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MTI information for UK hospitals

Update to Trusts – 22 September 2020

The Academy of Medical Royal Colleges and NHS Employers have produced joint statements around supporting those arriving in the UK to work under MTI Scheme as well as retaining those MTI currently on tier 5 visas:

1. Asking employers to provide what help they can to new MTI doctors who are being required to self-isolate on arrival in the UK for the first time New MTI doctors and self-isolation (PDF)

This statement incorporates the following guidance relating to the quarantine period and leave arrangements for new and existing staff:

2. Seeking support from trusts to do what they can to minimise the loss of MTI doctors onto Tier 2 visas MTI doctors Tier 2 and Tier 5 employment

NHS employers have developed a dedicated international recruitment toolkit which is aimed at supporting those coming to work from overseas in UK during this challenging period with practical examples of how Trusts can support their doctors. This can be downloaded from NHS Employers.

Offering an MTI trainee a post at your hospital

We encourage UK hospitals to offer training placements for International Medical Graduates. While this experience will have an enormous positive impact upon the doctor, it also provides a great opportunity for units in the UK to learn from their international colleagues and share experiences and surgical knowledge. The RCOG provides educational guidance and support. Trainees on the MTI scheme have access to the Training ePortfolio for training and monitoring purposes.

For more information, please read:

The deadline for MTI post applications in this round is Friday 30 September 2022 for MTI training posts to begin on or before Saturday 31 December 2022.

Process for submitting a placement request

If you would like to offer an RCOG MTI Trainee a training placement post at your hospital in the 2022 round, you will need to obtain Deanery approval before completing the declaration form. Please start these discussions as early as possible as part of the initial job planning process.

Once the post has been approved in principle by the Deanery, you need to complete an MTI 2022 Placement form and declaration (Word 949kb).

Return this form, together with a purchase order, job description and rota timetable to .

The placement form must be signed by the Trust College Tutor and the Training Programme Director or Head of School for the Region. We will accept electronic or hand signatures but not typed signatures.

What happens once we receive the declaration form

Once we receive the completed declaration form signed by all parties and required supporting evidence the application will be processed by the RCOG MTI office. This will then go to the Regional RCOG MTI Champion and / or RCOG MTI Officer for approval. If we have any questions, concerns or need any additional information we will be in touch. Once we have all the required information you can expect to receive a decision on the posts approval within 10 working days.

If the placement application is approved the declaration form will be counter signed by the RCOG MTI Officer on behalf of the College.  A signed copy will be returned to you for your records along with the invoice.

Please note that MTI invoices must be paid within 30 days of receipt and the matching will not proceed until the invoice has been paid.

We will then begin matching your hospital with suitable MTI applicants on our MTI wait list.

Next steps: Matching process

Once your Trust has paid the invoice the College will send you the application pack(s) of suitable doctor (s) that are short listed for your hospital for consideration. The RCOG MTI office will send detailed instructions around the matching options and the next steps in the process.  

If you wish to offer the placement post to the matched MTI doctor, the RCOG MTI office will guide and support the placement hospital and MTI Doctor through the process including obtaining GMC registration and the Certificate of Sponsorship (CoS) for the tier 5 visa through to arrival in the UK and starting in post.  

Please note the RCOG MTI office is not involved in the logistics of organising or running interviews during the matching process for MTI placement posts.

If you have any queries please contact .

Charges to hospitals

For the College to ensure a quality service to both hospitals and doctors, it began implementing a charge to hospitals for placing a doctor in post. This charge was introduced to enable the RCOG to maintain a high standard of assessment, induction and ongoing mentorship / support / quality assurance in view of the rising number of doctors placed in the scheme.

The charge to hospitals per placement offered is £2500 plus VAT.

All hospitals are required to submit payment to the RCOG immediately after submitting the forms within this document and on receipt of an invoice from the College. Hospitals who withdraw their placement from the scheme will not be reimbursed.

Charges are per placement per doctor. Hospitals who offer more than one placement will be charged per placement offered.

MTI New starters reports

Once your MTI doctor(s) have arrived in the UK and started the 14-day mandatory quarantine period (if applicable) please ensure we are updated here in the MTI office. 

Once the doctor officially starts in post with the employing Trust, an AoMRC New Starters Report must be completed and returned along with copy of the doctors visa and BRP (Biometric Residence Permit) to within 14 days of the start date.

Please also copy us into your email ( for monitoring purposes.

Please note that the New Starters Report is a legal requirement from UKVI and is a condition of the Academy issuing a CoS.

End of placement / Transfer to another hospital

You will need to complete an MTI Exception Report which will be submitted to the MTI department at the Academy of Medical Royal Colleges and the MTI Office at the RCOG, if an MTI trainee in your hospital:

  • Has reached the end of their placement
  • Has resigned
  • Has been absent from work for more than 10 days without permission
  • Has been dismissed
  • Is moving to a different hospital within your trust
  • Has breached the terms and conditions of their leave
  • Has been engaged in criminal activity

Download the Exception Report from the AOMRC website, complete it and email it to .

Please ensure an AoMRC End of MTI report is completed and returned as soon as the the MTI trainee resigns or completes their placement. This is needed for quality assurance purposes to enable monitoring of MTI completion rates within the scheme and for UKVI to cancel the tier 5 visa accordingly.

Upon receipt of completed End of MTI report the RCOG MTI Office will then be able to issue an MTI certificate / letter to cover time spent in MTI training to the doctor.