OXFORD DEANERY SPECIALTY TRAINING PROGRAMME
IN PSYCHOTHERAPY YEARS 4-6
About Oxford Deanery
The Oxford Deanery covers the counties of Oxfordshire, Berkshire and
Buckinghamshire, with Banbury and Milton Keynes in the North, to Reading and
Slough in Berkshire and High Wycombe and Aylesbury in the West.
The Oxford Deanery is part of NHS South of England which comprises South
Central, South West and South East Coast Strategic Health Authorities. The Oxford
Deanery is responsible for the training of some 1500 trainees.
The Oxford Deanery is a relatively small deanery with a defined geographical area
which serves as a single unit of application. In the majority of cases successful
candidates will be asked to preference their choice of location for either one or two
years. Some programmes will require successful candidates to indicate a location
and specialty. Future placements will usually be based on individual training and
educational needs. Please note that applications are to the Oxford Deanery as a
whole. This may mean that you may be allocated to any geographic location
within the Oxford Deanery depending on training needs.
The Psychotherapy Training Programme
The Psychotherapy training programme is a 3 year programme, starting at ST4.
During this time, the trainee's work will be monitored for satisfactory progress and
subject to annual reviews in the form of ARCPs. Progression on the programme will
be dependent upon these reviews.
Clinical care will be delivered at a range of sites requiring trainees to travel
effectively and efficiently to, for example: Trust sites, patient’s homes, police
stations, clinics and other associated sites. Travel costs from base location to other
sites will only be reimbursed for business mileage (valid insured drivers/vehicles)
and journeys using all forms of public transport (including taxis) will be reimbursed at
the public transport rate.
The posts on this rotation have been approved for Specialist Training by the Royal
College of Psychiatrists. The posts attract National Training Numbers and provide
training towards a Certificate of Completion of Training (CCT).
The Postgraduate Dean has confirmed that this post has the necessary educational
and staffing approvals.
The programme is based in several different Trusts throughout the Oxford Deanery
so trainees may find themselves employed by any of the following Trusts and placed
in any of the following hospitals/sites:
THE EMPLOYING TRUSTS
Oxfordshire & Buckinghamshire Mental Health NHS Foundation Trust
http://www.obmh.nhs.uk/
Oxfordshire and Buckinghamshire Mental Health Partnership has five Clinical Directorates, for
Child and Adolescent Psychiatry, Adult Psychiatry, Psychiatry of Old Age, Forensic
Psychiatry and Specialist Services. The Psychological Therapies Service is managed
within the Specialist Services Directorate for both counties.
The Psychological Therapies Service comprises the Psychotherapy Departments, the
Isis Centre counselling service in Oxford, the Complex Needs (Personality disorder)
Services, and the adult divisions of Clinical Psychology. The strategic policy of the
Trust is to develop a comprehensive and integrated psychological treatments service for
the people of Oxfordshire and Buckinghamshire – the structures are currently being
reviewed.
In line with other Mental Health services in Oxfordshire, psychotherapy services are
partially decentralised in order to provide services to / within sectorised community
mental health teams and primary care teams. Specialised treatment and training
activities continue at centralised bases, the Psychotherapy Departments at the
Warneford Hospital in Oxford and the Tindal Centre in Aylesbury; but the Department's
staff also undertake consultative, therapeutic and supervisory work in the community.
The specialist trainee will be expected to work in both central and community settings,
and to contribute to the full range of the Department's activities.
The Warneford Hospital is a small psychiatric hospital situated in pleasant grounds one
mile to the east of the centre of Oxford, close to other major hospital sites. At present,
in-patient facilities at the Warneford include three acute wards, a psychogeriatric ward,
and a specialist unit for Adolescent Psychiatry. An in-patient eating disorders unit, with
supporting day programme and out-patient service, opened in 2003. The Oxford
University Department of Psychiatry is situated on the Warneford site, and forms an
important base for teaching, training and research activities for the University and the
Health Service. The Warneford Library holds a stock of psychotherapy texts and
several journals, and has developed electronic access. Trainees will also have access
to library facilities at the John Radcliffe Hospital, and to the Bodleian and Radcliffe
Science Libraries in Oxford University.
