Training Guidance.


Acting Up

“Acting up” provides doctors and dentists in training with the experience of navigating the transition from junior doctor or dentist to consultant, whilst maintaining the supervision and training plan required of doctors or dentists in training. 

Medical Specialty doctors in training who are within one year of their anticipated completion of training date are eligible to act up as consultants, for a fixed-term period of 3 months (pro rata for less than full time trainees). 

Dental Specialty Trainees may act up as a consultant/specialist within six months of their CCST date for individual sessions or longer periods of time (until the end of training). 

Trainees should normally apply prospectively for acting up opportunities and acting up placements will require appropriate supervision arrangements. Applications which do not meet the application notice period and placement requirements stated within this guidance will not normally be accepted.

Useful Documents

Guidance Document

Application form


Inter Deanery Transfer Process

The National Inter Deanery Transfer (IDT) process has been established to support trainees who have had an unforeseen and significant change in their personal circumstances since the commencement of their current training programme which requires a move to a different region. The process is managed by the National IDT team (Health Education South London) on behalf of the Conference of Postgraduate Medical Deans (COPMeD), Health Education England (HEE) and all UK regions.

In order to provide a consistent, transparent and robust process for all trainees, the National IDT team will make all decisions on eligibility and allocations in accordance with the published guidelines and criteria.

You can read these guidelines, criteria and timeline as well as find out much more about the process by visiting the National IDT webpages, which have been migrated to a new home on HEE’s specialty training. Full details on the process can be found on the Speciality Training/Inter-Deanery Transfers and British Medical Association websites.

All of the required documentation, supporting documents and applicant guides are hosted on the specialty training website, and applications will now be made via the Post Graduate Medical and Dental Education (PGMDE) Support Portal. All FAQs are now hosted on the specialty training website

If you have any queries relating to the National Inter Deanery Transfer (IDT) process, please review the IDT Applicant guide and the Frequently Asked Questions (FAQs) articles on the specialty training website, in the first instance. If you do not find an FAQ that has answered your question, you can submit an enquiry form to the National IDT team via the PGMDE support portal. The PGMDE support portal can be accessed at the following link.

The IDT team for YH can support you with your application, please contact us: 

Out of Programme

Trainees may wish to take a period of time out of programme (OOP) during their training. 

Time out of programme is divided in to four categories:

  • Research (OOPR)
  • Experience (OOPE)
  • Training (OOPT)
  • Career Break (OOPC)

There is an Out of Programme Pause (OOPP) pilot currently taking place. For more information click here.

Doctors in training are required to obtain formal approval from the Postgraduate Dean (PGD) to take time out of a clinical training programme whilst retaining their national training number. Applications should be submitted six months prior to the intended start date. 

A trainee whose annual review of progress is deemed unsatisfactory or with unmet objectives identified at their ARCP will not normally be granted a period of OOP. Time out of programme will not normally be agreed until a trainee has been in a training programme for a least one year. 

A trainee's CCT date will be extended in line with their time out of programme. If a trainee wishes for some, or all, of their training to count towards their CCT, they will need support from their Royal College and from the GMC/GDC. 

Useful Documents

Application & Extension Form
Time Out of Foundation Programme - Application Form
Curtailment Form


Out of Programme - Future Leaders

Trainees accepted on to the NHSE Yorkshire and the Humber Future Leaders Programme will need to apply to go out of programme, in the usual manner. 

Leadership Fellows are required to obtain formal approval from the Associate Dean if they wish to extend their fellowship. Guidance regarding extensions for Future Leaders fellows is available on the Information for Fellows page.

Useful Documents

Guidance on Requests to Extend an HEE YH Future Leaders Programme Fellowship 

Period of Grace

Trainees completing higher specialty training (with the exception of GP trainees) are able to apply for a six month period of grace, directly following their CCT date.

The period of grace allows doctors who have completed their training to continue in the Specialty Registrar grade for a limited period of time, whilst they find employment, usually in a consultant level post. The doctor is no longer considered to be in training, but is in post for the purposes of service.

To allow Training Programme Directors sufficient notice to plan their placements, trainees should give at least six months notice of their intention to take up their period of grace. 

Trainees who enter their period of grace are able to resign from this at any point. However, they will be required to give notice, in line with their Trust's employment contract. 

Useful Documents

Full Policy

Period of Grace Intent Form

Redeployment Guidance