligibility requirements relating to GMC Registration/PLAB?
  6. What are the specified timescales for booking PLAB 1 in order to apply to the Foundation Programme 2012?
  7. What are the English language requirements for entry into the Foundation Programme?
  8. What is IELTS?
  9. I qualified prior to 1 August 2010 and therefore must undertake a clinical assessment. What does this involve?
  10. If I passed my clinical assessment for entry to FP2011 (last year) , do I need to be reassessed this year?
  11. What happens if I fail the clinical assessment?
  12. As an EEA citizen studying in an EEA country I am exempt from undertaking PLAB – what can I provide as evidence of my exemption to the UKFPO?
  13. How do I apply as a refugee doctor if I can't get documents from my home country?
  14. If I am deemed eligible to apply, does this mean I am guaranteed a job?
  15. How can I check that my documents have reached you?
  16. Will it help if I come to the office to personally deliver my documentation?
  17. Can I provide my PLAB documentation after the eligibility period has closed?
  18. If I have met the eligibility requirements for PLAB at the time of my eligibility application are there any further actions/requirements that I must undertake?
  19. What format shall I provide PLAB information to the UKFPO?
  20. What can I provide as acceptable proof that I have the right to work in the UK as part of my eligibilty application?
  21. I do not currently hold the right to work in the UK but have been deemed “eligible to apply subject to providing right to work and passing the UKFPO clinical assessment” – what does this mean?
  22. If I have paid for the clinical assessment but do not have my application scored as I do not hold the right to work in the UK, will I receive a refund?
  23. What is the UKFPO clinical assessment and are there any exemptions?
  24. Can I take the clinical assessment at another time convenient for me?
  25. Is there anything I can do to assist my eligibility application and reduce the chances of it being rejected?
  26. Do I have to provide the UKFPO with academic transcripts from my secondary education?
  27. Do you wish to see academic transcripts of other related degrees?
  28. Do I have to pass the UKFPO clinical assessment before submitting my eligibility application?
  29. I graduated some time ago and no-one at my medical school knows me or remembers me anymore. Do I still have to ask them to complete a Dean's Statement and what do I do if they say they can't provide it?
  30. I understand that to be eligible to apply to the Foundation Programme that I must have, or expect to have, provisional GMC registration but how will I know what level of GMC registration I will be awarded based on my internship or clinical experience?
  31. What will happen to my application if I am unable to book a PLAB 1 exam by 22 March 2012?

4 Tier 4 Visas


  1. Who is eligible to apply for UKFPO Tier 4 sponsorship?
  2. Can a doctor who intends to work less than full time apply for sponsorship?
  3. How does the UKFPO, UKBA and foundation school Tier 4 application process work?
  4. Why do doctors need to apply for a personal on-line UKFPO Tier 4 account?
  5. How do doctors register for a personal, online Tier 4 account?
  6. What is a CAS?
  7. What are the required documents a doctor must provide the UKFPO with in order to be assigned a CAS?
  8. When can a Tier 4 doctor start the Foundation Programme?
  9. HOw do I contact the UKFPO?
  10. How do I contact the UKBA?
  11. When should a doctor apply to the UKBA for a new Tier 4 visa to study the Foundation Programme?
  12. Where can doctors find the UKBA Tier 4 visa application form?
  13. Why should a doctor apply for a Tier visa as opposed to any other visa?
  14. What are the alternatives to applying for a Tier 4 visa?
  15. Where can I get further information on Tier 4 and other tier visas?
  16. Can the UKFPO help doctors complete the UKBA Tier 4 application form?
  17. Can a doctor apply for a Tier 4 visa out of country (i.e. outside of the UK)?
  18. Is the UKFPO a Highly Trusted Sponsor?
  19. When completing the UKBA Tier 4 application form, what contact details should I provide for the UKFPO?
  20. What is the UKFPO's sponsor licence number?
  21. Does the doctor require a letter from the foundation school/postgraduate dean as well as a CAS/sponsor letter when submitting the application?
  22. How are the 40 points required by the UKBA to obtain a Tier 4 visa made up?
  23. What is the purpose of the maintenance test on the UKBA's Tier 4 application form?
  24. Can the UKFPO act as a financial sponsor?
  25. What is a biometric card?
  26. Why does the biometric card state 'restricted work during term time'?
  27. Are Tier 4 doctors eligible to apply for an Inter-Foundation School Transfer (IFST) or apply to another foundation school for the second year of the Foundation Programme?
  28. Who should be notified of a foundation doctor's change of home/postal address?
  29. What information/Tier 4 activity should be reported to the UKFPO?
  30. Is maternity leave classed as an authorised absence?
  31. Will a Tier 4 sponsored doctor's visa be automatically revoked if any activity is report to the UKFPO?
  32. What are the foundation school and local education provider/employer responsibilities for the Tier 4 sponsored doctors?
  33. Are the UKFPO permitted to withdraw sponsorship?
  34. What happens if an extension to the UKFPO Tier 4 visa is required?

1 general


  1. What is the Foundation Programme?

    The Foundation Programme is a two-year training programme that all UK medical school graduates are required to undertake in order to practice medicine in the UK. The programme was launched in August 2005 and enables new doctors to gain competences in core clinical skills, as well as other professional skills such as team working and communication. Doctors will be assessed throughout the two year period to explicit standards, which are set out in the Foundation Programme Curriculum (2010).

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  2. Why was the Foundation Programme introduced?

    This programme was introduced to address some of the issues which arose from an evaluation of the senior house officer grade, including inadequate supervision, assessment, appraisal and career advice with no defined end-point to training.

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  3. Who is responsible for delivering/overseeing the programme?

    The national coordinating body for the Foundation Programme is the UK Foundation Programme Office, which has been commissioned by the four UK Health Departments. The General Medical Council (GMC) is responsible for the approval and quality assurance of the Foundation Programme. Postgraduate deaneries are responsible for implementing and managing the programmes through foundation schools.

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  4. What are postgraduate deaneries?

    There are twelve postgraduate deaneries in England, one in Wales, one in Northern Ireland and five in Scotland, each headed by a postgraduate dean. They have operational responsibility for ensuring that the Foundation Programme is delivered to national standards set by the GMC. They are responsible for ensuring there is an effective educational infrastructure for foundation training through the foundation schools.

