The Postgraduate Medical Education and Training Order of Council 2010

Citation and commencement U.K.

1.  This Order may be cited as the Postgraduate Medical Education and Training Order of Council 2010 and shall come into force on 1st April 2010.

Interpretation U.K.

2.  In this Order—

“the Act” means the Medical Act 1983;

“previous legislation” means—

(a)

the European Specialist Medical Qualifications Order 1995 M1 ; and

(b)

the General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003 M2 .

Marginal Citations

M1 S.I.1995/3208. This instrument is revoked by S.I.2003/1250.

M2 S.I.2003/1250. This instrument is revoked by S.I.2010/234 .

Persons eligible to be registered in, and liable to removal from, the General Practitioner Register U.K.

3.—(1) Persons are eligible to be registered in the General Practitioner Register for the purposes of section 34C(2)(c) of the Act if they are—

(a) eligible general practitioners as specified in article 4;

(b) eligible general systems general practitioners as specified in article 5; or

(c) persons who are—

(i) registered in the list of visiting medical practitioners from relevant European States mentioned in section 30(1)(d) of the Act; and

(ii) providing services in the United Kingdom as a general practitioner on a temporary and occasional basis, in exercise of entitlement under Schedule 2A to the Act.

(2) If a person whose name is included by virtue of paragraph (1)(c) in the General Practitioner Register ceases to satisfy any of the conditions specified, the Registrar may remove that person's name from that register.

General practitioners eligible for entry in the General Practitioner Register U.K.

4.—(1) Persons are eligible general practitioners for the purposes of article 3(1)(a) if they are exempt persons and hold any of the following issued in a relevant European State other than the United Kingdom—

(a) a qualification in general practice listed in Annex V, point 5.1.4 of the Directive, together with the corresponding professional title;

(b) a certificate of acquired rights; or

(c) a qualification in general practice which is not listed in Annex V, point 5.1.4 of the Directive, if that qualification—

(i) is accompanied by a certificate of a competent authority of the relevant European State in which the qualification was obtained, to the effect that the qualification is evidence of training which satisfies the requirements of Article 28 of the Directive, and

(ii) is treated by that State as if it were a qualification listed in relation to that State in Annex V, point 5.1.4 of the Directive.

(2) Persons are also eligible general practitioners for the purposes of article 3(1)(a) if they hold—

(a) a certificate of prescribed experience; or

(b) a certificate of equivalent experience,

which was issued under previous legislation, either by the Postgraduate Medical Education and Training Board or by the Joint Committee on Postgraduate Training for General Practice.

(3) Persons are also eligible general practitioners for the purposes of article 3(1)(a) if they were exempt from the need to have acquired the prescribed experience by virtue of paragraph (1)(a), (b), (c), (d) or (f) of regulation 5 (exemptions) of—

(a) the National Health Service (Vocational Training for General Medical Practice) Regulations 1997 M3 ;

(b) the National Health Service (Vocational Training for General Medical Practice) (Scotland) Regulations 1998 M4 ; or

(c) the Medical Practitioners (Vocational Training) Regulations (Northern Ireland) 1998 M5 .

(4) Subject to paragraph (5), persons are also eligible general practitioners for the purposes of article 3(1)(a) if they do not fall within paragraph (1), (2) or (3) but have—

(a) undertaken training in general practice; or

(b) been awarded qualifications in general practice,

and the Registrar is satisfied that that training is, or those qualifications are, or both when considered together are, equivalent to a CCT in general practice.

(5) If a person falling within paragraph (4)(a) or (b) is an exempt person and holds a qualification in general practice which—

(a) was granted otherwise than in a relevant European State, and

(b) has not previously been accepted by a relevant European State as qualifying that person to practise as a general practitioner in that State,

the Registrar must, before determining that the qualification is equivalent to a CCT in general practice, also be satisfied that the qualification in general practice is evidence of training that meets, or under Article 22(a) of the Directive is to be treated as meeting, the requirements of Article 28 of the Directive.

(6) If a person falling within paragraph (4)(a) or (b)—

(a) is an exempt person and holds a qualification in general practice which—

(i) was granted otherwise than in a relevant European State, but

(ii) has been accepted by a relevant European State, other than the United Kingdom, as qualifying that person to practise as a general practitioner in that State; or

(b) has acquired experience or knowledge in general practice, wherever obtained,

the Registrar shall take account of that acceptance or of that experience or knowledge, when determining the equivalence of the training or qualifications to a CCT in general practice for the purposes of paragraph (4).

(7) In paragraph (1)(b), “certificate of acquired rights” means a certificate issued under Article 30(1) of the Directive to the effect that its holder has an acquired right to practice as a general practitioner under the national social security scheme of the issuing State without the evidence of formal qualifications of a general practitioner referred to in Annex V, point 5.1.4 of the Directive.

