Applying for shortened training (CEGPR)

CEGPR (CP) – Using previous experience to contribute to your training programme

If you hope to reduce your three year programme (by replacing planned training with posts or experience completed earlier in your career), you might be able to apply for a CEGPR Combined Programme(CP). The decision to shorten a programme, and allow a doctor onto the Combined Programme, is made at the LETB/Deanery’s discretion. There are some key points which should be borne in mind before you ask to be considered for the Combined Programme:

  • GMC process states that you must have made your plans known to your LETB/Deanery at the start of your training programme by stating this application type on your first Form R.

Please note, that as communication about this has been lacking, the GMC has agreed to temporarily allow GP trainees to follow this route even without this declaration on the first Form R, as long as plans had been discussed with the deanery / LETB early on and all other aspects of the process are followed

  • A firm decision to shorten your training (by up to a maximum of one year) can only be made at the first gateway ARCP Panel, based on evidence of your previous experience and your progress in ST1.
  • The RCGP can offer guidance on evidence to submit to the LETB/Deanery to support your previous experience, once the LETB/Deanery has given provisional agreement.
  • If your LETB/Deanery confirms at your first ARCP Panel that you can shorten your three year programme and follow the CEGPR(CP) route, you will not be able to revert to the CCT route at a later stage.

If you didn’t discuss your plans to shorten your programme at the point of entry to training, and your first ARCP Panel has passed, and your LETB/Deanery is still happy for you to complete a shortened programme, you will need to make an application for a standard CEGPR towards the end of your training in the normal way.

More information is available at :

The process to follow is outlined below:

Summary of CEGPR (CP) Process


  1. The trainee submits to the LETB/deanery documentation of previous experience (for example, an ARCP form for each level of training) at least three months before the first gateway ARCP.
  1. After making an initial assessment, the LETB/deanery sends the trainee’s documentation to the RCGP at least two months before the first gateway ARCP is due.
  1. RCGP considers the LETB/deanery’s comments and the supporting evidence and makes a recommendation to the LETB/deanery in a letter which must be included when the ARCP Panel meets to consider the trainee’s progress in ST1.
  1. First ST1-2 gateway ARCP Panel. Evidence of the trainee’s previous experience, the RCGP’s recommendation letter and trainee’s progress in ST1 are considered.
  1. If the ARCP Panel approves entry to the CEGPR (CP) route and agrees the programme can be shortened with a new end of training date, this is recorded on the ARCP form and an application is then made by the LETB/deanery to the GMC. (RCGP will advise how to do this and will provide the CN19 form for application to the GMC).
  1. The GMC approves entry to the CEGPR (CP) route and confirms this in writing to the trainee, the LETB/deanery and the RCGP.
  1. The trainee completes their training programme and in the final few weeks, applies online for a CEGPR (CP), paying the same application fee as for a CCT.

The Health Education Wessex have produced the following checklist to help trainees who wish to compile evidence for this application process:

CEGPR (CP) Checklist of evidence