Out of Programme Application

OUT OF PROGRAMME APPLICATION

Updated April 2016

Please read these instructions completely and carefully to minimise any delays in processing your submitted application. If any of the items listed is not included, your application will be returned.

1. You must have both HETV approval (and GMC approval through the Royal College if you want any OOP time to count towards your CCT) confirmed in writing before you can leave the programme.

2. Please type all information, then print off for hard copy signing by yourself, and the other relevant signatories. You should send this paper copy to HETV by ‘signed for’ delivery, or deliver in person to your Specialty School Manager.

3. Please indicate clearly which single option you wish to apply for, noting that at least THREE MONTHS notice must be given. Ideally, longer notice would be given.

a. Out of Programme Clinical Experience (OOPE)  b. Out of Programme Experience for Training (OOPT)  c. Out of Programme Experience for Research (OOPR)  d. Out of Programme for Career Break (OOPC)  e. Out of Programme – “Acting Up to Consultant” (AUC)  f. Out of Programme – Extension to current OOP 

4. Please confirm that you currently have an Outcome 1 from your most recent ARCP if you are applying for OOPR, OOPT or OOPE, or an Outcome 8 for those already undertaking OOPR or OOPE.  You can take OOPC with any outcome

IMPORTANT NOTICE FOR ACF TRAINEES

The ACF appointment will cease if a period of OOP is undertaken. This is because the ACF post is deemed to have fulfilled its purpose. ACFs who do take OOP will return to a full-time clinical training post. Please also refer to OOP Guidelines for further details concerning ACFs in Core Medical Training.

Applicants seeking EXTENSION TO OOP only

Please note any extension of Out of Programme should be made in a written request to the Training Programme Director and MUST then be submitted for written approval of the Postgraduate Dean giving a minimum of 3 months’ notice before the agreed return date. Reasons must be given why the extension is required.

Please submit Educational/Clinical or Research Supervisor’s Report of Progress to support extension of application – not required for OOPC Yes No

PAPERWORK START DATE: Office use only

1 END DATE FOR RECEIPT OF PAPERWORK : Office use only The following must be included with your application for out of programme leave from your Specialist Registrar/Specialist Trainee training programme. Without the details below the Postgraduate Dean and the GMC* will not be able to consider your request:-

Please note the General Medical Council cannot accept applications from individual trainees or Colleges/SACs/Faculties

CHECK LIST

CONFIRM ALL APPLICANTS – Please confirm that you have completed the following sections, attached any correspondence from your Royal College, and that all the relevant endorsements have been provided.

Proposed leave - Dates Written details of research/ clinical training Location Source of funding Written Support from Consultant Supervisor Programme Director Head of School Letter from Royal College/Faculty Training Committee confirming provisional prospective approval of the placement OR letter from host organisation/ HE Thames Valley confirming GMC approval of the placement.

(NB A signed “provisionally agreed” copy of the OOPE form will only be provided for those Colleges who require a HE Thames Valley signed form before they can produce a College letter of support.) If you require your time out of programme to count towards your CCT written College confirmation of educational credit for proposed time to be spent out of programme MUST ACCOMPANY THIS APPLICATION. Please attach a copy of the correspondence from the College confirming they approve your Out of Programme time.

Signature of trainee: Signature of Education Supervisor Signature of Training Programme Director Signature of Head of School

Once you are satisfied that every section is complete, and any documentation from your College to support the application is available, please send to your Specialty School Manager at HETV. 1. You should send this paper copy to HETV by ‘signed for’ delivery, or deliver in person to your Specialty School Manager.

Thames Valley House, 4630 Kingsgate, Oxford Business Park South, Oxford OX4 2SU

2 TRAINEE DECLARATION

I am requesting approval from the Postgraduate Dean’s office to undertake time out of programme described below/continue on my current Out of Programme (delete one) whilst retaining my training number. I understand that all the points listed below apply to me:

 If I do NOT submit all the required documentation in a timely manner as stated above, my application will NOT be considered.

 A total of three years out of my clinical training programme will normally be the maximum time allowed out of programme (one year for GP Specialty Trainees).

 I understand that any extension to this application will only be allowed in exceptional circumstances and will require a further written approval from the Postgraduate Dean.