Marginal Citations

M3 S.I.1997/2817; relevant amendments made by S.I.1998/669. Those Regulations are revoked by S.I.2003/1250.

M4 S.I.1998/5; relevant amendments made by S.I.1998/669 and S.S.I.2000/23. Those Regulations are revoked by S.I.2003/1250.

M5 S.R. 1998 No.13. Those Regulations are revoked by S.I.2003/1250.

General systems general practitioners eligible for entry in the General Practitioner Register U.K.

5.  A person is an eligible general systems general practitioner for the purposes of article 3(1)(b) if—

(a) their case falls within regulation 3(9)(e) of the General Systems Regulations;

(b) regulations 20 to 26 of those Regulations apply to that person by reason of the operation of regulation 3(4) of those Regulations; and

(c) that person has a right to practise as a general practitioner in the United Kingdom by virtue of Part 3 of those Regulations (having, in particular, successfully completed any adaptation period that that person may be required to complete pursuant to that Part of those Regulations).

Persons with acquired rights U.K.

6.—(1) For the purposes of section 34G(1) of the Act, a person has an acquired right to practise as a general practitioner in the United Kingdom if they fall within any of the categories of persons specified in paragraphs (2), (3), (5) and (6).

(2) A person has an acquired right if, on 31st December 1994, their name was included in a medical list kept by an FHSA or in any corresponding list kept by a Health Board in Scotland or by the Northern Ireland Central Services Agency for the Health and Social Services in Northern Ireland.

(3) Subject to paragraph (4), a person has an acquired right if, on 31st December 1994, they were suitably experienced within the meaning of—

(a) section 31 of the National Health Service Act 1977 M6 (requirement of suitable experience);

(b) section 21 of the National Health Service (Scotland) Act 1978 M7 (requirement of suitable experience); or

(c) Article 8 of the Health and Personal Social Services (Northern Ireland) Order 1978 M8 (requirement of suitable experience).

(4) Paragraph (3) does not apply where the person was suitably experienced by virtue of—

(a) regulation 8(1)(e) or (h) of the National Health Service (Vocational Training) Regulations 1979 M9 (exemptions for applications to be a restricted services principal and for doctors who are EC nationals);

(b) regulation 8(1)(e) or (h) of the National Health Service (Vocational Training) (Scotland) Regulations 1980 M10 (exemptions for applications to be a restricted services principal and for doctors who are EC nationals); or

(c) regulation 7(1)(d) or (g) of the Medical Practitioners (Vocational Training) Regulations (Northern Ireland) 1979 M11 (exemptions for applications to be a restricted services principal and for doctors who are EC nationals),

even if on that date that person had yet to obtain a certificate of prescribed experience or a certificate of equivalent experience under any of those Regulations.

(5) A person has an acquired right if, on 31st December 1994, they were established in the United Kingdom by virtue of a qualification in medicine awarded in a relevant European State other than the United Kingdom which had, in their case, to be recognised in the United Kingdom by virtue of the Directive as entitling that person to be registered under section 3(1)(b) of the Act as a fully registered person.

(6) A person has an acquired right if, on at least 10 days in the period of 4 years ending with 31st December 1994, or on at least 40 days in the period of 10 years ending with that date, they had—

(a) been engaged as a deputy by, or provided as a deputy to, a doctor whose name was included in the medical list of an FHSA or in any corresponding list kept by a Health Board in Scotland or by the Northern Ireland Central Services Agency for the Health and Social Services in Northern Ireland; or

(b) been employed as an assistant (other than as a trainee general practitioner) by such a doctor.

(7) For the purposes of paragraph (6), engagement or provision as a deputy for a period of less than 24 hours beginning before but ending after midnight counts as engagement or provision on the second day only.

(8) In this article—

“an FHSA” means a Family Health Services Authority;

“medical list” has the same meaning as in—

(a)

the National Health Service (General Medical Services) Regulations 1992 M12 ;

(b)

the National Health Service (General Medical and Pharmaceutical Services) (Scotland) Regulations 1974 M13 ; or, as the case may be,

(c)

the General Medical Services Regulations (Northern Ireland) 1997 M14 .

Marginal Citations

M6 1977 c.49.

M7 1978 c.29.

M8 S.I.1978 No.1907 (N.I.26).

M9 S.I.1979/1644; relevant amendments were made by S.I.1980/1900, 1981/1790, 1984/215, 1985/1353, 1986/1642 and 1991/406.

M10 S.I.1980/30; relevant amendments were made by S.I.1986/1657 and 1991/576.

M11 S.R.1979 No.460; relevant amendments were made by S.R.1986 No.69 and 1986 No.309.

M12 S.I.1992/635.

M13 S.I.1974/506; relevant amendments were made by S.I.1978/1762, 1985/1625 and 1980/1990.

M14 S.R.1997/380.

