The True Cost of the PLAB & GMC Journey: A Detailed 2025 - 2026 Budget Guide

Embarking on the journey to become a doctor in the UK is an exciting and life-changing ambition. It's a path that requires immense dedication, clinical skill, and careful planning. A crucial part of that planning is understanding the financial investment required.
This is not just a list of fees. This is your step-by-step financial roadmap. We will break down every single cost you will encounter in the chronological order you'll face them—from your initial English test to your final GMC registration. We’ll also uncover hidden costs and share essential money-saving tips to help you budget effectively for your dream of working in the NHS.

Disclaimer: All fees are accurate as of July 2025 and possibly for 2026 but are subject to change. Always check the official GMC, visa, and testing websites for the most current information before making any payments.

The Big Picture: Your Total Estimated Investment

Before we dive into the details, here is a realistic overview of the total estimated cost to complete the entire PLAB and GMC registration journey.

This range seems wide because it depends heavily on your personal choices regarding preparation, travel style, and relocation needs. Let's break it down, starting from the very beginning.

Phase 1: The Initial Investment (Getting Started)

These are the foundational costs you'll need to cover from your home country before you even book your first PLAB exam.

1. English Language Proficiency Test (IELTS or OET)

Before you can even apply for the PLAB 1 exam, you must prove your English language skills. The GMC accepts two tests: the International English Language Testing System (IELTS) and the Occupational English Test (OET).

• What it is: A mandatory test of your reading, writing, listening, and speaking skills. You must achieve the minimum required score in a single sitting.

• Current Cost:

  • IELTS: ~£180 - £200

  • OET (Medicine): ~£340 - £360

• Context and Pro-Tip:

  The OET is more expensive but uses clinical scenarios, which many doctors find more familiar and relevant than the academic topics in the IELTS. However, if you are confident in your general English, the IELTS is a more budget-friendly option. This fee does not include any preparation materials or courses you might choose to purchase.

2. EPIC Account & Credential Verification

The GMC requires you to verify your Primary Medical Qualification (PMQ) through the Electronic Portfolio of International Credentials (EPIC) service, run by the ECFMG.

• What it is: An online service that confirms your medical degree is genuine. This is a mandatory step before the GMC will allow you to book PLAB 1.

• Current Cost:

  • EPIC Account Setup: ~$130 USD (~£105)

  • Per-Credential Upload: ~$100 USD (~£80) for your PMQ.

• Context and Pro-Tip:

  You pay twice: once to create your account and again for each document you have verified. To save time and potential costs later, consider verifying both your PMQ and your internship/house job certificate at the same time, as you will likely need the latter for your full GMC registration application.

3. PLAB 1 Exam Fee

This is the first of the two main exam fees you'll pay directly to the GMC. PLAB 1 is a written, multiple-choice exam held four times a year in numerous locations worldwide.

• What it is: A theoretical exam testing your ability to apply your knowledge to the care of patients.

• Current Cost: £268

• Context and Pro-Tip:

  Exam spots, especially in popular locations, can fill up very quickly. Ensure you have completed your English test and EPIC verification well in advance so you are ready to book as soon as the GMC opens the dates.

4. PLAB 1 Preparation Resources

While not an official fee, budgeting for a high-quality question bank subscription is essential for passing PLAB 1.

• What it is: Online subscription services that provide thousands of practice questions in the format of the real exam, along with mock tests and revision notes.

• Current Cost: £40 - £200

• Context and Pro-Tip:

  Popular platforms include Plabable and Medrevisions. A 3-6 month subscription is usually sufficient. This is one of the most high-yield investments you can make in your preparation. Don't try to cut corners here.

Phase 1 Summary

Your initial, upfront investment to become eligible and prepared for the PLAB journey will be in the range of £800 to £1,000. Once you have cleared PLAB 1, you will move on to the next and most significant financial phase: preparing for and travelling to the UK for the PLAB 2 exam.

Phase 2: The PLAB 2 Journey (The Major Investment)

This phase involves travelling to the UK, as the PLAB 2 exam is held exclusively in Manchester. The costs here are substantial and require careful budgeting.

1. UK Standard Visitor Visa

Unless you have a visa-exempt passport, you will need a visa to enter the UK to sit the PLAB 2 exam.

