Information about ANRO:

The Anaesthetics National Recruitment Office (ANRO) at Health Education England working across the West Midlands is the responsible organisation for coordinating CT1 and ST4 recruitment to Anaesthetics specialty training posts (including ACCS Anaesthetics) within the NHS.

Recruitment to anaesthetics training programmes is conducted twice-yearly for August and February commencement.

It is recommended that potential applicants familiarise themselves with the Medical Specialty Recruitment Applicant guide 2025. 

RCoA Website: Recruitment into Anaesthesia

MSRA Information for August 2025 Recruitment

Please read the following regarding MSRA for Round 1 Recruitment Multi-Specialty Recruitment Assessment (MSRA) for 2025 recruitment

Amendments to Guidance for August 2025 Recruitment

Updated guidance pertaining to the August 2025 R1/2 recruitment rounds will be published prior to applications opening. Applicants must please ensure they have read and fully understand these amendments before submitting their application.

Changes to ST4 Self-Assessment Criteria from August 2026 Recruitment

Applicants should please be advised that, from Round 2 August 2026 recruitment onwards, points for all undergraduate degrees will be removed from Domain 1 (Additional degrees and qualifications) of the Self-Assessment Criteria for ST4 Anaesthetics recruitment. This change is NOT implemented for the Round 2 August 2025 recruitment year.