 I agree to liaise closely with my Training Programme Director and Specialty School Manager so that my re-entry into the clinical programme can be facilitated. I am aware that at least 3 months’ notice must be given of the date that I intend on returning to the clinical programme and that the placement will depend on availability at that time. I understand that I may have to wait for a placement.

 I agree to return an annual Form R for each year that I am out of programme for consideration by the annual review panel. This will need to be accompanied by an assessment report of my progress in my research or clinical placement. Failure to do this may result in the loss of my National Training Number.

 I have completed a Whole Scope of Practice form if relevant, which covers my entire scope of practice including locum and other wider work as a doctor which is NOT part of my training programme. I can provide evidence that I am satisfying the GMC domains across that scope of practice. This form must be signed by your Educational or Research Supervisor.

 Approval from the Training Programme Director is not approval to go Out of Programme and if I commence Out of Programme without prior approval from HE Thames Valley or GMC, disciplinary action may be taken by my employer.

 I am aware that if I have not been providing any clinical care during my Out of Programme, I will need to undertake a return to practice programme on return to training.

 I agree to give at least 3 months’ notice to the Postgraduate Dean and to my employer before my time out of programme can commence.

 I have read and understand the implications in respect of maintaining my pension contributions whilst I am out of programme.

 I understand that whilst I am out of programme and not in a training post, I am not entitled to receive relocation expenses.

 I understand that I am not entitled to study leave from Health Education Thames Valley when not in a funded training post.

Signature of trainee: Date: 3 The following sections must be completed by the applicant and all other parties before submission to HETV

SECTION 1

TRAINEE to complete in full

Date of Birth: GMC No:

Training NTN No: ACF Yes/No

Speciality: Sub-Specialty (if applicable)

Current Placement:

Grade/Year of training: e.g. CT stage (CT1 or CT2) or ST stage (eg ST3) Current Hospital/Trust/GP Surgery

Contact address:

Work: Tel. No./Bleep No. Email:

Mobile No: Current CCT Date:

Are you currently Working Less than Yes % No full time (LTFT)? Do you intend to work LTFT Yes % No (OOPT/OOPR)?

Dates of Time out of Programme requested: Start Date: (day) (month) (year) End Date: (day) (month) (year)

Have you been on any previous or are you currently on OOPE/OOPT/OOPR / OOPC (please continue on another sheet if Yes No more than one placement): Start Date: (day) (month) (year) End Date: (day) (month) (year)

4 Research supervisor/Clinical training name and contact address: (must be provided) Telephone: Email: (If different from overleaf) Your contact details whilst out of programme:

Telephone: Email: (If different from overleaf) Source of confirmed funding:

Please state clearly if this period of OOPE/OOPT/OOPR is to count towards your CCT as this now requires GMC approval. OOPC does NOT COUNT Yes No N.B. The GMC does not grant retrospective approval under any circumstance

If YES the trainee MUST obtain a College letter of support to accompany this request to Health Education Thames Valley for an OOPE. HE Thames Valley will be unable to make an application to the GMC without this document.

Please confirm date application made to College to obtain Date letter of support

Is the application to train in a non-NHS Organisation as a formal part of your Yes No training? If YES, please identify non-NHS Organisation and give reasons why:

If planning to “Act up” in a consultant role.Please read FAQ Receiving LETB GMC approval code attached to this form. number:

SECTION 2

Royal College/Faculty Approval if you are seeking to have any time counted towards your CCT

Training approval has been granted by the Royal College/Faculty of (please Yes No Pending state) : If no or pending please state the reason why, (e.g. your College will not give approval until after the HE Thames Valley has approved the application):

5 If no or pending have your applied to HE Thames Valley for a “provisional” sign off to enable you to gain College approval? Yes No

Would you still wish to go out of programme even if College/Faculty approval is not Yes No given? Please indicate the length of time this request for Out of Programme is to Years Months count towards your CCT My CCT date will be deferred by The new CCT date will be approximately: The CCT date will remain at

Years: ------Months: ------

Trainees applying for extension of OOP need to obtain the signature of the TPD (section 4 only) before submission to the Postgraduate Dean. Please remember to submit the letter of support from your clinical/research supervisor.