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  5. What are foundation schools?

    Foundation schools bring together medical schools, the local deanery, trusts (acute, mental health and PCTs) and other organisations (e.g. hospices) to offer foundation doctors training in a range of different settings and clinical environments. The schools are administered by a central local group of staff members which is supported by the deanery.

    In particular, foundation schools are responsible for:

    a. information about and recruitment to the Foundation Programme

    b. shadowing arrangements in some parts of the country and induction (together with the employing organisation)

    c. ensuring that the local assessment procedures are in accordance with wider national prcedures

    d. ensuring that appraisal is undertaken regularly and appropriately

    e. training individuals that undertake assessments

    f. through the foundation training programme director, identifying an educational supervisor for each foundation doctor

    g. through the foundation training director, ensureing that the foundation doctors' regular appraisals take place and that the Foundation Learning Portfolios are supported within the process

    h. ensuring smooth progression of foundation doctors from year to year two, offering appropriate career management and development opportunities

    i. ensuring that individual foundation doctors receive the training necessary to meet the competences required

    j. providing career advice (along with the employing organisation and medical schools/foundation schools).

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  6. I have been allocated to a foundation school and not sure whether I want to accept this post – what other options do I have available to me ?

    If you do not accept the post, you must notify the foundation school where you are allocated and your home foundation school (or the Eligibility Office for those applicants who applied via that office) of this decision. You will then be withdrawn from the national recruitment round.

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  7. Due to a change in my circumstances, I find that I may not be able to take up my post in the foundation school to which I have been allocated. What can I do?

    If your circumstances have recently changed, you can also consider whether or not you meet the criteria for an inter-foundation school transfer. Any transfer has to initially be considered and approved by the foundation school you have been allocated to before it can be considered by the foundation school you wish to transfer to. Any transfer would also be dependent on a vacancy being available in the school you wish to transfer to. Refer to the Inter-Foundation School Transfer (IFST) for full information on this process, located within the Key Documents section of our website: The Foundation Programme - Key Documents

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  8. How do I apply for flexible training?

    Applicants needing to train flexibly as a foundation doctor must compete with all other applicants for entry into foundation training. Once accepted into a foundation school, applicants should contact their foundation school to discuss their training needs and how to access flexible training opportunities.

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  9. If I have any pending investigations into my fitness to practice, is there any action I need to take?

    You must contact the GMC as soon as possible to discuss the investigation with them. As with investigating criminal convictions, this may take some time, so it is advisable to do this sooner rather than later in order that your employment contract is not held up.

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  10. Can I appeal against the outcome of my application?

    Yes. For further information, please refer the appeals process, which can be found under Key Documents.

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  11. Where can I find more information about the national application form and process?

    The 2011 Applicants Handbook is available now to download via the Key Documents section of this website. The Handbook  provides information on the application questions along with advice on how to complete them. It also includes the recruitment timeline for Foundation Programme 2011 and other useful information. 

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  12. How do I apply for an F2 post?

    Each foundation school recruits for F2 posts at a local level and the UK Foundation Programme Office is not involved in this. Each foundation school will have their own timetable and their own deadline for receiving applications.  Please visit the foundation school websites for details of any vacancies and further information about their F2 recruitment processes.  There are links to all of the foundation school websites via our website: www.foundationprogramme.nhs.uk

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  13. What is the Malta Foundation School?

    By special agreement between the Department of Health (England) and the Health Care Services Division of the Maltese Ministry for Social Policy, the UKFPO provided technical support to establish a foundation school in Malta in July 2009. The UKFPO recognises the Malta Foundation School as an affiliated school as its curriculum, operational processes and quality assurance are based on those used in the UK.  However, the Malta Foundation Programme is regulated by the Medical Council of Malta and not by the UK General Medical Council.  A UK graduate who wishes to apply to the Malta Foundation Programme should seek the advice of their medical school.  Under exceptional circumstances, the medical school in partnership with the local postgraduate deanery may prospectively approve training as a provisionally registered doctor outside the UK and, upon satisfactory completion, support their application for full registration with the GMC. If prospective approval is not given to a UK medical graduate, an application for full GMC registration will not be possible.

    The Malta Foundation School has its own recruitment process and does not participate in the national recruitment process for the UK Foundation Programme managed by the UKFPO.

    Any doctor who successfully completes the Malta Foundation Programme will be awarded a Malta Foundation Achievement of Competence Document which is recognised by specialty training recruitment bodies in the UK. 

    More details are available from the Malta Foundation School website.

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2 Application Process


  1. How do preferences work when it comes to allocating applicants to places?

    Applicants will be allocated to foundation schools in score order of their total score (academic quartile score plus score for application questions), starting with the highest scoring applicant.  Each applicant will be allocated to their highest preference school with available places. If their first choice is not available, the system will look at their second choice, and so on down their list of preferences until it finds their highest preference which still has a space available.  Where applicants have the same score, the system will randomly select the order for allocation of applicants with that score.

    Here's how it works:
    Lucy’s top five foundation school preferences were: Wales, Severn, Peninsula, Wessex and Oxford.  She scored a total of 70 for her application (academic quartile score plus score for application questions). This placed her 400th in the score list, as 399 other applicants had higher scores than her.

    When it was Lucy’s turn to be allocated, all the vacancies in Wales, Severn and Peninsula foundation schools had been filled with higher scoring applicants.  A vacancy was still available in Wessex and so Lucy was allocated to Wessex as this was her highest preference which still had an available place.  If Lucy’s score had been higher she would have been more likely to have been allocated to a school which was higher on her list of preferences.

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  2. What happens if there are not enough foundation training jobs for everyone who applies?

    If there are more applicants than vacancies, allocation to a foundation school becomes a three stage process:

    Here's an example. Please note that the numbers in this example are purely for illustrative purposes and are not the actual numbers, which will not be known until 30 November.

    If there are 7,500 applicants for 7,000 places, the applicants would be first ranked in score order, and the top 7,000 applicants would be placed on the primary list.

