The Hospital Department offers advice and support to doctors in training and School Boards on all matters relating to Specialty Training.  The following sections provide guidance – for a list of our Trainee Policies and Guidance visit our Trainee Policies / Guidance page:

Time Out of Programme
Trainees considering a period of Out of Programme Training, Research, Experience or Career Breaks (OOPT/R/E/C) should discuss their plans with their Head of School (and/or Training Programme Director where appropriate) before proceeding with an application.  The Deanery recommends this should happen at least 12 months in advance of the date of planned OOP.

All periods of OOP must have prospective approval from the GMC, the College and the Deanery.  This is essential if any of the time spent OOP is to count towards the award of CCT.

If the proposed OOP is approved by the Training Programme Director and/ or Head of School, the trainee should then proceed with an application.  If the proposed OOP is NOT deemed appropriate by either the TPD or Head of School, the application should be referred directly to the Postgraduate Dean for reconsideration.

The Deanery recommends that applications are submitted at least 6 months prior to the date of the planned OOP to ensure sufficient time is available to obtain prospective approval for OOP and to enable 3 months notice to be given to the employer.

For further guidance and information on applying please see the following links

If you are a trainee in the School of Medicine download the .

There has been a recent change to the NHS Pension Scheme which will have an impact on trainees going out of programme.  For more information please see the link below:

If you are planning on going out of programme, you are strongly advised to contact your current employing Trust and/or NHS Pensions to discuss how this may impact on your individual circumstances.

Inter Deanery Transfers
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 and criteria 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 website here:

All 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; which can also be accessed on the specialty training website. 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.

As part of the application process, all trainees will be required to submit a ‘Deanery Document’. This form can be found on the National IDT website above and should be sent to your current region’s administrative team for completion. To find out exactly who this should be sent to, please read the ‘Directory for regional IDT contacts’, also found on the website above. Further information can be obtained on the counter-signature from Bronagh Woods, NIMDTA IDT contact by emailing

National IDT Timeline (August 2017)

Supporting documents available From Friday 7 July
Application window opens 16:00 – Friday 4 August
Application window closes 16:00 – Friday 1 September
Eligibility checking Until Friday 8 September
Vacancy returns By Friday 29 September
First offers Week commencing 2 October
Second offers Week commencing 9 October
Acting up as a consultant
Acting up as a Consultant provides trainees with the experience of navigating the transition from junior doctor to consultant, while maintaining an element of supervision associated with being a trainee.

NIMDTA are supportive of this valuable developmental opportunity for the following reasons:

  • The clinical aspects of the job will provide insight into the role of the consultant: supervising the admissions take, leading ward rounds and multidisciplinary teams, and running clinics.
  • Trainees get a chance to experience and appreciate the often large non-clinical side of the consultant role, such as participation in departmental, directorate, and committee meetings; engaging with management teams; report writing; and service improvement planning.
  • Acting up allows trainees to understand the idea of working as independent practitioners by leading a team and being responsible for their own time and decision making.
  • Trainees gain a better understanding of consultant job planning and of what to look for in a job plan when applying for a substantive post.
  • The experience will help trainees to cultivate certain skills, such as learning how to maintain an approachable disposition but to balance it with the necessary authority.
  • Acting up provides an opportunity to gain a deeper insight into how to negotiate professional relationships with medical colleagues, nurses, and allied health professionals.
  • Being able to draw on the experience of acting up will be useful when completing applications for consultant posts, when asking for references, in the interview process, and during the early stages of a career as a consultant.

Trainees who are in their final year of training are eligible to ‘Act Up’ as consultants for one single fixed period of time, up to a maximum period of three calendar months.  This also applies to Less than Full Time (LTFT) trainees and is also on fixed-term basis and not pro-rata.  The period of ‘acting up’ cannot extend past the date of CCT.

Time spent acting up may be recognised towards a training programme leading to the award of a CCT. Recognition of the period of ‘Acting Up’ is subject to conditions set by the Royal Colleges and these conditions vary from College to College. For further details about the process of obtaining educational approval trainees should contact the appropriate College or Joint Committee directly. If the relevant Royal College or Faculty agrees that this type of post is part of the approved specialty curriculum, additional prospective GMC approval is not required. (Gold Guide V6 Para 6.105) .

For more information, trainees should download the full guidance and application form.

Terms and Conditions of Employment

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