Workforce, training and education
East of England

Why the East of England?

Living Here

The East of England is a popular area to settle.  It boasts unspoiled countryside, miles of beautiful beaches and is home to many unique species of wildlife.  We have the bustle of city life, the tranquility of village life, and everything in between.  Our landscape offers great opportunities for outdoor activities with many lakes, rivers, and the broads for water sports, many bridle paths for equestrians or a good walk, and forests and woodlands for great adventures

With an average journey time of 1 hour right into the heart of central London, the East of England is increasingly affordable the further from London you settle, giving you the opportunity to create an affordable base with a high quality of living, yet keeping in touch with London life.

London is not the only city.  We have the academic city of Cambridge, known for its colleges, museums and punting on the backs.  Cambridge also hosts a busy shopping district, many fantastic restaurants, and an active nightlife scene.

Norwich is something of a hidden jewel, with many trainees electing to stay and return there wherever possible due to its affordability with all the expected conveniences of city life.

Throughout East of England there are excellent transport links with M1 in the west, the A1 and M11 more centrally, and the A12 in the East, but also to the west via the A14 with access to the North. Our rail links predominantly lead to London, but the hub at Peterborough opens to the north and the west. There are small airports such as the city airports in Cambridge and Norwich, but our biggest international airports are London Stanstead and London Luton Airport making overseas travel a breeze.


Working Here

Healthcare delivery is changing rapidly, as are the portfolio careers and options available to newly qualified doctors. We provide you with the training that gives you the flexible skills, both clinical and non-clinical, to achieve your goals. We are constantly working with our educators and trusts to listen to trainee feedback and improve our programmes. We believe that we maintain an excellent foundation programme that focused on individual training needs as well as providing quality patient care.

We have three key themes for foundation training in the East of England:

Excellence in education. We aspire to create a focussed, delivered educational programme of 60 mandatory hours per year per trainee that is both covering the curriculum and also inspiring. Additionally, there are 30 further hours of study leave.  Education is delivered through a mixture of local taught programmes and mandated simulation delivered sessions. One of our innovations in 2018, the new sub-regional or Hub delivered training events had excellent trainee feedback enabling this to run more smoothly in future years. For 2019 we bought 2 oculus rift and associated hi spec computers to run virtual reality simulation in each trust for our foundation doctors.

Trustworthy training rotations.  Each year is hosted by a single trust (although community placements will rotate out). The exception being Papworth rotations, which are matched with the adjoining Addenbrookes hospital. All our rotations have been 'sense checked' for depth and breadth and community placement.  We work with our hospitals to provide solutions that maintain training and education. Our Foundation Training Programme Directors (FTPD) in each trust are there for your assistance.

Personalising support. Becoming a doctor can be tough, and we want to help this go smoothly. We have a mentorship programme to support the step from medical student to doctor, resilience training workshops, careers and professional workshops. We are supportive of those requiring “Less Than Full Time” (LTFT) training and if required time out of training or inter-foundation school transfers. 

For our new to the UK doctors, we provide an extended induction - paid! This includes shadowing at their Trust of work, and a custom made course including simulation, communication skills, and understanding how the NHS works.

We also have an excellent Professional Support and Wellbeing service for those that need a little more support.

[Photographs of EBH and EAFS trainees with consent by Elinor French, independent photographer. Copyright HEE EoE]



Our Programmes

Our rotations across the trusts can be viewed on Oriel.  We have several exciting placement opportunities in the region.

Generalism, a trailblazer in the East of England, Generalism posts are available throughout the region, see The School of Generalism for more details about this new and exciting opportunity to be involved with and help us develop the future of doctor training. 

Unique opportunities to shape the future of Public Health are available at West Suffolk Hospital (Bury St Edmunds), Watford General Hospital, Southend University Hospital and Royal Papworth Hospital.  In addition, there are new opportunities in fast evolving specialties such as Digital Health (QEH King’s Lynn Hospital, Norfolk and Norwich Hospital).  Colchester Hospital is offering opportunities for involvement in Medical Education and Widening Access to healthcare.

Specialty placements are available in Intensive Care (ITU) at Princess Alexandra Hospital (Harlow), Addenbrookes/Papworth Royal (Cambridge), Colchester Hospital, Peterborough Hospital.