BERKSHIRE HEALTHCARE NHS TRUST
http://www.berkshirehealthcare.nhs.uk/
Berkshire Healthcare NHS Trust was formed on 1 April 2001. It is responsible for
delivering mental health and learning disability services in the towns of Ascot, Bracknell,
Maidenhead, Slough, Windsor, Reading, Henley, Newbury, Wokingham, Hungerford
and the surrounding areas. The in-patient base is currently at Prospect Park Hospital in
Reading, Wexham Park Hospital in Slough and Heatherwood Hospital in Ascot.
Psychotherapy in West Berkshire has been based in Winterbourne House since 1995.
This purpose-converted building in a residential area of Reading, about a mile from the
town centre, functions as a self-contained department but has a policy of establishing
psychodynamic psychotherapy as an integral part of mental health services. In
Newbury and Wokingham CMHTs, small dynamic psychotherapy services operate in
collaboration with Winterbourne House.
Winterbourne House is organised as a coordinated service with intensive (therapeutic
community) and out-patient treatments. The non-medical staff team includes adult
psychotherapists with multi-professional backgrounds and trainings in various
therapeutic models. Staff divide their time between working in out-patients and the
therapeutic community, and patients can move between the two services according to
their needs. The service runs a comprehensive quality control and audit programme.
Research is actively encouraged.
In the east of the county, psychotherapy is based in accommodation at both Wexham
Park and Heatherwood Hospitals. These are both district general hospitals, Wexham
Park is situated a few miles north of Slough in pleasant grounds with excellent
postgraduate facilities. Heatherwood is a smaller DGH close to Ascot town centre. It is
the base for a substantial mental health service and also the location of the
psychotherapy office.
Rotation Information
Specialist trainees undertake a training programme of three year’s duration which,
subject to satisfactory annual assessments, leads to the award of a Certificate of
Completion of Training (CCT) in Psychotherapy by the Postgraduate Medical Education
& Training Board (PMETB). They are then eligible to be recorded in the Medical
Register as specialists in psychotherapy, and apply for specialist posts as a "Consultant
Psychotherapist" or "Consultant Psychiatrist in Psychotherapy" in the NHS.
The Oxford Deanery programme offers training in psychological therapies which is
tailored to the contemporary needs of the NHS. The programme is broadly
psychodynamic in its approach, but there is a strong emphasis on NHS services
needing to offer a variety of therapies in a broad range of settings and formats. There
are good training opportunities in cognitive, behavioural, systemic and other therapies,
taught in a way which integrates them into the overall scheme.
There are currently three whole-time ST placements on the scheme in the Oxford
Deanery, located at the three training bases in Oxford, Aylesbury and Ascot. In the
Oxford and Buckinghamshire placements, employment is with Oxfordshire &
Buckinghamshire Mental Health NHS Foundation Trust (OBMH), and in the Ascot
placement, with the Berkshire Healthcare NHS Foundation Trust (BHFT). There is
normally one ST based in Oxford, one in Aylesbury and one in Ascot, and trainees can
move between the two bases to accommodate training needs. Such moves do not take
place annually as part of a rotation, but are organised individually. Trainees can also
spend parts of their week in different services around the Deanery to gain specialist
experience, with agreement of the educational supervisor and programme director.
The medical peer group includes flexible trainees, for whom the training is well adapted
and a forensic psychotherapy trainee. There is also a non-medical peer group of NHS
psychotherapy trainees from different services, who participate in parts of the academic
seminar programme.
The training programme has full approval from the Higher Psychiatric Training
Committee, and the most recent approval visit by the Psychotherapy Specialist
Advisory Committee (PTSAC) of the Royal College of Psychiatrists was in May 2005.
Trainees are each allocated an educational supervisor, with whom they meet weekly to
plan details of the programme. The designated organiser (Programme Director) of the
scheme is Dr Bill Lang. The trainee, educational supervisor and programme director
liaise and meet periodically to ensure that educational objectives are being met. The
most formal of these meetings is an annual review of competence progression (ARCP)
which is a required part of progression to CCT. There is a training committee, which
includes the educational supervisors (currently Dr Mel Bowden, Dr Phil Davison, Dr Bill
Lang, Dr Chris Newrith, Dr. Stella Newrith, Dr Steve Pearce, Dr Gerti Stegen) other
trainers (Dr Gwen Adshead, Dr Farouk Okhai, Mr Philip Roys) and a trainee
representative.
