Out Of Programme Pause OOPP
Out of Program Pause is a new opportunity where trainees can step off training to undertake NHS work or similar patient facing work in the UK. They can potentially accrue skills and capabilities which will count towards their training. OOPP has been piloted in other regions and, because of the pandemic, is being rolled out nationally.
Unlike an Out of Program Career break, capabilities acquired during OOPP may be able to count towards your training.
Trainees who are ST2 /CT2/ IMT2 (in alignment with national guidance) or above can apply for OOPP. The application process is open for one year and OOPP can be for a maximum of one year.
· Trainee will need an outcome 1 or 10.1 or 10.2 (or to be anticipating this) at their ARCP (or to be anticipating this at their ARCP). If this outcome is not achieved, provisional OOPP will need to be discussed as part of the ARCP.
· Trainee will need to identify a patient facing job in the NHS and discuss how this will benefit you as an individual with your Educational Supervisor/TPD.
· Trainee will need to have secured the post before you complete the OOPP paperwork and to provide at least three months’ notice to the trust.
· The OOPP can be for 12 months maximum and you can apply anytime within the next 12 months.
INFORMATION PACK FOR TRAINEES (please click the link to download and view the presentation)
Trainees told Health Education England (HEE) that existing out of programme mechanisms (out of programme experience [OOPE], out of programme research [OOPR], out of programme career break [OOPC] and out of programme training [OOPT]) provided a degree of flexibility, however none of these mechanisms recognised that trainees sometimes wish to “pause” their training to undertake an NHS non-training post, gain further experience, take stock of their training, work in another related specialty, or concentrate on their wellbeing. Out of programme pause (OOPP) allows trainees to step out of formal training for up to one year to undertake an NHS or other patient facing UK based non-training post. This flexibility initiative can be a vital tool to support trainee wellbeing.
The initial pilot for OOPP was launched in Spring 2019, where OOPP was offered to Anaesthetics trainees in the East Midlands. Phase 2 commenced in summer 2019, with selected specialties in Wessex, North Central and East London, and the North East taking part, along with the remaining specialties in the East Midlands. The scope of the pilot has been supported by the GMC, and this phase 3 extension of the pilot will now encompass all specialties across England for the next 12 months, in large part as a response to the effects of the Covid-19 pandemic on trainee wellbeing. A robust external evaluation of the pilot is underway.
This pilot initiative also gives trainees the opportunity to have any competencies gained whilst out of training assessed upon their return. This may allow trainees to minimise the impact on the time out of programme has on their CCT date. OOPP differs from out of programme for experience (OOPE) because in OOPE, none of the experiences or competencies/capabilities gained whilst OOPE can be directly counted toward CCT.
- - Trainees who wish to take a break from training and expect to receive either an outcome 1, 10.1 or 10.2 at their most recent ARCP.
- - Trainees who feel it would be beneficial for their wellbeing.
- • The appropriateness of OOPP would be discussed between the trainee and Educational Supervisor. If appropriate the Educational Supervisor may liaise with the PSW to explore if alternative or additional further support is needed for the trainee.
- - Trainees who want to step out of training and also use the opportunity to gain additional competencies as a consequence of the impact of COVID.
Time out of programme on OOPP will not normally be agreed until you have been in a HEE approved training programme for at least one year of training (unless at the time of appointment, deferral of the start of the programme has been agreed for leave on statutory grounds).
If you are on a tier 2 visa sponsored by HEE, please be aware that upon undertaking an OOPP post, your visa sponsorship with HEE will be cancelled and you will need to apply for sponsorship with your new employer whilst undertaking your OOPP placement. Upon returning to your training programme with HEE you will need reapply for sponsorship to the HEE Tier 2 team, you will not need to go through recruitment process again and can commence directly back into training. If you are considering any other immigration route other than Tier 2 while out on OOPP you are advised to contact the Tier 2 team ( firstname.lastname@example.org ) before your sponsorship is withdrawn as you may be subject to a 12 month cooling off period, set by the Home Office, before returning to training with HEE.
Time out of programme (OOP) will not normally be agreed until you have been in a specialty training programme for at least one year of training (unless at the time of appointment, deferral of the start of the programme has been agreed for leave on statutory grounds) and you have
received (or expect to receive) either an outcome 1, 10.1 or 10.2 at your most recent ARCP.
If you elect to take a period OOPP you must discuss and agree this with your educational supervisor and training programme director. This agreement is to ensure that going OOPP does not destabilise the educational or service sufficiency of the programme you are in. After this, the application can proceed once details of when and where you will be spending the time out of programme have been confirmed. The OOPP section of the OOP form should be completed, together with the OOPP initiation document that sets out your plan for OOPP, your intended scope of practice, indications of possible capabilities you may acquire, plans to return to training and any pertinent indemnity considerations.
