• Starter Report

    Medical Training Initiative

  • Further Update 06/07/2026:

    The pre-employment Right to Work check must be conducted once the doctor's visa period has begun. If the check is conducted prior to this, the document will contain a notice that the document does not establish the doctor's right to work.

     

    IMPORTANT UPDATE 19/03/2026:

    The Right to Work Profile must be submitted to the AoMRC before the MTI doctor can commence their placement. 

    If an MTI doctor starts working before the Academy of Medical Royal Colleges (the visa sponsor) have a copy of the Right to Work Profile, this is punishable by a fine from the Home Office and may be considered as employing an illegal worker.

     

     

     

    This form provides evidence that the MTI doctor has taken up the post for which they have been provided a Temporary Work - Government Authorised Exchange visa. It must only be completed by the doctor's employer, NOT the doctor themselves. Any starter report submitted by an MTI doctor will be rejected by the Academy.

    • Last Update: 06/07/2026 

    • 06/07/2026

      • Added clarification that the pre-employment Right to Work check must be conducted after the visa period has started, but must still be before the doctor can commence their placement.

       

      03/07/2026

      • We have now removed the requirement for the Royal College to confirm the report once it has been submitted. Starter Reports should now be sent directly to the AoMRC once submitted.

       

      19/03/2026

      • Due to updates in UKVI's sponsorship guidance, you must now submit a Right to Work Profile to mti@aomrc.org.uk before the doctor can legally begin working.
        • If an MTI doctor commences their placement before the AoMRC has obtained their Right to Work Profile, this is punishable by a fine from the Home Office.
      • We have now removed the Right to Work Profile requirement from the Starter report, as this should be submitted directly to mti@aomrc.org.uk 
      • Additionally, UKVI require a follow-up check before the end of an MTI doctor's visa. 
        • This includes doctors who are applying for an Extension, a Right to Work follo-up check must be submitted before the end of their current visa.

       

      17/11/2025

      • Clarified the requirement for the doctor's NHS email address and the process for when this is not yet available.

       

      23/10/2025

      • Added section to upload a copy of the doctor's eVisa in order to align with current UKVI processes.

       

      12/08/2025

      • Removed references to entry clearance vignettes and updated the form to align with current UKVI processes

       

      15/07/2025

      • Added clarification in line with UKVI's eVisas - As of 15/07/2025, UKVI will no longer provide physical visas for the Temporary Work - Government Authorised Exchange visa route, all visas will be eVisas.
      • Added this information to the question regarding whether the doctor applied from certain nations. This question will remove the visa vignette section from the report.

       

      06/05/2025

      • In certain circumstances, a migrant may not have a physical TW GAE visa page in their Passport, and will only have an eVisa instead. In order to account for this possibility, we have added a new section to this report to reduce confusion regarding the "entry visa vignette" date.

       

      24/03/2025

      • Added a dedicated section for ECS checks. 
        • If the doctor's visa is issued for 6 months or less, they will be unable to create a UKVI account and therefor inelligible for a Right to Work profile. In these cases, an ECS check must be performed and submitted with the Starter report

       

      18/03/2025

      • Further clarified what constitues a late start

       

      17/03/2025

      • Part 3 removed - "Part 4: Employer Confirmation" is now "Part 3: Employer Confirmation" 
      • Redistributed the contents of the old Part 3 to help reduce duplication of work
        • Right to Work and Data Protection Consent form upload fields have been moved to Part 1
      • Moved the GMC Sponsoring Organisation section from Part 1 to the new Part 3
      • Further clarified the requirements for the Starter report
      • Added "Passport Number" field for additional verification

       

      17/12/2024

      • Rearranged some elements of Part 2 and Part 3 to create a more logical flow
      • Further clarified the requirements for the Data Protection Consent form, specifically:
        • We can only accept DPC generated via the AoMRC DPC form
        • We cannot accept the same document that was submitted with the doctor's original MTI application
        • The DPC must contain the doctor's UK address

       

      22/11/2024

      • Added additional guidance and some images to clarify the document requirements of this form
    • end 

    • All of the following information must be submitted with this report or we will not accept it. Please ensure you have everything ready before beginning the report, as you cannot save your progress.

    • Part 1: Details of the MTI doctor and Supporting Documents

      Please give all names EXACTLY as they appear in the passport

    • Please ensure the MTI doctor's name is included EXACTLY as shown on the Passport as the information contained in this report is submitted to UKVI.

       


    • If the doctor’s NHS email address is not yet available, please provide an alternative email address so that the Starter Report can be submitted without delay.

       

      Once the doctor’s NHS email address has been generated, the doctor must notify the MTI team at MTI@aomrc.org.uk so that we can update our records.

       

      It is important that we receive the doctor’s NHS email address once available, as this information is required for our records.

    • The date the doctor was notified of a grant of entry clearance or permission to stay*
       - -
      2 digit day, 2 digit month, 4 digit year
    • The date the doctor entered the UK*
       - -
      2 digit day, 2 digit month, 4 digit year

    • Please Note: As of 15/07/2025, UKVI will no longer provide visa entry vignettes for Temporary Work - Government Authorised Exchange visas, all visas will be via UKVI's digital eVisa system, requiring a UKVI account. 

    • Did the doctor apply for their TW GAE from one of the above territories OR did they receive their visa on or after 15/07/2025?*
    • Does the doctor have a TW GAE visa page in their Passport?*

    • This will be the date the doctor was notified that their visa application is complete, or the date the visa was issued.

