Wednesday 28th June 2023

New Updates

**Highly Important ARCP**

Foundation doctors must sign their ARCP on Horus.

This does not constitute you accept the outcome or affect your ability to appeal but shows you acknowledge receipt of the outcome.

Furthermore, for Outcome 1 this is a requirement for the school to process the F1CC which is required for the move to Full licence to practice. For Outcome 6 we cannot release your FPCCs without foundation year 2 doctors signing their outcome.

**Highly Important**GMC Full Registration Process 2023

To start the second year of the Foundation Programme (F2) you need to apply for full registration with a licence to practice with the GMC. You should submit your application as early as possible to make sure you have the correct registration in time to start your F2 post. 

Non UK and UK Graduates: Please click here for further guidance from the GMC

UK graduates should follow instructions sent by the GMC which will be sent 12 and 8 weeks ahead of F2.

Merit Awards

Trusts need to return their completed nomination MS forms by 14th July 2023

The number of merits available per Trust site is determined by the number of trainees:

1-29 per F1 or F2/year = 1 nomination per category for each year

30-59 per F1 or F2/year = 2 nominations per category for each year

Over 60 per F1 or F2/year= 3 nominations per category for each year

Foundation Faculty Groups decide on the exact mechanism for agreeing award recommendations locally. Nominees must have completed all their assessments, be progressing well and be expected to be signed‐off. Trusts may also issue their own awards locally if they wish outside of this process.

The categories are as follows:

Foundation e-Portfolio: Foundation Doctors who have demonstrated exceptional engagement with the Horus e-Portfolio system using it to its full potential to manage and promote their educational experience and learning. This includes surpassing the minimum requirements, showing good reflective practice and intelligent curriculum mapping.

Quality improvement: Awarded to trainees who complete an insightful audit which has real effects for their LEP.

Leadership: Foundation Doctors who have taken on an active leadership role amongst their peers and other trust staff, promoting positive team working at the trust. This could include participation in a LEP initiative.

Teaching Excellence: Awarded to trainees who excel at teaching whether informally on the wards or who takes the initiative and, for example, arranges additional formal teaching for their peers at their LEP.

Clinical Excellence: Foundation Doctors who have demonstrated excellence in their clinical practice and actively enhance the patient experience.

Outstanding Contribution: Foundation Faculty Groups may, in exceptional circumstances, nominate an individual for a specified outstanding contribution as well (included in notes section). This could be, for example, for a trainee who writes an F1 guidebook for the LEP.

Clinical Education in the Foundation Years - Survey

Are you a Foundation Doctor with clinic education as one of your core or frequent duties? We’d love to hear from you!

Please fill out the survey here to let us know about your experiences:


Dr Anna Harvey Bluemel

F2 at North Cumbria Integrated Care Trust

AFP Project – Life as a foundation doctor - Survey

As part of an ongoing project for my AFP, I am looking into life as a Foundation Year Doctor.  We have created a short survey with the aim to explore your thoughts on aspects of FY1&2 such as job satisfaction, daily work routine and future career plans.

We have kept the survey brief; it should take no longer than 5/6 minutes to complete.

It is totally anonymous, and all questions are multiple choice.

Here is the survey; Thank you very much, we hope you enjoy completing it, every response is really appreciated!  

Best wishes,


F2 at Salford Hospital in Manchester

Reminders & Guidance

IMPORTANT REMINDER: Registration (London Foundation School)

To all of our new London Foundation School foundation year one doctors,

Welcome and congratulations!

To ensure we have the correct contact details for you; and so that we can send important messages, updates and the Foundation School Bulletin, please could we ask you to complete the following registration form:

Please complete the form by 5pm on Friday 14th July 2023.

REMINDER: Time Out of Training (TOOT) following ARCP

Please can we ask trust colleagues to inform us immediately should a Foundation Doctor have further sickness or industrial action absences, which take place after their ARCP, that will increase their TOOT over the 20 day trigger threshold.

As always, please contact us via the PGMDE Portal:

REMINDER: Time Out of Training (TOOT) days on Form R

With upcoming ARCPs, Foundation doctors (FD) are advised to complete their Form R with as much detail as possible.

