The GMC do not recognise any such entity as *a* Dual CCT. There are Dual CCTs. There is the opportunity for trainees who wish to train in ICM to also concurrently train in another CCT specialty. These curricula and their respective recruitment and assessment processes are completely independent of each other, but as a result of common competencies shared by the curricula the total training time can be shortened by virtue of a Dual CCTs Programme. It cannot be emphasised enough that it is the programme that is dual. There is a commonly held misconception that trainees can be appointed to a Dual CCT: this is not the case. A trainee must be appointed to both primary specialty programmes which lead to a CCT in fair and open competition according to their suitability to train in that specialty as laid down in the eligibility criteria of the respective curriculum and according to that specialty’s selection process.

The RCoA have just relased as FAQ on this on their website, it states:

"Trainees who accept an ICM NTN starting in August 2020, and who wish to subsequently apply to dual train with anaesthetics, will need to access ‘top-up’ posts to gain the additional training required to complete Stage 1 of the new curriculum, in order to be eligible to apply for ST4 (Stage 2) posts in anaesthetics. We expect that these posts will take the form of Out Of Programme (OOP) posts after commencement of the ICM programme.

The RCoA will continue to work with stakeholders including the Faculty of Intensive Care Medicine, HEE and its equivalents in the devolved nations, Postgraduate Deans, the GMC and the BMA to try to ensure that these posts offer fair terms and conditions (including pay) for those who need to access them.

We will release further information as soon as agreement has been reached around the exact nature of these ‘top-up’ posts and how they will accessed.

It is also worth noting that dual training programmes can only be developed once all of the corresponding new curricula have received GMC approval."

If you have specific questions regarding this you can contact the RCoA training team via email at

*Information updated 15 January 2020*

The indicative minimum timeframe for Dual CCTs with ICM and a partner specialty is 8.5 years. This is 18 months longer than standalone ICM CCT training (7 years ) and 12 months longer than the previous Joint CCT system (7.5 years). Please see the Dual CCTs guidance documents.

Acute Medicine, Anaesthetics, Emergency Medicine, Renal Medicine and Respiratory Medicine. The Dual Programme Guidance is available on the Dual CCTs page. Further specialities may have Dual Programme agreements developed over the coming months.

Please see the information on the recruitment pages of the website.

Please note: Arrangements for Dual recruitment are still being discussed between the FICM, the RCoA, the other partner Colleges, the Deans and the Department of Health.

The Faculty and the College appreciates the difficulties Dual CCTs Programmes may lead to for TPDs and Deans. We are in discussions currently with all our partner Colleges (RCoA, RCEM and JRCPTB), the DH and the Deans to finalise a system that allows the best doctors to be recruited to ICM fairly and openly. Importantly, entry into the standalone ICM is entirely open to any trainee who has completed one of the designated Core programmes – these appointments are not ‘badged’. Whilst you may get 4 ICM doctors with a CAT background in one year, in a second year you may get 4 with a CMT background (although naturally fluctuations of this kind are extremely unlikely).

The concept of ‘badging’ posts does not fit in well with the principles of fair and open competition on which the entirety of specialist medical recruitment is now predicated. In a system of ‘badged’ posts, the programme is set and the trainees are recruited according to programme availability. For example, a dual programme consisting of Anaesthesia and ICM would only be able to recruit doctors into ICM training who already possess an NTN in Anaesthesia. This would exclude doctors with a physician or emergency medicine background from applying for training in ICM, even though those candidates may have scored higher in interview than anaesthetic trainees who finished below them, but were offered ST3 posts in ICM because there were a greater number of Anaesthetic/ICM programme vacancies. Under those circumstances we could end up not recruiting the most suitably qualified doctors to ICM. See the National Recruitment page for more information.

Doctors will be able to apply for either specialty first and it is expected doctors may apply for both at the same recruitment episode in order to increase their appointment opportunities (please read this with reference to 'Will recruitment to Dual CCTs Programmes always be by stepped recruitment?' above). They will, however, in the event of being successful at both interviews have to choose one or other specialty. It will be down to local regions to advise their applicants based on their individual circumstances about which specialty they should apply for first.

Yes. The Faculty has agreed with COPMeD and the DH that the two CCTs should be undertaken in the same Deanery.

Yes. To support workforce planning in intensive care, it is vital that, unlike the current situation, ICM has its own set of National Training Numbers.