    Once you’ve made it onto the primary list, you will be allocated in score order.

    If you are on the reserve list, you will be allocated as vacancies arise, in batches on pre-set dates.

    If one of the pre-set allocation dates is 31 March, for example, and there are 150 applicants who were allocated on the primary list who have withdrawn, the top 150 people on the reserve list will be put into that batch to be allocated. You will be matched in score order. This process will be repeated for each batch.

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  3. If I have a criminal conviction (which I must declare on my application form), what do I do?

    The GMC must investigate all criminal convictions to ascertain whether you are fit to practise as a doctor. This can take several months. Therefore, it would be best for you to contact the GMC as soon as possible so they can start their investigations. If you are successful in obtaining a post and do not give the GMC sufficient notice, it may hold up your employment contract.

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  4. What happens if I do not wish to accept the post?

    Successful applicants will be allocated to one foundation school only, and then to one programme only.  Declining your foundation school or programme allocation will mean you are withdrawing from the application process.

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  5. Can I apply to specialty training?

    Each of the devolved nations has slightly differing procedures for recruitment from the Foundation Programme into specialty training.

    • England: Applicants for specialty training in England can find more information on the MMC website. Go to www.mmc.nhs.uk for further information.

    • Scotland: Applicants for specialty training in Scotland will be able to register and enroll via www.scotmt.scot.nhs.uk. The site contains comprehensive information on opportunities for hospital and GP specialty training in Scotland and life as a doctor including case studies and video clips.

    • Wales: Full details on specialty training in Wales can be found on the dedicated website: www.mmcwales.org

    • Northern Ireland: Applying for specialty posts in Northern Ireland is done via the HPSS Jobs site www.hpssjobs.com. Full details on the process can be found on the NIMDTA website at http://www.nimdta.gov.uk/human-resources/hr-recruitment/568

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  6. Can I appeal against the outcome of my application?

    Yes. Appeals information and documents will be pubslished at various times throughout the process.

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  7. What is the reference process for Foundation Programme 2012?

    Applicants are required to provide names and contact details of two referees as part of their online application. The applicant must ensure that the referees are happy to provide a reference before nominating them. The applicant is also required to ensure that the email address nominated for the referee is accessed regularly and the referee is aware of which email address has been used.

    Referees will be sent an automated email on 16 December 2011 asking them to complete a structured online reference by 24 February 2012.

    References are not used in the scoring or allocation process. They will have no bearing on your application and are used only by the employer.

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  8. What if my referee does not complete the reference by the deadline?

    Please keep in mind that you are responsible for ensuring that two referees submit references for you before you start your job in August. A contract of employment will not be issued until these references are in place. If either of your referees is unable to submit an online structured reference by the deadline then your employing healthcare organisation will work with you to ensure appropriate references are submitted. This will not affect your programme allocation.

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  9. How do I know if a reference has been submitted?

    In order to check whether your references have been received, log in to your online application form, go to “My Application” and scroll down to the References section. This section will show you whether a reference has been submitted.  If a reference has been submitted, you will be able to view the content from the link on this section of the form.

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  10. Can I change my referee?

    You can change your referee details online at any point up until the deadline for submission of references (February 2012), or up until a reference is submitted – whichever comes first. Once a reference is submitted, it cannot be undone.

    If you change the details of a nominated referee after 16 December 2011 then this amendment will generate an automated email asking the referee to complete the reference. This will occur each time a referee’s details are amended (the system effectively believes that a new referee has been nominated).

    No changes can be made after the deadline.

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  11. What is the difference between date of qualification and date of graduation?

    The date of qualification is the date on which a University Board agrees the results and issues a pass list, then notifies the trainees of the result. The date of graduation is the date of the award ceremony. 

    Some medical schools have a period of many months between the date of qualification and the date of graduation, so the date of graduation is not a reliable indicator of when the applicant passed their degree and how up to date their clinical knowledge and skills may be.

    The relevant date for our application process is when an applicant passed their qualification, not when they graduated. If you are still unsure, we recommend that you speak with your medical school for further guidance.

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  12. I applied for an Academic Foundation Programme but was unsuccessful. Do I need to enrol again for national recruitment round?

    If you have enrolled in the Academic round, then you will already have an account on FPAS and do not need to register for another account for the national round. Your account will remain active indefinitely.

    However please note that you DO need to enrol for each round you are intending to apply for.

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3 Eligibility


  1. I do not hold the right to work in the UK. Can I still apply for the Foundation Programme?

    Yes you can, however please be aware that for the Foundation Programme commencing in August 2012 (FP 2012), we expect there will be more fully eligible applicants than there are vacancies based on trends over the last few years.  The final number of applications will not be known until the close of the application period on 21 October 2011.  If, at that time, there are more fully eligible applicants than vacancies, we will not consider applications from graduates who do not have the right to work in the UK by 7 October 2011. 

    Individuals in this category will be withdrawn from the national recruitment round on 24th October 2011 and their application will not proceed.

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  2. Can I provide proof of my right to work documentation after the eligibility period has closed?

    Yes, this must be submitted to the Eligibility Office to arrive no later than 7 October 2011.  If you are able to submit this documentation by the deadline, your application will be processed in the same way as all applicants who have the Right to Work in the UK.

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  3. What type of GMC registration do I need in order to apply for the Foundation Programme?

    All applicants must ensure that they are eligible to obtain (or already hold) provisional GMC registration and a licence to practise before submitting an eligibility application.
    * Please refer to the UK General Medical Council website for details: http://www.gmc-uk.org
     

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  4. What happens if I have full GMC registration?

    If you hold, or are eligible to obtain, full GMC registration then you are not allowed to apply for the Foundation Programme.

    However you may apply directly for an F2 post. Each foundation school recruits for F2 posts at a local level and the UKFPO is not involved. Each school will have their own timetable and deadline for receiving applications. Please visit the individual foundation school websites for more information. A list of addresses can be found at http://www.foundationprogramme.nhs.uk/pages/home/deaneries-foundation-schools.

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  5. What evidence do I need to submit in order to meet the UKFPO's eligibility requirements relating to GMC Registration/PLAB?

