Welcome to the North Western Deanery. A copy of your Form R, which gives you your National Training Number (NTN) and your estimated completion date, should be forwarded to you shortly after commencing your training. You will also receive a copy of the StR Learning Agreement

This area gives you access to a range of information, which will be of assistance to you both in the induction stages of your training and throughout the whole of your training period. However you should also remember to consult, The Gold Guide – A Guide to Postgraduate Specialty Training in the UK.

Rapid Start

Ensure that the Deanery has your current contact details.
Ensure that contact is made with the Personnel Department
in the Trust in which you will be working.
Ensure you are familiar with the requirements of your specialty.
Contact your Training Programme Director.
Ensure that you have taken part in the Trust induction process.
Read or know where to access the Gold Guide –
A Guide to Postgraduate Specialty Training in the UK
Have received and returned your Form R.
Enrol with appropriate Faculty/Royal College.
Familiarise yourself with study leave guidelines
Familiarise yourself with Human Resources policies and procedures.


Enrolment With Royal College/Faculty

As a Specialty Registrar you are required to enrol with the relevant Royal College / Faculty as soon as possible after commencing your first post in the grade. Ideally this should be done within the first four weeks, so that the College can supply you with documentation in relation to your training, e.g. details of the specialty curriculum, examination dates, formal logbook, etc. as applicable.

Contact details of the Royal College of Paediatrics and Child Health can be found here. Please ensure that you contact the College / Faculty relating to your specialty, without delay.

Appraisal Assessment and Annual Review

There is a lot of confusion around the terms, appraisal, assessment and annual review.


Appraisal is a process that is confidential, primarily educational and developmental, and designed to help the trainee to progress. It is not a one-off meeting carried out merely to fulfil regulations. Effective appraisal should be a continual process and an integral part of an organisation’s culture. In practical terms it means an initial meeting between the trainee and educational supervisor to set education goals, which form the basis of a learning plan. A learning plan will record the educational objectives in terms of knowledge, skills and professional values and, more importantly, how they are to be achieved.

During the course of the placement the trainee will then meet with the educational supervisor at regular intervals to review their progress, highlighting areas for improvement, which may require a revision of the learning plan. At intervals the trainee may be assessed and this assessment will inform the appraisal process.


Assessment is a process of measuring progress against defined criteria based on relevant curricula. However, assessment can also be conducted in the workplace where specific standards have to be achieved, e.g. a trainee may be observed performing a procedure where certain key steps must be achieved. Another assessment might be of the professional values of a trainee and these can be assessed by seeking the views of other members of the team with whom they work. Assessment procedures should provide both trainers and trainees with a picture, at regular intervals, of the individual’s progress.

For more detailed information on how you will be assessed please click on the Assessment & Review section on the left hand navigation menu.


A range of Advanced Life Support courses are provided by the:

Centre for Training and Development
29-31 Ellesmere Street
M27 0LA
Tel: 0161 794 1999

Further details, including an online application form, can be found on the ALSG website at

Lead Employers/HR Support and Advice

The Pennine Acute Hospitals NHS Trust – Acute, Medical and other specialties
0161 604 5554

The new Lead Employers are working together to develop an attractive employment arrangement for junior doctors that will meet the requirements of good employment practice, support service and meet their educational and training needs.

Unpaid Leave/Out of Programme Experience

If you are considering taking Unpaid Leave/Out of Programme, you must discuss your intentions with the Training Programme Director, who will discuss issues relating to the educational benefit of the experience and whether the period of Unpaid Leave/Out of Programme will be recognised to the award of CCT.

Approval for Unpaid Leave/Out of Programme Experience must also be sought from the Deanery. An application form must be completed outlining your reason(s) for the Unpaid Leave/Out of Programme.

For more information please click here.

Inter-Deanery Transfers

In certain circumstances it is possible to transfer your training to an alternative Deanery.

Inter-Deanery transfers are usually only granted for well founded personal reasons and are usually permanent transfers.

