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NHS Employer responsibilities and reporting obligations

For the Academy to issue a Certificate of Sponsorship (CoS) to an MTI placement the NHS employing organisation must comply with specific reporting duties, including the return of


MTI Forms

The MTI scheme application and other forms can be completed online by clicking the relevant form at the bottom of the page. Which form do I need? MTI

MTI extensions

If an MTI doctor’s initial visa was issued for less than 24 months and their employer wishes to extend their placement, they must submit an MTI Extension application

Deanery approval of MTI placements

The details of all new MTI posts must be approved by the postgraduate deanery for the region using the MTI Deanery approval form. It should confirm that the

Who is involved in MTI

There are five main organisations involved in supporting international doctors on the MTI scheme. A brief explanation of what each does for MTI is below.

General guidance and best practice

All Medical Training Initiative (MTI) application forms and reports should be submitted online. When submitting MTI forms and reports please refer to the sections here to ensure that

Explanatory notes

Please refer to the sections below for help completing the MTI application forms and reports. General guidance and best practice MTI Application form Deanery approval of MTI placementsMTI


If your question has not been answered here please get in touch with the MTI team at Please use the doctor’s name as the email subject.