ST4 psychiatry: the scores that got an offer in each region

The two rounds

The figures cover Round 3 2025, for posts starting in February 2026, and Round 2 2026, for posts starting in August 2026. All the psychiatry specialties are counted together.

Almost twice as many people were interviewed in the August round, for half as many posts again.

What the scores are out of

Every score below is the total selection score, out of 200. Half of it is your CASC.

• The CASC mark is rescaled so that the pass mark becomes 50. A bare pass is worth 50 points, whatever your raw percentage.
• A bare CASC pass with half marks in the interview and the self-assessment comes to 100.
• To be appointable you need 25 out of 50 at interview, with at least 6 out of 20 in both Part A and Part B. There's no minimum for the self-assessment or the CASC.
• Ties are broken by the CASC, then the interview, then the self-assessment.

NHS England gives only the percentages for the February round. You can work out your own self-assessment score with the ST4 self-assessment calculator.

The lowest score that got an offer

This is the score of the last person each region offered a post to. Point at or tap a region to see both rounds.

In the August round it ran from 95.08 in Scotland to 135.06 in Thames Valley. Six regions made an offer to someone scoring under 100.

It rose in 11 of the 13 regions. North East and Scotland were the two where it fell.

Thames Valley had 4 posts in each round, so a few strong applicants decide its figure.

The median score of those offered

Half the people offered a post in each region scored above this.

In the August round the highest medians were Thames Valley (137.26), West Midlands (130.99) and London (130.43). The lowest were East of England (109.71) and Wales (110.25). The spread around each median is in the table at the end.

How far down the ranking offers went

Everyone interviewed gets one national rank. As people turn offers down, regions offer further down the list, so the last offer can sit well below the number of posts. The chart shows each region's last offer as a share of everyone interviewed.

In the February round, offers in most regions went almost to the bottom: East of England's last offer went to rank 295 of 297. In the August round the deepest was Scotland, at rank 542 of 580, and Thames Valley stopped at rank 88.

Posts in each region

London had the most posts in both rounds, 64 and then 87. North East's February figure is printed as 0.11 in the response, so it's left out.

Shortlisting scores

These are national figures for everyone interviewed. They look like the raw self-assessment marks, out of 46. The response doesn't break them down by region.

The median rose from 13 to 17, and nobody scored above 39.

Every region in full

What the figures leave out

• Round 1. Psychiatry ST4 doesn't recruit in it.
• Round 2 2025, for August 2025 starts. Oriel keeps data for 13 months, so it's gone.
• Round 3 2026. Offers hadn't started when NHS England replied.
• Specialties. All the psychiatry specialties are counted together.
• Thames Valley's spread in February. There were too few offers to work it out.

Raj

References

1. NHS England. Response to a Freedom of Information request on ST4 psychiatry recruitment, Round 3 2025 and Round 2 2026. Request received 19 October 2026.
2. NHS England. A guide to final selection scores for ST4 Psychiatry specialties. https://medical.hee.nhs.uk/medical-training-recruitment/medical-specialty-training/psychiatry/higher-psychiatry-training/scoring-overview