What is a Foundation School?


Foundation schools are not brick and mortar institutions, but rather a conceptual group of institutions bringing together medical schools, and Hospital Trusts. Both of the East of England Foundation Schools are managed by a shared Foundation team at Health Education England (HEE). These two Schools commission and manage medical training for junior doctors, under the employment of a Trust.

UK Foundation Training is a two year programme which enables medical school graduates to practise as an NHS doctor in the UK. It is, in effect, your first job. Under the leadership and supervision of more senior doctors, you will gain the generic skills essential to professional medical practice, as well as the clinical skills necessary for acute medicine. Your progress will be assessed throughout the programme, and you will independently maintain a personal portfolio of your professional practice.



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

Why East of England?

Living Here

We are a popular area to settle, with reasonable house prices which become increasingly affordable the further from London you travel. Our proximity to London is always popular, with plenty of direct trains, the average time being an hour into central London. This gives you the possibility to create an affordable base here with a high quality of living, yet still keep in touch with London life. Many of our trainees come from the London medical schools, particularly to EBHFS since these hospitals are known.

London is not the only city, we have the academic city of Cambridge, beautiful and known for its colleges, museums and punting on the backs. However, it is not all old glory, with 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. Affordable, with all the expected conveniences of city life, except that you may be able to afford to live in a house rather than a bijou bedsit. 

We have city life, the half way house of town life, and then vast tracts of unspoiled countryside to enjoy. There are miles of coastland with beautiful beaches, tourist resorts and wildlife areas spreading from Essex through Suffolk to Norfolk. My personal favourite beach is Brancaster in Norfolk. There is much opportunity for country sports, with many lakes, rivers and the broads for sailing and many bridle paths for equestrians or just a good walk.

There are good road links not just to London, with the M1 in the west, the A1 and M11 more centrally, and the A12 in the East, but also to the west via the A14 and to the North. our rail links predominantly lead to London, but the hub at Peterborough opens up the north and the west. There are small airports such as the city airport in Cambridge, but our biggest airports are Stanstead [international] and London Luton Airport [international] making overseas travel straightforwards.

Working Here

We passionately believe that we can create and maintain an excellent foundation programme that is focussed on both individual training needs as well as providing for the service requirements for quality patient care. Healthcare delivery is changing rapidly, and the portfolio careers and options available to newly qualified doctors are changing alongside that. We aim to 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.

One of our three key themes for foundation training in the East of England is Excellence in Education. We aspire to create a focussed, delivered educational programme of 60 mandatory hours per year for each trainee that covers the curriculum and is also inspiring. In addition there are an additional 30 hours of study leave This will be delivered through a mixture of local taught programmes as generic training, and also the mandated simulation delivered sessions. One of our innovations in 2018 has been our pilot of the new sub-regional or Hub delivered training events. This has had excellent trainee feedback, as well as practical feedback to enable this to run more smoothly in future years. For 2019 we have bought 2 oculus rift and associated hi spec computers to run virtual reality simulation in each trust for our foundation doctors.

We wish for trustworthy training rotations for our foundation doctors. We have worked with the junior doctor recommendations to minimise 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 geographically close Addenbrookes hospital. Most rotations stay in the same unit for both F1 and F2 in EBH, but rotate between a DGH and teaching hospital in EAFS. All our rotations have been 'sense checked' for depth and breadth and community placement. There are, however, some specific more focussed rotations as well. Our hospitals can sometimes be hard pressed, and in those instances we work with them to provide solutions that maintain training and education. Our Foundation Training Programme Directors [FTPD] in each trust are there for your assistance.

Our final strand is in personalising support. Becoming a doctor can be tough, and we want to help this go smoothly. We have an F2 to F1 mentorship programme to support that step from medical student to doctor, resilience training workshops, careers and professional workshops. We are supportive of those requiring part time training [aka Less Than Full Time 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! We have shadowing at the trust they will work, as well as a custom made course including simulation and 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.



East of England Foundation Schools - who's who


As the Foundation School Director for both Foundation Schools in the East of England, I would like to welcome you to our site. I hope this is informative, and I look forward to supporting you as one of our Foundation trainees.

