Information about ANRO:
The Anaesthetics National Recruitment Office (ANRO), part of NHS England (formerly Health Education England) based in 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.
NEW from 16th July 2025 – Applicant or Resident Doctor queries now need to submit their query to our new central helpdesk: https://nhs-help.freshdesk.com/support/home
RCoA Website: Recruitment into Anaesthesia
ROUND 3 APPLICANT GUIDANCES HAVE NOW BEEN PUBLISHED. PLEASE ENSURE YOU READ THE INFORMATION THOROUGHLY BEFORE SUBMITTING YOUR APPLICATION TO FEBRUARY 2026 RECRUITMENT.
R3 CT1 - Current Position on MSRA
Multi-Specialty Recruitment Assessment (MSRA) capacity for Round 3 is still to be finalised. Requested capacity is in line with last year’s applicant numbers, but the MSRA team are anticipating another increase this year and final applicant numbers will not be available until mid- August. These numbers are important as they help the team understand what capacity will be required to make sure applicants who need to sit the MSRA are able to do so. They are not yet able to confirm whether priority will be given to applicants who have not previously undertaken the MSRA.
We are very sorry that we are unable confirm details currently but are committed to making sure that applicants receive information on what the plans are as soon as they are finalised.
R3 ST4 Self-Assessment Webinar for Applicants
The RCoA will be hosting a Self-Assessment webinar for applicants on Thursday 14th August at 7pm for Round 3 recruitment into anaesthesia. Any applicants wishing to attend should please register on the RCoA website here.
Updates to the 2025 ST4 Anaesthetics Interview Matrices
The ST4 Interview Matrices have been updated to reflect the changes made to the 2025 Interview Matrix for ST4 Anaesthetics interviews. We advise applicants to please ensure they read the 2025 Interview Matrix and individual Scoring Matrices thoroughly to familiarise themselves with the amendments.
Updates to the 2025 CT1 Anaesthetics Interview Matrices
The CT1 Interview Matrices have been updated to reflect the changes made to the 2025 Interview Matrix for CT1 Anaesthetics interviews. We advise applicants to please ensure they read the 2025 Interview Matrix and individual Scoring Matrices thoroughly to familiarise themselves with the amendments.
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.