GMC Registration Process Guide

GMC Registration Process Guide for Doctors

A clear summary of the GMC registration process, common registration routes, fees, yearly annual fees, revalidation requirements, and useful official links. This page is designed as a practical overview and should always be checked against the latest official GMC guidance before you apply or pay any fee.

Quick Summary View Fees Revalidation

Registration Summary

The GMC registration process depends on your background, qualification, and route. In most cases, doctors first identify the correct route, gather required evidence, submit an online application, complete checks, pay the relevant fee, and then maintain their registration and licence through annual fees and revalidation.

Important: If you want to practise medicine in the UK, you need registration with a licence to practise. If you only want to stay on the register without practising, the GMC has separate guidance on registration without a licence and on restoring or applying for a licence later.

Apply for or restore a licence to practise

Common GMC Registration Routes

The GMC route depends on whether you are a UK graduate, an IMG, applying through PLAB, using an acceptable overseas exam or postgraduate qualification, or applying for specialist or GP registration.

Provisional Registration

Usually for doctors entering an approved UK Foundation Year 1 post.

Official provisional registration guide

Full Registration

Needed for unsupervised medical practice in the UK and for doctors progressing beyond F1.

Official full registration guide

IMG Route via PLAB

Many international medical graduates apply for full registration after passing PLAB and completing internship requirements.

Full registration for IMGs who passed PLAB

Other IMG Routes

Some applicants qualify through acceptable postgraduate qualifications, sponsorship, or an acceptable overseas registration exam.

Use the GMC route finder

Specialist / GP Registration

Required for entry to the Specialist Register or GP Register through the relevant pathway.

Applying for specialist or GP registration

Find the Correct Route

The GMC’s official route tool is the best place to start before preparing documents.

Find your route

Registration Flow Chart

A simple overview of the usual GMC registration journey for doctors.

1

Find Your Route

Use the official GMC route finder to identify the correct application path.

2

Check Eligibility

Confirm PMQ, internship, exam, sponsorship, or specialist pathway requirements.

3

Gather Evidence

Prepare qualifications, identity documents, good standing evidence, and other required records.

4

Verification

Non-UK qualifications may need primary source verification through EPIC / ECFMG.

5

Apply Online

Submit the application and pay the relevant fee through GMC systems.

6

Decision & Entry

Once approved, your registration and licence status appears on the register.

7

Maintain & Revalidate

Keep details updated, pay annual fees, and complete revalidation requirements.

Key Documents and Checks

Exact requirements depend on your route, but these are common areas many doctors need to prepare.

Primary Medical Qualification

IMGs with non-UK medical qualifications usually need independent primary source verification before registration is granted.

Primary source verification guidance

Certificates of Good Standing

The GMC asks applicants to list countries where they have practised or held registration in the last five years and usually requires certificates of good standing from those regulators.

Good standing and employer reference guidance

Employer References

These may be needed for certain periods of work, observerships, attachments, or non-medical employment.

Employer reference guidance

GMC Online

You will use GMC Online for application steps, updating details, annual fees, and revalidation information.

Maintain your registration

GMC Fees and Yearly Fees

These figures are taken from the official GMC fees pages. Always re-check the official fee table before applying or paying.

Annual retention fees

Fee type From 1 Apr 2025 From 1 Apr 2026
Annual fee with a licence to practise £463 £481
Annual fee without a licence to practise £166 £172
Discounted annual fee with licence (fixed term discount) £177 £184
Discounted annual fee without licence (fixed term discount) £64 £66
Income discount threshold £37,000 £38,500

Registration and restoration fees

Fee type From 1 Apr 2025 From 1 Apr 2026
Application for provisional registration with licence £25 £26
Application for full registration with licence £463 £481
Discounted application for full registration with licence £177 £184
Scrutiny fee if application is refused, closed or withdrawn £106 £110
Restoration after administrative erasure (plus annual fee) £386 £401

Specialist / GP registration fees

Fee type From 1 Apr 2025 From 1 Apr 2026
CCT £497 £516
Portfolio pathway application £1,902 £1,974
Review of portfolio pathway application £826 £857
Relevant European qualification route £497 £516

The GMC also publishes separate fees for PLAB, specialist pathway variations, appeals, and revalidation for doctors without a connection.

Revalidation Process

Every licensed doctor must revalidate to show they are up to date and fit to practise. Revalidation is not a one-time event after registration. It is part of maintaining your licence.

What revalidation means

Revalidation is the GMC’s process for licensed doctors to demonstrate they are keeping their skills and knowledge up to date and remain fit to practise.

How often it happens

Doctors usually revalidate once every five years.

With a connection

If you are linked to a responsible officer through a designated body, or to a suitable person, you usually collect supporting information, discuss it at annual whole practice appraisal, and your RO or suitable person makes a recommendation to the GMC.

No connection

If you do not have a connection, you must keep your connection status updated, submit an annual return, and may need to complete the GMC revalidation assessment and provide extra evidence.

Typical revalidation steps

1

Keep Details Updated

Update GMC Online with contact and connection details.

2

Collect Supporting Information

Reflect on CPD, quality improvement, feedback, and whole practice evidence.

3

Annual Appraisal

Discuss your evidence at annual whole practice appraisal.

4

Recommendation / Annual Return

RO or suitable person makes recommendation, or you submit annual return if no connection.

5

GMC Decision

The GMC decides whether you are revalidated and sets the next cycle.

Revalidation fees for doctors without a connection

Fee type From 1 Apr 2025 From 1 Apr 2026
Revalidation annual return fee £296 £307
Revalidation assessment £1,307 £1,357

Frequently Asked Questions

1. Where should I start if I do not know my GMC route?

Start with the official route finder: Find your route.

2. Do all doctors need a licence to practise?

You need a licence to practise if you want to practise medicine in the UK. Some doctors remain registered without a licence, but they cannot practise until they add or restore it. Official licence guidance

3. Do IMGs need primary source verification?

Many doctors with non-UK medical qualifications need independent verification before the GMC grants registration. Read the GMC verification guide

4. How often do I pay the annual fee?

The annual fee is due on the anniversary of your registration or restoration to the register. Official annual fee guide

5. Can I pay in instalments?

The GMC provides guidance on Direct Debit and other payment methods. How to pay your fees

6. Is revalidation required for every licensed doctor?

Yes. Every licensed doctor must revalidate to maintain their licence to work in the UK. What is revalidation?

7. What happens if I have no designated body connection?

You must keep your connection status updated, submit an annual return, and may need to take the revalidation assessment. Revalidation with no connection

8. Where can I check my proof of registration later?

Once registered, doctors can access proof of entry through GMC Online. Proof of registration guidance

Use Official GMC Guidance at Every Step

GMC registration rules, fees, and evidence requirements can change. Always confirm your exact route, document list, and current costs using the official GMC pages before applying.

Find Your Route Check Current Fees