Welcome to the ARCP Guide!! Follow all the advice on this page and you won't go far wrong during your ARCP! So read up and Good Luck!

As you probably know, all trainees within the anaesthetic and ICM training programmes are required to undertake an Annual Review of their Competency Progression – the ARCP - every year. 

In the East of England School of Anaesthesia each annual assessment is carried out through a meeting between the trainee and a specialty-based panel at Victoria House in Fulbourn. The process is not an assessment of you but an assessment of the submitted evidence that is presented by you. It is worth knowing that you will not be “chased” to provide this documentation and failure to provide the documentation outlined below can result in an unsatisfactory outcome being awarded - sorry to be so serious!


How will I know when my ARCP is?

You will be notified by email at least 6 weeks before the date of your ARCP: 

  • August starters: you should expect to have your ARCP in June or July.
  • February starters: yours will usually be in November, December or January.
  • Final ARCP at ST7: around 3 months prior to CCT date, usually May  or November


What evidence do I need to provide before my ARCP?

The email that you will receive 6 weeks before your ARCP date will detail exactly what you need to upload to your Lifelong Learning Platform and what you need to bring with you. 

The evidence is reviewed by the panel prior to the meeting so must be present on the LLP one week before your ARCP date. Remember, failure to do this may result in an unsatisfactory outcome being award so UPLOAD YOUR EVIDENCE TO YOUR LLP ONE WEEK BEFORE YOUR ARCP DATE. 


  • Enhanced Form R: email the following documents to HEEoE email:_______ THREE WEEKS before your ARCP: THEN Upload to your LLP and assign to your ARCP year 1 week before your ARCP date - be aware that your e-portfolio will be locked at this date and will not be re-opened.


  • Educational Supervisor’s Structured Report (ESSR) - labelled ARCP ESSR which should be completed and available 1 week before the ARCP date.

  • It should include the following:

    • An ESSR for each placement such as the cardiac and neuro units of training, EM/AM placements for ACCS C1 and any 6 months extensions. An ESSR will also need to be done if a trainee is moving trust in the middle of the year (replaces old intermediate progress reports)

    • Evidence of Completion of Units of Training (CUT forms), completed on LLP
    • Scanned copy of EoE work book if relevant (CT/ACCS trainees only)

    • RCOA logbook summaries for the year being reviewed (see RCOA CCT appendix 4)

    • Exam attempts and their outcome. Upload evidence of success for any parts of the FRCA passed

    • MSF - should be closed and send to educational supervisor minimum 2 weeks before the ARCP date

    • Consultant Feedback - separate from the MSF

    • Initial Assessment of Competence Certificate (IAC) (CT1 trainees only)

    • Initial Assessment of Competence of Obstetric Anaesthesia Certificate (IACOAC) (by the end of CT2)

    • Any courses/simulation training/meetings attended

    • Audit/Quality improvement activity
    • Any research undertaken (academic trainees need to also complete the separate academic training report sent by HEEoE)

    • An up to date CV

    • Any compliments

    • Any incidents/complaints and associated reflection

    • Plan for the year ahead


What is the FORM R?

Information about the form R is available on the revalidation and assessment section of the HEEoE website. This link shows you how to electronically sign your Form R.

You do not need to list all the rotations you have had prior to this ARCP. You only need to list the rotations relevant to your current ARCP.


What paper based evidence do I need to bring to my ARCP?

ARCP's are mostly conducted solely through the LLP nowadays.  In previous years we have asked trainees to bring the following documents (available RCoA website), but mostly can now be generated electronically via the LLP:

  • Completed Core Level Training Certificate signed by College Tutor (CT2 trainees only)

  • Completed Intermediate Level Training Certificate signed by College Tutor (relevant ST4 or 5 trainees only. ie completed all parts of Final FRCA and all required intermediate CUTs)

  • Completed Intermediate Level Training Progress Report signed by College Tutor (relevant ST4 trainees only. ie. completed all required intermediate CUTs but not all parts of Final FRCA)

  • Completed Notification of Completion of Training Form (ST7 trainees only) 


When do I need formal consultant feedback?

Listed below are the timescales when we would like to see written Consultant feedback. Consultant feedback differs from MSF as it concerns a trainee’s progress in a specific unit of training only. MSF seeks feedback from the multidisciplinary team, including consultants, on overall professional behaviour.

Local forms may be used as long as they cover the same domains as the form included on the RCoA website For further information please see the guidance on assessment on the RCoA website

Please comment on the feedback on the CUT form.

For ICM units, Dr Bradley (RA ICM) has advised:’’ Units should have a reliable system for trainees to receive feedback from the Consultants with who they work.’’ Written feedback would be preferred.