Persons eligible to be registered in, and liable to removal from, the Specialist Register U.K.

7.—(1) Persons are eligible to be registered in the Specialist Register for the purposes of section 34D(2)(c) of the Act if they are—

(a) eligible specialists as specified in article 8;

(b) eligible general systems specialists as specified in article 9; or

(c) persons—

(i) who are registered in the list of visiting medical practitioners from relevant European States mentioned in section 30(1)(d) of the Act; and

(ii) who are providing services in the United Kingdom as a specialist on a temporary and occasional basis, in exercise of entitlement under Schedule 2A to the Act.

(2) If a person whose name is included by virtue of paragraph (1)(c) in the Specialist Register ceases to satisfy any of the conditions specified, the Registrar may remove that person's name from that register.

Specialists eligible for entry in the Specialist Register U.K.

8.—(1) Persons are eligible specialists for the purposes of article 7(1)(a) if they are exempt persons and hold a recognised specialist qualification granted outside the United Kingdom as specified in article 10.

(2) Subject to paragraph (4), a person (“S”) is an eligible specialist for the purposes of article 7(1)(a) if S does not fall within paragraph (1) but has—

(a) undertaken specialist training; or

(b) been awarded specialist qualifications,

in a recognised specialty and satisfies the Registrar that that specialist training is, or those qualifications are, or both when considered together are, equivalent to a CCT in the specialty in question.

(3) Subject to paragraph (4), a person (“T”) is an eligible specialist for the purposes of article 7(1)(a) if T does not fall within paragraph (1) but—

(a) has—

(i) undertaken specialist training; or

(ii) been awarded specialist qualifications,

outside the United Kingdom in a medical specialty which is not a recognised specialty; or

(b) has knowledge of, or experience in, any medical specialty derived from academic or research work,

and the Registrar is satisfied that these give T a level of knowledge and skill consistent with practice as a consultant in any of the UK health services.

(4) If S or, as the case may be, T, is an exempt person and holds a specialist qualification which—

(a) was granted otherwise than in a relevant European State, and

(b) has not previously been accepted by a relevant European State as qualifying an exempt person to practise as a specialist in that State,

S is not an eligible specialist pursuant to paragraph (2) and T is not an eligible specialist pursuant to paragraph (3) unless the Registrar is satisfied that the specialist qualification is evidence of training that meets, or under Article 22(a) of the Directive is to be treated as meeting, the requirements of Article 25 of the Directive.

(5) If S or, as the case may be, T—

(a) is an exempt person who holds a specialist qualification which—

(i) was granted other than in a relevant European State; but

(ii) has been accepted by a relevant European State, other than the United Kingdom, as qualifying that person to practise as a specialist in that State; or

(b) has acquired specialist medical experience or knowledge, wherever obtained,

the Registrar shall take account of that acceptance or of that experience or knowledge, when determining the adequacy of the training or qualifications under paragraph (2) or (3).

(6) A person is also an eligible specialist for the purposes of article 7(1)(a) if that person—

(a) was included in the specialist register maintained by the General Council under previous legislation;

(b) had been determined by the Registrar to be an eligible specialist for the purposes of previous legislation; or

(c) holds a Certificate of Completion of Specialist Training awarded under, or by virtue of, previous legislation.

(7) In paragraphs (2) and (3), “specialist training” means specialist medical training that—

(a) comprises theoretical and practical instruction in a post specifically designated as a training post;

(b) takes place in a university centre, a teaching hospital or other health establishment;

(c) is supervised by an appropriate authority or other body; and

(d) involves the personal participation of the person training to be a specialist in the activity and in the responsibilities of the establishment concerned.

General systems specialists eligible for entry in the Specialist Register U.K.

9.  A person is an eligible general systems specialist for the purposes of article 7(1)(b) if—

(a) their case falls within regulation 3(9)(a), (c) or (e) of the General Systems Regulations;

(b) regulations 20 to 26 of those Regulations apply to that person by reason of the operation of regulation 3(4) of those Regulations, and

(c) that person has a right to practise as a specialist in the United Kingdom by virtue of Part 3 of those Regulations (having, in particular, successfully completed any adaptation period that that person may be required to complete pursuant to that Part of those Regulations).

Recognised specialist qualifications granted outside the United Kingdom U.K.

