Community Sexual and Reproductive Health Specialty Training Programme (CSRH)

Welcome to the Community Sexual and Reproductive Health (CSRH) Specialty Training Programme.

Launched in 2010, the Specialty curriculum in CSRH aims to train a consultant workforce with the necessary leadership skills – and clinical skills - for community based Sexual and Reproductive Health services.

The Specialty curriculum has now been substantially reviewed and you can see full details below. It will come into effect on 1 August 2021 so trainees who are already registered on the CSRH programme should continue with the current 2017 Curriculum until then.

There are two routes available through the FSRH for medical practitioners who wish to gain specialist registration in Sexual and Reproductive Healthcare (SRH): 

  • CSRH - Community Sexual and Reproductive Healthcare
  • CESR - Certificate of Eligibility for Specialist Registration

Hear from one of our Specialty trainees about training on the CSRH programme.

Who to contact
For any questions regarding any of the two specialty training routes, please contact Specialty Development Officer at You can also read our FAQs here.

Intellectual Property Rights
All intellectual property rights for any FSRH qualification including documents, materials and content belonging to and produced by the FSRH should not be used for purposes other than FSRH training. Should you wish to use any of the IPR for purposes other than FSRH training you must seek the FSRH’s approval in writing with your request via our copyright request form. We aim to respond to submissions of this nature within one working week.

2021 Curriculum

Introduction to the Community Sexual & Reproductive Healthcare (CSRH) curriculum

Introduction to the new CSRH Curriculum

  • The new CSRH curriculum has been designed to equip the SRH profession with all the skills, knowledge and attributes needed for the future, and will be implemented from 1 August 2021.
  • All colleges and specialties are required by the General Medical Council to move to a high-level outcomes approach. This means specifying the general capabilities that all doctors should have by the end of their training programme. This is a very different approach to the current one which is based on the notion of competency in clinical skills and procedures.
  • The core training programme will remain at 6 years, with waypoints also remaining the same.
  • Much of the current clinical content is the same. However it will be described, packaged and assessed differently.
  • The new curriculum is designed to promote and encourage the exercise of professional judgement, both by the Trainee and the trainer. This is a fundamental concept of the new curriculum.
  • The current emphasis on tick-boxes and numbers of assessments will be replaced by an expectation that the Trainee doctor will take responsibility for their own learning, by deciding what evidence will be appropriate to demonstrate progress, and by assessing their own performance.
  • Likewise, Educational Supervisors will make global assessments of a Trainee’s performance and make a recommendation to the ARCP panel as to progression. The final decision as to progression will rest with the ARCP panel.
  • Detailed guidance for Trainees and Educational Supervisors on the expectations for each year and stage of training has been developed. This guidance is integrated in to the ePortfolio.
  • The curriculum will be delivered through a new version of the ePortfolio which has been designed specifically for our curriculum. All Trainees and Educational Supervisors will be able to access their old and new curricula on the new version.

Download the full Curriculum Definitive Document

Watch an introductory Video about the new Curriculum by Dr Janet Barter

Download a slideset about the new Curriculum by Dr Catherine Schunmann

The Curriculum

For a brief introduction to the organising principles of the curriculum, as well as the Capabilities in Practice, terminology and useful links, you should access the documents below.

The Curriculum – an overview of the curriculum and its concepts and terminology with links to the CiP Guides

Definitive Document – the authoritative GMC approved full curriculum and assessment framework

CiP Guides – a guide to each of the Capabilities in Practice can be found in the section below

Knowledge Requirements – everything you need to know for the CSRH and MFSRH

Watch a video about the detail of the new Curriculum by Dr Catherine Schunmann

CIP Guides

Each CiP has its own Guide. Download the Guides for the CiP you are interested in.

CiP 1 CiP 2 CiP 3 CiP 4 CiP 5 

CiP 6 CiP 7 CiP 8 CiP 9 CiP 10

List of CSRH procedures

There are a number of procedural skills in which a trainee must become proficient to the level expected by the end of training. Trainees must be able to outline the indications for these procedures and recognise the importance of valid informed consent, and of requesting help when appropriate. For all practical procedures the trainee must be able to recognise complications and respond appropriately if they arise, including calling for help from colleagues in other specialties when necessary. Trainees will be able to record their procedures in the updated ePortfolio. Assessment of procedural skills will be made using the OSATS tool.

When a trainee has been signed off as being able to perform a procedure independently, they are not required to have any further assessment (OSATS) of that procedure, unless they or their Educational Supervisor think that this is required (in line with standard professional conduct).
CESR applicants should provide evidence that they can perform all these procedures independently in their GMC submission.

