Please note that this page is for the OOPP pilot only, should you wish to access information about other OPP's please click here


Out of Programme Pause (Pilot)

As part of our response to the current COVID pandemic, HEE has developed a new offer for doctors in training. This opportunity is not available to dentists in training at the present time. The current iteration of the pilot which was due to finish in July this year has now been expanded for another two years. Therefore trainees will be able to apply to undertake OOPP up until 31 July 2023. This will allow trainees to “pause” their training to undertake an NHS non-training post, gain further experience, take stock of their training, work in another related specialty, or concentrate on their wellbeing.

This pilot initiative also gives trainees the opportunity to have competencies gained whilst out of training, assessed upon their return at the next ARCP. This may allow trainees to minimise the impact of the time out of programme on their CCT date.

Further information about this offer is available below:

OOP Application & Extension Form

OOPP Initiation & Scope of Practice Form

OOPP Information Pack for Trainees and Faculty

OOPP Expansion Project Guidance

Gap Analysis Framework


N.B  If any of the above PDFs do not open correctly in your browser, please “download” the PDF file to your desktop. Once downloaded, right click on the PDF and “open with” Adobe Reader. If you do not have Adobe Acrobat on your device, you can download a free, safe and secure version at


Who can apply?

  • Trainees who have completed the first year of specialty training as per the Gold Guide guidance for OOP
  • Trainees who have received (or expected to receive) an outcome 1, 10.1 or 10.2 at ARCP. Please note that trainees in receipt of an ARCP outcome 10.1, only those remaining in training (with a National Training Number) will be eligible.
  • Trainees wanting to step out of training and use the time to gain additional competencies that may not have been available because of the impact of COVID-19.

Whilst every effort will be made to provide this opportunity for trainees, we will need to ensure service provision is not compromised and that will be a factor in the number of trainees permitted to undertake OOPP.


Application Process

Applications for OOPP will be processed on a first come first served basis and trainees will need to identify the OOPP opportunity at time of application.

The normal 6-months’ notice as defined in the Gold Guide for OOP applications will not be necessary because of the implementation date for this pilot; however, trainees will need to provide a minimum of 3-months’ notice of the start date of their OOPP. Sufficient notice is required to meet the Code of Practice, ensuring the employer is provided with the contractual notice period. There will be discretion to allow a shorter notice period provided HEE YH and the Employer agree.

You must complete and submit the application form and the OOPP initiation and scope of practice form.



If you have any queries, please contact your Training Programme Director or HEE YH Programme Support Team (details can be found on the application form).