As our core values, we focus on training our doctors for their future within the NHS, providing rotations that are balanced and mapped against the curriculum. Our busy hospitals provide you with a broad experience as well as making sure that you have the opportunity to look at sub-specialities. We pay special attention to our teaching and training, with communication and personal skills training as well as a high class simulation training programme. We are also very keen to provide personal pastoral support, whether this be the opportunity for less than full time training, our mentoring and support programmes our just an ear when things seem difficult.

We aim to improve our foundation experience year on year, listening to your voices and being responsive to them.

One of my passions in foundation is around making foundation inclusive. We are strong supporters of those requiring to be LTFT or have a need for more considered rotations. In this I have been proud to sit on the GMC working part for the welcomed and valued guidance. We have trialed this with our local medical schools, aiming that doctors requiring workplace adjustments should have this support discussion earlier at medical school and meet and liaise with us, such that they are not disadvantaged. I am sitting on a similar committee with the foundation review.

I am working with HEE EoE to develop a connected approach between educational theory and practice, and also increasing the footprint of educational posts within foundation. We now have 4 educational fellows of ST3 and above. I am always happy for our foundation doctors to get involved.

For more information on our educational programme please see education opportinities

- Dr Helen Johnson

East of England Foundation School Director

EBH Foundation School 


This new Foundation School was established in 2017 to manage repatriated programmes in Essex, Bedfordshire and Hertfordshire. It is led by Foundation School Director Dr Helen Johnson with support from the Deputy Director Ritwik Banerjee (above). Eight acute NHS Trusts have worked to construct new programmes with support from HEEoE. The programmes were reconfigured at the inception of the school to make sure that they met all curricular requirements with no de-stabilisation of training during the transition process.

The current EBH trusts are: Bedford, Basildon, E and N Herts, Luton, Mid Essex, Princess Alexandra Harlow, Southend, W Herts.

One year on, the school has developed a good programme of Education Academic Foundation Training with the Anglia Ruskin University and the University of Hertfordshire to encourage trainees who are inclined to develop skills like teaching (including simulation) and leadership. We are keen to develop skills like ethics and medical management in future years.

The ethos of the school is to prepare junior doctors who are ready to provide high quality patient care and has a positive outlook on professional development. We take pride in creating a programme guided and improved by trainee feedback.

Click here for the EBHFS hospital contact list. (Please note that due to merging hospitals, Colchester is now advertised in EAFS and Bedford in EBHFS)

Please visit this our microsite for EBHFS which includes trainee testimonials and further information on our excellent Trusts.


East Anglia Foundation School


EAFS is also led by Foundation School Director Dr Helen Johnson, with local support from Helen Barker (above) as the Deputy Director responsible for the East Anglian Foundation School, which has ten Trusts under its remit. The longstanding rotations have been proven to meet the curricular requirements of Foundation; however, we are always looking to improve these and have followed the recommendations of the Improving Junior Doctors' Working Life documents and made alterations to many rotations for the 2018 recruitment.

The current EAFS trusts are: Addenbrookes, Colchester, Hinchingbrooke, Ipswich, James Paget, Norfolk and Norwich, Papworth, Peterborough, Queen Elizabeth Kings Lynn, West Suffolk

This year we have recruited for our new educational academic programme, with 4 trainees at Ipswich and 4 at Kings Lynn undertaking a PGCert with the University of East Anglia (UEA). 

Helen has been instrumental in our Welcome to the UK package for overseas doctors who start their first UK post with us, working with our specially appointed FTPD in this area Dr Makker in Watford. She worked in conjunction with the simulation leads to enable us to fund virtual reality simulation for foundation, which will start in 2019

Click here for the EAFS hospital contact list. (Please note that due to merging hospitals, Colchester is now advertised in EAFS and Bedford in EBHFS)

Our Brochure 

Note that our brochure was written before the movement of Bedford and Colchester Hospitals. Posts with F1 in Bedford are in EBH FS, and those with F1 in Colchester are in EAFS



Trainee Testimonials

Thankyou to our trainees for agreeing to make these short video sections [unedited]







Recruitment is through the national process on Oriel for both the 2 year programmes, and the standalone programmes. Please see the UKFPO website for the definitive details and timelines. It is really important to read the applicants' handbook and follow the instruction. National recruitment is a large and resource heavy requirement and the dates are fixed. Rarely there are errors in transcription or posts, and we request tolerance for this.

Doctors on a provisional licence are only allowed to work within a nationally recruited post (not a trust recruited post). Please refer to the GMC website.

