Rail Safety-Critical Medical (PTS / Sentinel)
Track-safe certified.
Governs Sentinel safety-critical rail medicals.
From
£130
Duration
40 min
Valid for
3 years
Regulator
RSSB

About this medical
The rail safety-critical medical assesses your fitness to work on or near the line under RSSB Railway Group Standards. It's required before you can hold Personal Track Safety (PTS) competence and a Sentinel smartcard, and includes a drugs & alcohol screen, vision, hearing and general health assessment. 'Sentinel' is the national competence smartcard scheme - this medical is what qualifies you for it.
Who needs it?
Track workers, signallers, train drivers, engineers and contractors who need PTS and a Sentinel card for safety-critical work on the railway.
Frequently asked questions
How it works
Compare, book and get certified - most candidates are seen the same week.
- 1
Search & compare
Enter your postcode to see accredited clinics near you with live prices and availability.
- 2
Book in minutes
Pick a slot that suits you and pay securely online - no booking fees, no phone queues.
- 3
Attend your appointment
A GMC-registered doctor completes your assessment, usually in under 30 minutes.
- 4
Get certified
Your certificate or signed form is issued the same day so you can get back to work.
We handle everything for you
No ringing round or comparing clinics. Book your Rail Medical medical with us at one transparent price - we arrange your appointment at a fully accredited clinic near you and confirm it the moment you pay.
Booking rail safety-critical medical (pts / sentinel)s for a team?
ClearForWork tracks every certificate expiry, sends automatic reminders and lets you re-book renewals in one click - audit-ready for HSE inspection.