In addition to the ITU posts there are opportunities in Anaesthetics in Ipswich, Peterborough, Luton and Harlow.

Unique in the East of England, and very rare in foundation, we have a rotation containing OMFS at PAH Harlow (suitable for those dual trained in medicine and dentistry or for those considering dentistry training and wanting to confirm an interest in OMFS before going ahead).

Opportunities are also available across the region in Neurosurgery, Rehabilitation Medicine, Plastic Surgery, Transplant Surgery.



Recruitment is through the national process on ORIEL for both the two-year and standalone programmes. National recruitment is a large, resource heavy requirement and the dates are fixed. Please see for definitive details and timelines.


There are now multiple elements to the foundation programme - all through a single oriel application form. Please see the applicant handbook and presentation on the UKFPO pages

Doctors on a provisional license are only allowed to work within a nationally recruited post (not a trust recruited post), please refer to the following website: we also have a short presentation supporting this

If you require further information:

We have small shared centralised teams, who may be unable to provide swift responses or have the answer to your query. So, if you require information, please review all relevant pages and documents on this website, in the first instance. If you are still unable to find the answer to your query, please contact the Recruitment Team for assistance
If you have queries around specific placements please contact the trusts, not the central team.
If you require adjustments to the workplace or LTFT, then please contact one of the deputy Foundation School Directors.


General Information

All our programmes have been configured to make sure that they are broad and balanced. We have also minimised rotations between acute trusts within each Foundation year. Our posts can be viewed on ORIEL.  Please be aware that posts may be held back for our LTFT trainees who require an additional year.

As  always, the posts on Oriel are indicative, so that you must check the National Application Posts in full not just post numbers or summary. The NHS is an ever-changing system and even after being matched to an individual programme, there will be situations when placements within that programme may change because of service redesign, trainee feedback, working time directive regulations or national directives (UK-wide).  Although we aim to minimise this, on rare occasions the placements will need to change.  Also, to be noted, is that only minimal post descriptors are on Oriel, so the posts may include other specialties, be part based with a theme in the area stated and may cross cover acute areas. Please discuss specifics with the trusts

Most two-year rotations have a community placement, this may be in GP, Psychiatry, Palliative Care or other. For many of these you will need to consider your mode of transport. Some of the trusts have highlighted posts where they think driving is required.

For those with workplace adjustments required such that driving is not an option, please highlight this in your pre-allocation and we will look to make the requisite adjustments. For those who do not require reasonable adjustments in the workplace, then please carefully choose your rotations, consider learning to drive, review public transport options, or consider whether you will move to help complete that rotation.


Equality and Diversity

The Foundation Schools seek to provide an inclusive environment which values diversity and maintains a training environment in which the rights and dignity of all its junior doctors are respected to assist them in reaching their full potential.

No prospective applicant or trainee will be treated more or less favourably than any other at any stage on one or more of the following grounds: age; disability; ethnicity; marital status; nationality; national origin; parental status; religion or belief; gender; or sexual orientation, except when such treatment is within the law and determined by lawful requirements.

If you have a complaint relating to your training on any of the above grounds you should inform your Foundation Training Programme Director immediately and also the Foundation School Director.

If there is an opportunity for us to promote equity and social justice within our school, or something we could improve upon, please also contact us. Each year we appoint one of our foundation representatives with a brief of inclusivity.


We hope you will want to join us in the East of England but, wherever you apply, we wish you the best for your foundation years and that you can go forwards in your career with confidence.


Recruitment Timeline

Recruitment Timeline 2021-22

1 September 2021

Register on Oriel. You will be sent an email containing a link to a URL.
You must then follow the instructions to change password and then register on Oriel. You will only be able to register if you have been nominated by your medical school/UKFPO.

8 September 2021

Complete the online application form for both the Foundation Programme and if required the Academic Foundation Programme. The application period closes at 12.00 noon (BST) on 22 September 2021. Late applications will not be accepted under any circumstances.

6-18 December 2021

17-22 January 2022

National Situational Judgement Test dates will take place during two specific test windows with additional dates set aside for contingency (UKFPO will discuss with relevant applicants if required).