Download the List of CSRH Procedures


This page contains links to Word versions of various non-assessment forms for the benefit of CESR applicants who do not have access to the ePortfolio. Trainees will have automatic access through the ePortfolio. You should click on the link to download the form in Word.

Procedure log General log 

Meeting form Personal Development Plan (PDP)


Although the tools for assessment are fundamentally the same, the emphasis in the new curriculum is on the quality rather than the quantity of assessments. There is now an overall Programme of Assessment which is linked to the Capabilities in Practice, and the assessment process contains a much greater degree of self-assessment by the trainee. Use the links below to find out more.


You can find general details of how the assessment process works in this summary document and fuller details in the Guidance Note.

You can find a description of the Levels of Supervision in this document

You can download this presentation to use for local training sessions.

Find more detail about each of the workplace-based assessments.

For a full description of the Assessment Framework you should download the Definitive Document.

Knowledge requirements and MFSRH Syllabus

The FSRH has put together a complete list of the knowledge that trainees will be expected to acquire over their training programme. The list is comprehensive, showing what topics will be needed for each Capability in Practice. The list also constitutes the syllabus for the MFSRH Examination. This document is expected to be used by both trainees and examination candidates.

Knowledge Requirements

Workplace-based assessments

Workplace-based assessments
There are a number of workplace-based assessment tools that should be used throughout training to evidence progress.

For a description of each type of assessment, you should see Workplace-based assessments.

To understand what you have to do in order to progress through training, you should see the Matrix of Progression.

To download a form in Word, just click on the relevant button


Summative OSATS Formative OSATS CbD form

Mini-CEX form TO1 form SO1 form 

Reflective Practice form Patient Satisfaction Questionnaire


Matrix of progression

The matrix of progression has been adapted for the new curriculum.

Here you can find the Matrix of Annual Expectation of Educational Progression ST1 to 6 in Community Sexual and Reproductive Health - March 2022 for ARCP in COVID-19 period and beyond. This Matrix applies for ARCPs held from April 2022

2017 Curriculum

Entry requirements

Please download the CSRH person specification: ‘Community Sexual and Reproductive Health ST1’ for full details of eligibility at the following link.

Programme information 

Please download the full trainee handbook for a detailed overview of the programme. 

CSRH Curriculum & Pathway

The CSRH Specialty Training Programme is a six-year programme, divided into basic, intermediate and advanced training, across 15 modules. It is one of two training routes available through the FSRH for medical practitioners who wish to gain specialist registration in Sexual and Reproductive Healthcare (SRH).

2017 CSRH Curriculum pathway








 The CSRH Specialty Training Programme is a six-year programme, divided into basic, intermediate and advanced training, across 15 modules. It is one of two training routes available through the

Module 1 Basic Clinical Skills
Module 2 Contraception
Module 3 Unplanned Pregnancy & Abortion Care
Module 4 Gynaecology
Module 5 Specialist Gynaecology
Module 6 Pregnancy
Module 7 Menopause & PMS
Module 8 Genitourinary Medicine
Module 9 Public Health
Module 10 Teaching, Appraisal & Assessment
Module 11 Ethics and Legal Issues
Module 12 Leadership, Management & Governance
Module 13 IT, audit and Research
Module 14 Sexual Assault
Module 15 Sexual Problems

Link to full existing curriculum here. 

How will I learn?

You will learn using various methods including: 

  • Work-based learning
  • Induction and educational meetings (appraisal)
  • Training Courses/Events
  • e-Learning Resources

How will I be assessed?

You will be assessed using various methods including: 

  • MFSRH Examination
  • Workplace-based assessments (WPBAs)
  • Directly Observed Procedural Skills (DOPS)
  • Directly Observed Clinic (DOC)
  • Multi-source Feedback – Team Observation
  • Multi-source Feedback  - Patient Feedback
  • Reflective practice and recording reflection


  • Upon successful completion of the CSRH Specialty Training Programme, the trainee will be eligible to apply to the GMC for Certificate of Completion of Training (CCT).
  • Specialist Registration, eligible to register as a Specialist GP

How to apply?

How to apply

Information and guidance

Centralised recruitment for the Community Sexual and Reproductive Healthcare (CSRH) specialty is managed by Health Education England (HEE) on behalf of the FSRH programme at various locations. Further information on CSRH Specialty recruitment and application procedures can be found on the Health Education England Website here. You may also find the CSRH Applicant Guide and the CSRH FAQ section helpful in answering your application query.

 Online Application form

To apply for a place on the CSRH Specialty Training Programme, please complete the online application on the Oriel NHS recruitment portal here.

 If you have any queries about CSRH recruitment that cannot be answered via the methods above, please contact




Going Out of Programme

This information has been taken from the GMC website.

