Appraisal and Assessment

We follow the assessment guidance from the FICM

We know that there are many assessments required. We are happy for you to not duplicate those completed in a partner speciality.

You must be registered with the Faculty and use the FICM Lifelong Learning platform (LLp); your assessments will be completed on this platform.

You should have a named Educational Supervisor, who you should meet a minimum of 4 times a year and named Clinical Supervisors for each placement.

If at any stage, you are concerned or running into difficulty please contact your ES or TPD as soon as possible.




The ARCP Panel usually consists of at least one Training Programme Director and a minimum of two other trainers, such as Educational Supervisors and/or College tutors. In addition, there are certain circumstances where the Head/Deputy Head of School or an Associate Postgraduate Dean will be present.  A proportion of ARCP panels may also have a lay representative present.

ARCP Outcomes are reached after a panel has reviewed the evidence supplied by the trainee, contained within their training portfolio the Lifelong Learning platform (LLp). Since ARCPs are conducted without the trainee present, it is essential that the training portfolio is up to date and contains all the evidence required by the ARCP panel. You can ensure you have provided the evidence by using the ARCP checklists (linked below). It is helpful to complete the checklist with your ES and upload the completed checklist to the LLP.


At the end of the ARCP process, the panel will issue an outcome. For trainees within the training programme, the following ARCP outcomes may be issued:

Outcome 1: Progressing as expected. Trainee anticipated to move on to their next training module.

Outcome 2: Development of specific competencies required, but no additional training time needed. Trainee is anticipated to move on to their next training module, but may require some additional competencies or training exposure during this period. 

Outcome 3: Inadequate progress by trainee, additional training time required. This is for trainees who have specific training requirements that cannot be obtained without extra training time, often trainees who haven't yet passed the FICM exam and are not eligible to move into the next training phase without it. They may be given extra time ("on an extension") to obtain this missing component (e.g. the exam). The trainee's CCT date is likely to be extended.

Outcome 4: Trainee leaves the training programme without completion of training.

Outcome 5: Incomplete evidence presented. ie. the panel cannot make a judgement on whether a trainee is progressing or not, because the required evidence is not available, this also includes missing Form R (B).

Outcome 6: Gained all required competencies and successfully completed the training programme 


If it is determined a trainee is likely to receive an outcome 2, 3 or 4 (ior COVID outcome 10.2), the trainee will receive a phone call from a panel member (most likely their TPD), to arrange a feedback meeting (usually within a week of the ARCP). This follow up meeting will be solely between the trainee and their TPD or Educational Supervisor. The purpose of this meeting is to help the trainee understand the reason(s) for the outcome, to give them an opportunity to ask questions, for the TPD/Supervisor to offer support, and to ensure the trainee has a clear, well-supported action plan, going foward.


More detailed sections on ARCP related information such as "how to prepare" and "reflective practice" is available by clicking on the boxes at the bottom of the page. Answers to specific ARCP questions are in the FAQs below.

There are 3 Key stages in your ICM Training

Stage 1: Introduction and partner speciality for ICM

Stage 2: FICM exam needs to be completed in this stage

Stage 3: Final Year of ICM training


More Details are on the FICM site (



An updated guide for "How to pass your ARCP" has been produced by Helen Stanworth, optimised for the new ICM LLP portfolio. This is a fantastic resource and answers the majority of questions about how to get through your ARCP as easily as possible.

Download the ARCP Guide HERE

For your ARCP you are ADVISED to complete a checklist. The FICM checklist is rather spartan so the School of ICM has developed its own. This is available below. We recommend that you download it in advance of your ARCP, work through it with your ES, and upload the completed checklist onto your personal Activity in your ePortfolio/LLp.

Download the ARCP Checklist HERE


ICM ARCPs are arranged inline with regional Anaesthetics ARCP dates (link below)
Programme Support will confirm your ARCP date at least 8 weeks prior to the review