SECTION 3

TO BE COMPLETED BY EDUCATIONAL SUPERVISOR:

I DO SUPPORT * this request (*please delete as I DO NOT SUPPORT* this request (*please delete as appropriate) appropriate) Please give reason why:

NAME in BLOCK Capitals:

Signature:

6 SECTION 4

TO BE COMPLETED BY TRAINING PROGRAMME DIRECTOR: Trainees should not go OOPE/OOPR in the final year of training. I DO SUPPORT * this request (*please delete as I DO NOT SUPPORT* this request (*please delete as appropriate) appropriate) Please give reason why:

Can this training be provided locally? Yes No

Please indicate whether the post will remain vacant or how it will be filled (eg LAS, trainee returning from mat leave or OOP )

How much of the period of leave will count towards accreditation?

Has the trainee provided you with all the documentation required for their Yes No OOP application? Are you satisfied with the trainee’s progress? Yes No Has the most recent ARCP been satisfactory? The trainee must have an Yes No Outcome 1 or 8 to qualify. Have you ensured that this application (OOPR/OOPT/OOPE) is not for the Yes No last year of the trainee’s specialty training, unless an exception? Are you satisfied that no other trainee’s planned rotation will be affected? Yes No If this is an extension, has the trainee given at least 3 months’ notice prior Yes No to the original planned end date? Additional comments from TPD which the Postgraduate Dean may need to be aware of:

Please confirm that the trainee is aware that they should discuss plans regarding pension arrangements whilst on an Out Of Programme with local YES NO Human Resources Department: Does the trainee have any pending General Medical Council referrals? YES NO If “Yes” please give a brief outline on a separate sheet:

Signature:

7 SECTION 5

TO BE COMPLETED BY HEAD OF SPECIALTY SCHOOL:

I DO SUPPORT * this request (*please delete as I DO NOT SUPPORT* this request (*please delete as appropriate) appropriate)

Please give reason why:

Signature:

SECTION 6

TO BE COMPLETED BY POSTGRADUATE DEAN:

I DO SUPPORT * this request (*please delete as I DO NOT SUPPORT* this request (*please delete as appropriate) appropriate)

Please give reason why:

Signature:

8 Frequently asked questions and useful contacts

Q1. I am a final year trainee and I have the chance to ‘act up’ as a consultant.

 A doctor in training can apply to the Dean to take time out of programme and credit the time towards CCT/CESR(CP) as an Acting Up (AUC) – but only if it is permitted in the relevant specialty curriculum. If the relevant specialty curriculum does not have provisions for Acting Up (AUC) – i.e. the curriculum does not say an Acting Up (AUC) post can count – then it cannot count towards CCT/CESR (CP). Furthermore, the time cannot be applied for via the OOP process.

 Taking up a LOCUM consultant post whilst holding a training number is not permitted as this post WILL NOT count towards training as you will be deemed to be practising without any supervision.

 Doctors completing Acting Up posts outside of HE Thames Valley are responsible for seeking confirmation from their College on behalf of the GMC that the time will count towards training before they commence such duties. This should be copied to the specialty School Manager at HEE TV.

 Where the Acting Up (AUC) is in the same training programme, then prospective approval is not needed from the GMC. If it is a different training programme, the usual Out of Programme process applies and we will need to see an application form and a college letter endorsing the Acting Up (AUC). NB If “acting up” in a Consultant Position: Clinical Oncology/Radiology/JRCPTB and Psychiatry Trainees DO NOT require Royal College or GMC approval.

PLEASE NOTE ALL TRAINEES (as per the Gold Guide Appendix 4): You will be required to complete all the specialty required documentation for your annual assessments

Q2. What do I need to know / do about revalidation?

 Doctors are reminded that they have to declare their whole practice annually as part of the appraisal or ARCP process. (This is known as ‘wider scope of practice’ ,WSOP). This might include (but is not limited to) locums, ATLS instructor, medic at sporting events, work for the VSO or Medecins san Frontieres, medical journalism.

 Trainees must complete Form R and send to the Revalidation team at HETV as instructed, along with reports from the Academic Supervisor, and Educational Supervisor if OOPT.

9 Q3. What does my specialty require for OOPT / OOPR applications?

Anaesthetics If OOPT needs GMC Approval, also need to complete the Royal College Form.

