North West School of Surgery - Information and Resources for Trainees

North West School of Surgery



Information and Resources for Trainees





For information about individual specialties within the North West School of Surgery, please select from the list below in the menu on the right hand side (or towards the bottom of the page if viewing this page on a mobile device).


Enhancing Supervision for Postgraduate Doctors in Training



pdf icon Enhancing Supervision for Postgraduate Doctors in Training

pdf icon Standards in Supervision

pdf icon Enhancing Supervision for Postgraduate Doctors in Training – Handbook




Annual Review of Competence Progression (ARCP)



Please see the School of Surgery ARCP pages for further information.



Bullying and Harassment



external link icon The Royal College of Surgeons of Edinburgh: Anti-Bullying and Undermining Campaign - including an online e-module. This emodule guides you through the facts, identifies the problem and suggests ways of managing our own behaviour in order to change the surgical culture. CPD accredited. RCSEd online account holders can access the emodule by logging in with your RCSEd account here. Non-RCSEd online account holders will first need to register to create an online RCSEd account here. Once you have registered, you can then log in to complete the emodule with your new RCSEd account here.


The Lead Employer's Respect and Dignity at Work policy can be downloaded from St Helens and Knowsley Hospitals NHS Trust's Lead Employer 'Policies and Forms' page



Care of Private (non-NHS) Patients and Working in non-NHS Settings



pdf icon HEE Guidance on the involvement of postgraduate medical, dental and pharmacy trainees in the care of private (non-NHS) patients and working in non-NHS settings



CCT, CESR and the Combined Programme - Pathways to entry on the GMC's Specialist Register



*UPDATED* - 10 June 2020

pdf icon CCT, CESR and the Combined Programme - A guide to the routes of entry on the GMC’s specialist register for trainees starting specialty training in HEE North West


Please also see information on the JCST wesbite and the GMC website.



Checklist for Supervisor Meetings with Trainees



pdf icon Example of a checklist for Educational and Clinical Supervisors when meeting with trainees



Clinical Supervision of Doctors in Training at Out-Patient Clinics



pdf icon COPMeD: Doctors in training and clinical supervision at out-patient clinics



Data Protection and Data Security



An e-learning module on 'Data Security Awareness' can be accessed thorugh HEE's e-learning for Healthcare website.


The Lead Employer's Code of Confidentiality policy can be downloaded from St Helens and Knowsley Hospitals NHS Trust's 'Our policies and procedures' page and there is also a social media policy which can be found on St Helens and Knowsley Hospitals NHS Trust's Lead Employer 'Policies and Forms' page



E-Portfolio (ISCP)



The e-portfolio for surgical specialities is ISCP (Intercollegiate Surgical Curriculum Programme). All trainees are expected to engage with the ISCP portfolio to provide evidence of their progress in training which will be assessed at Annual Review of Competence Progression (ARCP). A fee is payable to the Joint Committee on Surgical Training (JCST) for access to ISCP and evidence cannot be added if the fee has not been paid.


There is a help section on ISCP, or if you have any other problems, you should contact the ISCP help desk via email: or phone: 020 7869 6299



Early Certification



4.9    There will be occasions when a trainee progresses more rapidly than the expected rate of progress and in such cases, the award of an ARCP Outcome 6 can be bought forward. However, this can only occur if:

  1. the trainee has gained all the relevant competences required within the curriculum
  2. the trainee has completed all the necessary examinations and assessments
  3. the trainee has spent the minimum time in training as required by the EU directive on the recognition of professional qualifications

The early achievement of CCT needs to be planned via the ARCP process and would not normally be advanced by more than one year.


The Gold Guide 7th Edition - Section 4: Progressing as a Specialty Trainee


pdf icon JCST's  Early Certification Principles

pdf icon JCST's Requesting change to provisional certification date flowchart



Enhancing Junior Doctors’ Working Lives



pdf icon Enhancing Junior Doctors’ Working Lives - a progress report 2018

pdf icon HEE and EJDWL 2018 presentation by Dr Alistair Thomson



eSurgery - e-learning resource for Surgeons



eSurgery is a free e-learning resource supporting trainees in their early years of surgical training. It is a collaboration between Health Education England's e-Learning for Healthcare programme and the Royal College of Surgeons of England. It is a free e-learning resource for NHS employees and anyone delivering NHS commissioned care.

link icon e-Learning for Healthcare - eSurgery



GMC Survey



*UPDATED* - dates updated for 2020 - 11 February 2020

In 2019 the GMC survey will be available to complete from 24 March to 5 May 2020. Once completed you should upload the completion code to the “Miscellaneous” part of the “Other Evidence” section of your ISCP portfolio.