CONSULTANT PSYCHIATRISTS IN PSYCHOTHERAPY IN THE OXFORD DEANERY
1.
OXFORD
Dr Melanie BowdenConsultant Psychiatrist in Psychotherapy, UKCP (Southern
Counties Psychotherapy)
Dr Steve Pearce
Consultant Psychiatrist in Psychotherapy; Honorary Senior
Clinical Lecturer in Psychotherapy, University of Oxford;
Member of the Institute of Group
Analysis
Dr Gerti Stegen
2.
BUCKINGHAMSHIRE; HIGH WYCOMBE and AYLESBURY
Dr Chris Newrith
Dr Stella Newrith
3.
4.
Consultant Psychiatrist in Psychotherapy, UKCP (Southern
Counties Psychotherapy)
Consultant Psychiatrist in Psychotherapy, UKCP (Southern
Counties Psychotherapy)
Consultant Psychiatrist in Psychotherapy, UKCP (Southern
Counties Psychotherapy)
BERKSHIRE; READING, ASCOT & SLOUGH
Dr Bill Lang
Consultant Psychiatrist in Psychotherapy, Institute of
Psychoanalysis Training
Dr Rex Haigh
Consultant Psychiatrist in Psychotherapy
MILTON KEYNES, NORTH BUCKINGHAMSHIRE
Dr Farouk Okhai
Consultant Psychotherapist
Trainees should be able to travel effectively and efficiently to all Trust and associated
sites for work purposes.
Training Opportunities
1. OXFORDSHIRE
1.1 Psychotherapy Department, Oxford
Consultant Psychiatrists in Psychotherapy: Dr Melanie Bowden; Dr Gerti Stegen.
The Warneford Hospital is the main clinical and training base in Oxford for
psychotherapy specialist trainees, and also offers placements for specialist trainees in
Adult Psychiatry and SHOs from the Deanery Training Scheme in Psychiatry. The
medical staff of the Department work in conjunction with non-medical specialists in
psychotherapy to provide a broad range of out-patient psychotherapeutic treatments:

Short- and long-term individual dynamic psychotherapy



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Cognitive analytic therapy
Cognitive behavioural therapy
Group analytic therapy
Psychodrama
Systemic family therapy
The department also provides substantial teaching and training activities for medical
students, trainees and career grade staff in psychiatry and other mental health
professions, and offers a consultative service to colleagues in psychiatry, general
practice and other disciplines. Much of the clinical work of the Department is carried
out, under supervision, by trainees.
1.2 Complex Needs Service, Oxford
Programme Director/Consultant Psychiatrist in Psychotherapy: Dr Steve Pearce
A pilot day treatment service for patients with severe personality disorder was opened in
2003, with a multidisciplinary staff team from the Psychotherapy Department, wards and
CMHTs. In 2004 the Trust was funded to develop (in conjunction with other agencies
and developments across the Thames Valley) a full multi-tiered personality disorder
service comprising a 5 day per week therapeutic community day programme, a number
of intensive out-patient satellite services in market towns in the county, and a assertive
engagement community service. There is also an education and training resource for
the Thames Valley. Psychotherapy STs will be expected to obtain training experience
with Dr Pearce in this service.
Service information: www.tva2i.net and www.psox.org/ocns
1.3 Isis Centre Oxford
Director: Mr Philip Roys
The Isis Centre is a psychodynamic counselling service which operates from shop-front
premises in central Oxford. Its staff offer individual, couple and group therapies and
also undertake a broad range of consultative and supervisory work with NHS and other
agencies. The Isis Centre has developed strong links with counsellors in general
practice settings, and runs a Diploma Course in Psychodynamic Supervision with
Oxford University. The Centre is directly involved in the management of three primary
care counselling and psychology services for several areas of Oxfordshire, and a
service for postgraduate medical trainees for the Oxford Deanery. It also supports
innovative programmes for counselling at a Surestart project in a deprived area of East
Oxford, and a black / ethnic minority development programme.
1.4 Oxford University Student Counselling Service
Head of Counselling: Ms Elsa Bell
Consultant Psychiatrist: Dr Phil Davison
SpRs have access to training placements at this student counselling service, which
offers both psychodynamic and cognitive behavioural counselling / therapy in a Higher
Education setting.