In particular, we request that FDs clearly highlight the reason(s) for any TOOT days.

Please make it clear how many days are due to sick leave, how many days relate to industrial action and/or ‘other’ – please specify.

We would also like to remind all FDs and trainers that the maximum permitted absence from training, other than annual leave, is 20 days within each 12 month period of the foundation programme. Where a doctors absence goes above 20 days this will trigger a review of whether they need to have an extra period of training.

REMINDER: 2023 Shadowing Confirmation

All FY1 doctors should attend a minimum of 4 days induction, including 2 days shadowing, 1 week before their formal training starts on Wednesday 2nd August. Funding for this is paid to trusts as part of the placement fee.

FY1 doctors who did not graduate from a UK Medical School (International Medical Graduates, IMGs) or who graduated and then been out of the NHS for longer than 2 years, should also be offered extended induction/shadowing. Up to an additional £1300 per FY1 doctor will be available to trusts to fund this extended shadowing (to a maximum of 10 days). We will provide trusts with a spreadsheet to record extended shadowing for their IMG FY1’s and UK medical graduates out of the NHS for two years, to be able to claim this money. This will be sent to trusts in August.

REMINDER: F2 Responsible Officer Detail

FY2 doctors are responsible to ensure they are connected to the correct Responsible Officer, this is usually your Post Graduate Dean. For more information or guidance please see: or contact us via PSP.


Please can we use this opportunity to remind Medical Education colleagues in Trusts to work with their Medical Staffing teams to regularly check Foundation Doctors’ posts on TiS, against internal records. Early recognition of any discrepancies can help us all to resolve issues quickly. Thanks.

REMINDER: Contacting the London and KSS Foundation Schools

There continues to be an increase in emails/messages being sent to personal inboxes. Please be reminded that contact with the Foundation School Team should be through the PGMDE Support Portal, rather than to individuals email addresses or shared mailboxes. This will ensure that your query can be directed to the correct person within the team and dealt with as quickly as possible. Please click here to be directed to the PGMDE Support Portal.

Please do not use,, or personal HEE email addresses.

GUIDANCE: Foundation Doctors taking Parental Leave

Please can all foundation doctors who will be taking a period of Parental Leave, ensure that they use the following FAQ as guidance:

HEE Parental Leave FAQ's

Please also see the NHS employers Maternity guidance using the link below:

NHS Employers Maternity Guidance (rotational doctors and dentists)

GUIDANCE: Less Than Full Time (LTFT) Training for London and KSS

Please click the link below for guidance regarding Less Than Full Time (LTFT) training.

LTFT Guidance         

GUIDANCE: Foundation doctors in GP and psychiatry placements contributing to acute services

Please see below link for guidance regarding Foundation doctors in community placements contributing to acute services Foundation doctors in GP and psychiatry placements contributing to acute services

GUIDANCE: Foundation Doctor Role and Responsibilities

Please use the following link to the updated ‘Foundation Doctor Role and Responsibilities within the Local Education Provider and Minimum Requirements for Clinical Supervision of Foundation Doctors’, document.

Foundation Doctor Role and Responsibilities

GUIDANCE: Foundation guidance produced by the UKFPO for Foundation Doctors

Please find below link to guidance for Foundation Doctors recently produced by the UKFPO.

Click here for guidance

*Please note: This guidance does not apply to any foundation doctor who started either their F1 or F2 year on/after 4 August 2021, as they will be on the 2021 Foundation Programme curriculum. *

GUIDANCE: NHS employers’ guidance on induction for international medical graduates

Please find below link to guidance from NHS employers

UKFPO Bulletin

To read the latest UKFPO Bulletin access the link below:           

Courses, Events, Research and Competitions

The Peter Fisher Essay Prize 2023 (closing date for submissions 31st July 2023)

On behalf of Professor Jo Szram, KSS Postgraduate Dean to HoS and CTAG

We are repeating the Essay Prize this year again with £700 prize money in association with the Journal of the Royal Society of Medicine who again have offered to consider publishing the winning entry. The title this year is: Is the 1948 model of access to free healthcare still appropriate today?  We seldom hear Trainees’ views expressed in essay form on topics such as this. It is instructive for us and we hope for the trainees as well.