    If you have already qualified from medical school:

    As part of the eligibility application, and in order to demonstrate that you are able to gain provisional GMC registration by the start of the Foundation Programme 2012 (i.e. August 2012), you are required to provide one of the following: 

    a) proof that you have gained provisional GMC registration; or
    b) proof that you have passed PLAB 1/2 exam; or
    c) proof that you have booked your PLAB 1/2 exam within certain specified timescales; or
    d) proof that you are not required to sit the PLAB examinations.

    If you have not yet qualified from medical school:

    If you have not yet qualified, you must either provide evidence that you are not required to take PLAB or a valid Dean’s Statement showing that you will qualify from medical school by 15 March 2012.  The closing date for booking PLAB 1 is 15 March 2012 (subject to availability).

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  6. What are the specified timescales for booking PLAB 1 in order to apply to the Foundation Programme 2012?

    If you are required to provide proof of your PLAB 1 booking as part of your eligibility application then you will need to provide proof that your PLAB examination has been booked to take place on, or before, the deadline of 22 March 2012*.

    * The GMC have confirmed that unless an applicant has booked a place on, or before, the PLAB 1 examination being held on 22 March 2012, there will not be sufficient time for any applicant to gain provisional registration by the start of the Foundation Programme in August 2012.

    Please note: The closing date for booking PLAB 1 to sit it in the United Kingdom is 15 March 2012 (subject to availability).

    The closing date for booking PLAB 1 to sit it outside of the UK is 26 January 2012 (subject to availability). 

    We highly recommend that where possible applicants book their PLAB 1 exam before the last date of 22 March 2012 as this is likely to be fully booked.

    We are aware of a PLAB 2 exam date that is scheduled for end of May/June (exact date to be provided and confirmed by the GMC), but please be mindful that spaces are limited.   After this date there will be no opportunity to sit PLAB 2 until September time, which is too late to start the Foundation Programme in August 2012. Applicants who are not able to book PLAB 2 until September time will no longer be eligible for Foundation Prgramme and their application will be withdrawn from the recruitment process.

    You should submit proof of the PLAB 1 examination booking as part of your eligibility application where possible.

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  7. What are the English language requirements for entry into the Foundation Programme?

    The English language requirements for Foundation Programme 2012 are set out as follows: 
       A signed and stamped Medical School Dean’s Statement 2012* confirming all of the following:
    o that the entire primary medical qualification undertaken by the
      applicant is being taught/was taught solely in English
    o that all examinations undertaken by the applicant during his/her
    primary medical qualification will be/were solely in English
    o that the applicant’s primary medical qualification will include/included
    a significant amount of contact with patients in English.

    OR

     a  valid academic IELTS** certificate confirming a minimum score of 7.5 in each of the four domains: reading, writing, listening and speaking.

    Please note that no other form of English language proficiency will be accepted.

    * The Medical School Dean’s Statement for Foundation Programme 2012 can be found under the “How to Apply” section of our website.

    ** IELTS certificates are only valid for 2 years and therefore must be dated no earlier than 20 August 2009.

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  8. What is IELTS?

    The academic International English Language Testing System (IELTS) provides employers with evidence that your language and communication skills comply with the person specification. 

    For more information on how to undertake an IELTS exam, please visit the IELTS website: http://www.ielts.org/

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  9. I qualified prior to 1 August 2010 and therefore must undertake a clinical assessment. What does this involve?

    Clinical assessments are designed to ensure that a doctor has maintained their clinical and professional skills since qualification. This year, clinical assessments will be undertaken by the University of Manchester and will take place in November 2011.

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  10. If I passed my clinical assessment for entry to FP2011 (last year) , do I need to be reassessed this year?

    A pass result obtained by undertaking the UKFPO clinical assessment is valid for two recruitment years i.e. FP-2011 and FP-2012.

    Therefore, if you passed the clinical assessment last year for Foundation Programme 2011, then you would not need to be re-assessed this year. 

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  11. What happens if I fail the clinical assessment?

    If you fail the clinical assessment you will no longer be considered eligible to apply for the Foundation Programme 2012 and you will be withdrawn from the process. You cannot re-sit the assessment for entry to the Foundation Programme 2012, however this does not stop you re-applying for FP 2013.

    No refund requests will be considered as the fee is payable on a non-refundable basis.

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  12. As an EEA citizen studying in an EEA country I am exempt from undertaking PLAB – what can I provide as evidence of my exemption to the UKFPO?

    Please tick the relevant box on your eligibility application form and provide proof of your nationality (passport) and proof of your country of study (medical degree certificate).  There is no formal document to submit.

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  13. How do I apply as a refugee doctor if I can't get documents from my home country?

    We are aware that refugees may not be able to produce all of the evidence required by the Eligibility Office. Applicants with refugee status who believe they meet the eligibility criteria and wish to apply for a place on the Foundation Programme should contact the UKFPO’s Eligibility Office (eligibility@foundationprogramme.nhs.uk) prior to applying to discuss their personal circumstances.

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  14. If I am deemed eligible to apply, does this mean I am guaranteed a job?

    Fulfilment of the eligibility criteria gives applicants the right to go through the national Foundation Programme application process. It does not guarantee appointment to a foundation training place. If an applicant is successful in their application, they will be offered a contract of employment by the organisation where they are appointed, subject to pre-employment checks which may include interviews.

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  15. How can I check that my documents have reached you?

    You will be sent an acknowledgement email within 5 working days of receipt of your completed eligibility form. If you do not hear anything from us within these timescales, this means that we have not received your documentation. It is advisable to send your documents to the office as early as possible to ensure receipt by the deadline. Late eligibility applications will not be accepted. It is your responsibility to ensure your documentation arrives at the UKFPO’s Eligibility Office safely – you may wish to consider using a guaranteed delivery service, but again, please be reminded that if delays in this service occur, we will not be able to accept late applications.

    Please be aware that the only delivery address for eligibility applications is

    UKFPO Eligibility Office,
    PO Box 478,
    Cardiff,
    CF11 1HG.

    We are aware that some courier services/companies will not deliver to a PO Box address. Therefore we strongly advise you to double check this with the company you plan to use before submitting your documents. 