1 September 2021 Final programmes available to view on Oriel.


FP primary list allocation. Your SJT and overall application score will be on your Oriel account. If you are allocated to a foundation school as part of the initial allocation process, i.e. to the primary list, you will also be able to see which UoA you have been allocated to. Allocated UoA will provide details via email on how to rank their programmes together with the timeline.


FP primary list applicants need to select their programme preferences on Oriel.
Deadlines and processes for matching your specific foundation programmes will vary by UoA. Check your allocated UoA’s website for further information.


FP primary list applicants notified of programme matches. You will need to log into your Oriel account to see which foundation programme you have been matched to by your allocated UoA.


FP reserve list batch allocations. The highest scoring applicants on the FP reserve list will be allocated to any vacancies that have arisen since the last allocation.

Jun 2022

You must have provisional GMC registration with a licence to practise before your employer will issue a contract of employment. Registering with the GMC is a different process from applying to the Foundation Programme. You must apply to the GMC directly. The GMC recommends you apply in May 2016 to ensure you are registered before the start of your FP shadowing period.

Jul 2022

Contracts of employment issued by your employing Trust who will also confirm your salary, pay banding, location and starting rota.

Jul/Aug 2022

Foundation Programme starts. Newly appointed F1 doctors are required to attend a period of shadowing the F1 doctor they are taking over from before the start of the Foundation Programme. Your employer will contact you with the details of local arrangements and your required start date which is likely to be late July 2022.


Due to a large number of NHS Trust service reconfigurations, all posts may be subject to change (sometimes at short notice) in relation to placement order, specialty, length and site. All F1 and F2 posts are subject to change at any time during your Foundation Programme.


Pre-Allocation under Special Circumstances

If you have a caring responsibility or a medical condition, or any of the reasons in the UKFPO guidance for pre-allocation, which restricts you to a particular location, you may be eligible to apply for pre-allocation to a specific Foundation School.

Please refer to the Applicants' Handbook for further information and the specific preallocation handbook here.
The UKFPO will advise applicants of the outcome of their applications and inform the foundation schools to which applicants have been pre-allocated to. UK medical schools will also be advised of the outcomes of applications of their students.

we are really supportive of our pre-allocated trainees [all trainees!] and suggest when you have preallocated to us you rank your top 40 rotations. If there is a very specific reason for you to need a particular city/acute hospital, or you will need significant adaptions to support your health, then please contact the recruitment team and the deputy foundation school director of either EAFS or EBH to discuss further.

definitely consider applying for our bespoke LTFT programmes as well that are in the priority programmes.

Linked Applications

Linked applications offer placements within the catchment area of the Foundation School but we can't guarantee that you and your partner will be placed in the same hospital or city.

The likelihood of being in the same hospital is increased if you rank hospitals in bands, and rank the same hospitals - ie hospital A first 30+ posts, hospital B next 30+ etc rather than jumping back and forth between hospitals. we also recommend you pick hospitals that are geographically close. The preferencing programme will then allocate you according to your ranking. Widely disparate scores mean that it is likely that the highest score will receive a top 10 post, and the lowest score will not. Therefore really consider your geography and how important is it to you to be close.

Linked applications will only be honoured if:

  • All the information required is provided on both your forms
  • Neither you nor the other individual has been pre-allocated on the grounds of special circumstances
  • You both score highly enough to be on the primary list
  • You have ranked the UoAs in the same order of preference
  • Neither you nor the individual has accepted an AFP offer
  • There are two places available in a UoA when it is your turn to be allocated based on the lower of both scores.

There is no option to un-link an application under any circumstances once it has been linked to another applicant.

For further information on linked applications please refer to the Applicants' Handbook.on the ukfpo website

FROM application to 2022, we plan the following adjustment for EAFS and EBHFS

Linked applications will guarantee same school but not same Trust . Both applicants will need to rank the groups in exactly the same order of preference and in trust groupings [ie all of one trust then all the next] for the best chance of obtaining the same trust. 

If the same trust is an absolute requirement, contact our recruitment team with your rationale and request to be at the same trust on receiving our school as your allocation, and prior to ranking programmes cut off date, Be aware that  this may mean both parties are placed to a low  or unranked trust without further discussion as your request would be mandating prioritising same trust over all other considerations, and we wont take an appeal or alter placements following this [so only do it if it really is *that* important to you]

Wednesday, 30 January, 2019
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Wednesday, 30 January, 2019