Required English Language Competency
The ability to communicate clearly with patients and colleagues is a key requirement for all healthcare professionals. Proficiency in the English language is therefore a core competency for NCHDs working in the Irish public health service. Under Section 6 ‘Standard duties and responsibilities’ of NCHD Contract 2010, NCHDs are required to be able to communicate effectively with patients and clients; and comply with statutory and regulatory requirements, corporate policies and procedures and human resource policies and procedures.

Requirement for all NCHDs
The English language requirements for NCHDs are universally applicable. There is no distinction between training, non- training, intern or any other category or grouping. In this context, all NCHDs taking up employment with the HSE and section 38 organisations who were not registered with the Irish Medical Council in any of the divisions of the Register of Medical Practitioners prior to 1st January 2015, or who did not complete the entirety of their under-graduate medical training in the Republic of Ireland, are required to provide evidence under one of the following categories:

• Category 1. Doctors who completed their Medical degree in English from any of the following
  countries: Australia, Canada, New Zealand, The United States of America or The United Kingdom must
  provide:
  o A copy of their Medical Degree Certificate
• Category 2. Doctors who completed: The Irish State Leaving Certificate examination or A Levels in the
  United Kingdom and a Medical Degree in English must provide all three of the following:
  o A copy of Irish Leaving Certificate/UK A-Level transcript results
  o A copy of their Medical Degree
  o Certificate/confirmation from their University confirming their Medical degree was taught and
  examined solely in English
• Category 3. Doctors who meet the English Language requirements by attaining certification via the
  recognized English Language Tests must submit a certificate of test results from either the
  (Updated November 2021) Page 4 of 15
  International English Language Test System (IELTS) (Academic EXAM) or Occupational English Test
  (OET).
• Category 4. Currently employed by the HSE whereby IELTS/OET/ (CAE accepted until 2016) was
  completed upon entering service to the HSE*.

*Applicants that have been in continuous HSE employment as a medical doctor for longer than 2 years, with no
break in service, that submitted an acceptable English language competency certificate at the time of
commencing HSE employment will not be required to re-sit an English language competency test. These
applicants can upload the test they submitted to HSE on commencement of employment and must also confirm
on the application that they have been in continuous HSE employment for more than 2 years, without a break in
service.
Please refer to the table below for the minimum levels in each of the tests that are accepted by the
HSE/public health service employers:

IELTS Minimum scores
Listening 6.5
Reading 6.5
Writing 6.5
Speaking 6.5
Overall 7.0

OET Minimum Grade
Listening B
Reading B
Writing B
Speaking B
Overall B

Please note that:

• As outlined above doctors who have not previously been employed with the HSE/section 38
  organisations who apply for an NCHD position or to a national Training Programmes must provide
  evidence of a valid IELTS/OET test dated within two years at application stage.
• Test results cannot be combined. The HSE will only accept one test result.
• In addition to providing evidence, as required, of the IELTS/OET the NCHDs communication skills must
  be independently assessed, by employer or training body, as part of the application and interview
  process, before the NCHD is recommended for appointment or contract of employment issued
  (excludes Interns).
• Potential applicants must be informed of these requirements as part of the recruitment process.
  There are no exemptions to the above requirements.

Remedial Action:
Should the NCHD at any point not be able to demonstrate the required level of English language competency
set out in Section 6 of the NCHD Contract 2010, the Employer may wish to consider remedial or other action
under NCHD Contract 2010.
All applicants are required at the time of application to demonstrate to the College of Psychiatrists of Ireland
their English Language competency either by means of submitting the required IELTS/OET Certificate
documentation or by declaring themselves exempt under one of the above parameters and providing the
required documentary evidence of same.

***Information correct for July 2022 entry to BST. For further BST recruitment cycles these details are subject to change***

• The NCHD Contract requires all junior doctors participating in a structured training programme to hold
  Trainee Specialist Division registration. Given the Training Bodies’ role in the selection of trainees to
  training programmes and the subsequent proposal of such trainees to employment positions within
  the health service, it is required that all applicants to training programmes would either hold or be
  eligible to hold registration on the Trainee Specialist Division.
• In that context all applicants must indicate at the time of application their eligibility to hold registration
  on the Trainee Specialist Division. Following amendments to the Medical Practitioners Act 2007 in
  2020, all doctors who are eligible for registration in the General Division are now also eligible for
  registration in the Trainee Specialist Division.