    • Data Protection Consent form

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    • Instructions on how to generate the Data Protection Consent form (click to expand/collapse) 

    • We can only accept a Data Protection Consent form that was generated using the form on our website here: https://mti.aomrc.org.uk/mti-forms/

       

      1. The MTI doctor must complete the AoMRC Data Protection Consent form, including their UK address

      2. When the form is submitted using the green "Submit" button, the MTI doctor will be emailed a PDF version of the Data Protection Consent form to the email address they included on the form

      3. The MTI doctor must then forward this document to the UK employer who will attach it to this form

      4. The AoMRC will not accept any Data Protection Consent form that was not completed on the AoMRC system. 

       

      The Data Protection Consent form must be completed by the MTI doctor themselves and we cannot accept a form completed on their behalf. 

      Due to this, we cannot accept a screenshot of the form or an edited version of the document, we can only accept the PDF generated by our secure online form.

       

      We also cannot accept the Data Protection Consent form that was used for the doctor's original MTI application.

    • end 
    • Example Data Protection Consent form (click to expand/collapse) 
    • Image field 89
    • end 

    • eVisa from UKVI account

       

      As of 15/07/2025, all Temporary Work - Government Authorised Exchange visa holders will no longer receive a physical visa and this has been replaced by the new eVisa system. 

      Once the doctor receives their visa decision, they should log in to their UKVI account to check their eVisa status and once they have entered the UK, we will need a copy of the eVisa screen which should include details such as the start date of the doctor's visa.

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    • Please confirm the visa start date as shown on the eVisa*
       - -
      2 digit month, 2 digit day, 4 digit year
    • Is the MTI doctor's TW GAE visa valid for more than 6 months from the "valid from" date to the "valid until" date?*

    • ECS Check

       

      As the doctor's visa is for 6 months or less, we will require an ECS (Employer Checking Service) for this doctor, in order to establish the doctor's right to work in the UK.

      Please follow this link to complete the ECS

       

      Once you have the document, please add your signature to the document to verify this as a true likeness of the doctor (we can accept a digital or physical signature, but it must be visible on the document itself, we cannot accept verification by email or an accompanying document). 

       

      Please note: We can only accept an ECS check in cases where you are unable to generate a Right to Work (RTW) profile. If we believe that a doctor should be elligible for a RTW profile but an ECS is provided instead, we will reject this report.

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    • Date the ECS was conducted (shown as "Date of Notice")*
       - -
      2 digit month, 2 digit day, 4 digit year

    • Right to Work Profile

    • Please provide the Right to Work Profile, we cannot accept the Sharecode

       

       

      If the Right to Work Profile contains the below statement, we cannot accept the document and a new check must be conducted as soon as possible: 

      "You have conducted this check before the individual's immigration permission is valid and therefore have not established (or retained) a statutory excuse. All permission must be valid at the time a check is conducted to establish a statutory excuse under the Right to Work scheme. You must therefore make this check again when the permission becomes valid."

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    • Please confirm the following conditions are met, otherwise we will not be able to accept this starter report*
    • Final date the doctor can work until (as stated on the Right to Work profile, example below)*
       - -
      2 digit day, 2 digit month, 4 digit year
    • Instructions on how to generate the Right to Work Profile (click to expand/collapse) 

    • How to generate this document:

      1. The doctor must generate a "Sharecode" via this link: https://www.gov.uk/prove-right-to-work
      2. The UK employer must enter this code to the UKVI Right to Work checker here: https://www.gov.uk/view-right-to-work

      3. Save the generated document as a PDF file

      4. Add your signature to the document to verify this as a true likeness of the doctor (we can accept a digital or physical signature, but it must be visible on the document itself, we cannot accept verification by email or an accompanying document).

       

      If you are unable to generate this document, please contact mti@aomrc.org.uk immediately

    • end 
    • Example Right to Work Profile (click to expand/collapse) 
    • Image field 78
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  • Part 2: Details of the post

  • Date of doctor's first day of work*
     - -
    2 digit day, 2 digit month, 4 digit year
  • Did the doctor start their placement 28 days or more after the work start date displayed on their CoS or the date the doctor was notified of their grant of entry?*

  • Please Note: The MTI doctor must commence their placement within 28 days of whichever is the latest of the following, otherwise they are considered late:

    • the latest start date displayed on their CoS (including Sponsor Notes)
    • the date the worker is notified of a grant of entry clearance or permission to stay

  • Part 3: Employer Confirmation


  • Has any organisation other than the NHS employer (e.g. a medical Royal College) had any involvement in this doctor's MTI placement? This may have been to provide GMC sponsorship, or they may have assisted the doctor in finding their NHS post*

  • Please note: If a medical Royal College or other organisation was involved in the doctor's placement in any way and they are not listed on this report, we will reject the report.

  • The NHS employer's reporting obligations to the Academy are listed here.

  • Appendix D of the Home Office's sponsor guidance is available here.

  • *   

  • Date*
     - -
    2 digit day, 2 digit month, 4 digit year

  • ERROR: You have entered an AOMRC email address in one of the email fields. We kindly request that the AOMRC is not included in any correspondence about a report before it is submitted to us, so please enter the correct email address in the relevant field.

    If you have any general questions about MTI reports, please either consult the guidance documents linked throughout this form or contact the team on mti@aomrc.org.uk.

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