1.5 Oxford Adult Eating Disorders Service
Consultant Psychiatrist: Dr Rebecca Park
Training opportunities are available to STs in this service, which provides out patient,
day and in patient treatment programmes which include CBT and systemic family
therapy.
2. BERKSHIRE
2.1 Psychotherapy Dept. Heatherwood Hospital
Consultant Psychiatrist in Psychotherapy: Dr Bill Lang
There is an active psychodynamic psychotherapy service based in Heatherwood and
Wexham Park Hospitals. It provides a range of psychodynamic consultation and
treatment, including CAT, medium and long term therapies and group therapy. It is
closely integrated with mental health services in taking tertiary referrals, and aiming to
respond flexibly to service needs. The service is one of the hosts for the Southern
Counties Psychotherapy Masters Training Programme (linked to Newman College). .
A well-established multidisciplinary training programme (for SHOs and others) is held at
Church Hill House, Bracknell, and specialist trainees can participate in organising this.
2.2 Out-patient Service, Winterbourne House
This is a service which takes referrals from GPs, psychiatrists, community mental
health teams, practice counsellors and other professionals. Patients are assessed
and treated by the permanent staff or trainees. A large proportion of the treatment is
in groups: analytic, creative arts, transactional analysis, psychodrama. Short- and
long-term individual therapy is also undertaken, supervised in psychodynamic and
other approaches. Satellite clinics are run in the West Berkshire community mental
health teams
2.3 Berkshire Complex Needs Service Consultant Psychiatrist in Psychotherapy:
Dr Rex Haigh
Winterbourne Therapeutic Community
This is a day programme for 18 patients full-time and 18 patients in the introductory and
preparatory phase. It is particularly suited to the treatment of patients with emotionally
unstable personalities (BPD), but also serves those with a range of longstanding severe
emotional and interpersonal difficulties. It employs a programme of community
meetings, large and small groups in various modalities and activity groups within an
established and actively-maintained therapeutic milieu. All specialist trainees have the
opportunity to participate directly in the programme, through involvement in different
parts of it. staff and patients have close links with the Association of Therapeutic
Communities.
The Winterbourne TC has been running for over 20 years and is also part of the
Berkshire Complex Needs Service service. It forms the model on which TCs within the
Thames Valley are based and is a training and education resource.
2.4 Psychology Department, Prospect Park Hospital
The West Berkshire Psychology Department is staffed by clinical psychologists, and
provides a variety of services including specific cognitive and behavioural interventions.
There is an eating disorder service with psychotherapy input, and a jointly-managed
trauma service. The psychologists also provide liaison services in general hospital and
general practice settings. Specialist trainees are encouraged to seek experience in this
department, which could form a useful part of their training programme.
2.5 Broadmoor Hospital, Crowthorne
Consultant Psychotherapists: Dr Gwen Adshead, Dr Gill McGauley, Dr
Carine Minne
This special hospital for mentally abnormal offenders has an established forensic
psychotherapy service. Sessional attachments to undertake assessments and
supervised individual or group therapy with selected detained in-patients, can be
arranged for interested STs. There are also opportunities for supervised cognitivebehavioural treatments of selected patients. The five-year forensic psychotherapy
training scheme involves two years at the Oxford Clinic (forensic psychiatry), two years
on the psychotherapy ST programme and one year based in the Broadmoor
psychotherapy service, with considerable built-in overlap.
3.
BUCKINGHAMSHIRE
3.1 Psychotherapy Service
Newrith
Consultant Psychiatrist in Psychotherapy: Dr Chris
Based at Harlow House in High Wycombe is part of the adult mental health service of
Buckinghamshire Mental Health NHS Trust, which has well-developed community
mental health services. The multidisciplinary staff comprise two analytic
psychotherapists, two group analysts and one family therapist (all part-time). The
service offers individual (largely short-term), group, and family therapies, consultation
and teaching for other mental health teams. Special interests include the treatment of
adult survivors of childhood sexual abuse.
This psychotherapy department in Aylesbury has two full time group analysts, a
graduate of the MSc in Psychodynamic Psychotherapy programme and a trainee. It
runs an extensive group therapy programme and is one of the host districts to the
Oxford Brookes MSc in Psychodynamic Psychotherapy in Health Service Settings
programme. Grendon Underwood Prison is near Aylesbury, and supervised group and
TC work can be arranged in one of the five therapeutic community wings under the
prison’s Director of Therapy, Mr Michael Brooks.