Note: Only candidates applying to the Medical Council for registration for the first time (i.e., have never previously held registration in the Trainee or General Divisions) must provide proof of their eligibility to the Trainee Specialist Division at the time of application. The following doctors are automatically eligible for registration in the General and Trainee Specialist Divisions:

• Doctors who have graduated from an Irish Medical School and successfully completed their internship
  in Ireland or will have completed their internship by July 2022.
• Doctors who have successfully completed their medical qualification in one the following EU countries:
  o Austria
  o Belgium
  o Bulgaria
  o Croatia
  o Cyprus
  o Czech Republic
  o Estonia
  o Finland
  o France
  o Germany
  o Greece
  o Hungary
  o Iceland
  o Latvia
  o Netherlands
  o Romania
  o Spain
  o Switzerland
  o Slovak Republic

Note: Doctors who qualified in an EU member state other than one of the above will be required to provide, in addition to their medical degree, any additional documentation stated in the EU Directive 2005/36/EC, in order to establish eligibility for registration. Example, a doctor who qualifies in Poland will be asked to provide a LEK in addition to his/her medical degree when applying for registration.

• Doctors who are currently or previously registered in the General or Trainee Specialist Divisions

Applicants who have qualified outside the EU must pass or be exempt from the pre-registration exam, the PRES, to establish eligibility for General and/ or Trainee Specialist registration. Equivalent Internship exemption The Medical Council recognises internships undertaken in the following countries as equivalent and applicants  for registration who have completed one of these internships will be exempt from the PRES:

• UK (Foundation Year 1)
• Australia
• Malaysia
• New Zealand
• Pakistan where the internship was commenced after 31st December 2008 (note: the rotations must
  meet the standards of an Irish internship)
• Sudan
• South Africa where the internship was commenced after 1st July 2006
• Malta

Higher qualification exemption
Exemptions from the PRES can be granted to applicants who hold a listed higher qualification and have either  undertaken an internship of at least twelve months which comprised of a minimum of three months in  medicine in general and three months in surgery in general OR have completed a minimum of three years in  an accredited training programme.
https://www.medicalcouncil.ie/registration-applications/first-time-applicants/general-registration-non-eueea-trained-doctors.html
the Medical Council advises that first time applicants for registration who have qualified in the EU should  submit their application for registration at least 8 weeks in advance of their commencement date.  Non-EU qualified doctors should apply at least 12- 16 weeks in advance

***Information correct for July 2022 entry to BST. For further BST recruitment cycles these details are subject to change***

This information will be used in the shortlisting process. Please briefly outline your previous Specialist Medical Training on your application form. Documentary evidence will be requested if you are  successful in securing a place on the BST programme.

If you have previously undertaken Specialist Medical Training in Psychiatry within Ireland and can demonstrate learning outcome attainment, Basic Specialist Training in Psychiatry may be accelerated by a  maximum of three years, subject to approval by an Annual Review of Progress (ARP) panel.
If you wish to have your previously undertaken Specialist Medical Training considered, documentary evidence of the training will be requested if you are successful in securing a BST place. This documentary evidence must include: (i) job descriptions of all posts held and (ii) certification of satisfactory participation in training from the responsible national training body. This evidence may allow a  maximum of one year accreditation (exemption from Foundation Year) and must be submitted by the closing  date for applications. Following appointment to the Programme, training may be accelerated by a maximum  of a further two years, subject to approval by an Annual Review of Progress (ARP) panel (supporting evidence  will be required at a later stage and must include this College’s BST1-3 Learning Outcome Attainment Grid).

If you have previously undertaken Specialist Medical Training in Psychiatry outside Ireland and can  demonstrate learning outcome attainment, Basic Specialist Training in Psychiatry may be accelerated by a  maximum of two years, subject to approval by an Annual Review of Progress (ARP) panel.  If you wish to have your previously undertaken Specialist Medical Training considered, documentary evidence  of the training will be requested if you are successful in securing a BST place. This documentary evidence must include: (i) job descriptions of all posts held and (ii) certification of satisfactory participation in training from the responsible national training body.  This evidence will allow a maximum of one year accreditation (exemption from Foundation Year) and must be  submitted by the closing date for applications. Following appointment to the Scheme, training may be accelerated by a maximum of a further one year, subject to approval by an Annual Review of Progress (ARP) panel (supporting evidence will be required at a later stage and must include this College’s BST1-3 Learning  Outcome Attainment Grid).

If you have previously undertaken Specialist Medical Training in a specialty other than Psychiatry and can  demonstrate learning outcome attainment, Basic Specialist Training in Psychiatry may be accelerated by a  maximum of one year, subject to approval by an Annual Review of Progress (ARP) panel.  If you wish to have your previously undertaken Specialist Medical Training considered documentary evidence  of the training will be requested if you are successful in securing a BST place. This documentary evidence must include: (i) job descriptions of all posts held and (ii) certification of satisfactory participation in training from the responsible national training body.  Following appointment to the Programme you will be required during your first placement to complete the  College of Psychiatrists of Ireland’s Foundation Year Learning Outcome Attainment Grid. To achieve an acceleration, the evidence submitted must demonstrate to the ARP panel that (1) you have completed a  satisfactory proportion of psychiatry experience prior to application and (2) you have met an adequate  number of learning outcomes to allow progression.

***Information correct for July 2022 entry to BST. For further BST recruitment cycles these details are subject to change***