3 months (to inform IAC)

6 months and thereafter every 6 months



At the end of neuro, cardiac, paeds,   and to all Consultants prior to ARCP – with verbal evidence used to sign off obs and pain



Every 6 months with verbal feedback to sign off paeds



At the end of a  specialist module and prior to final ARCP


Who will be on the panel?

The panel will be made of representatives from Health Education East of England and the School of Anaesthesia. There may also be a lay member and/or an external member representing the College (assessing the panel rather you). Your College Tutor is not usually a member of the panel but may come along to support you in some instances


What are the possible outcomes?

The possible outcomes are detailed on the assessment and revalidation section of the HEEoE website.

You should all be aiming for an Outcome 1 apart from:

  • CT2's and ST7's -   where you are completing the training program and will hopefully be awarded an outcome 6.

Possible outcomes are:

  • Outcome 1 - Satisfactory progress - achieving progress and the development of competencies at the expected rate.
  • Outcome 2 - Development of specific competencies required - additional training time not required
  • Outcome 3 - Inadequate progress - additional training time required (extension of anticipated core training programme end date or anticipated CCT/CESR(CP)/CEGPR(CP) date)
  • Outcome 4 - Released from training programme - with or without specified competencies
  • Outcome 5 - Incomplete evidence presented - additional training time may be required.
    • If you receive an outcome 5, you will be asked to provide additional information within a specific, short-term timeframe.  After presentation of the extra evidence, the ARCP panel will update your ARCP outcome to either an outcome 1, 2, 3, 4, 6 or 8 depending on the additional evidence you have provided
  • Outcome 6 - Gained all required competencies - will be recommended as having completed the training programme (core or specialty) and if in a run-through training programme or higher training programme, will be recommended for award of CCT or CESR(CP)/CEGPR(CP).
  • Outcome 8 - Out of programme for clinical experience, research or a career break (OOPE/OOPR/OOPC)
  • Not Assessed - There are circumstances when an ARCP panel is not able to recommend an outcome.  For example if a trainee is absent due to statutory leave.  In these cases, the ARCP panel will record the reason why no ARCP outcome could be recommended.


Can I appeal my outcome?

Yep, you can appeal any outcome. The process for appealing in detailed here.


I’m worried about my ARCP-who can I speak to?

You can discuss any worries or concerns with your educational supervisor and your college tutor.  They will be able to either help you or direct you appropriately to someone who can.


How to document reflection

Reflection is an important part of all doctors' professional development, and is especially important when things have not gone well. It can be documented as a personal activity in the library on the LLP or a file uploaded. It should be assigned to the ARCP on the ESSR under the heading of Personal Reflection. No personal identifiers should be included, and it should focus on lessons learnt. There was a helpful article published in the RCoA Bulletin:

Please also see the Dean's statement on trainee reflections at the bottom of this page.


What forms do I need for my ARCP as an academic trainee?

Please use the LLP and ESSR to prepare for your ARCP in the same way as other trainees. In addition, the Academic Progress Report  (attachment at bottom of page) is to support the annual review of any trainee who, since their previous ARCP has been:

  • in an Academic Clinical Fellowship or Clinical Lecturer post; or

  • registered for MD(res), MPhil. or PhD; or

  • undertaking any training, trust grade or fellowship post with ≥25% WTE (usually 12 hours per week) dedicated to research; or

  • out of programme for research (OOPR) or OOPE with ≥25% WTE research

Please upload the completed Academic Progress Report form to your LLP one week before your ARCP date.


Location, Directions and Where to Park

All ARCP's are held at Victoria House, Fulbourn. When you arrive at Victoria House ask the friendly receptionist to direct you to the Anaesthetic ARCPs.

Fortunately there is plenty of free parking next to the building. For directions see the map below:


Good Luck!


ACCS/Core Trainee ARCP requirements
Intermediate ARCP requirements

Things to have completed for the final Intermediate ARCP meeting:

  • Passed the Final FRCA (by mid point ST5)
  • 2 X MSF (one for each ARCP). ICM requires a separate MSF, and may be used as the MSF required for the anaesthetic training year, if it will be completed in time for the ARCP. If not, generate an anaesthesia MSF for the ARCP, and a separate ICM MSF once completed the ICM module.
  • Consultant Feedback prior to each ARCP + plus separate feedback for paediatric, neuro and cardiac anaesthesia
  • An LLP logbook summary for the year being assessed.
  • Completed the necessary WBPA in the Intermediate Workbook which includes the following all:
    • Essential Units: All essential units must be completed as specified below:
      • Cardiac - 1 A-CEx, 2 CBDs, 1 DOPS - Those highlighted in RED are mandatory. You will need to complete the HIGHER Cardiac Workbook also during the same 3 month block.
        • Further Requirements: 4 Case Reports, 1 teaching style presentation and 1 Journal Club presentation. Logbook of a minimum of 20 cardiac theatre cases. The standard which you are expected to reach by the end of 3 months is to be able to anaesthetise for a low risk CABG (without TOE) with minimal supervision. Full details of the attachment will be found HERE in the near future!
      • Obstetric Anaesthesia - Complete ALL WPBA included in the Intermediate Workbook
      • Paedatric Anaesthesia - Complete ALL WPBA included in the Intermediate Workbook + Child Protection Training. Aim of the 3 month module is to be able to conduct a paedatric operating list for minor/intermediate elective surgery for children over the age of 5 years.
      • Neuro anaesthesia - intermediate and higher workbook
      • Pain Management - Complete ALL WPBA included in the Intermediate Workbook + witness as many Presentations + Techniques as possible (although there is no minimum)
      • Airway Managment - Complete ALL WPBA included in the Intermediate Workbook
      • Head, Neck, Maxillo- Facial and Dental Surgery - Complete ALL WPBA included in the Intermediate Workbook
      • Critical Incidents - Complete ALL WPBA included in the Intermediate Workbook - (may be evidenced by simulator Training)
      • General, Urological and Gynaecological Surgery - A Minimum of one of each A-CEX, DOPs, ALMAT, CBD + (Renal Transplant CBD for Addenbrookes Trainees only)
      • Management of Respiratory & Cardiac arrest in Adults and Children -  Needs minimum of 1 DOPS. Current ALS/ATLS/APLS can replace DOPS.
      • Non- Theatre - Needs minimum of one of each of ACEX &  CBD. Consider with sedation module
      • Sedation - Needs minimum of one of each of ACEX/ALMAT, CBD. Consider with non-theatre module
      • Transfer Medicine - Needs minimum of one of each of ACEX, DOPs, CBD
      • Day Case - . Needs minimum of one of each of ACEX, ALMAT, CBD.
    • ''Optional'' Units: vascular and plastics/burns are not optional in EOE- you will have had allocated modules. Ophthalmic should be completed where there has been the opportunity (no allocated module)
      • Ophthalmic - Needs minimum of one of each of ACEX, DOPs, CBD.
      • Plastics/Burns - WPBA's as per EoE workbook
      • Vascular - WPBA's as per EoE workbook
Higher ARCP Requirements

Things to have completed for the final Higher ARCP meeting:

Over the 24 months of higher training you need to complete 3 months ICM, 3 months paediatrics and at least 9 units from the general duties of which Airway, Cardiac Arrest and Perioperative Medicine are mandatory. Higher pain should be completed if you wish to undergo advanced pain training, but does not count as one of the 9 higher general units. Remember to have the higher Neuro and Cardiac CUT's signed off on LLP that were completed alongside your intermediate Neuro and Cardiac.

Things to have completed for each Higher ARCP meeting:

An ESSR for the whole year being assessed - please label for easy identification eg ARCP ESSR Summer 2019. All documentation needs to be attached as it is only the ESSR that is visble to the whole ARCP panel for assessment

MSF. ICM requires a separate MSF

Consultant feedback separate to MSF

LLP Logbook summary for preceeding year



Advanced ARCP Requirements

Things to have completed for the final Advanced ARCP meeting (this will usually be held approx 3 months prior to your CCT date):

Over the 12 months of advanced training you need to complete at least one sub speciality advanced unit on LLP eg pain, neuroanaesthesia, paediatric anaesthesia. If you are a dual trainee, your advanced unit is ICM. If you choose 12 months advanced general duties, you would be expected to complete at least 2 to 3 sub-units, depending on the speciality covered. Advanced obstetrics is usually a 6 month block.

In addition, there are mandatory advanced domains to complete on LLP (clinical practice, team working, leadership, innovation, management, education). Several pieces of different quality evidence from ST6 and 7 that support the core learning outcomes of the domain should be attached to each. It is not acceptable to add only an MSF to evidence every domain.

ESSR for the whole year being assessed - please label for easy identification eg ARCP ESSR Summer 2019. All documentation needs to be attached as it is only the ESSR that is visble to the whole ARCP panel for assessment

MSF. ICM requires a separate MSF

Consultant feedback separate to MSF

LLP Logbook summary for preceeding year

Completion of notification of training (currently paper form- download from RCoA website). Please complete documenting all your higher and advanced training, not forgetting the higher neuro and cardiac completed in ST4, and bring along to ARCP for TPD/RAA signatures.