• What it is: A mandatory entry permit for most non-UK nationals. The Standard Visitor Visa allows you to take the PLAB exam.

• Current Cost: ~£115 for a standard 6-month visa.

• Context and Pro-Tip:

  Apply for your visa well in advance. You will need your PLAB 2 booking confirmation as part of your application. Do not book non-refundable flights or accommodation until your visa has been approved.

2. PLAB 2 Exam Fee

This is the second, more expensive exam fee paid to the GMC. PLAB 2 is a practical Objective Structured Clinical Examination (OSCE).

• What it is: A practical exam testing your clinical and communication skills in simulated scenarios.

• Current Cost: £981

• Context and Pro-Tip:

  This is one of the single biggest costs. Be aware of the strict cancellation policy. If you cancel less than 42 days before the exam date, you will lose the entire fee, so only book when you are certain you can attend.

3. PLAB 2 Academy / Preparation Course

While not mandatory, attending a UK-based PLAB 2 academy is considered by most to be essential for success.

• What it is: An intensive, in-person course (usually 2-4 weeks long) that provides hands-on practice, teaching, and full mock exams to prepare you for the OSCE format.

• Current Cost: £600 - £1,000

• Context and Pro-Tip:

  This is a high-yield investment. The practice on manikins and with trained actors, plus the feedback from experienced tutors, is invaluable. Research academies thoroughly and book one that has recent, positive reviews.

4. Flights, Accommodation & Living Expenses

This is the most variable part of your budget. Most candidates stay in the UK for 3-5 weeks to attend their academy and sit the exam.

• International Flights:

  • Cost: £500 - £1,500. This depends entirely on your country of origin, the airline, and how far in advance you book.

• Accommodation in Manchester:

  • Cost: £600 - £1,400 for a 4-week stay.

  • Pro-Tip: This is the best place to save money. Look for shared rooms or flats on platforms like Airbnb, SpareRoom, or dedicated PLAB 2 Facebook/WhatsApp groups. A shared room can be as low as £25-£40/night, whereas a private studio will be much more.

• Living Expenses & UK Travel:

  • Cost: £900 - £1,500.

  • Breakdown: Budget £30-£50 per day for food, local transport, and other incidentals. A return train or coach ticket from a London airport to Manchester can cost £50-£150. Booking train tickets in advance saves a significant amount.

Phase 3: The Final Hurdle (GMC Registration & Relocation)

After passing PLAB 2, you are on the home stretch! These are the final administrative and practical costs to secure your licence to practise.

1. GMC Registration Application Fee

This is the fee you pay to have your application for a licence to practise assessed by the GMC.

• What it is: The final application fee to get your name on the GMC medical register.

• Current Cost: £166 for doctors with a PMQ from a university listed in the World Directory of Medical Schools.

• Context and Pro-Tip:

  The fee can be higher (£433) in some circumstances. Check the GMC's fee finder tool to confirm your exact fee.

2. Certificates of Good Standing (CGS)

You will need a CGS from the medical regulatory authority in every country you have practised in over the last five years.

• What it is: A document confirming you are in good professional standing.

• Current Cost: £0 - £100+

• Context and Pro-Tip:

  Some councils provide this for free, while others charge a significant administrative fee. Research the cost from your local council early on.

3. Initial Relocation & Living Costs

This is a critical, often-overlooked cost. Once you get a job offer, you need funds to support yourself before your first NHS paycheck arrives.

• What it is: Money for your rental deposit (usually 4-5 weeks' rent) and living expenses for your first 4-6 weeks in the UK.

• Estimated Cost: £1,500 - £2,500+

• Context and Pro-Tip:

  The NHS payroll system means you might wait over a month for your first salary. You must have sufficient funds to cover your rent deposit, first month's rent, and daily living costs during this period. Do not underestimate this amount.

Hidden Costs & Essential Money-Saving Tips

Final Verdict

The road to becoming a UK doctor is a significant financial undertaking, with a realistic budget falling between £5,000 and £9,000. While this is a large sum, viewing it as a professional investment in your future is key. By planning meticulously, budgeting for every phase, and being smart with your spending, you can manage these costs effectively.

Your hard work will pay off, and this investment will open the door to a rewarding career in one of the world's most respected healthcare systems. Good luck.