Foundation FAQs


Before contacting us directly, you may find that your query is one of our Frequently Asked Questions.

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How does foundation training work?

The Foundation Programme is designed to allow you to gain core clinical skills as well as other professional skills like communication, teamwork and the use of evidence and data. You will be expected to demonstrate increasingly sophisticated skills in these areas throughout the programme; well beyond what you learned in medical school.

Your first foundation placement will usually commence in early August after medical school graduation. You will rotate to your next placement typically every 4 months (depending on how your foundation school sets up your programme) and over the two years you will build up a portfolio of assessments and achievements as you gain more experience and acquire competency in new areas. Part of this will involve asking your colleagues to assess your clinical and professional skills in a range of settings while you work.

At the end of each year, you must demonstrate that you have met the outcomes set out in the Foundation Programme Curriculum. There are a range of assessment tools you can use to evidence your competence and they are detailed later in this guide.

Once you have successfully completed your first foundation year (F1), you will be eligible to apply for full registration with the GMC. On successful completion of your second foundation year (F2), you will receive a Foundation Achievement of Competence Document (FACD) which is an entry requirement for specialty (inc.GP)/core training.

Throughout the whole programme, and as your professional development continues as you progress through specialty (inc.GP)/core training and beyond you should add evidence of new competences gained to your portfolio. Your portfolio is evidence of your competency in different areas and it will stay with you for the duration of your career.

You will be responsible for your own learning, making sure your assessments are completed, attending the structured learning sessions, organising any “tasters” (usually a week spent in a specialty you would not otherwise experience as a foundation doctor) and keeping your e-portfolio up to date.

Your first job as a foundation doctor marks the transition from medical school education to learning on the job. Besides formal teaching sessions, you should consider every clinical activity or patient encounter a chance to learn something new. Always be on the lookout to add to your eportfolio of outcomes, and to develop new clinical skills. For some competences, you may learn as much from nurses and non-clinical members of your healthcare team as from the senior doctors. Each day will bring many opportunities to learn. Grasp every chance you are given.

In each placement, you will have a named clinical supervisor (either a consultant or GP principle) who is responsible for ensuring your have the correct skills and knowledge to fulfil the requirements of your day job. You will also have a named senior doctor as your educational supervisor who should meet with you a minimum of twice per rotation. Their job is to help you through your training programme and to support your day-to-day learning. The precise arrangements will vary by foundation school. In some cases, your educational supervisor could remain the same for the entire programme, in others the educational supervisor may change with each placement. However, you will always be supported to ensure that you have good clinical supervision and a structured educational experience. 


How much will I get paid?

The basic salary for an F1 doctor can be found on www.nhsemployers.org

Some posts within HEE YH may carry a banding supplement, but this is at the Trust's discretion and your enquiries re: particular posts should be made to the relevant Trust.


How much leave do I get?

Annual leave works out at 9 days per 4 month post (plus bank holidays) but is organised locally within Trusts/departments – in some cases it is planned into the rota, in others there is flexibility.

In F1, GMC requirements state that if you miss more than 4 weeks training, over and above your statutory leave (annual leave and approved study leave) you may fail to obtain F1 sign off and hence full registration.


Less Than Full Time Training (LTFTT)

Applicants with children, primary caring responsibilities or health issues may wish to undertake their Foundation Training LTFT.

Working LTFT means working 50% of the hours of a full-time (f/t) trainee.

Applicants must have been successfully appointed to a f/t programme before they are able to apply. Deaneries may approve trainees either as supernumerary or as a ‘slot share’. See the policies section for more information on LTFTT.


Time Out of Foundation Programme (TOFP)

Trainees wishing to take a year out of their training between F1 and F2 may apply for TOFP, subject to approval by the FS. HEE YH is happy to support applications subject to demand.


F2 Abroad

Since 2010 entry, HEE YH Foundation schools are no longer able to support trainees wishing to do F2 abroad.


Can I arrange shadowing at Leeds Teaching Hospital NHS Trust?

Shadowing at Leeds Teaching Hospitals is only available to Leeds University Graduates. Further information can be obtained by contacting the Medical School, or the Trust on foundation@leedsth.nhs.uk.

Can I arrange shadowing at Sheffield Teaching Hospital NHS Trust?

Shadowing has now been replaced by a 6 weeks Student Assistantship Course. This is a mandatory course for University of Sheffield Graduates, but unfortunately we are unable to offer this to graduates from other universities. Further information can be obtained from the Medical school.

GMC Registration Queries

For queries relating to GMC Registration, please contact the GMC or the UKFPO.

I am applying for a house. Can you provide proof of employment and salary?

If you require references for a mortgage or letting agencies to confirm your salary and banding, please do not contact the Yorkshire & Humber Foundation Schools, since we do not have salary and banding information. This information must be obtained from the local HR/salary and wages department. The phone numbers for the Trusts can be found on their respective websites.

My circumstances have changed. Can I change Foundation School?

If your personal circumstances have changed since you applied, or part-way through your training, you can apply for an inter-Foundation School transfer. Please note that the criteria for an inter-Foundation School transfer are very strict, and you must have relevant documentation to support your application.

Further information can be found on the UKFPO Key Documents page.

What are HEE YH's policies?

Details of HEE Yorkshire and the Humber policies can be found on the policies section.

Where can I get my salary, banding and on-call information?

Salary, banding and on-call are all managed by the Trusts. You should contact the Employing Trust. Contact details are usually available on the Trusts' websites.

Where can I find information regarding absences from Foundation Training?

Information regarding absences from Foundation Training can be found on the GMC website.

Audit for sign-off guidance

All FY2 doctors will complete either an audit or QI project in FY2. If trainees only complete an audit project then they will need to demonstrate the QI curriculum requirements (domain 3).

One way that trainees could demonstrate this is by completion of the online bronze award with HQUIP Yorkshire and Humber.

Audit or QI projects performed in FY1 will not suffice unless there is significant evidence of re audit or implementation activity for QI in FY2.

This will be for TPDs to decide and document at ARCP.

You can also complete the Bronze QI Award at the following link: http://qitraining.improvementacademy.org/

What is my base hospital?

The base hospital is the hospital closest to the trainee’s primary home or residence which is part of the trainee’s 2-year fixed programme. You can find more information in the excess travel policy at the bottom of the page.