Well founded personal reasons will often be related to family, such as the genuinely unavoidable move of a spouse or committed partner to another part of the country, or illness in a dependent family member, which could not have been foreseen when the appointment to the current StR post was made. If a transfer is to be considered on these grounds, applicants will be asked to provide evidence of change in their circumstances subsequent to their appointment and movement will not be supported within the first year of the programme. These transfers are “not an entitlement” and the decision will be influenced not only by the strength of the personal case but also the impact of the requested transfer on other trainees in the receiving Deanery, especially in specialties for which competition is intense. The final decision will rest with the receiving Dean, who will be advised by the home Dean responsible for the current post and by key trainers.

If agreed in principle, a commitment will be made, but actual placement in the programme and provision of a new NTN may not be possible immediately or even for some time. That will depend on the availability of an appropriate slot in the training programme and the availability of NTNs in the receiving deanery. Inter-deanery transfers cannot be made from one specialty to another.

For more information please click here.

Less Than Full-Time Training

The North Western Deanery promotes and supports LTFT Training (previously known as Flexible Training). Any trainee in a substantive deanery approved post can apply for less than full-time training and if they meet the eligibility criteria this will be accommodated as soon as practicably possible.

Kat Lynch (, can advise trainees who are considering LTFT training as to how to proceed.

The arrangements for LTFT Training have been agreed nationally by COPMeD, the BMA (JDC), NHS Employers and the Department of Health and documents relating to these arrangements can be found via the Deanery Website.

To be eligible it must be shown that training full time is not practicable, by way of an eligibility screening form. The eligibility screening form can be accessed at

There are two eligibility categories:
Category 1:
Disability/ ill health, caring for children (whose age is up to and including 16) or an ill or disabled partner
Category 2:
Unique opportunities for personal/ professional development
Short term 'extraordinary' responsibility
Religious commitment
Non-medical professional development e.g. Management, Law
Category 1 will always take priority, but every effort will be made to accommodate Category 2 as well

Further information can be found on the North Western Deanery Website at

North Western Deanery
NHS North West
Kat Lynch
Less Than Full-Time Training
3rd Floor
Three Piccadilly Place
Manchester  -  M1 3BN
Tel: 0161 625 7640

Careers Advice

The North Western Deanery has a dedicated careers team that will be able to provide you with a range of information and resources to support your career decisions and to help you manage your career effectively.

You can access this information at


ARCP Annual Review of Competence Progression The process whereby trainees in specialty training have the evidence of their progress reviewed by an appropriately convened panel so that a judgement about their progress can be made and transmitted to the training programme director, the trainee and the trainee’s employer.

COGPED Committee of General Practice Education Deans and Directors. National Forum of General Practice Education Directors. Advises on General Practice education in the UK.

COPDEND Conference of Postgraduate Dental Deans and Directors. National Forum of Postgraduate Dental Deans and co-opted bodies responsible for advising, interpreting and implementing national policy on postgraduate dental education.

COPMeD Conference of Postgraduate Medical Deans. National Forum of Postgraduate Medical Deans and co-opted bodies responsible for advising, interpreting and implementing national policy on postgraduate medical education.

CCT Certificate of Completion of Training. Awarded after successful completion of a specialty training programme, all of which has been prospectively approved by PMETB

CESR Certificate confirming Eligibility for Specialist Registration. Awarded after an applicant has successfully applied for entry to the specialist register through Article 14 of The General and Specialist Medical Practice (Education, Training and Qualifications) Order 2003

Clinical Supervisor The professional responsible for teaching and supervising the
foundation trainee (after The New Doctor, transitional edition, 2005).

Competence The possession of requisite or adequate ability; having acquired
the knowledge and skills necessary to perform those tasks which reflect the scope of professional practices. It may be different from performance, which denotes what someone is actually doing in a real life situation. (from the Workplace Based Assessment Subcommittee of PMETB)

Competences The skills that doctors need (after The New Doctor, transitional edition, 2005).

