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
A trainee may seek to take time out of their specialty training programme whilst retaining their NTN.  Trainees must apply prospectively to the Associate Dean for Hospital Specialty Training to take 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. Trainees will not be permitted to spend the last 6 calendar months of training prior to CCT outside a GMC approved UK training programme.  This is to facilitate the requirements for revalidation. Approval of OOP will depend on the following: 1. The application meets the criteria set out in this document 2. The ability of the training programme to accommodate the request 3. The impact the resulting vacancy would have on service delivery 4. The relative merit of the application in relation to other OOP applications received 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

  • Out of Programme Policy including Application
  • The Gold Guide – Eighth Edition
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

Application Window Now Open – August 2023 Commencement

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 at Inter-Deanery Transfers (IDT) | Medical Education Hub (  

All required documentation, supporting documents and applicant guides are hosted on the specialty training website, and applications are 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

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 Anna Ciepielewska, NIMDTA IDT contact by emailing

National IDT Timeline (February 2023)

Supporting documents available within the resource bank of the Specialty Training Website 9th January 2023
Application window opens & Application form available on the PGMDE Support Portal 16th January 2023 (12pm)
Application window closes 17th February 2023 (12pm)
Eligibility checking 16th January 2023 – 10th March 2023
Offers Round 1 – Conditional Offers from the National IDT team Week commencing 3rd April 2023
Offers Round 2 – Conditional Offers from the National IDT team Week commencing 11th April 2023
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.  Where doctors in training are acting up, this should be for the duration of their entire working week including any out of hours responsibilities.  Less than Full Time (LTFT) trainees are also eligible to act up as a consultant for one single fixed period of time, however this can be pro-rata.  The period of ‘acting up’ cannot extend past the date of CCT but may be counted towards CCT or CESR (CP) with approval from the relevant Royal College. When in post, the term ‘acting up’ and not ‘locum’ must be applied.  Trainees who are post CCT will not be eligible to ‘Act Up’ but will be expected to take up the post as Locum Consultant. Upon taking a Locum Consultant post trainees will be asked to resign their National Training Number (NTN). Out of Programme Policy including Application
Terms and Conditions of Employment
  • Regional Guidance on Relocation, Removal and Excess Travel Expenses for Doctors in Training
  • Monitoring Guidance for Junior Doctors 

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