Previously there have been 2 elements to the two year programme recruitment - the general foundation, and the academic foundation programme. for the 2019 process for 2020 start, a third element of priority programmes is being added. At the current time we are awaiting the UKFPO official announcement of how this will be run, but we will indicate our priority programmes. There is also an additional foundation psychiatry fellowship. Full details of how these will function will be first on the UKFPO website, and please refer there rather than to local teams in the first instance. Some patience will be required as it is the first year for such a multi element complex recruitment timeline.

contacting for further information:

  • We have very small shared centralised teams, who are unable to provide swift responses, and may not have an answer. so if you wish for information, please scrutinise this website, and when published our spreadsheets in the first instance. We believe this contains all the answers required.
  • If you have queries around specific placements, please contact the trusts not the central team.
  • If you are wishing to be LTFTT or require adjustments to the workplace, then please contact one of the foundation school directors.

General Foundation Recruitment

Our Programmes: General Advice

All our programmes have been reconfigured since 2016 in EBH and 2018 for EAFS to make sure that they are broad and balanced, and all contain a psychiatry post. We have also minimised rotations between acute trusts within year. Our trusts have provided us with the post spreadsheets attached below. Please be aware that posts may change subject to trust reconfiguration or trainee feedback, and some posts will be held for our LTFT who require an additional year.

As documented in the UKFPO handbook, the spreadsheets below are indicative, so that you must check the National Application [currently Oriel] posts not just post numbers. It is important to note that the NHS is a constantly 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, working time directive regulations or national directives (UK-wide). More rare are upload errors. We check all posts with trusts twice a year. Also, to be noted, is that only minimal post descriptors are on oriel, so the posts may include other specialities, be part based with a theme in the area stated and may cross cover acute areas. Please discuss specifics with the trusts. Therefore, as stated in the handbook and on Oriel, these are subject to change. Although we minimise this in rare occasions the placements will change, and at this point we will have already endeavoured to minimise disruption.

A list of programmes will be available for applicants to view on Monday 24th September 2018. Some UoAs will only upload programmes that are typically available based on previous years and will be subject to change prior to the national allocation to foundation schools. All UoAs will provide a final list of 2019 programmes viewable on Oriel by Monday 18th February 2019, before the primary list allocations take place, and before applicants are required to rank individual programmes. It is important to note that the NHS is a constantly 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, working time directive regulations or national directives (UK-wide).

It is also important to note that all 2 year rotations have a four month community placement, this may be in GP, psychiatry, palliative care or other. For many of these, in rural locations, you will need to drive or consider your mode of transport. Some of the trusts have highlighted posts at a distance 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.

There are some posts that cross between EAFS and EBHFS

Note that due to trust reconfigurations that Bedford has moved from EAFS into EBHFS and Colchester has moved from EBHFS to EAFS. The foundation school chosen is that where F1 is based. ie an F1 at colchester rotating to an F2 in Mid Essex or an F1 at Addenbrookes rotating to an F2 in Bedford would be in EAFS, and vice versa. There are very few cross school posts.

Our Programmes: specifics

Our rotations across the trusts have a wide variety of exposure to different specialties and subspecialties. Reviewing our spreadsheets should allow you to find posts that you are most interested in. As always we do need to state that the posts may be subject to unexpected change due to service reconfiguration or training requirements. The spreadsheets are searchable

We have also have a number of uncommon rotation sub-specialities.

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

Public Health: We have rotations at F2 in our: QEH Kings Lynn/NNUH Norwich posts; at West Suffolk Hospital Bury St Edmonds; Hinchingbrooke Huntingdon/Papworth Cambridge; ESNEFT Colchester; W Herts Watford;

Anaesthetics: we have a number of ITU posts in addition to: Hinchingbrooke Huntingdon; NWAFT Peterborough; ESNEFT Colchester; Ipswich/Cambridge; Luton

Transplant: Papworth/ CUH Cambridge

Ophthalmology: Papworth/CUH/Hinchingbrooke; NWAFT Peterborough/CUH Cambridge

Histopathology: PAH Harlow


Academic Foundation Training

We have a broad and varied academic programme in the East of England and are committed to excellence. Two of the Academic Units of Application sit across both EAFS and EBHFS and one is purely in EAFS

We have two academic research units in our area:

  • One based at Norwich [NATO]  within EAFS boundaries.
  • One at Cambridge [CATO] where trainees rotate into the Addenbrookes/research post from district general hospitals in both EAFS and EBH FS. 