    Late or delayed applications received after the deadline as a result of the courier service you have used will not be accepted.  It is important to note that you cannot appeal against this decision. The deadline is 12 noon BST 19 August 2011.

    Please ensure that your application contains the correct postage as the UKFPO cannot pay additional postage costs.

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  16. Will it help if I come to the office to personally deliver my documentation?

    No. The UKFPO does not have the resources to deal with visitors. Submissions of paperwork for recruitment to the Foundation Programme is strictly by post only and your application will not be accepted if it is delivered by hand.

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  17. Can I provide my PLAB documentation after the eligibility period has closed?

    If you have already qualified then yes, this must be submitted to the Eligibility Office to arrive no later than 18 November 2011. 

    If you do not provide this by the deadline of 18 November 2011 then you will not be eligible to apply for the Foundation Programme 2012.

    For further information about PLAB exams, and the dates available, please visit the GMC website: http://www.gmc-uk.org/

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  18. If I have met the eligibility requirements for PLAB at the time of my eligibility application are there any further actions/requirements that I must undertake?

    The UK’s General Medical Council (GMC) have confirmed that you will not have time to complete the PLAB 1 and PLAB 2 examinations and obtain GMC registration before the start of the Foundation Programme in August 2011 unless PLAB 1 is taken by 22 March 2012.


    • You must confirm to the UKFPO Eligibility Office by 18 November 2011 that you have booked PLAB 1.  The appointment must be scheduled for no later than 22 March 2012.
    • You must confirm to the UKFPO that you have passed PLAB 1 by (date to be confirmed).
    • You must confirm that you have booked PLAB 2 (date to be confirmed).
    • You must confirm that you have passed PLAB 2 (date to be confirmed).
    The UKFPO will write to you with these deadline dates when they are available from the GMC and they will be available to view on our website.
    If you do not provide proof of booking/passing PLAB on the required dates, your application will be removed from the national recruitment process.

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  19. What format shall I provide PLAB information to the UKFPO?

    Given the tight timescales, and unreliability of the postal service on occasion it is recommended that you email your PLAB information to the following email eligibility@foundationprogramme.nhs.uk. 

    Please do not send hard copies of your PLAB documentation (unless you are sending your PLAB documentation at the time of your eligibility application).

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  20. What can I provide as acceptable proof that I have the right to work in the UK as part of my eligibilty application?

    For specific documents that are accepted at the UKFPO, please see the Eligibility Notes and Form, which provides a detailed list.

    For general queries regarding visa and right to work issues, we recommend that you refer to the UK Border Agency (link).

    UK Border Agency | Home Page

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  21. I do not currently hold the right to work in the UK but have been deemed “eligible to apply subject to providing right to work and passing the UKFPO clinical assessment” – what does this mean?

    For the Foundation Programme commencing in August 2012 (FP 2012), we expect there will be more fully eligible applicants than there are vacancies based on trends over the last few years.  The final number of applications will not be known until the close of the application period on 21 October 2011.  If, at that time, there are more fully eligible applicants than vacancies, we will not consider applications from graduates who do not have the right to work in the UK by 7 October 2011.  Individuals in this category will be withdrawn from the national recruitment round at the close of the application period and their application will not proceed.

    For those applicants who are required to undertake a clinical assessment, they will be required to pay the full cost of £800 before they know whether or not their application will be considered.  The cost of a clinical assessment is £800 and is non-refundable.

    If you are required to attend a clinical assessment but you will not be able to provide evidence of your right to work in the UK by 7 October 2011 you should consider very carefully whether or not you wish to incur the £800 cost as it is very likely your application will not be considered. 
    However, you may wish to proceed with the clinical assessment since passing this assessment may be viewed favourably by local employing organisations if you are eligible to apply for other medical posts in the UK.

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  22. If I have paid for the clinical assessment but do not have my application scored as I do not hold the right to work in the UK, will I receive a refund?

    Unfortunately the answer is no.  Refunds are strictly non refundable and so applicants should take this into consideration when deciding if they wish to proceed with the assessment. For those applicants who are required to undertake a clinical assessment, they will be required to pay the full cost of £800 before they know whether or not their application will be considered.

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  23. What is the UKFPO clinical assessment and are there any exemptions?

    As part of the eligibility process, if an applicant has qualified prior to 01 August 2010, and therefore has a gap of 2 years (or more) prior to the commencement of Foundation Programme 2012, they must pass the UKFPO clinical assessment before being deemed eligible to apply. 

    There are no exemptions from this.

    Please note that the Plab examinations and UKFPO Clinical Assessment are not related in any way. 

    Plab is a GMC requirement and the Clinical Assessment is a requirement of the UKFPO.

    If an applicant chooses not to sit the assessment, or if an applicant fails the assessment, they will no longer be able to continue in the recruitment process for FP 2012. 

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  24. Can I take the clinical assessment at another time convenient for me?

    No, the dates for clinical assessment are 1, 2 and 3 November 2011.  There are no alternative dates available. 

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  25. Is there anything I can do to assist my eligibility application and reduce the chances of it being rejected?

    Yes. Taking a bit of extra care in completing your eligibility form may mean the difference between being deemed eligible to apply or ineligible to apply.

    Handy tips:

    • Ensure that you read the Eligibility Form Notes and Medical School Dean Statement Notes carefully – they both contain explicit guidance which you should read and digest.
    • Ensure you have completed all sections of the form with the information requested.
    • Adhere to ALL deadlines – over the past two years several doctors have had to put their career plans on hold for an entire year simply by submitting paperwork late – DEADLINES are there for a reason and exceptions cannot be made, regardless of your circumstances.

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  26. Do I have to provide the UKFPO with academic transcripts from my secondary education?

    No, please provide an academic transcript that relates to your medical degree only.

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  27. Do you wish to see academic transcripts of other related degrees?

    No, please provide an academic transcript that relates to your medical degree only.

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  28. Do I have to pass the UKFPO clinical assessment before submitting my eligibility application?

    No. All applicants that qualified from a non-UK medical school must first submit an eligibility application.  Applicants from UK medical school that qualified prior to 01 August 2010 must also submit an eligibility application.