You should be able to access the GMC Survey through your GMC Online Account during the survey period (24 March to 5 May 2020).


All HEE North West trainees are expected to complete the survey except: 


  • Trainees on maternity or paternity leave on the census date (24 March 2020)
  • Out of programme trainees: out of programme training (OOPT) outside of the UK, out of programme research (OOPR), out of programme clinical experience (OOPE), or out of programme career break (OOPC) on the census date (24 March 2020).
  • Doctors who have been awarded their CCT, and are in their grace period on the census date (24 March 2020).



Gold Guide



The Gold Guide is a Reference Guide for Postgraduate Specialty Training in the UK and is applicable to all trainees (StRs) taking up appointments in specialty training which commenced on or after 1 August 2007. The seventh edition was published on 31 January 2018 replaces all previous editions of the Gold Guide with immediate effect and can be downloaded from the COPMeD website.



Induction Documents



Core Surgical Training CT1/ST1 induction - 14 August 2019

Please find below the induction documents from the School of Surgery induction held on 14 August 2019.

pdf icon Presentation - Welcome to HEE North West

pdf icon Presentation - Regional Teaching Programme and Study Leave

pdf icon Presentation - Curriculum Overview

pdf icon Presentation - ISCP e-portfolio

pdf icon Presentation - ARCP Process

pdf icon Presentation - Overview of training programme and posts

pdf icon Presentation - What to do if you need support or are having difficulties that are impacting on your work or training

pdf icon Presentation - How to Pass MRCS

pdf icon Presentation - Developing your portfolio in preparation for ST3


Higher Surgical Training ST3+ induction - 16 August 2019

pdf icon Presentation - What can the Royal College of Surgeons do for you?



Higher Surgical Training ST3+ induction - 14 February 2020

*NEW* - added 25 February 2020

pdf icon Presentation - Welcome to Health Education England North West




JCST Quality Indicators



link icon JCST Quality Indicators

pdf icon Summary of JCST Quality indicators



Learning Agreements



All in programme trainees in the North West should complete two, six monthly Learning Agreements on ISCP each year*. All parts of both the Learning Agreements (Objective setting, Interim Meeting, Final Meeting and AES Report) for the year must be signed off by the trainee and their AES before the ARCP Assessment Panel.


*Except trainees doing four month placements, in which case they should do three - one for each four month block.



Letters to Patients



pdf icon Academy of Medical Royal Colleges Guidance - “Please, write to me”: Writing outpatient clinic letters to patients



Locum Policy



pdf icon Guidance for trainees and trainers on undertaking additional work whilst in a postgraduate medical education training programme



Out of Programme (OOP)



The Out of Programme (OOP) application form and information on the OOP process for HEE North West can be found on the Out of Programme pages of our website.


Once your OOP application form has been signed by you, your AES and your TPD, please send the form and the supporting information to the HEE North West School of Surgery Admin Team who will seek approval from the Associate Postgraduate Dean.


Please be aware you will also need to apply to the JCST for them to approve your OOP, details of what they require can be found on the OOP pages of the JCST website.


If your post requires GMC approval, this will be applied for by the HEE NW admin team once your application has been approved by Associate Postgraduate Dean and the JCST.


Cancellation or Curtailment of OOP

If you want to cancel your OOP after it has been approved, or if you want to shorten your OOP, please complete the "OOP Cancellation and Curtailment form" available on the Out of Programme pages of our website.


Extending your OOP

If you would like to extend your OOP, you should complete the main OOP for the extension period (start date should be the day after the currently approved start date) and you should submit documentation explaining the reason you want your extension. Please note that an Educational Supervisiors signature is not required for an OOP extension application.



