Workforce, training and education
East of England
What is the LETB?

Local Education and Training Boards (LETBs) introduced from 01 April 2013 subsumed deaneries and are responsible for the education
and training of health and public health workers at a regional level. There are 13 LETBs in England.

The East of England covers the counties of Norfolk, Suffolk, Cambridgeshire, Bedfordshire, Hertfordshire and Essex serving a population of 5.5 million.

How many Trusts exist in EoE?

17 acute Trusts across the region.

I am worried, how the trainees are distributed across such a large region and so many hospitals? Do I have to rotate through a lot of hospitals?

The region is divided in 4 sectors. Each sector has 4-5 acute Trusts. A trainee will be allocated in one sector through out the rotation. So, a trainee would only rotate through a maximum of 5 hospitals during the whole of the training period.

How does the allocation process happen?

You will initially be appointed for your ACCS training to a sector/ hospital by the national selection process. Please ensure you preference your hospital(s) of choice and sector appropriately when you apply. You will usually spend 3 years in that hospital(s) completing the core training – ACCS ST1 & ST2 and the EM ST3 years.

At the level of ST4-6, you will be asked to choose the sector you wish to go and give appropriate rationale. The Training Programme Directors with the consultation of the Head of School will try their best to give you the sector of your choice. But if there is more than one applicant for a number of posts, the second best choice may be allocated.

How many major trauma centres in the EoE region?

Addenbrooke’s hospital in the only major trauma centre in the EoE trauma network.

Will I receive any training at the MTC?

Yes, every trainee has to rotate through the MTC for at least for 6 months at some point of the training period.

Would it mean I’ll have no exposure to trauma experience for the rest of the training years?

There are 14 Trauma Units across the region. Unlike London, all the TUs are capable of dealing with trauma patients in their units. The trauma triage tool in EoE allows the Ambulance crew to take the patients to the TUs. All the units follow the same trauma care protocol called TEMPO.

What educational support will I have?

Every hospital has an in-house training programme for the trainees. The EM College Tutor (CT) of the respective trust has the responsibility to deliver required education and training to the local trainees.

Are there arrangements for regional training?

Yes, There are regional training programmes for all grades: ACCS, ST3/DRE-EM and ST4-6. There are 12 training days in year from August to July, held at various hospitals in the region. For the ACCS, ST3/DRE-EM, higher trainees and SAS doctors, there are individual training days. 

Can I take part in organising such event?

The local College Tutors are advised to let the trainees organise and run such days. The CTs may be able to help in sorting out any local issue or challenge.

Am I released from the local departments to attend the regional training days?

You must attend 75% of the training days. The dates are decided well in advance, so that you may apply for study leaves to your local department. They are supposed to release you if you have given them sufficient notice for the study leave.

What support do I have for the preparation od examinations?

We run a number of exam preparation courses, details of which can be found here:

If I need any advice with regards to the training, who I should ask for?

You may contact one of the following consultants:

Dr Nam Tong – Head of School (HoS) -

Dr Diane Williamson – TPD, ACCS (ST1-2) –

Mr Pawan Gupta – TPD, ST3 & DRE-EM –

Dr Dhakshinamoorthy Vijayasankar -


Mrs Anna Frost, Admin Manager, School of EM –

Is there any forum where the trainees can formally raise their issues?

There are two committees dealing with training: The ACCS and the EM regional training committees. They meet 2-3 times a year and are attended by the CTs and TPDs. The trainee representatives (ACCS and Higher) are also invited to attend and produce a report. This is the best forum where the issues are discussed and minuted. The trainee representatives may discuss issues at the regional training days or regional trainees forum.

If I am interested in the position of trainee representative, who should I contact?

The respective TPD and HoS.

What other responsibilities do the trainee representatives have?

To disseminate any decisions taken at the STC/ACCS meetings to the trainees. To discuss with the STC members of any training issues in the region. To be part of the LETB team visiting other emergency departments in the region.

I am an SAS doctor in one of the hospitals. What support do I have to progress my career?

The LETB has very good support for SAS doctors in the region. Dr Aman Khan is the TPD for SAS doctors who may provide advice if required. The SAS doctors are encouraged to attend the regional training days organised separately by Dr Khan. They are also encouraged to apply for DRE-EM training posts at the national level. We have a number of SAS doctors who have been successful in getting the training posts at a national level.

How do I apply for out of programme (OOP)?

Full details including the OOP policy, FAQs and application forms can all be found on the OOP webpage here:

How do I apply for Less than full time training (LTFT)?

Full details including the LTFT policy, FAQs and application forms can all be found on the LTFT webpage here:

Am I eligible to apply for relocation or rotational travel expenses?

 Full details including the relocation policy, eligibility criteria, FAQs and application form can all be found on the relocation webpage here:

Friday, 30 November, 2018
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Friday, 30 November, 2018