    If you wish to apply for the national Foundation Programme 2012, then the eligibility application period is 18 July 2011 to 19 August 2011.

    As part of the eligibility process, if an applicant has qualified prior to 01 August 2010, and therefore has a gap of 2 years (or more) prior to the commencement of Foundation Programme 2012, they must pass the UKFPO clinical assessment before being deemed eligible to apply.

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  29. I graduated some time ago and no-one at my medical school knows me or remembers me anymore. Do I still have to ask them to complete a Dean's Statement and what do I do if they say they can't provide it?

    The General Medical Council has regulated that F1 doctors must have written approval from their university to accept a programme that completes their basic medical education. This can be evidenced either through participation in the academic and national recruitment to the Foundation Programme process, or, if appointed locally to a training post in the Foundation Programme, by a letter from the medical school confirming approval to take up the post or programme, and the arrangements for signing the Certificate of Experience.

    In order to take part in the academic and national recruitment process, you must provide a fully completed Dean’s statement that gives you approval to apply, and confirms you are of good standing and fit to practise medicine safely in accordance with the GMC’s Good Medical Practice (2006).

    If you graduated some time ago and are no longer known to the medical school, the Dean understandably may be reluctant to confirm that you are of good standing and fit to practise.

    We suggest in these circumstances that you contact the Dean, explain your circumstances and ask them what evidence you could provide that would satisfy them that you are of good standing and fit to practise.

    By way of guidance, we would suggest that the following constitute reasonable evidence for you to provide to the Dean:

    a) A curriculum vitae that outlines what you have been doing during the time since you graduated. An accompanying letter should include a declaration of whether you have any criminal convictions and whether you have been investigated by any professional body.
    b) Identification of three referees who can vouch for this account of your history and your suitability to take up a post that carries professional responsibilities. Your references should be from professional persons or persons of good standing in the community. Your referees should not be related to you by birth or marriage, or be in a personal relationship with you or live at the same address as you. Suitable referees would include employers and members of professional bodies. Where your referees are licensed or registered professionals (including registered medical practitioners) they should provide details of the relevant regulatory body and include details of their registration or reference number. You should provide copies of these references to the Dean but it must be possible to verify them independently, so do ensure that your referees provide details of a business address or telephone number where they can be contacted.

    You should also be willing to attend a face-to-face interview with the Dean if they request this.

    This process may take some time so do contact the Dean at the earliest opportunity and well before the deadline for submitting the statement to the UKFPO Eligibility Office to confirm what requirements they have before they will consider signing the Dean’s statement. Depending on your circumstances, the Dean may also need time to contact the GMC for advice about your request.

    Please note that you will be considered ineligible for the programme if you fail to provide a fully completed Dean’s statement that confirms all required statements. If, after following the steps above, your Dean is still unable to complete a full Dean’s statement, you can contact the Eligibility Office for further advice before the closing date for submitting eligibility documentation. Please note though that it may not be possible for the Office to resolve the issue.

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  30. I understand that to be eligible to apply to the Foundation Programme that I must have, or expect to have, provisional GMC registration but how will I know what level of GMC registration I will be awarded based on my internship or clinical experience?

    The General Medical Council (GMC) is the body responsible for determining the level of registration that will be awarded to individuals.  The UKFPO are unable to offer any advice on this matter.  The information below, taken from the GMC website 15 June 2011, explains the requirements for full registration.  You should always refer to the GMC website for up to date information.

     To be eligible for full registration you must have satisfactorily completed either Foundation Year 1 (F1) in the UK, or a period of pre-graduate or postgraduate clinical experience that provides an acceptable foundation for future practice as a fully registered and licensed medical practitioner. In the UK this postgraduate clinical experience used to be known as Pre-Registration House Officer (PRHO) training but, in most other countries,  it is usually referred to as an internship.

    To gain full registration your internship period or period of pre-graduate or postgraduate clinical experience must be either:

    ·                a 12 month programme that includes a minimum of three months in surgery and three months in medicine or

    ·                a programme of at least 10 months duration that includes a minimum of three months in surgery and three months in medicine which also includes an additional period of study of up to two months in order to prepare for an exit exam, together with successful completion of all exit examinations or

    ·                The equivalent of two years full time post qualification experience at a publicly funded hospital in at least two branches of medicine and/or surgery.

     

    If you have completed a pattern of experience as outlined above it is unlikely that you would be eligible for provisional registration

     

    For current and further information please see the relevant section on the GMC website;   http://www.gmc-uk.org/doctors/registration_applications/img_plab_p3.asp?p=2

     

    http://www.gmc-uk.org/education/postgraduate/standards_and_guidance.asp

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  31. What will happen to my application if I am unable to book a PLAB 1 exam by 22 March 2012?

    Unfortunately if your PLAB 1 exam occurs after the 22nd March 2012 then you will not have time to sit PLAB 2 and obtain provisional registration with a Licence to Practice.  Therefore you will no longer be eligible for Foundation Programme 2012 and your application will be withdrawn from the recruitment process.

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4 Tier 4 Visas


  1. Who is eligible to apply for UKFPO Tier 4 sponsorship?

    Non-UK/non-EEA nationals who graduate from a UK medical school wishing to undertake a two-year full-time Foundation Programme (including academic programmes) are eligible to apply for Tier 4 sponsorship. Doctors from non-UK medical schools are not eligible to apply for Tier 4 sponsorship.

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  2. Can a doctor who intends to work less than full time apply for sponsorship?

    No. In order to be sponsored by the UKFPO, doctors must work full-time on the Foundation Programme; this is a condition as set out by the UK Border Agency (UKBA).

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  3. How does the UKFPO, UKBA and foundation school Tier 4 application process work?

    Please refer to the Tier 4 process flow chart which outlines key stages of the process.

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  4. Why do doctors need to apply for a personal on-line UKFPO Tier 4 account?

    Each doctor applying for Tier 4 sponsorship from the UKFPO will need to register for and maintain a personal online Tier 4 account. The account is needed to keep a record of all personal details, educational details and copies of required and up-to-date documents. These details and documents will inform the details of the CAS.