3.2 Complex Needs Service
Newrith
Consultant Psychiatrist in psychotherapy: Dr Stella
Buckinghamshire hosts one of the four sections of the Thames Valley Initiative
Personality disorder service, and is developing intensive interventions in collaboration
with the Oxfordshire complex needs service, Winterbourne House in Berkshire, and the
Thames Valley-wide training and consultation arm of the Initiative.
4.
MILTON KEYNES
Consultant Psychotherapist: Dr Farouk Ohaki
The Milton Keynes service has a general hospital base and is developing a new
service. There is scope for trainees to participate in this.
Teaching
COMPONENTS OF TRAINING
1
TREATMENT
The range of available supervised therapies includes:
1.1
Individual analytic psychotherapy, both long-term and medium-term
1.2
Short-term dynamic psychotherapy
1.3
Brief focal psychotherapy, including grief work and work with traumatised
patients
1.4
Small group psychotherapy (Group analysis)
1.5
Therapeutic community work
1.6
Mentalisation-based therapy and general management with people suffering from
personality
disorder
1.7
Couple therapy
1.8
Systemic family therapy
1.9
Crisis therapy
1.10 Cognitive behavioural therapy
1.11 Cognitive analytic therapy
1.12 Psychodynamic art therapy
1.13
Various humanistic and existential therapies: transactional analysis, creative arts
therapy, gestalt therapy, psychodrama, transpersonal therapy.
The programme is arranged so that the specialist treatment approach in which trainees
will ‘major’ is psychodynamic, with an emphasis throughout the training on obtaining
extensive clinical experience and on evidence based and shorter term treatments. To
meet the specified training requirements for a psychotherapy CCT, STs will need to
undertake 700 hours of supervised psychodynamic psycho-therapy over the training
period and100 hours each of cognitive behavioural therapy (CBT) and systemic family
therapy (SFT). Clinical experience will be gained in a range of settings. A Portfolio
proforma has been developed to provide an ongoing record of training, which is used in
the annual ARCP process.
We encourage STs to develop a special interest and specialist expertise in a specific
area. Possible areas which could be supported locally include personality disorder,
eating disorders, treatment of the sequelae of childhood sexual abuse, therapeutic
environments and in-patient liaison, minority ethnic groups, medical education,
psychosis, general hospital/psychosomatic presentations, trauma, and university and
student inreach.
2
ASSESSMENT OF PATIENTS FOR PSYCHOLOGICAL TREATMENT
Specialist trainees will participate in psychodynamic and brokerage assessments
undertaken by consultant psychotherapists before proceeding to undertake their own
weekly assessment interviews with patients. This work will be supervised, and will
afford the opportunity to learn about the indications for, and goals of, different
psychological treatments. Although a minimum of 40 assessments is required for CCT,
this total will be substantially exceeded.
3
OTHER GROUP WORK
There are opportunities to conduct staff groups in psychiatric wards and other settings,
and to obtain experience of many different models of therapy groups (see above).
Some of the training services have staff sensitivity groups, in which specialist trainees
will be expected to participate.
4
CONSULTATION
There is an emphasis on consultative work with other psychiatric teams, general
hospital units, general practices or other appropriate agencies. STs will liaise with a
specific community mental health team for the duration of their training to facilitate this
aspect of training.
5
THE ACADEMIC COMPONENT OF TRAINING
5.1 Southern Counties Psychotherapy training
To achieve a CCT, 400 hours of academic study is required, of which 150 hours must
be in didactic teaching. The multidisciplinary Southern Counties Psychotherapy
training, organised by NHS psychotherapists in the region, meets these requirements.
It also provides a route to registration as a psychotherapist by the United Kingdom
Council for Psychotherapy (UKCP), using the standards set for the psychoanalytic and
psychodynamic (PP) section of UKCP. The regular course meetings take place in three
annual terms of eight weeks on Wednesday afternoons/ evenings. These involve
lectures, clinical seminars, academic seminars, and a students’ group. There is a
schedule of written assignments.