We have an overarching EoE academic education programme, with established programmes in EBH attached to University of Herts and ARU and a new programme in EAFS attached to UEA. There are 22 posts in total. 

Please review posts and programmes on our academic page

Priority programmes 

*Please note that the priority programmes were updated 4th September, and new spreadsheets have been updated below*

We have put forwards a number of programmes to the UKFPO priority programmes initiative. Please review the spreadsheets attached. Also please review the UKFPO website documents around priority programmes and application.

1. We are providing a bespoke psychiatry themed programme with a longitudinal integrated psychiatry approach [LIFT]
For these,  there will be a week in the first month of each academic year in psychiatry followed by one day a week spent in psychiatry. This is through both F1 and F2. the hospital specialties are then linked with psychiatry through the ES case discussion.  This is based at Ipswich acute hospital in collaboration with NSFT mental health trust. It is a new and innovative post, so you would help evaluate it. You do have 6 standard placements with the psychiatry day weaving through both years. It is expected in the first year you would work with a single firm throughout the year [though this can be altered] and in the second year have exposure to psychiatric specialties. Our NSFT hosts are very excited about this opportunity. We believe this may be a particularly interesting post for someone considering a career in psychiatry. However, since there are also 6 other post, this is equally suitable for all career options.
The trainees will all receive:
o There would be a psychiatry ES
o Day each week spent in psychiatry throughout F1 and F2 
o Invite to psychiatry teaching through the year
o Careers and application support and mentoring
o Attendance at psychiatric hub event
o QA project based in psychiatry
2. Our bespoke speciality themed posts
These are created so they can link learning into the planned specialty with expert mentorship and supervision. These are predominantly in paediatrics and general practice, although there is an obstetrics and gynaecology themed rotation at James Paget. you have still the standard 6x 4 month posts within the foundation training  and will get broad and balanced curriculum coverage for application to any ongoing core or specialty training and not limiting your other opportunities. However, we do hope that they will particularly attract people considering GP or Paediatrics or obstetrics and gynaecology for a career. Again these are innovative posts, and you will be part of the evaluation team.
the trainees will all receive:
  • A dedicated themed specialty ES for these three posts;
  • ½ day each month in F2 with themed specialty meeting led by ES discussing cases from their teams ;
  • Invite to themed specialty  teaching through the year;
  • Careers and application support and mentoring;
  • Attendance at themed specialty sub regional teaching as appropriate;
  • QA project based in themed specialty
3. Bespoke less than full time training posts [LTFTT]
*Please can all applicants for these email Dr H Johnson to discuss your rationale for LTFTT or discuss as currently we are not sure of the ORIEL process for such an innovative placement*
Through the foundation review welcome and valued workstream there have been presentations and discussion around equity in training for LTFTT, it has been clear that the short four month placements do not give adequate time for LTFT trainees to embed fully so these are 6 month placements, created specifically for LTFTT. Work/life balance has been highlighted as a mounting concern to doctors in training. Rotas that force staff to choose between work and their personal responsibilities – eg being a parent – can negatively affect job satisfaction and retention. this allows trainees the security of knowing their planned placements across three years. We would anticipate most trainees would wish to work 60%, these are flexibly 60-80%. Discussion around OOH work would be with the local trusts as these posts have been created in addition to the usual roster, giving you the flexibility for percentage. For those working at less than 80%, there will be a need to extend beyond three years to do equivalent time, and this will be discussed at your end of F1 ARCP in the second year. These are new and innovative posts, and although designed for trainees wishing to be LTFT across their foundation training, we are aware that circumstances change and we would look to be flexible in the F2 component particularly. Again, since no schemes like this have been created  before, there is some organisational and central learning as part of the running of them. 
Also, on ORIEL, whilst it appears that there is an F3 year, in practice F1 will last approximately 18-20 months dependent on the percentage part time, so the F1 ARCP and progress to full licence will be in the second year, potentially mid post so both are appropriate for F1 or F2 doctors. A subsequent 18-20 months approximately subject to individual calculation will be required for F2, hece a definite 3 year programme, and a potential further extension.
Anticipated trainees:
1. Children under 16 (or under 18 with special needs)
2. Own Health- needs GP/OH/ specialist support
3. Carer role
4. Unique opportunity for professional/personal development (eg Olympic sport)
These posts are based at W Herts, Southend and PAH Harlow in EBH FS and at NNUH Norwich in EAFS
For these posts there is some confirmation required specifically in the third year placements, and therefore the final configuration will be confirmed by the opening of the application window. The trust  will remain constant, and there is not anticipated to be significant change. This is a reflection of the short time frame given to produce such innovative posts, and the trusts process to confirm.
4.   an innovative post with and F2 pre-hospital care theme including working with ambulance, sporting events and lifeboat based at James Paget Hospital in EAFS.
Please take your enquiries to the trust [James Paget] as to how this will work in practice. [see the hospital links]
5. Posts associated with a leadership apprenticeship at QEH Kings Lynn in EAFS  
Please take your enquiries to the trust as to how this will work in practice

