Read the scenario, resuscitate, decide on theatre, and lead the team safely.
Competition: 834 applications for 161 posts (2025). Source: NHS England specialty recruitment competition ratios.
Recruited by NHS England national General Surgery ST3 selection (not PHST).
Official recruitment information
NHS England national General Surgery ST3 selection (England, Scotland, Wales and Northern Ireland). Round described: 2026 round (2026 entry).
Latest available recruitment information. NHS England has not yet published the 2027 General Surgery ST3 interview details. Last checked against the sources below on 6 October 2026. Always confirm details with the recruiting office before your interview.
Everything else in the General Surgery library — model answers, frameworks, scenarios and the mock interview prompts — is StepUp preparation guidance, not an official mark scheme.
45 written topics and 4 scored practice questions, organised the way the interview is.
In the 2026 round (the latest published), the interview was online on Qpercom with three stations, about 40 minutes in total: a clinical station (5 minutes' reading, 10 minutes of questions), a management station (5 minutes' reading, 10 minutes) and a professional development station (10 minutes on your career). Two consultants interview at each station. Check NHS England's interviews page for the 2027 round when it is published.
No. NHS England states that your portfolio evidence is not available to the interviewers during the interview. Your portfolio is scored separately at shortlisting, so in the professional development station you need to give the numbers and outcomes yourself.
Panels want to hear a safe registrar, not a textbook. A structure that works: immediate assessment and resuscitation in parallel, a ranked differential, investigations that change the plan, initial management, early senior and anaesthetic escalation, the definitive operative or non-operative plan, then communication, documentation and safety-netting. This is StepUp's preparation framework, not an official marking scheme.
In the 2025 round NHS England reported 834 applications for 161 General Surgery ST3 posts, a competition ratio of 5.18.