Specialist trainees will be expected to enrol on this course unless they have already
started a different, but appropriate, specialist psychotherapy training or have good
reasons and well-developed plans for doing so. There are specific pre-entry
requirements, with which candidates should familiarise themselves, and the academic
programme runs on a three-year cycle starting in January each year. Applicants will
need to ensure that they are in a position to meet the entry requirements by the first
available starting date (January, as the course runs to the calendar year). The
programme director is Anne Reilly, contactable through the course office on 0118 956
1250, or by email at: Anne.Reilly@berkshire.nhs.uk
5.2 Other academic events
Specialist trainees will also be expected to participate in other academic meetings in
Oxford such as those which are organised primarily for them to study particular areas of
interest in more depth. These include reading seminars, case presentations, journal
clubs, research workshops and other academic presentations. The conferences,
seminars and workshops which are held by the different departments and services
around the Deanery are also recommended.
The Oxford University Department of Psychiatry organises a weekly programme of
lectures, seminars and research meetings that the ST will be encouraged to attend.
Other relevant events, such as those organised by the Royal College of Psychiatrists,
the Society for Psychotherapy Research and other organisations, can also be valuable
components of training, and attendance is encouraged. One-year introductory courses
in group work and in family therapy are available in Oxford, providing the essential
introductory components for advanced courses at the Institutes of Group Analysis and
Family Therapy in London. Study leave and expenses may be available for attendance
at these training activities.
6.
TEACHING AND SUPERVISION
Specialist trainees contribute to the teaching programmes of the services and
departments in which they work. In Oxford, this can include instruction in the basic
principles of psychotherapy for medical students, the Deanery MRCPsych Course for
SHOs in Psychiatry, and teaching in the principles and practice of psychodynamic
psychotherapy for clinical psychology trainees. STs can also obtain experience of
supervising psychiatry SHOs who are carrying out individual psychodynamic
psychotherapy as part of their general professional training, and other mental health
professionals who are undertaking introductory clinical work in psychotherapy.
7.
RESEARCH AND AUDIT
Both the Oxford and Reading Psychotherapy Departments have ongoing audit projects
to evaluate the clinical service provision. STs will be expected to participate in these
and will be required to undertake one or more special projects, for which academic
supervision is funded if undertaken as part of the SCP dissertation. There is access to
computer facilities within the departments, and trainees are encouraged to become
conversant with use of relevant IT in routine administration and research work.
8.
ADMINISTRATION
Specialist trainees will learn about the administration of a clinical service and training
centre by contributing to the internal administrative organisation of the Psychotherapy
Department in which they are based. They will also have opportunities to observe and
participate in the management responsibilities of consultants in a wider context. All STs
are required to attend management training workshops held within the Deanery, or
equivalent events elsewhere.
9.
PERSONAL THERAPY
The appointee will be expected to undergo personal therapy throughout the three-year
programme. This will be at a minimum frequency of twice weekly with a suitably
qualified therapist, or equivalent if agreed with the educational supervisor and
programme director. This also ensures the requirements of the SCP course for UKCP
registration are met. Members of the training committee or SCP programme committee
can help advise STs about personal therapy, if required. Personal therapy is
considered an essential training expense, and currently there is an agreement for two
thirds of the fees to be reimbursed, one third from the Deanery and one third from the
employing Trust.
Duties of the Post
It is expected that the ST’s basic 40-hour training week will be undertaken in normal
working hours between 7am and 7pm and in compliance with the European Working
Time Directive.
STs are required to maintain familiarity with the Mental Health Act and obtain approval
under Section 12 (2). Trainees take part in the senior on-call rota of the adult
psychiatry services, and receive an appropriate pay supplement; this is a Trust/service
requirement rather than a training requirement of the Royal College. There will be a
consultant general adult psychiatrist available for supervision of issues arising while on
call.
Main Conditions of Service
Appointments to this programme are subject to the Terms and Conditions of Service
(TCS) for Hospital Medical and Dental Staff (England and Wales). In addition
appointments are subject to:
 Applicants having the right to work and be a doctor or dentist in training in the
UK
 Registration with the General Medical Council
 Pre-employment checks carried out by the Trust HR department in line with
the NHS employment check standards, including CRB checks and
occupational health clearance.