Conference of Postgraduate Medical Deans in the UK.

Curriculum A curriculum is a statement of the aims and intended learning outcomes of an educational programme. It states the rationale, content, organization, processes and methods of teaching, learning, assessment, supervision, and feedback. If appropriate, it will also stipulate the entry criteria and duration of the programme (from the Workplace Based Assessment Subcommittee of PMETB).

Deanery The designated area of responsibility of a postgraduate dean who in England has been appointed jointly by the NHS Executive and a University. In the case of the North Western Deanery this is the NHS Executive (Northwest) and the University of Manchester.

Dual CCT Certification In certain circumstances, and where specific provision has been made, a trainee may pursue, concurrently, two specialty training programmes leading to dual CCT certification. These trainees will be allocated only one training number relating to one of the specialty training programmes. To enable training to be completed in a shorter time than would otherwise be possible, where two separate programmes are pursued, ‘double counting’ of common training experience is permitted. The double counting must be transparent and relate to a published UK programme leading to a CCT.

Educational Supervisor The accredited specialist identified by the Postgraduate Dean and the employing authority as having educational responsibility for the trainee in the placement identified. This may or may not be the doctor providing clinical supervision.

Fixed Term Specialty Training Appointment. These are up to one year appointments, usually in the early years of training in a specialty. Appointments can only be made for up to one year.

General Medical Council. Responsible for the General and Specialist medical register in the UK in which a doctor must be included to practise medicine in the UK. Has strong and effective legal powers designed to maintain the standards the public have
a right to expect of doctors.

LAS Locum Appointment for Service, short-term appointment used to fill a service gap in a training programme.

LAT Locum Appointment for Training, appointment to fill a gap in a training programme.

NTN National Training Number. Only trainees who have competed successfully for entry into a run-through specialty training programme are awarded an NTN

OOP Out of programme Where trainees take time out of their training programme to undertake a range of activities, with the agreement of their Postgraduate Deanery by the trainee and the agreement by the postgraduate trainee for the trainee to take time out their Deanery specialty training programme.

OOPC Out of programme for a career break

OOPE Out of programme for experience which has not been prospectively approved by PMETB and which cannot be counted towards training for a CCT but may be suitable for a CESR or CEGPR

OOPR Out of programme for research which can be counted towards training if it is prospectively approved by PMETB. Research can also be considered for a CESR or CEPGR

OOPT Out of programme for clinical training which has been prospectively approved by PMETB and can be counted towards a CCT.

PMETB Postgraduate Medical and Education Training Board. The competent authority for both hospital specialties and general practice from September 2005. It is an independent body with responsibility in law for setting standards and quality assuring postgraduate medical education in the UK.

Programme A managed educational experience. As defined by PMETB, “a programme consists of a series of placements in a range of training environments, offered by a range of training providers and to be used by a number of trainees. PMETB approves programmes of training in all specialties, including general practice, which are based on a particular geographical area – which could be in one or more Deaneries if a programme crosses boundaries. They are managed by a training programme director (TPD) or their equivalent. A programme is not a personal programme undertaken by a particular trainee.”

Run-through training The term used to describe the new structure of specialty training in which trainees are competitively selected into specialty training curricula which cover both the early and more advanced years of specialty training. Once selected into a run-through specialty training programme, a trainee will be able to complete specialty training in the broad specialty group or specialty, subject to progress.

SAC Specialty Advisory Committee is the usual (but not the only) name used for the committee which advises the College or Faculty on training issues and sets the specialty specific standards within the context of the generic standards of training set by PMETB

STC Specialty Training Committee is the usual (but not the only) name used for the committee which advises and manages training in a specialty within a Postgraduate Deanery

Specialty training The description of postgraduate training following the current reforms to postgraduate medical training and marked by trainees who are entering training from August 2007 to undertake the new specialty training curriculum approved by PMETB

StR Specialty Registrar is the title given to trainees who are appointed into specialty training from August 2007