Competition Ratios and Posts

Competition Ratios 

In 2026, competition for Core Surgical Training (CST) CT1 posts remained exceptionally high, with 4,975 applications competing for just 720 available posts, resulting in a competition ratio of 6.91:1. Although this represents a decrease from the record competition ratio of 8.57:1 in 2025, when 5,399 applications were received for 630 posts, competition remains significantly higher than in previous years.

With almost seven applications for every available training post, thorough preparation and strong interview performance remain essential for candidates hoping to secure a Core Surgical Training position.

This data has been taken from the reports available on NHS England’s Medical Specialty Training website

Once shortlisted for an interview, expect an invitation to select CST preferences around March 2026. Prioritise available CST posts, numbering them in order of preference.

Allocation follows a straightforward algorithm: starting with your top choice, if available, it's offered; if not, it moves to the next. Rank all desired placements, excluding those you don't wish to consider.

Consider geographic regions wisely; you can apply to 15 deaneries in the UK (excluding Northern Ireland). Be mindful of competition ratios when ranking posts.

Factor in future speciality aspirations when selecting rotations. Determine whether hospitals are district general or teaching hospitals, as each offers distinct advantages in professional development and exposure to medical conditions. Conduct research to ensure informed decisions.

For more information visit HEE Competition Ratios & Posts