What is out of programme?

When a doctor in training takes time out of their approved programme, this is called out of programme (OOP). All out of programme has to be approved by your postgraduate dean. If you would like your OOP to count towards training you also need approval from the Faculty and the GMC before you start. You should discuss this with your training programme director and educational supervisor as early as possible. The approval process can take three months and you must give your employer (current and/or next) three months’ notice. You must submit your OOP application to the Faculty at least 8 weeks before the start date of your OOP, if you would like this time to be counted towards training. You can submit your application here.

Types of out of programme

Out of programme career break (OOPC)

This is to pursue other interests or deal with a period of ill health.

Out of programme for clinical experience (OOPE)

This is to enhance clinical experience or to gain experience as a locum consultant.

OOPC or OOPE cannot count towards a CCT so they do not need our approval. We still require you to inform us by submitting an application form. You should speak to your home deanery or local education and training board (LETB) to find out their requirements.

Learn more about trainee fees when you're on a OOPC/OOPE here.

Out of programme for approved clinical training (OOPT)

This is for clinical training which isn’t part of your training programme. This will normally be a maximum of one year. In exceptional circumstances it can be up to two years.

Out of programme for research (OOPR)

This is for a period of research. This will not normally exceed three years.

OOPT and OOPR can count towards a CCT and may need our approval. You should read the GMC guidance for doctors in training on when approval is needed.

Acting up as a consultant (AUC)

Acting up as a consultant posts may count towards a CCT. Where the acting up as a consultant post is in the same training programme you are enrolled onto, GMC approval isn’t needed. If the acting up as a consultant post is in a different training programme, the usual out of programme approval process must be followed to get GMC prospective approval.

When you are acting up as a consultant, there must be appropriate supervision in place and approval will only be considered if the placement is relevant to gaining the competences, knowledge, skills and behaviours required by the curriculum. Acting up as a consultant posts can only be taken in the final year of specialty training.

You should speak with your home deanery/LETB about your time out of programme and whether or not the time will count towards your CCT.

If you would like to apply for an OOP, please fill in this form.



Recruitment for Community Sexual and Reproductive Health (CSRH) training posts is nationally managed by Health Education England East of England (HEEOE). If you would like to know about number of posts, geographical location, application process, and any other aspects of recruitment you should get in touch with them. You can contact Here some link you might find helpful:

Getting to know the Specialty and taster weeks

If you would like to know what it is like to work in Sexual and Reproductive Health as a Trainee or Consultant you can organise a taster week. To do this, please get in touch with the specialty development officer and they will put you in contact with the Training Programme Director (TPD) in your area. 


Our quarterly fee for CSRH trainees is £42.50 and is collected at the end of every quarter (March, June, September and December). The total annual fee is £170 which be paid in full at the start of the year if preferable.

Your trainee benefits include:

  • Access to the NES e-Portfolio
  • Attendance at the Annual Trainee Conference
  • Access to the CSRH Trainee resource hub, via the Training Hub.
  • Free application fees and associated membership for undertaking FSRH qualifications (Online Theory Assessment (OTA) , Diploma (DFSRH), Letters of Competence (LoC), Special Skills Module (SSMs), Professional Certificate (PC)) that support achieving the CSRH curriculum.
  • Free access to Vasectomy SSM logbook via ePortfolio. Application fees will apply to gain the Vasectomy SSM certificate.
  • CSRH trainees who have Associate or Diplomate status will not be required to pay the associate or diplomat annual membership fee.
  • First year of full Membership (on passing MFSRH Part II) is free and following years as a trainee will receive a 50% discount on Membership until CCT is achieved.
  • Access to the Specialty Training Fund which supports education and training activities.
  • Ability to stand for the CSRH Trainees Committee.

You can view the Training Fee Policy here.

As a CSRH trainee, you are also automatically an FSRH affiliate member. This gives you access to a range of additional benefits including our FSRH webinars and BMJ SRH Journal.

In line with our membership policy, we offer a 50% reduction on fees in certain circumstances:

  • Parental/ Adoption leave
  • Long term sickness
  • Those that earn under £24,000 pa (from all income sources)
  • Those that are out of programme (OOP) and will not have that time counted towards training (e.g., OOPC and OOPE)

Specialty Training Fund

FSRH is committed to providing a positive experience for trainees undertaking the CSRH specialty training. In recognition of the cost of training and challenging financial environment, the Specialty Training Fund is available to assist CSRH trainees in accessing training and educational events that support their specialty training. CSRH trainees can apply for the Specialty Training Fund here.

If you have any queries about your payment fees, you can contact us.