Period of Grace



 *UPDATED* - 30 July 2020

A six-month Period of Grace (sometimes referred to as POG) is available to all doctors on a higher training programme (ST3+) or run-through training programme. Trainees in Core Surgical Training do not have access to a period of grace.


From August 2020 the way in which HEE North West manages Period of Grace changes to be in line with the HEE's National policy. Doctors in run-through or higher training programmes with a CCT date is after 1 February 2021 must give six-months notice of whether they would like thier period of grace. Doctors in training will be contacted approximately seven months before thier CCT date to complete a Period of Grace Request form. If no form is received, it will be assumed that the peiod of grace is not required and their employment will finish on their CCT date. If a doctor who indicates they would like a period of grace but subsequently changes their mind, they will need to give the standard three months notice of resignation.


The period of grace policy can be found on the policies and procedures page of this website.


Please see the Resignation section below for further details on resigning.


Personal Development Plans (PDP)



pdf icon "Professional development plans for surgeons" by Mr Vijay Bhalaik



Reflective Practice



You must ensure that all reflections in the portfolio, and used as evidence for appraisal and revalidation, must have any personal information that can identify individuals (including patient identifiers) or organisations removed prior to loading.


pdf icon Improving feedback and reflection to improve learning, A practical guide for trainees and trainers

pdf icon Recording of reflective practice - letter from Academy of Medical Royal Colleges

pdf icon Recording of reflective practice - Academy of Medical Royal Colleges - Guidance for entering information on e-portfolios

pdf icon Academy of Medical Royal Colleges and COPMeD Reflective Practice Toolkit

pdf icon GMC - Reflective practice guidance



Resigning from a Training Programme



Upon resigning from a Training post, the following notice of resignation is required from a Trainee:

Type Notice Period
Core Trainee (CT) 1 month
Specialty Trainee (ST) - including run-thorugh trainees at grade ST1 or ST2 3 months


Trainees resigning from their training programme must advise Lead Employer of their resignation by emailing within the above timescales.


Where a Trainee wants to leave the training programme before completion of the required notice period, they must complete an Early Resignation Form and obtain signatures of approval from the Host Trust they will be based at on the date of leaving.



If you have any queries about resigning, please contact the Lead Employer Team at St Helens and Knowsley Teaching Hospitals NHS Trust.



Returning to Work/Training



Please see the SuppoRTT section.





Please see the HEE NW Revalidation pages for information.

The Revalidation team can be contacted by email on



Run-through Training



pdf icon Guidance for North West School of Surgery trainees on run-through training programmes *UPDATED* - 22 January 2020



Study Leave



Please see the HEE NW Study Leave pages for guidance, application forms etc.

The Study Leave team can be contacted by email on



Support for Doctors



*NEW* - added 11 March 2020

link icon Support for doctors - Academy of Medical Royal Colleges



Support for Doctors with Mental Health or Addiction Concerns



NHS Practitioner Health is a free and confidential NHS service for doctors and dentists with issues relating to a mental health concern or addiction problem, especially where these may affect their work.

The service is open to any medical or dental practitioners in England, who are GMC or GDC registered, or those looking to return to clinical practice.

pdf icon NHS Practitioner Health Leaflet

Opening Hours: Monday to Friday 8am-8pm, Saturday 8am-2pm

Telephone: 0300 030 3300





Supported Return to Training (SuppoRTT)



The School of Surgey guidance and documentaion has now been replaced by a single National guidance document.

Please see guidance under the "NW SuppoRTT Guidance" heading on the Supported Return to Training page.


The previous Appendix 1 has now been replaced by the "Pre-Absence Meeting" Form, the previous Appendix 2 has now been replaced by the "Initial Return Meeting" Form, the previous Appendix 3 has now been replaced by the "Review Meeting" Form, and there is now also a "Individualised Action Planner" Form.


