If you have opted into upgrades when accepting or holding your offer, your offer will be automatically upgraded to your highest preference available based on your preferences at the time the offers are run.

At this point, the upgraded offer will replace your current offer on your Oriel dashboard and an email will be sent to advise you of this upgrade. This will continue until the upgrade deadline (Please check Medical Specialty Recruitment Applicant Hand book Oriel - Resource bank )

Please note that upgrades can only be made when the offers process is run. It is not possible to say exactly when this will happen but each iteration of offers will be made at least two working days apart.