10.—(1) The following are, for the purpose of article 8(1), recognised specialist qualifications granted outside the United Kingdom—

(a) a specialist qualification listed in Annex V, point 5.1.2 of the Directive which was awarded—

(i) in a relevant European State other than the United Kingdom;

(ii) on or after the reference date, not being evidence of training commenced by the holder before that date; and

(iii) in a recognised specialty;

(b) a specialist qualification listed in Annex V, point 5.1.2 of the Directive—

(i) which was awarded in a relevant European State other than the United Kingdom;

(ii) which was awarded following training commenced by the holder before the reference date;

(iii) which was awarded in a recognised specialty; and

(iv) where the holder of the qualification satisfies the Registrar (by means of a certificate of a competent authority of the relevant European State in which it was awarded or otherwise) that it accords with the standards laid down by Article 25 of the Directive;

(c) a specialist qualification which—

(i) was awarded in a relevant European State other than the United Kingdom;

(ii) was awarded in a recognised specialty;

(iii) does not satisfy all the minimum training requirements laid down by Article 25 of the Directive;

(iv) was awarded following training commenced by the holder before the reference date; and

(v) is accompanied by a certificate of a competent authority of any relevant European State that the holder has effectively and lawfully been engaged in the practice of the specialty in that State for at least three consecutive years during the five years preceding the date of the certificate;

(d) a specialist qualification in a recognised specialty which—

(i) has been obtained at any time in a relevant European State other than the United Kingdom;

(ii) does not correspond to the titles listed in Annex V, points 5.1.2 and 5.1.3 of the Directive; and

(iii) is accompanied by a certificate of a competent authority of that State to the effect that the qualification is evidence of training which satisfies the requirements of Article 25 of the Directive and is treated by that State as if it were a qualification listed in respect of the relevant specialty in relation to that State in Annex V, points 5.1.2 and 5.1.3 of the Directive;

(e) a specialist qualification which—

(i) was awarded in Spain to doctors who completed their specialist training before 1st January 1995, even if that training does not satisfy the requirements of Article 25 of the Directive;

(ii) was awarded in a recognised specialty; and

(iii) is accompanied by a certificate issued by a competent authority in Spain attesting that the person concerned has passed the examination in specific professional competence held in accordance with Article 27(2) of the Directive with a view to ascertaining that the person concerned possesses a level of knowledge and skill comparable to that of doctors who possess a specialist qualification listed in respect of the relevant specialty in relation to Spain in Annex V, points 5.1.2 and 5.1.3 of the Directive;

(f) a specialist qualification in a recognised specialty—

(i) which is evidence of training which does not accord with the standards laid down by Article 25 of the Directive, undertaken on the territory of the former German Democratic Republic and begun before 3rd April 1992;

(ii) where the holder of the qualification satisfies the Registrar (by means of a certificate of a competent authority in Germany or otherwise) that they are entitled by virtue of that qualification to practise their specialty throughout the territory of Germany on the same conditions as the holder of a qualification awarded in Germany and listed in Annex V, point 5.1.2 of the Directive; and

(iii) where evidence of the qualification is accompanied by a certificate of a competent authority in Germany that the holder has effectively and lawfully been engaged in the practice of the specialty in Germany for at least three consecutive years during the five years preceding the date of the certificate; and

(g) a specialist qualification which—

(i) was awarded by, or which relates to training started in, the territory specified in column (a) of the table before the date specified in the corresponding entry in column (b) of that table;

(ii) is accompanied by an attestation by a competent authority of the relevant European State specified in the corresponding entry in column (c) in that table to the effect that that qualification has, on its territory, the same legal validity as regards access to, and practice of, specialised medicine as a qualification awarded in that specialty in that State and listed in Annex V, point 5.1.2 of the Directive in respect of that State; and

(iii) is accompanied by a certificate from that authority that the holder has effectively and lawfully been engaged in the activity in question in that State for at least three consecutive years during the five years prior to the date of issue of that certificate.

	Column (a)	Column (b)	Column (c)
	Former Czechoslovakia	1st January 1993	Czech Republic
	Former Czechoslovakia	1st January 1993	Slovakia
	Former Soviet Union	20th August 1991	Estonia
	Former Soviet Union	21st August 1991	Latvia
	Former Soviet Union	11th March 1990	Lithuania
	Former Yugoslavia	25th June 1991	Slovenia
	[F1 Former Yugoslavia	8th October 1991	Croatia]

(2) In paragraph (1), “the reference date”, in relation to a relevant European State, means the date specified in relation to that State in the column entitled “Reference date” in Annex V, point 5.1.2 of the Directive.

Textual Amendments

F1 Words in art. 10(1)(g) table inserted (31.12.2013) by The European Qualifications (Health Care Professions) (Croatia Accession Amendment) Regulations 2013 (S.I. 2013/3036), regs. 1(1), 3

Recognised specialities within the United Kingdom U.K.

11.—(1) The specialties specified in the Schedule are those which are recognised within the United Kingdom for the purposes of the Act.

(2) The Schedule specifies both those specialties and the minimum training period relevant to those specialties.

(3) Nothing in the Schedule shall prevent the award of a Certificate of Completion of Training in medical microbiology and virology to a person who was undergoing the education and training necessary to obtain such an award on 28thAugust 2009.

Judith Simpson

Clerk of the Privy Council