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Guidance

How to become a MCA approved doctor

The Maritime and Coastguard Agency recruitment process for approved doctors.

Overview

This guidance for doctors takes you through:

  • Maritime and Coastguard Agency (MCA) general criteria for approved doctors (AD)
  • types of AD
  • how to apply for appointment as an AD

The MCA’s recruitment system has been established in agreement with maritime employers and seafarer’s trade union organisations.

It aims to serve the seafarers working on UK vessels, and holding UK Certificates of Competency (CoCs).

Current recruitment opportunities

  • Approved doctor in Barcelona, Spain - closing date 02/10/2026
  • Approved doctor in the area from Perth to Stonehaven (inclusive), Scotland - closing date 23/10/2026
  • Approved doctor in Genoa, Italy - closing date 30/10/2026
  • Medical Referee in Scotland: For more information please see attached PDF, Referee job description open - Nov 25 (PDF, 139 KB, 2 pages) - Ongoing

Criteria for appointment as an AD

The appointment of approved doctors to carry out ENG1 seafarer medical examinations is restricted to areas where a demand for at least 50 examinations in a year has been demonstrated.

The most suitable candidate is appointed based on qualifications, experience and location.

The full recruitment procedure is detailed in ‘chapter 2 - procedures for appointment of approved doctors’, in the MCA’s approved doctor’s manual.

The categories of ADs

General list doctors are:

  • available to all seafarers
  • spread over a wide geographical network
  • mainly appointed on a replacement basis

Vacancies are advertised locally using the local clinical commissioning group (CCG). The MCA keeps a file on those who have expressed an interest in becoming an AD. You’ll then be invited to apply to make sure of fair and open competition.

All the applications are reviewed by the MCA’s chief medical adviser.

Company doctors are:

  • appointed at the request of companies with vessels on the UK flag, subject to the MCA chief medical adviser’s scrutiny of qualifications and experience
  • only able to do medicals on those employed by the shipping company
  • usually contractors to major shipping companies, or providing services to a ship management or crewing company
  • expected to provide a full occupational medical service for the shipping company

Apply to become an approved doctor

Download the approved doctor application form, then send your completed application to the address on the form.

Speculative applications (meaning those not part of a recruitment process started by the MCA) will be notified if a specific vacancy comes up.

The chief medical adviser will review your application, then it’ll be acknowledged by the medical administration team.

Further information

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