    Maintaining the personal account content is vital throughout the duration of sponsorship. Failure to keep the information up-to-date breaches the terms of sponsorship and could result in sponsorship being withdrawn. 

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  5. How do doctors register for a personal, online Tier 4 account?

    All non UK & non EEA nationals who graduate from a UK medical school, applying via the national allocation system for a Foundation Programme will be sent an email inviting them to apply for an online UKFPO Tier 4 account in May each year. Alternatively, doctors can click here to register for an account.

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  6. What is a CAS?

    A CAS is a ‘confirmation of acceptance for studies’. It is a 'virtual document' similar to a database record. Each CAS has a unique reference number, and contains information about the foundation doctor and the course of study. The UKFPO will email a CAS number and some of the information used (such as the course details, start and end date of study etc.) to each foundation doctor. The CAS number should be used to complete and support the UKBA Tier 4 application. A CAS is only valid if it:

    • contains the same details as in the passport and supporting documents
    • was assigned no more than six months before the date of UKBA application
    • has not been withdrawn or cancelled by the UKFPO or the UKBA.
     
     IMPORTANT: A CAS cannot be used more than once. If an application is refused by the UKBA, a new CAS number will be required.

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  7. What are the required documents a doctor must provide the UKFPO with in order to be assigned a CAS?

    The UKFPO requires that each Tier 4 sponsored doctor has a personal online UKFPO Tier 4 account. The doctor must complete the account with their details and upload copies of the following required documents:

    • Passport photo page
     This page is needed to verify the doctor’s identity and validity of the passport; the passport expiry date must therefore be visible. If the expiry date/extension is on another page, doctors must upload a document with both the photo page and expiry page in one document.

    • Medical Degree Certificate
     If the medical degree certificate has not yet been issued, the UKFPO will issue a CAS on the basis that a copy is uploaded as soon as it is received. If a certificate has not been provided by the given deadline, sponsorship will be removed. This is a condition of sponsorship.

    • Pre- UKFPO (medical student) Tier 4 visa
     This is needed to show your sponsorship used to undertake the medical degree.

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  8. When can a Tier 4 doctor start the Foundation Programme?

    Doctors who have been assigned a CAS, have proof of submitting their Tier 4 application to the UKBA, and have leave to remain at the time of application will need to check the date of issue as given on their medical student (pre-UKFPO) visa to determine if/when they can start the Foundation Programme:

    ·         Medical student visa issued before 5 October 2009: the doctor must request UKBA permission prior to starting the FP (using the UKBA ‘T4 (PTS)’ form). Doctors can start the FP before the UKBA responds, however this is at the doctor’s own risk. The UKBA will then confirm if permission has been granted.

    ·         Medical student visa issued on or after 5 October 2009: the doctor can start the FP before receiving the new Tier 4 visa without any pre-authorisation from the UKBA.

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  9. HOw do I contact the UKFPO?

    You can contact the UKFPO either via the UKFPO Tier 4 website page or by emailing tier4@foundationprogramme.nhs.uk. The team will endeavour to answer your email within five working days. Please note the UKFPO is unable to offer a face-to-face or telephone service.

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  10. How do I contact the UKBA?

    The UKBA can be contacted via the UKBA website. Tier 4 applicants can also contact the UKBA via telephone on 0870 6067766. Employers should contact the UKBA on 0300 1234699.

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  11. When should a doctor apply to the UKBA for a new Tier 4 visa to study the Foundation Programme?

    As soon as a doctor receives the CAS (which is only valid for six months) they can submit their Tier 4 visa application to the UKBA.
     

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  12. Where can doctors find the UKBA Tier 4 visa application form?

    The application form can be downloaded from the UKBA website. The UKFPO advises that doctors read the form and accompanying UKBA guidance & UKFPO information very carefully. If the required information and documentation is not submitted, or if information is inconsistent with sponsor records, the application will be refused.

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  13. Why should a doctor apply for a Tier visa as opposed to any other visa?

    The UKFPO are only able to offer Tier 4 sponsorship. The benefit of this Tier to foundation doctors and schools/employers is that the doctor will only have to apply once and pay one fee which will last for the duration of the Foundation Programme. Please visit the UKBA website for information on other types of visa.

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  14. What are the alternatives to applying for a Tier 4 visa?

    Foundation doctors are welcome to apply for a visa under Tier 2 if they qualify and have an appropriate sponsor. The UKFPO can only act as a Tier 4 sponsor. Please visit the UKBA website for information on other types of visa.

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  15. Where can I get further information on Tier 4 and other tier visas?

    The UKBA website is the best place to obtain information. Other UKFPO guidance documents are also available on the UKFPO website.

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  16. Can the UKFPO help doctors complete the UKBA Tier 4 application form?

    The UKFPO has put together a document outlining ‘sponsor information’ that is requested within the UKBA Tier 4 application. Click here to download.
    Guidance and help with completing the form cannot be offered by the UKFPO. Doctors should directly contact the UKBA for advice. The web address is www.ukba.homeoffice.gov.uk; telephone number is 0870 606 7766.
     

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  17. Can a doctor apply for a Tier 4 visa out of country (i.e. outside of the UK)?

    Yes. Many doctors may choose to apply out of country, especially if they are overseas between the end of medical school and the start of the Foundation Programme. If a doctor’s medical student visa (pre-UKFPO sponsorship) has expired prior to the UKBA receiving the new Tier 4 application, an application out of country will have to be made. Please visit the UKBA website for full details and guidance on this process.

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  18. Is the UKFPO a Highly Trusted Sponsor?

    Yes the UK Foundation Programme Office (UKFPO) is a Highly Trusted Sponsor.

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  19. When completing the UKBA Tier 4 application form, what contact details should I provide for the UKFPO?

    Tier 4 sponsor name:  UK Foundation Programme Office (UKFPO).
    Address: UK Foundation Programme Office, Regus House, Falcon Drive, Cardiff, CF10 4RU.
    Click here to view the other sponsor details needed to complete the UKBA Tier 4 application can be found here.

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  20. What is the UKFPO's sponsor licence number?

    The UKFPO sponsor licence number: 51RDM0C72.
    Click here to view the other sponsor details needed to complete the UKBA Tier 4 application can be found here.

