If you have a caring responsibility or medical condition which requires you to remain in a specific location, you can apply for pre-allocation to a particular Foundation School before you begin the application process.

However, if your caring responsibility or medical condition arises unexpectedly after you have applied, you can look into an inter-Foundation School transfer.


Our Foundation Schools do not allow trainees to swap any section of their programme. Please read our policy below.

If you have a medical condition or caring responsibility which arose unexpectedly after you applied, and which prevents you from working in a particular specialty or location, you should contact your Foundation Training Programme Director as soon as possible to discuss the possibility of an adjustment to your programme.

Your Trust may allow you to work on different wards under the same specialty, or alter the order of your rotations so that you undertake them in a different sequence. This would be arranged internally without Foundation School intervention and does not constitute a swap.

Inter-Foundation School Transfer
To qualify for a transfer, you must be able to provide evidence that your circumstances have changed unexpectedly since your initial application, and that you have an unanticipated caring responsibility or medical condition which now requires you to remain in a specific location.

Please note that you will not qualify for a transfer on the basis of:

1) Pregnancy 

  • If you are pregnant when you apply to the Foundation Programme then you may not apply for a transfer. You should instead apply for pre-allocation to a particular Foundation School before you begin the application process
  • If you become pregnant after applying to the Foundation Programme, and your caring responsibility for the child will restrict you to an area outside the catchment area of the Foundation School to which you've been allocated, you may apply for a transfer after your baby is born

2) A partner, fiancée or spouse living outside your Foundation School's catchment area


Applying for a transfer

If you meet the necessary criteria then you should notify the Foundation School Administrator and your employing Trust that you intend to apply for a transfer, as soon as possible. Please don't contact your proposed receiving school at this stage.

Transfers will normally take place either before the start of foundation training (F1) or at the start of the F2 year.

Complete the Inter-Foundation School Transfer form, which is available on the UKFPO website. You must submit the form before the end of May in the year that you hope to transfer. In exceptional circumstances, this deadline may be extended.

You should note on your application form the foundation school which covers the specific area to which you are restricted by your medical condition or caring responsibility. If two adjoining Foundation Schools would both be suitable, you must still choose a single one.

If both originating and receiving foundation schools agree that you meet the national criteria, and there is capacity at the receiving school, then your application will be accepted. However, it's not always possible to create a vacancy even if you meet the criteria. You may be advised to defer your application for Foundation training.

Approval of an application for an inter-foundation school transfer does not guarantee a specific programme or location.

For detailed information on the application process, visit the UKFPO website to download national guidance.

If your application is not approved, you may wish to discuss the following options with your Educational Supervisor:

Swap Policy

Foundation Training is designed to offer a broad range of experiences and transferable skills which empower the inexperienced doctor to make an informed decision on completion, when focussing on a specialised career. We do not offer any programme or rotation swaps, for the following reasons:

The process for allocating or matching to posts needs to be transparent and fair
Programme allocation follows a nationally co-ordinated points-based system. It would be unfair to “give” your rotation(s) or programme to another trainee when others who ranked higher in the allocation process would have preferred it.

All of our programmes are approved by HEEEoE in specific combinations
There is rarely any educational argument favouring swaps or alterations.  

Placements don’t affect your chances of getting into a certain specialty
Selection panels know that trainees may not have been allocated their most preferred rotations. They will be looking for evidence of your commitment to that specialty through tasters, research, attending careers events etc.

If you'd like to try out a specialty which doesn't feature in your allocated programme, visit this page for information on taster opportunities at your employing Trust.

Many doctors choose to resign at the end of F1, with a view to applying for a standalone F2 LAT post in their preferred specialties. Further information on LAT posts is here.

Tuesday, 26 February, 2019
Make this a News Item?: 
Show Between Dates: 
Tuesday, 26 February, 2019