Hospital and Community Care, Policies and Procedures

Hospital and Community Care, Policies and Procedures

This page has policies for Hospital and Community Care specialties (including Public Health). Please follow the following links for other areas:

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D

Deferring the Start of Training

The Gold Guide States:

3.38 The start of training for foundation, core and specialty training may normally only be deferred on statutory grounds (e.g. maternity/paternity/adoption leave, ill health). For the Defence Medical Academy only, training may also be deferred to meet Defence Medical Services operational requirements.

To request a deferment for any reason, please contact the relevant school team for the specialty you will be starting in, with as much notice as possible.

Dignity Concerns added 29 Aug 2025

Please see Raising Dignity Concerns page

Domestic Abuse

external link icon Refuge – specialist domestic abuse organisation

Dress Codes

Microsoft Word icon National Dress Code for Doctors and Dentists in Training

E

Early Certification/CCT

Please see Acceleration of Training

Expense Claims – Excess travel

See 'Removals and Excess Travel'

Expense Claims – Relocation

See 'Removals and Excess Travel'

Expense Claims – Study leave

See 'Study Leave' pages

F

Form R

Please see 'Form R' page

Foundation Programme

Please see the 'Foundation Policies and Processes' page

Freedom of Information

Please see 'Subject Access Requests'

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I

Indemnity cover – non trust settings

Effective for new trainees from 4th August 2021 and for existing trainees from 5th August 2021.

external link icon Mersey and West Lancashire Teaching Hospitals NHS Trust (Lead Employer) Medical Indemnity

Independent sector working

external link icon Guidance for Placement of Doctors in Training in the Independent Sector

Inter-Deanery Transfers (IDT)

Please see 'Inter-Deanery Transfer' pages

Intra-Region Transfer (Transferring within NHS England – North West)

NHS England – North West's Intra-LETB Transfer Policy is for transfers within the North West region of NHS England.

PDF icon Intra-LETB Transfer – Process and Guidance For Resident Doctors

Microsoft Word icon Intra-LETB Transfer – Application Form

Microsoft Word icon Intra-LETB Transfer – Supporting Document A

Microsoft Word icon Intra-LETB Transfer – Supporting Document B

Microsoft Word icon Intra-LETB Transfer – Supporting Document C

Microsoft Word icon Intra-LETB Transfer – Supporting Document D

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Junior Doctor's Contract/Terms and Conditions of Service

Please see 'Terms and Conditions'

L

Less Than Full Time Training (LTFT)

Please see 'Less Than Full Time' pages

M

Medical Training Initiative (MTI)

Please see 'Medical Training Initiative' pages

N

Non-ARCP Appeals

See 'Complaints and Non-ARCP Appeals'

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Out of Programme (OOP)

Please see 'Out of Programme' pages

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Pastoral Support

PDF icon Guidance on Providing Pastoral Support to Trainee Involved in Serious Incident

Period of Grace (POG)

PDF icon NHS England – North West's Period of Grace Guidance Notes

A link to the POG intent form will be sent to resident doctors 6-7 months prior to their Certification date.

Privacy Notice

external link icon NHS England – Workforce, Training and Education - Privacy Notice

Professional Leave for Doctors in Training

Microsoft Word icon Professional Leave for Doctors and Dentists in Training

Professional requirements if arrested, charged or convicted of a criminal offence

PDF icon Guidance to trainees and trainers re: professional requirements if arrested, charged or convicted of a criminal offence

Professional Support and Wellbeing (PSW)

Please see 'Professional Support and Wellbeing Service (PSW)' pages

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S

Standard Operating Processes (SOP)

There are nationally approved Standard Operating Procedures (SOPs) for England aligned to the principles of ‘A Reference Guide for Postgraduate Foundation and Specialty Training in the UK’ (‘the Gold Guide’) and ‘A Reference Guide for Postgraduate Dental Core and Specialty Training’ (‘The Dental Gold Guide’).

Our local policies reflect these SOPs

Stopping and Starting the Training Clock

PDF icon Prolonged Absence Guidance

PDF icon Appendix 1 GMC Position Statement Time out of Training

PDF icon Appendix 2 FP REFERENCE GUIDE

PDF icon Appendix 3 AoMRC Return to Practice Guidance

Study Leave

Please see 'Study Leave' pages

Subject Access Requests (SAR)

external link icon NHS England Subject access requests

Supported Return to Training (SuppoRTT)

Please see 'SuppoRTT' pages

T

Terms and Conditions

external link icon Doctors and dentists in training terms and conditions (England) 2016

Time Out of Programme

Please see 'Out of Programme' pages

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W


Page last updated: 29 August 2025