SpRs and StRs who are within one year of their anticipated CCT are eligible to ‘Act Up’ as consultants, for up to a maximum period of three months.
Trainees may only Act Up into a vacancy arising in an existing Consultant post. Newly created (as yet unfilled) Consultant posts are not suitable for Acting Up purposes.
A trainee also cannot Act Up into a Consultant post vacancy to which they have been appointed by an Advisory Appointment Committee, as this could be interpreted as making a proleptic appointment. SpRs and StRs will retain their National Training Number (NTN) during the period of Acting Up.
A trainee may not Act Up beyond their CCT date.
To retain access to the Period of Grace, a trainee must complete their period of ‘Acting Up’ before their CCT date.
Trainees accepted on to the Future Leaders programme will need to apply to go out of programme, in the usual manner.
Leadership Fellows are required to obtain formal approval from the Postgraduate Dean (PGD) to extend leadership fellow posts. Extension of a Leadership Fellow post is only available to those trainees who are currently occupying an HEE Leadership Fellow post in Yorkshire and the Humber.
Further information on the Future Leaders programme is available here.
The National Inter Deanery Transfer (IDT) process has been established to support trainees who have had an unforeseen and significant change in their personal circumstances since the commencement of their current training programme which requires a move to a different region. The process is managed by the National IDT team (Health Education South London) on behalf of the Conference of Postgraduate Medical Deans (COPMeD), Health Education England (HEE) and all UK regions.
In order to provide a consistent, transparent and robust process for all trainees, the National IDT team will make all decisions on eligibility and allocations in accordance with the published guidelines and criteria.
You can read these guidelines, criteria and timeline as well as find out much more about the process by visiting the National IDT webpages, which have been migrated to a new home on HEE’s specialty training. Full details on the process can be found on the Speciality Training/Inter-Deanery Transfers and British Medical Association websites.
All of the required documentation, supporting documents and applicant guides are hosted on the specialty training website, and applications will now be made via the Post Graduate Medical and Dental Education (PGMDE) Support Portal. All FAQs are now hosted on the PGMDE website which can be accessed via https://lasepgmdesupport.hee.nhs.uk/support/home ; they can also be accessed on the specialty training website.
If you have any queries relating to the National Inter Deanery Transfer (IDT) process, please review the IDT Applicant guide and the frequently asked questions (FAQs) articles on the specialty training website: http://specialtytraining.hee.nhs.uk/National-IDT/Application-Portal in the first instance. If you do not find an FAQ that has answered your question, you can submit an enquiry form to the National IDT team via the PGMDE support portal. The PGMDE support portal can be accessed at the following link; https://lasepgmdesupport.hee.nhs.uk/support/home.
Trainees may wish to take a period of time out of programme (OOP) during their training.
Time out of programme is divided in to four categories:
- Research (OOPR)
- Experience (OOPE)
- Training (OOPT)
- Career Break (OOPC)
Doctors in training are required to obtain formal approval from the Postgraduate Dean (PGD) to take time out of a clinical training programme whilst retaining their national training number. Applications should be submitted six months prior to the intended start date.
A trainee whose annual review of progress is deemed unsatisfactory or with unmet objectives identified at their ARCP will not normally be granted a period of OOP. Time out of programme will not normally be agreed until a trainee has been in a training programme for a least one year.
A trainee's CCT date will be extended in line with their time out of programme. If a trainee wishes for some, or all, of their training to count towards their CCT, they will need support from their Royal College and from the GMC/GDC.
Trainees completing higher specialty training (with the exception of GP trainees) are able to apply for a six month period of grace, directly following their CCT date.
The period of grace allows doctors who have completed their training to continue in the Specialty Registrar grade for a limited period of time, whilst they find employment, usually in a consultant level post. The doctor is no longer considered to be in training, but is in post for the purposes of service.
To allow Training Programme Directors sufficient notice to plan their placements, trainees should give at least six months notice of their intention to take up their period of grace.
Trainees who enter their period of grace are able to resign from this at any point. However, they will be required to give notice, in line with their Trust's employment contract.