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

Rail Safety-Critical Medical (PTS / Sentinel)

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.

Eligibility

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

Sentinel is the smartcard competence scheme, not the medical itself. This is the RSSB safety-critical medical you must pass to hold PTS and be issued a Sentinel card - people often call it the 'Sentinel medical'.

Yes, a drugs and alcohol screen is a required part of the rail safety-critical medical.

Typically up to 3 years, depending on your age and role.

How it works

Compare, book and get certified - most candidates are seen the same week.

  1. 1

    Search & compare

    Enter your postcode to see accredited clinics near you with live prices and availability.

  2. 2

    Book in minutes

    Pick a slot that suits you and pay securely online - no booking fees, no phone queues.

  3. 3

    Attend your appointment

    A GMC-registered doctor completes your assessment, usually in under 30 minutes.

  4. 4

    Get certified

    Your certificate or signed form is issued the same day so you can get back to work.

One fixed price

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.

Accredited clinic guaranteed Fixed, all-inclusive price Instant confirmation

Your price

£130

Book now
For employers · ClearForWork

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.

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