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UK Foundation Programme (UKFP) For International Medical Graduates

Complete guide for IMGs applying to the UK Foundation Programme (FY1 Doctor pathway), including IELTS, NCA, PLAB 1, PLAB 2, GMC registration, eligibility requirements and UKFP 2026 timelines.

What Is The UK Foundation Programme (UKFP)?

The UK Foundation Programme is the official 2-year training programme for newly qualified doctors in the United Kingdom.

International Medical Graduates (IMGs) can apply directly to FY1 through the UK Foundation Programme if they meet the eligibility requirements and obtain GMC registration before starting the programme.

After completing FY1 and FY2 successfully, doctors become eligible to progress into specialty training pathways in the NHS.

Pathway For Recent Graduates

If you graduated recently and fall within the UKFP eligibility period, you generally need:

IELTS Academic or OET
PLAB 1
PLAB 2
GMC Registration
UKFP Application

Pathway For Graduates More Than 2 Years Before FY1 Start

Applicants who graduated more than two years before the programme start date may be required to complete the NCA Clinical Assessment in addition to IELTS, PLAB 1, PLAB 2 and GMC registration requirements.

IELTS Academic / OET
NCA Clinical Assessment
PLAB 1
PLAB 2
GMC Registration
UKFP Application

UKFP 2026 IMG Timeline

Typical pathway timeline for IMGs applying to the UK Foundation Programme.

IELTS Academic / OET

Early Preparation

UKFP Eligibility Application

July 2025

NCA Clinical Assessment (If Required)

Sep - Nov 2025

PLAB 1

Before FY1 Start

PLAB 2

Before GMC Registration

UKFP Application

Sep - Oct 2025

Allocation & Offers

2026

Start FY1

August 2026

NHS Career Access

Begin your medical career within the NHS through structured training.

GMC Registration

Complete the pathway towards full GMC registration and UK practice.

Specialty Training

Progress into Internal Medicine, Surgery, Paediatrics, Psychiatry and other specialties.

Frequently Asked Questions

Do IMGs need IELTS for UKFP?

Most IMGs need IELTS Academic or OET to satisfy GMC English language requirements.

Do I need NCA?

Applicants who graduated more than two years before the programme start date may need to complete the NCA Clinical Assessment.

Do I need PLAB?

Most IMGs applying through UKFP require PLAB 1 and PLAB 2 before obtaining GMC registration.

When does FY1 start?

FY1 doctors normally start work in August each year.