Psychiatry Fellowship

We have also put forward posts for a psychiatry fellowship. The information is attached in the files section. Note that for some trusts instead of weekly one hour meetings, these will be amalgamated into monthly half days, particularly where the mental health trust is on a different site to the acute trust to minimise your travel times. Again please refer to the UKFPO website for application and further information.
These are based at
Peterborough and CPFT x 2
Ipswich and NFST x 1 [attached to the LIFT scheme in psychiatry - please see priority programme for details]
Lister [E&N Herts] x 1
PAH Harlow x 1


For further indicative information on post descriptions click here. For detailed or specific information on individual programmes please contact the related Trust.


Studying Abroad

Foundation Year 1 (F1)

Cambridge graduates whose studentship agreement requires them to return to their home country following graduation may apply to undertake F1 outside the UK. No other circumstances will be approved for F1 training outside the UK. For further information please contact Sue Eason, PA to the Clinical Dean at the University of Cambridge School of Clinical Medicine. Following that discussion, they will need to discuss this with the foundation school if they wish to apply for recognition for foundation training. This is a complicated process, so please contact us early.

Foundation Year 2 (F2)

The East of England Foundation Schools do not offer the opportunity to undertake F2 training outside the UK.

The Medical Careers site suggests training abroad after Foundation Training. Click here for further advice.


Application and Starting information

We strongly believe that the applicants handbook and supporting document on the UKFPO website are the most important guides to application, and we suggest you read these before and during your application, and again before you submit. Be aware that the UKFPO manages this through Oriel and no deviations are permitted. The Foundation School is unable to mediate with the process. It is therefore very important that you complete with due care and attention, and be sure to have submitted in good time.

We visit our local medical schools of Cambridge, UEA and will visit ARU to discuss foundation and the process.

We cannot give individualised responses to all applicants, however we do make an exception for

  • those that are pre-allocated, and we wish to hear from students pre-allocating to our foundation schools for early discussion for adjustments and suggestions.
  • those that are applying for the LTFTT priority programmes again for discussion around reasons and placement
  • those that wish to link applications at the same trust having read the FAQ below, and are aware that this will link to the lowest applicant score or even unranked posts, and is not a guarantee to place together.

Score chart/ranking

Our EPM score chart is published below. Please note that the ranking cut offs may include pre-allocated doctors, who are placed in their first choice UoA regardless of ranking as long as they are on the primary list. The process is done nationally, and not locally, and in a fair and transparent way so that no-one is disadvantaged. We will no longer answer emails pertaining to ranking.


If you are having technical issues with your Oriel account please email support@hicom.co.uk

National Policy

Click here to read the UKFPO's comprehensive information on Foundation Training.

Pre-Allocation and Inter Foundation School Transfers [IFST]

We strongly recommend that if you meet the criteria for pre-allocation, you apply for that. The UKFPO website and the applicant handbook contain clear instructions on how to complete this process. Discuss with your pastoral lead at medical school. We suggest that you contact in good time the foundation school you pre-allocate into to discuss your reasons. This is best done between the allocation to the foundation school and ranking of posts. This allows the foundation school to identify trusts or rotations that may be particularly suited to your individualised requirements and allow early discussion around any adjustments or additional support required. Please contact our foundation school directors if pre-allocating into EAFS or EBHFS.

