I&R (Eng) - Simulated surgery

Simulated surgery

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This assessment tests your consulting and communication skills. It is intended to be like an everyday surgery in any general practice. They are held in London and are set in a consulting room with actors playing the role of patients who will come in for 10 minute appointments.

Detailed information regarding the simulated surgery is available in the Simulated Surgery Guidance Notes document.   

For some information about resources you could use to help prepare for the new Induction and Refresher (I&R) learning needs assessments, please read this document.

Until further notice the I&R scheme Simulated surgery Assessment will continue to be delivered by means of a virtual on-line live assessment, final dates will be notified 6 weeks in advance


  • 12/13, 14 October 2020, Virtual one, delivered using MS teams.  
    Approved registration form must be submitted by 12 September 2020

Dates to be confirmed

  • January 2021
    Approved registration form must be submitted by 16 December 2020

  • May 2021
    Approved registration form must be submitted by 8 April 2021

  • July 2021
    Approved registration form must be submitted by 25 June 2021

  • October 2021
    Approved registration form must be submitted by 23 September 2021

  • January 2022
    Approved registration form must be submitted by 23 December 2021

*Please note the above dates are subject to change. Additional Simulated surgery dates will be added to the programme to meet the needs of increased recruitment arising through the International GP Recruitment programme (please re check dates as required)

Number of permissible attempts and associated costs

Applicants are permitted a maximum of four attempts at the simulated surgery assessment. A successful attempt at the simulated surgery assessment is valid for a maximum of 12 months from the date of the assessment.

Registration to take Simulated Surgery assessment:

Simulated Surgery registration form 

Depending up on your MCQ result/attempt guidelines,  all the candidates are required to complete the Learning needs assessment registration form, approved by the relevant HEE I&R scheme Lead and submit to NRO iandr@hee.nhs.uk   

Candidates can book onto the Simulated Surgery at the same time as the MCQ assessments, and, for first time attempts only at the MCQ and/or the Simulated Surgery, local HEE offices are able to book candidates up to 10 working days before the relevant assessment in exceptional situations.


Upon receiving the approved learning needs assessment form, NRO releases the simulated surgery booking confirmation to candidates via email.

Results: will be released to the candidates, from their respective HEE local I&R scheme lead within 10 working days; please do not contact National Recruitment office.

 Resitting: If unsuccessful and would like to re-take the simulated surgery, candidates need to liaise with their  respective HEE local I&R scheme Lead and submit approved learning needs assessment registration form to NRO.