The employing Trust’s offer of employment is expected to be on the following
nationally agreed terms:
Hours – The working hours for junior doctors in training are now 48-hours (or 52hours if working on a derogated rota) averaged over 26 weeks (six months). Doctors
in training also have an individual right to opt-out if they choose to do so, but they
cannot opt-out of rest break or leave requirements. However, the contracts for
doctors in training make clear that overall hours must not exceed 56 hours in a
week (New Deal Contract requirements) across all their employments and any
locum work they do.
http://www.nhsemployers.org/PlanningYourWorkforce/MedicalWorkforce/EWT
D/Pages/EWTD.aspx
Pay – you should be paid monthly at the rates set out in the national terms and
conditions of service for hospital medical and dental staff and doctors in public health
medicine and the community health service (England and Wales), “the TCS”, as
amended from time to time. The payscales are reviewed annually. Current rates of
pay may be viewed at
http://www.nhsemployers.org/PayAndContracts/Pay%20circulars/Pages/PayCircular
sMedicalandDental.aspx Part time posts will be paid pro-rata
Pay supplement –depending upon the working pattern and hours of duty you are
contracted to undertake by the employer you should be paid a monthly additional
pay supplement at the rates set out in paragraph 22 of the TCS. The current
payscales may be viewed at
http://www.nhsemployers.org/PayAndContracts/Pay%20circulars/Pages/PayCircular
sMedicalandDental.aspx . The pay supplement is not reckonable for NHS pension
purposes. The pay supplement will be determined by the employer and should be
made clear in their offer of employment and subject to monitoring.
Pension – you will be entitled to join or continue as a member of the NHS Pension
Scheme, subject to its terms and rules, which may be amended from time to time. If
you leave the programme for out of programme experience you may have a gap in
your pension contributions. More information can be found at
http://www.nhsbsa.nhs.uk/pensions
Annual Leave – your entitlement to annual leave will be five or six weeks per annum
depending on your previous service/incremental point, as set out in paragraphs 205206 of the TCS. The TCS may be viewed at
http://www.nhsemployers.org/PAYANDCONTRACTS/JUNIORDOCTORSDENTISTS
GPREG/Pages/DoctorsInTraining-JuniorDoctorsTermsAndConditions150908.aspx
Sick pay – entitlements are outlined in paragraph 225 of the TCS.
Notice –you will be required to give your employer and entitled to receive from them
notice in accordance with paragraphs 195-196 of the TCS.
Study Leave –the employer is expected to offer study leave in accordance with
paragraphs 250-254 of the TCS. Local policy and procedure will be explained at
induction.
Travel Expenses – the employer is expected to offer travel expenses in accordance
with paragraphs 277-308 of the TCS for journeys incurred in performing your duties.
Local policy and procedure should be explained at induction.
Subsistence expenses – the employer is expected to offer subsistence expenses in
accordance with paragraph 311 of the TCS. Local policy and procedure should be
explained at induction.
Relocation expenses – the employer will have a local policy for relocation expenses
based on paragraphs 314 – 315 of the TCS and national guidance at
http://www.nhsemployers.org/PAYANDCONTRACTS/JUNIORDOCTORSDENTISTS
GPREG/Pages/DoctorsInTraining-JuniorDoctorsTermsAndConditions150908.aspx.
You are advised to check eligibility and confirm any entitlement with the employer
before incurring any expenditure.
Pre-employment checks – all NHS employers are required to undertake preemployment checks. The employer will confirm their local arrangements, which are
expected to be in line with national guidance at
http://www.nhsemployers.org/RecruitmentAndRetention/Employmentchecks/Pages/Employment-checks.aspx
Professional registration – it will be a requirement of employment that you have
professional registration with the GMC/GDC for the duration of your employment.
Though the post is covered by NHS Indemnity, you are strongly advised to register
with the MPS for professional indemnity.
Health and Safety – all employers have a duty to protect their workers from harm.
You should be advised by the employer of local policies and procedures intended to
protect your health and safety and expected to comply with these.
Disciplinary and grievance procedures – the employer will have local policies and
procedures for dealing with any disciplinary concerns or grievances you may have.
They should advise you how to access these, not later than eight weeks after
commencement of employment.
Educational Supervisor – the employer or a nominated deputy (usually the Director
of Medical Education) will confirm your supervisor on commencement.
General information on the Deanery’s management of Specialty Training
programmes, including issues such as taking time out of programme and dealing
with concerns or complaints, is available at www.oxforddeanery.nhs.uk and in the
national ‘Gold guide’ to Specialty Training at http://www.mmc.nhs.uk Please ensure
that you inform Oxford Deanery of any changes to your contact details.
November 2011