     

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  21. Does the doctor require a letter from the foundation school/postgraduate dean as well as a CAS/sponsor letter when submitting the application?

    No. There is a section included within the CAS email which satisfies this requirement. This has been agreed with the UKBA as an amendment to the initial policy.

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  22. How are the 40 points required by the UKBA to obtain a Tier 4 visa made up?

    The CAS email from the UKFPO (which includes a CAS number) accounts for 30 points. The doctor must pass the maintenance test to acquire the remaining 10 points. Details can be found on the UKBA website.

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  23. What is the purpose of the maintenance test on the UKBA's Tier 4 application form?

    This is where doctors must prove that they have sufficient funds to support themselves during their stay in the UK. Doctors MUST always check the most recent rules and financial requirements with the UKBA at least one month prior to making the application. There are strict rules in place and foundation doctors should be fully aware of the supporting evidence of maintenance that must be provided. The UKFPO is aware that one of the most common reasons for UKBA visa refusals is that insufficient proof of funds was provided.

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  24. Can the UKFPO act as a financial sponsor?

    No. Doctors must meet the maintenance test as set by the UKBA. The UKBA will not waive this requirement and the UKFPO cannot be a financial sponsor.

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  25. What is a biometric card?

    A biometric card (also known as an Identity Card for Foreign Nationals) will act as proof of the doctor’s right to remain in the UK and has replaced the passport stamp for all those who apply in the UK. Doctors will receive a biometric card once the UKBA approves the visa application. If a doctor applies for their visa outside of the UK, they will not be issued with a biometric card; instead they will receive an updated Entry Clearance Stamp in their passport.

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  26. Why does the biometric card state 'restricted work during term time'?

    Whilst students undertaking the Foundation Programme are in full-time employment during the course of the training, for Tier 4 purposes, the Foundation Programme itself is the course of study.  This means that a foundation doctor on the Foundation Programme can also take further employment of up to 20 hours per week during term-time if they choose.  Foundation Programme doctors and deaneries can be assured that the wording on the biometric residence permit does not prevent a Tier 4 (General) migrant from undertaking the Foundation Programme on a full-time basis. Foundation doctors are reminded that they are only permitted to work full time on a recognised two-year Foundation Programme; other employment such as part time bar-work, freelance journalist etc. is not permitted.

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  27. Are Tier 4 doctors eligible to apply for an Inter-Foundation School Transfer (IFST) or apply to another foundation school for the second year of the Foundation Programme?

    Yes, Tier 4 sponsorship does not affect a doctor’s eligibility to apply for an IFST or choosing to continue the second year of the FP at a different foundation school. It is however vital that the UKFPO is notified of any intention to change prior to the change taking place. Please email tier4@foundationprogramme.nhs.uk for further information.

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  28. Who should be notified of a foundation doctor's change of home/postal address?

    (Please see the below FAQ) It is essential that doctors fulfil their responsibility of informing both the UKFPO and the UKBA of any change in personal details and any change of circumstance.  For the address change in particular, the doctor will need to action the following:
    • update the new home address on their UKFPO personal on-line Tier 4 account
    • update the new home address with the UKBA (click here).

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  29. What information/Tier 4 activity should be reported to the UKFPO?

    The sponsored doctor and also the foundation school MUST both contact the UKFPO if the foundation doctor:
    • has a change in circumstance (name change, new address etc.)
    • does not turn up for the first day of work (e.g. including a missed flight, illness etc.)
    • moves / requests to move to another foundation school
    • has a change to the length of the programme (e.g. extended / remedial training required)
    • begins / requests to work less than full time
    • has a change in salary (but not an annual pay rise/bonus)
    • takes more than 10 consecutive days leave without permission OR misses x10 ‘expected contacts’ (expected contacts could be teaching sessions etc.)
    • discontinues the FP (for example resigns or is dismissed)
    • is suspected of/breaches the conditions of their visa (e.g. undertakes part-time work unrelated to the FP).

    The UKFPO has designed an Activity Report form for foundation schools to complete. If any of the above activity occurs, the form must be competed and reported to the UKFPO immediately and by no later than seven days of the event/occurrence.

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  30. Is maternity leave classed as an authorised absence?

    Yes. A period of maternity is classed as an authorised absence and the Tier 4 Visa will remain valid. Doctors who take maternity leave must apply for an extension to their visa, which will only be granted for one additional year.  Therefore, in order to qualify for the extension, doctors must be in a position to complete the Foundation Programme within the maximum three year period.

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  31. Will a Tier 4 sponsored doctor's visa be automatically revoked if any activity is report to the UKFPO?

    No, the UKFPO will initially liaise with the foundation school to discus the activity. The UKFPO are required to report the activity to the UKBA, it is then for the UKBA to consider if they investigate or immediately revoke sponsorship.

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  32. What are the foundation school and local education provider/employer responsibilities for the Tier 4 sponsored doctors?

    A service level agreement (SLA) between the UKFPO and every postgraduate deanery/foundation school is in place to ensure that robust reporting and monitoring processes are in place for all Tier 4 sponsored doctors (including activity reporting as per FAQ 30). For full details, please refer to the guidance for foundation school and employers and if accessible, a copy of the deanery/foundation school SLA.

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  33. Are the UKFPO permitted to withdraw sponsorship?

    Yes. The UKFPO sets out clear ‘Terms of sponsorship’ that must be followed and adhered to by all foundation doctors whilst sponsored by the UKFPO. An example of when sponsorship may be withdrawn is if a doctor fails to provide a copy of a required document etc. It is necessary to have these terms in place to provide clear information of what is expected from the doctors and to ensure that the UKFPO are meeting their sponsor duties as set by the UKBA.

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  34. What happens if an extension to the UKFPO Tier 4 visa is required?

    Foundation doctors may need an extension to their visa if they require additional training time (due to sickness, maternity etc.) or remedial training. The foundation school should contact the UKFPO with details (revised expected end date etc.) and the doctor should request a new CAS from the UKFPO.  
    If a new CAS is issued, the doctor should complete the UKBA extension application form which can be found on the UKBA website along with information on the relevant fees. Please click here for details.

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