Where possible in line with all applications to take time out of training, you will be expected to givethree months’ notice. As with other OOP requests this should align with programme rotation dates. When you are considering applying for OOPP you should keep HEE informed of plans as early as possible and continue to update on progress and any changes to plans to return to training on a regular basis. However, we note that due to the short term nature of the pilot and the pace of introduction, there will be instances where a shorter notice period may be given. In the first instance you should contact your local office to determine whether you can undertake OOPP with a shorter notice period. Where programs are having to accommodate increased numbers of trainees with extensions in a training programme, local offices may be able to accommodate a notice period of less than 3 months.
Please talk to your employer and/or trade union. You should be aware that any time spent out of programme in a non-NHS setting will have an effect on both your cumulative NHS service you’re your continuous employment. This has practical implications for employment rights such as pay, pension entitlement, maternity leave and pay, parental leave, and other entitlements. If you are considering going out of programme, you can speak to your employer and, if you are a member, the BMA, for further advice on these issues.
Your NHS pension may be affected due to a break in service if you are working for a non-NHS organisation. For further advice speak to your employer, trade union and/or the NHS Business Services Authority
The employer will normally be the organisation paying your salary during your period working OOPP.
Study leave will only be funded if it is for a clear curriculum requirement for your individual specialty. It you choose to take it whilst on OOPP, then this would mean you would not be eligible to fund it again once you have re-joined the training programme. Employer mandated training should be funded by the employer.
Whilst on OOPP, your RO will remain your postgraduate dean. The specific considerations around revalidation our outlined below. You will be asked to identify who the RO of the employing organisation you will be working with during your OOPP in your OOPP initiation form, where this is applicable.
The process for ensuring revalidation requirements are met whilst out of training are on the COPMeD website at: https://www.copmed.org.uk/images/docs/revalidation/Guidance_to_ensure_doctors_in_postgradua
Whilst Out of Programme, if you are undertaking a substantive role you need to engage with the revalidation governance arrangements of your employer and submit details of work undertaken, involvement in significant events and any complaints and compliments about your work in your ARCP form R.
To proceed with OOPP you must take a patient facing role with a UK registered organisation. Whilst the majority of roles would therefore be based in the UK, this does allow you to undertake roles overseas with organisations such as MSF.
No prior approval is required of the post or posts that you will undertake during the OOPP period, however, your educational supervisor will need to be confident it is a suitable placement for you, taking into account your level of training and the support that will be available. Any post (and any changes) must be recorded against your scope of practice.
Should an Out of Programme Post come to an end sooner than expected, you should contact your HEE office as soon as is practically possible to facilitate a return to your training programme. This will be subject to programme capacity. Once returning, the standard process for assessing competence gained whilst in the OOPP post will commence.
Unlike other forms of OOP, you will need to have an offer for a confirmed post when applying for OOPP.
Whilst you are not obliged to return to your training programme from a period OOPP, a decision to not return should be communicated formally to HEE in line with an appropriate notice period relevant to the level of training, to indicate your resignation from the training programme and your wish to relinquish your national training number .
You would return from OOPP alongside/after completing any relevant return to training (RTT) programme elements and have an initial educational appraisal meeting with your Educational Supervisor to consider the experience and any competencies gained during your OOPP. A ‘gap analysis’ would be conducted with a judgement on what may have been achieved with respect to both Generic Professional Capabilities and specific curriculum outcomes. This would form the basis of a training plan. Once the initial educational appraisal meeting has taken place, you will have an opportunity to demonstrate your skills and capabilities as part of your prospectively approved training programme. This would ideally be undertaken in the first three months following return to training, to allow you and your Educational Supervisor to ensure the training plan is appropriate and properly focus learning objectives in advance of the next Annual Review of Competence Progression (ARCP); Following OOPP, if you and your Educational Supervisor do not want to count
competences and did not feel an adjustment to the CCT date would be appropriate then there would be no requirement to do so. At the ARCP, a formal determination of outcome would be made with an adjustment to the CCT in light of demonstration of competencies evidenced following return to training and the Educational
Supervisor’s report; this would be in accordance with Gold Guide and GMC guidance .
You should plan your return to work with your training programme faculty educators, who work on behalf of the Postgraduate Dean. Although usually you will be accommodated as indicated on your initiation form, which will generally be in the next available suitable vacancy in their specialty, there is no guarantee of return date and it may take time for a suitable vacancy to arise. If there are likely to be problems accommodating you back into the programme, wherever possible, you should be advised as soon as practicable during the period of you being out of programme.
Other forms of OOP will remain available but applying to go on other OOP opportunities will be subject to the normal procedures whereby the relevant specialty school and the Postgraduate Dean would make an informed decision in each case, in line with all other such applications.