National Recruitment  2022

The ICM National Recruitment Office manage specialty recruitment to ICM training posts. The Faculty provides support to this process. The numbers of available posts in each specialty is controlled nationally by NHS England and the devolved nations' NHS administrations. 

Information on how to apply, the national recruitment timeline, and applicant guidance and other useful information can be found on the NHS Health Education West Midlands website.

The FICM Careers, Recruitment & Workforce committee has established plans for ICM Recruitment 2022. 


2022 Recruitment Timeline

Tuesday 16 November 2021 Advertisement appears on NHS Jobs, BMJ and Oriel
10am Thursday 18 November to 4pm Thursday 9 December 2021 Application window
Tuesday 11th January 2022 - Tuesday 25th January 2022 Self Assessment Document Upload window
Tuesday 15th February 2022 Self Assessment verification scores released 
Tuesday 15th February 2022 - Friday 19th February 2022 (4pm) Self Assessment verification review window
Monday 28th February Invite to Interview & Applicant Declaration sent
Thursday 3rd March 2022 (4pm) Deadline for Interview Booking & Applicant Declaration return
Wednesday 16th March 2022 - Thursday 24th March 2022 Online Interview Window 
Thursday 21st April 2022 Offers Released 
Tuesday 3rd May 2022 Hold Deadline
Wednesday 4th May 2022 Upgrade Deadline


    Key Updates - Here are some of the key updates that applicants and trainers should be aware of with regards to ICM national recruitment.

    Since our previous update in May 2021, we have been working hard behind the scenes with the General Medical Council, Health Education England, the Conference of Postgraduate Medical Deans (COPMeD), Medical and Dental Recruitment and Selection (MDRS), the four Statutory Education Bodies, multiple Specialty Postgraduate Lead Deans and Specialty Advisory Committee Chairs and our respective Training Committees, and we are delighted to announce that we have confirmed support and approval to proceed with the ICM/medical Triple CCT programmes. This vital step safeguards the future of doctors being able to train in Intensive Care Medicine and a defined group of physician specialties. FICM considers physician colleagues to be essential to the work and future of Intensive Care Medicine.

    As Internal Medicine Training (IMT) will be fully incorporated into the associated Group 1 medical specialty from August 2022, trainees that successfully complete the triple CCT training programme will gain a CCT in Intensive Care Medicine, Internal Medicine and their chosen medical specialty. The medical specialties that are currently supported by this programme are Acute Internal Medicine, Renal Medicine and Respiratory Medicine.

    For the full news story please click here 

    14 January 2021

    As the current surge in the covid pandemic has left hospitals and critical care services working at full stretch, it was vital for us to review the arrangements for the National ICM recruitment process currently underway for 2021. Reviewing the planned process for this year, it is now not going to be possible for us to devise and deliver an online interview process for the following reasons:

    • The interviewers we would plan to use are all practicing Consultant Intensivists, fully committed to clinical work to meet the huge demand of the current surge; these interviewers will simply not have time to undertake the training required for this new online process for interviewing.
    • They are also unlikely to be able to commit to being available for days of interviewing in March with the current uncertainty surrounding how long the current surge will last and the associated increase in their clinical workload.
    • Finally, most of the applicants themselves will currently be working in acute specialties and may struggle to commit to an interview date and have difficulty in finding time to prepare for an interview in March.

    The Faculty and the ICM National Recruitment Office have therefore taken the necessary decision to implement our plan B - that is to cancel the interview process and use the self-assessment of portfolio scoring with subsequent verification by a team of Consultant Intensivist assessors. This will provide us with a way of determining which applicants are appointable and will also enable the applicants to be ranked in order to allow them to then be matched to training posts across the United Kingdom. The switch to plan B and cancellation of the interview process also gives candidates two extra weeks in which to upload their evidence to the self-assessment portal - this is vital as our applicants are also extremely busy with clinical commitments at the moment, with many of them working on surge rotas. There will also be more time allocated for the Consultant Intensivist assessors to access the training material for the verification process and a longer window for them to carry out the verification of the self-assessment portfolio scores. The new timetable proposed for 2021 ICM Recruitment is as follows:

    Although a move to plan B is not ideal, the current circumstances dictate we must do this; our specialty of Intensive Care Medicine is obviously on the frontline of the pandemic and working at full stretch. The portfolio self-assessment system we are using has been tried, tested and quality assured over the last few years, the additional remote verification process by assessors that we are implementing this year will help ensure this is a robust and fair way of delivering ICM recruitment across the United Kingdom for 2021, despite the challenges we all face.

    Should you have any questions regarding this or require any further information, please do not hesitate to contact or 

    For those wishing to join the ICM programme in August 2021, you will be beginning your ST3 ICM journey against our new 2021 curriculum. The GMC have advised that for those in Internal Medicine (IM) it will be possible to apply for ST3 ICM during your second year of IM, as long as you are on track to successfully complete the year and have the suitable examinations to suit the eligibility criteria in the person specification.

    This is a new addition for 2021; however, it leaves IM Trainees with an important decision to make, as not completing your 3-year IM training programme in full will have consequences on your future career plans should you ever want to go back into one of the physician specialties.

    If you are sure that the single ICM CCT is the pathway for you, then applying whilst in the second year of your IM training may be something you wish to consider. However, if you have any aspirations to dual train in the future with acute medicine, respiratory medicine or renal medicine then completing the full 3 years of the IMT programme may be the best course of action.

    We would encourage you to speak to your local ICM trainers to find out more about training in your region, if you have any specific queries please contact us

    *Information updated 15 January 2020*

    Anaesthetic CCT Curriculum 2020 - transition plans and how this will affect dual training with ICM 

    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

    Recruitment Upper Limit for 2016

    For previous recruitment rounds there was no upper limit on when a trainee could enter a second specialty within training. This changed in 2016. 

    From the 2016 recruitment round onwards (interviews are held in spring), trainees will not be able to apply for Dual CCTs if they are beyond the end of ST5 in their initial specialty of appointment at the time of interview for ICM. 

    The August 2015 intake was therefore the last opportunity for trainees above ST5 in a partner specialty to apply for a Dual CCTs programme with ICM. 

    Please see the Winter 2015 issue of Critical Eye for an article discussing the upper limit (pg.21).

    ICM Recruitment

    Discover ICM *Updated version coming soon*

    This resource aims to give a quick and easy introduction to a career in Intensive Care Medicine (ICM), providing direct information and links to useful online resources. 

    National Recruitment for ICM will be for doctors starting in ST3 on the new curriculum.  Health Education West Midlands (HEWM) run the ICM National Recruitment Office on behalf of the Faculty.  Each year they develop a HEWM website which contains all of the information you need on applying and submitting your application.  

    ICM has no core programme and accepts applicants from the Acute Care Common Stem, Core Anaesthetics Training and Core Medicine Training.  Guidance on getting equivalence for core programmes is available here.

    Recruitment is the responsibility of the Careers, Recruitment & Workforce Committee (FICMCRW), which is chaired by Dr Jack Parry-Jones.  The CRW features representation from the Lead Dean, The Royal College of Anaesthetists, The Royal College of Emergency Medicine and the Joint Royal College of Physicians Training Board.  Dr Parry-Jones leads on matters relating to recruitment (assessment, training and quality assurance).  James Goodwin, Natalie Bell and Susan Hall lead on recruitment for the Faculty Secretariat. 

    The HEWM Team can be contacted at  

    Interested in a career in ICM?
    Read some stories of those working in the specialty.