Out of Programme approvals process – operational protocol

Introduction

It is recognised that there are a number of circumstances in which a trainee may seek time out of training. The circumstances and overall process is already outlined within the Gold Guide 5th Edition 6.75-6.96.

This protocol does not supersede those arrangements set out in the Gold Guide, but rather adds further clarity and support for those wishing to undertake time Out of Programme (OOP), detailing the strict requirements for application and approval.

These requirements must be adhered to and failure to follow the processes and timescales set within this document are likely to result in a request for OOP being rejected. Therefore, those wishing to undertake a period OOP are advised to thoroughly read this document and contact their Postgraduate Deans administrative office with any questions.

Process and principles

Application and approvals

  • Trainees may only go Out of Programme (OOP) with the prior written agreement of the Postgraduate Dean responsible for their training.
  • Applications to go OOP must be made by the application form which is provided in the Gold Guide (Appendix 3) and follow the process documented on the relevant LETB/deanery website.
  • There are set timescales that must be adhered to when making a request to undertake a period OOP. These timescales are in place to ensure there is a sufficient period for requests to be considered, provide more information if required, consider the impact on the wider training programme, ensure contractual notice periods are met and that appropriate backfill arrangements are in place, and to safeguard against any potential detrimental impact on service commitments
  • Timescales are as follows (also see figure 1):
    • the application form is submitted to the Postgraduate Dean a minimum of six months in advance of the intended commencement date of the OOP
    • if approved by the Postgraduate Dean, a minimum of three months’ notice is provided to the current employer

Figure I:  illustrates the key time bound milestones when making an OOP request.

 

oop figure 1

 

  • Those wishing to make an OOP application must be aware of these timescales and factor in when planning a period Out of Programme. Failure to meet these timescales is likely to result in an application being rejected. Those with concerns regarding the ability to meet these timescales should contact their Postgraduate Deans office to discuss at the earliest opportunity.
  • When requesting OOP, doctors in postgraduate training should be cognisant of the date they wish to commence in relation to their current contractual obligations and the rotation date of the wider programme, with as much alignment as possible. If necessary, the Postgraduate Dean may approve eligible applications with the caveat of an amended start date to ensure compliance with programme commitments.
  • In some exceptional circumstances, the Postgraduate Dean may exercise discretion with regard to the timing of submitting a request for approval, but only where there are reasonable extenuating circumstances. For example, those wishing to undertake an OOPC due to an unforeseen personal or health related matter. The timing of a research grant being awarded will not normally equate to an exceptional circumstance.
  • In most instances, periods OOP can only be taken with the agreement of the Training Programme Director (TPD) and Educational Supervisor (ES). Applications for OOP must contain signed support from the relevant TPD and current ES.
  • In some instances, the number of trainees wishing to go OOP during the same timeframe may potentially weaken either the adequacy of the education of the training programme or compromises patient-facing services. The threshold for this will be dependent on the each specialty, programme and LETB/deanery arrangements.

ARCP/RITA requirements

  • Those wishing to apply for and undertake a period OOP are required to be in possession of a current satisfactory ARCP or RITA outcome. A satisfactory outcome constitutes an ARCP outcome 1or a RITA form C.
  • In some instances, a doctor in postgraduate training who is currently undertaking a period OOP may wish to apply for an extension, or in exceptional circumstance, may wish to apply to undertake a different OOP opportunity before returning to his or her training programme. Where the current period of OOP relates to an OOPT, the requisite satisfactory outcome remains a current ARCP outcome 1or a RITA form C.
  • Due to the nature of OOPC relating primarily to personal circumstance, in some instances possession of a current satisfactory ARCP or RITA outcome may not be feasible. For example, a doctor in postgraduate training may have mitigating health factors that have prevented satisfactory progression through their current training period. In such circumstances where a doctor is requesting an OOPC in relation to their personal circumstance, the requirement to hold a current ARCP outcome 1 or RITA C may be waived at the discretion of the Postgraduate Dean. Instead, suitable evidence to substantiate current personal circumstance will normally be required, such as an Occupational Health report.

Programme requirements

  • If the number of trainees planning to go out of programme potentially weakens either the adequacy of the education programme or compromises patient-facing services, or where an “over subscription” of eligible OOP requests exists, Postgraduate Deans will need to determine an appropriate mechanism for determining priority. This may include discussion with individuals regarding flexibility over dates or giving priority to exceptional personal issues (OOPC) on compassionate grounds.

Employment status and continuous service

  • Trainees are advised to seek clarification from their employer in regards to their pension contributions and any statutory rights and benefits whilst undertaking a period OOP. The trainee should seek clarification about whether time OOP will represent a break in service and how pension contributions (if continued) will be made in relation to any relevant employer during their period OOP.