Please see the link below for further details are on our website:

Doctors for the NHS (DFNHS) is a non-political organisation which originated in 1976 as the NHS Consultants Association. We believe that the NHS should be based on service and cooperation, not market forces or competition, and that it should be professionally led. Within our 550 members are doctors from all disciplines, including doctors in training. Further details are available on

CV Review Service (Winter/Spring 2023)

Is your Clinical CV up to date? Would you like support in creating, updating or tailoring your CV? 

The Careers Unit is launching a CV checking service from end of January 2023. You can book a 30 minute online appointment with a HEE careers adviser to get advice on any aspect of your CV including;

  • Planning your CV layout and presentation 
  • Articulating your experience to reflect your skills and strengths 
  • Reviewing an existing CV for clinical applications e.g. specialty, ACF, fellowship, sub-specialty or consultant applications
  • Adapting an existing CV or creating a new one for portfolio or non-clinical roles


A requirement of accessing the service is that you are a doctor/ dentist and that:

Bookable slots are available on Thursday afternoons between 12.30pm and 2.30pm starting Thursday Jan 26th 2023, on a first come first served basis.

Fee: £0

To book your place, please Book here

MRCS Part A – exam teaching sessions

We are part of the LFTSS (London Foundation Trainee Surgical Society) and we are hoping to arrange a series of teaching sessions for the upcoming MRCS part A exam. 

We are hoping to recruit volunteers to present a section of teaching on one of the surgical domains of their choice. We would like the focus to be on clinical presentation, surgical management, and post op management/complications. We understand that there will likely not be enough time to cover all the relevant anatomy/physiology, in this case we would be very grateful if you could sign post the important anatomy/physiology to cover if there is insufficient time to cover this. 

We aim for each talk to be an hour long maximum with 10 minutes for questions at the end. 

We are incredibly grateful for your time and support and speakers will receive a certificate for support with regional surgical teaching.

Please see below the attached Google docs form, on which you can provide information regarding specific areas you would be able to deliver teaching on and available dates.

Kind regards, 

LFTSS Committee

Access the point of care tool BMJ Best Practice for free

BMJ Best Practice takes you quickly and accurately to the latest evidence-based information, whenever and wherever you need it.

Our step-by-step guidance on diagnosis, prognosis, treatment, and prevention is updated daily using robust evidence-based methodologies. 

This tool is freely available to all healthcare professionals who work for the NHS in England. You can register for free here

If your institution would like to receive further information on BMJ Best Practice, please contact Dr. Kieran Walsh, Clinical Director at BMJ. Dr. Walsh can deliver talks for Foundation Programme doctors at their training sessions or provide information on areas such as the local HEE/BMJ clinical champion scheme. Contact Dr. Kieran Walsh at  

New video resource for foundation doctors

A new video for all foundation, foundation schools and trusts, helping them to understand more about the Foundation Programme Charter, has been shared.

Please click here to launch the Foundation Programme Charter video.

Further videos including Foundation Programme Review and Self Development time can also be found here

NHS Induction Programme for International Medical Graduates - e-learning for health

The National Induction programme has been designed to ensure that all international medical graduates (IMGs) recruited to the NHS are welcomed, valued, and supported as they transition to UK clinical practice.

Please use the following link to access the programme

Foundation Careers & Coaching Events Team

**NEW!​​** F3 options webinar 

What may be the best way to plan and take advantage of opportunities within your F3 year or beyond? 

F3 Options webinar for all London & KSS foundation doctors is currently booking for June. This one hour webinar, delivered by the NHSE Careers London team, will include key information advice and guidance on what to consider to make the most of your F3 year including travel/volunteering abroad, fellowships, further study/qualifications and non-training options. To find out further information and register please click here: 

FY2 - Preparing for Speciality interviews/F3 Options Stream Videos

Please see below links to the recent webinar recordings delivered to F2 trainees on preparing for speciality applications/interview & F3 options

FY2 Webinar - Preparing for Specialty applications and Interviews-20220914_180522-Meeting Recording.mp4

F3 Options Webinar-20221006_180437-Meeting Recording.mp4

Self Awareness | London (

Career Exploration | London (

Useful links


Horus - Changes and updates