Competition · General Practice ST1
4.9applicants per post in 2025
20,995 applications for 4,276 posts
- 1.32019
- 1.52020
- 1.82021
- 2.12022
- 2.7

· GPST3, Royal Free London VTS Scheme (North Central London)
I am a GPST3 in my final few months of training in North Central London. I have an interest in dermatology, sexual health, and leadership. I am lucky to represent my VTS as a trainee representative for HEE.
Competition · General Practice ST1
4.9applicants per post in 2025
20,995 applications for 4,276 posts
That is up from 1.3 in 2019: applications have grown 4.1× and posts are up 11%.
Source: NHS England Medical Hub — competition ratios, 2019–2025. NHS England had not published a 2026 specialty-level dataset when this was last checked. Checked 14 October 2026.
An MSRA revision course and utilising different question banks.
Nil portfolio required for GP.
Research the different locations that you would prefer and rank. The competition to get into GP training is increasing every year; what used to be a 1:1 ratio is around 1:3 in the 2024/205 application round. Be open to a wide area, and not too many VTS (vocational training schemes) will have overlapping locations.
I would recommend that if you are interested in GP training from your Foundation Years, you try to specifically involve yourself in community-based or primary care-based roles. For example, during my FY1, I had a Geriatric Medicine rotation. During this rotation, I was offered the chance to attend the Cottage Hospital/Rehabilitation Centre once a month to complete the ward round with the consultant. This enabled me to understand specific community roles that I had never encountered in a hospital before. In addition, if you have a specific area of interest, such as sexual health, dermatology, etc, try to sit in on clinics or conduct a QIA/QIP on a topic you are interested in.
Be involved, ask lots of questions, and get a flavour of what it is like to be a locum, salaried, or partner GP. GP is changing every day, and as the ARRS roles become more well-established, the day-to-day life of a GP will become less patient-focused and more supervisory.
Take your annual leave, take study leave, and prioritise your own wellbeing! Try to complete an audit that is GP-focused.
General Practice is difficult and can be stressful. If you are not sure about training, don’t start GP, do another F3 year.
It will make your job a lot easier; history always gives all the clues.
If you want to have a Portfolio GP career in the future, start early. Sitting in on an extra clinic during your self-directed study time will make all the difference when you have CCT’ed.
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