Consent like a consultant, think up the reconstructive ladder, and manage expectations.
Competition: 281 applications for 42 posts (2025). Source: NHS England specialty recruitment competition ratios.
Recruited by NHS England national Plastic Surgery ST3 selection (not PHST).
Official recruitment information
NHS England national Plastic Surgery ST3 selection. Round described: 2026 round (2026 entry).
Latest available recruitment information. NHS England has not yet published the 2027 Plastic Surgery ST3 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 Plastic 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 a single 30-minute online station in three consecutive sections: OSCE and Communications (10 minutes, split into consent and communication), Clinical Scenario (10 minutes, two cases) and Structured Interview (10 minutes, two or three questions).
Each section is scored from 0 (no evidence) to 5 (outstanding). In 2026 the final ranking weighted the OSCE at 30%, the clinical scenario at 25%, the structured interview at 25% and the portfolio at 20%. Only applicants above an agreed minimum total score can be appointed.
In 2026: years since graduation, clinical experience in hand trauma, burns and skin cancer, and higher qualifications, audit, publications, presentations, research roles and portfolio presentation — 35 points in all, with section weighting removed for 2026.
In the 2025 round NHS England reported 281 applications for 42 Plastic Surgery ST3 posts, a competition ratio of 6.69.