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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

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

  1. 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.

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 a 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 can you also copy us into this 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 MTI Reporting

Please ensure an End of MTI report is completed and returned (copying us in ) once 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.

An introduction for UK hospitals to the Medical Training Initiative (MTI) scheme

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:


MTI Hospital Placement form

Applications for MTI 2020 placements have now closed. We anticipate placement applications for the RCOG MTI Scheme 2021 to open in January 2021.

If you would like to offer an MTI trainee a post at your hospital in the 2021 round you will need to obtain Deanery approval and complete an MTI Hospital Placement MOU form, together with a purchase order, plus job description and rota timetable, and return to by the deadline.

The majority of placements are expected to commence from August and September 2021.


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.


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


If an MTI doctor is moving to a different hospital within the Deanery the Transfer Form (available from the AOMRC website) must be completed and returned to together with a copy of doctor’s passport and visa.