General Practice The usual time allowed out of programme is one year. Any additional time up to the maximum of two years would have to be under very exceptional circumstances. Medicine Need to complete JRCPTB OOP Application Form. Available from the JRCPTB website. Please refer to the website for current guidance Obstetrics & Gynaecology Once approved, submit all relevant documents and a detailed time table to: Secretary to the Specialty Education Advisory Committee at the RCOG.

Ophthalmology TSC/ASTO posts are part of the training programme and require OOP paperwork to be completed. If TSC/ASTO posts are outside of the HEE Thames Valley area trainees will need to complete and submit OOP paperwork. Paediatric SpRs Trainees “acting up” in a consultant position also need to complete Royal College Form. Paediatrics Also need to complete the Royal College Form Royal College support for prospective approval for time to be counted towards CCT should take the form of either a letter on College or Faculty headed paper or an email from an official College or Faculty email address confirming the trainees:

Psychiatry Trainees ON OOPT needs GMC Approval, you will also need to complete Royal College Form. Surgery If OOPT is to be counted towards CCT, you will need to apply for SAC support BEFORE you apply to HE Thames Valley. Please submit with HE Thames Valley documentation plus a current CV and a signed offer letter. Trauma and Orthopaedics If OOPT is to be counted towards CCT, you will need to apply for SAC support BEFORE you apply to HE Thames Valley. Please submit with HE Thames Valley documentation plus a current CV and a signed offer letter. Trainees are also required to submit 2 logbooks from the previous incumbents of the post.

Q4. Who are my key contacts ?

Specialty School Managers at HETV:

Jane Bishop Surgery and Psychiatry [email protected] Jane Exell Medicine [email protected] Mairi Hills All other specialities [email protected] Barbara Gow General Practice [email protected]

10 Heads of School:

School of Anaesthetics Dr. Vivian Addy [email protected] School of Emergency Dr. Simon Smith [email protected] Medicine School of General Practice TBA School of Medicine Dr George MacFaul [email protected] School of Obstetrics and Miss Rebecca Black [email protected] Gynaecology School of Ophthalmology Mr C. K Patel [email protected] School of Paediatrics Dr Peter Sebire [email protected] School of Pathology Dr Lisa Browning [email protected] School of Psychiatry Dr Peter Sargent [email protected] School of Radiology Dr Jane Phillips-Hughes [email protected] School of Surgery Mr Jeremy Noble [email protected] Foundation School Dr Anne Edwards [email protected] OUCAGS Professor Chris Pugh [email protected] School of Public Health Dr. Premila Webster [email protected]

Royal College/Faculty Contacts for OOP approval

Royal College/Faculty College Website

College of Emergency Medicine (CEM) http://www.rcem.ac.uk/

Faculty of Intensive Care Medicine http://www.ficm.ac.uk/

Faculty of Public Health Medicine www.fph.org.uk

Joint Royal College of Physicians Training http://www.jrcptb.org.uk/ Board (JRCPTB) Royal College of Anaesthetics (RCOA) http://www.rcoa.ac.uk/

Royal College of General Practitioners [email protected]

Royal College of Obstetrics & https://www.rcog.org.uk/ Gynaecologists Royal College of Ophthalmologists www.rcophth.ac.uk Royal College of Pathologists http://www.rcpath.org/ Royal College of Paediatrics and Child http://www.rcpch.ac.uk/ Health Royal College of Psychiatrists http://www.rcpsych.ac.uk/traininpsychiatry/trainees/qualityassuranceof training.aspx Royal College of Radiologists https://www.rcr.ac.uk/ Joint Committee on Surgical Training www.jcst.org (Royal College of Surgeons)

11 Applying for Out of Programme Training April 2016

Trainee considers OOP and discusses with Educational TraineeSupervisor/Training considers OOP and Programme discusses withDirector Educational Supervisor/Training Programme Director

Post to count towards CCT Post NOT to count towards CCT Post to count towards CCT Post NOT to count towards CCT

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Specialty School Manager to arrange Specialtyapproval School signature. Manager A copy to arrangeof approvedapproval OOP signature. paperwork A copy sent toof approved OOPtrainee paperwork sent to trainee Specialty School Manager notifiedSpecialty of outcome. School Manager A copy of GMCnotified approval of outcome. letter sentA copy to of GMC approvaltrainee letter sent to trainee