SuppoRTT Champion Trusts covered

Danielle Wharton

Consultant Trauma and Orthopaedic Surgeon at Whiston Hospital


East Cheshire NHS Trust
Mid Cheshire Hospitals NHS Foundation Trust
Salford Royal NHS Foundation Trust
St Helens and Knowsley Teaching Hospitals NHS Trust
Warrington and Halton Hospitals NHS Foundation Trust
Wrightington, Wigan and Leigh NHS Foundation Trust

Su De

Consultant ENT Surgeon at Alder Hay Children's Hospital


Alder Hey Children's NHS Foundation Trust
Countess of Chester NHS Foundation Trust
Liverpool Heart and Chest Hospital NHS Foundation Trust
Liverpool University Hospitals NHS Foundation Trust
Southport and Ormskirk Hospital NHS Trust
The Walton Centre NHS Foundation Trust
Wirral University Teaching Hospital NHS Foundation Trust

Nicola Barnes

Consultant General Surgeon at Wythenshawe Hospital


Manchester University NHS Foundation Trust
Stockport NHS Foundation Trust
Tameside and Glossop Integrated Care NHS Foundation Trust
The Christie NHS Foundation Trust
The Pennine Acute Hospitals NHS Trust (NMGH only)

Emma Davies

Consultant General Surgeon at Royal Lancaster Hospital


Blackpool Teaching Hospitals NHS Foundation Trust
Bolton NHS Foundation Trust
East Lancashire Hospitals NHS Trust
Lancashire Teaching Hospitals NHS Trust
The Pennine Acute Hospitals NHS Trust (except NMGH)
University Hospitals of Morecambe Bay NHS Foundation Trust



Time Out of Training (TOOT)



pdf icon Time Out of Training - GMC position statement - November 2012 



Trainee Representatives



The Trainee Representatives attend and provide feedback at eash specialty's Training Committee and the North West School of Surgery Trainee Representatives meeting.


Specialty Sector Representative
Cardio-thoracic Surgery East (North Western) Marcus Taylor
West (Mersey) Matthew Smith 
Core Surgical Training CT1 Both Bhargavi Chandrasekar
Robert Leatherby (Deputy)
Core Surgical Training CT2 Both Darren Myatt
Arish Noshirwani (Deputy)
General Surgery

East (North Western) Ian Farrell
Mohammed Khan
West (Mersey) Tim Gilbert
Andrea Sheel
Neurosurgery East (North Western) Saam Youshani
West (Mersey) TBC
Oral and Maxillo-facial Surgery
East (North Western) - South/Central Sajid Sainuddin
East (North Western) - North Pavan Padaki
West (Mersey) Anusha Hennedige
Otolaryngology (ENT)
East (North Western) Rajeev Advani
West (Mersey) Andrew Lau
Huw Jones 
Paediatric Surgery Both Baqer Sharif
Plastic Surgery

East (North Western)
Ibrahim Ibrahim
Natasha Wielogorska
West (Mersey) Sami Ramadan
Trauma and Orthopaedic Surgery

East (North Western) Sanil Ajwani
Kai Nie
West (Mersey) Michael Grant
Ashley Newton 
Urology East (North Western) Neil Harvey 
West (Mersey) Marius Craciun
Vascular Surgery East (North Western) David Ormesher
West (Mersey) Mohamed Barakat



Training Programme Directors (TPDs)



For detials of who your TPD is, please see the TPD page.



Training Support Network



Information on specialist support services for trainee doctors who are experiencing difficulties which may affect their ability to train.

HEE North West Training Support Network



Meetings and Events







North West School of Surgery Induction for New Starters (CT1 and ST1)

VENUE: Education and Research Centre, Wythenshawe Hospital






North West School of Surgery Induction for New Starters (ST3+)

VENUE: Education and Research Centre, Wythenshawe Hospital



HEE North West Links



Training Support Network

SuppoRTT (Supported Return to Training)

Study Leave | Email:

Out of Programme (OOP) information

Less Than Full Time (LTFT) Training

Policies and Procedures

Revalidation | Form R Part A | Form R Part B | Email:

Leadership courses (Medical Leadership Fellowships, Postgraduate Module in Medical Leadership)

Education courses (PG Certificate in Workplace Based Postgraduate Medical Education Fellowship) | Email:

Careers advice

Intra-LETB Transfer Policy for transferring between sectors within HEE NW (on Policies and Procedures page)


Page Last Updated 30 July 2020