IFST is less commonly granted at this stage due to the stringent criteria. It is therefore not a route to try and gain a place at your preferred foundation school after you have been allocated elsewhere. Please note that even if approved, you will only move foundation schools if there is a place available. We will always review requests, and although we are often sympathetic, we do treat them according to the strict national criteria. [in the UKFPO comprehensive guidance]

Preparation for Professional Practice (PFPP)

The mandatory PFPP week starts one week before your training, and your employing Trust will send you full details. It is paid. It is also compulsary, so do not organise a wedding, holiday or other during this time. Ask your trusts for more details on times of attendance and shadowing once you know your allocation. These details are not held centrally.

If you are an overseas doctor, ie you trained at a non-UK [4 nations] medical school, we offer you an additional 2 weeks paid shadowing with a specially tailored course to adjust to the NHS processes. We very much value the perspective and ideas that both our EU and non-EU colleagues bring to medicine in the UK and wish to celebrate your arrival and orientate you in the NHS before you start. This includes simulation, core procedure, communication and GMC workshops. Although only the PfPP week is mandatory [and you join your colleagues for this], we strongly recommend that you attend our longer paid induction. Our portfolio FTPD for overseas doctors, Dr R Makker leads this process from her base at West Herts NHS Trust.

If you are a BMA member, you might want to look at their e-learning on starting F1



Asked to See the Patient (ATSP) is an HEE patient safety and peer-delivered initiative aimed at incoming Foundation Year One (FY1) doctors to support their transition from being medical students to doctors. It is delivered by out-going F1s through workshops as part of their induction week.

The workshops usually comprise role plays and discussions of illustrative cases that show how to manage common clinical scenarios encountered during out of hours shifts "on-call"


Your Medical School may ask you to undertake shadowing before you start Foundation Training, in addition to the mandatory shadowing that forms part of your Preparation for Professional Practice (PFPP) week. Contact the Postgraduate Administrator at your Medical School for further information on this. For information on shadowing during your PFPP week, contact your employing Trust



Equality and Diversity

The EoE Foundation Schools aim to remove any barriers which might deter people of the highest ability from applying to it as junior doctors. 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 or actual junior doctor will be treated less favourably than any other, whether before, during or after their period of training on one or more of the following grounds, except when such treatment is within the law and determined by lawful requirements: age; colour; disability; ethnic origin; marital status; nationality; national origin; parental status; race; religion or belief; gender; or sexual orientation.

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.




Information for applicants from the EU


You will be aware that the UK is in the process of leaving the European Union.  This means freedom of movement will be affected.  However, the NHS will continue to welcome and value staff and trainees from Europe as it does the whole world. 


From 31 October 2019 the UK will have left the European Union. If an agreement is reached with the EU, then EU citizens and their family members will be able to move to the UK until 2021 on the same basis as you could do today, with the same rights to work and study freely, as you currently do. For EU citizens who already live in the UK, you are eligible to apply to the EU Settlement Scheme.  All EU citizens who have lived in the UK for more than five years continuously will be eligible for ‘settled status’ (equivalent to indefinite leave to remain).  If you have lived in the UK for less than five years you will be eligible for ‘pre-settled status’ and can upgrade this to ‘settled status’ when you have been here for five years.  As the Prime Minister announced on 21 January, this process will be free to all from 30 March 2019. Any payment made for an application before this date will be refunded. More information on the settlement scheme can be found here: https://www.gov.uk/settled-status-eu-citizens-families


In the event that an agreement is not reached, there will be a transition period once free movement ends and before the UK’s new immigration system begins in 2021. During this transition period, newly arriving EU citizens will still be able to enter the UK as they do now for an initial stay of up to three months and will be able to visit, work or study without applying for a visa, but they will not be eligible to apply to the EU Settlement Scheme.  If you want to stay in the UK for longer than three months, you can apply from within the UK for ‘European Temporary Leave to Remain’, which will be granted for a further 36 months, subject to identity, criminality and security checks.


More information will be available soon on the process to register and how the UK’s Future Immigration System will work.  To keep up to date, please regularly visit https://www.gov.uk/government/publications/eu-immigration-after-free-movement-ends-if-theres-no-deal.


We hope to see you 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 2020-21

23 Sept 2019

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.

30 September 2019

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 11 October 2019. Late applications will not be accepted under any circumstances.

6 Dec 2019

2 Jan 2020

National Situational Judgement Test dates.

Late Feb 2019 Final programmes available to view on Oriel.

9 Mar 2019

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.

By 31 Mar 2019

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.

9 Apr 2019

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.

From April 2019

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 2020

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 2020

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

Jul/Aug 2020

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 2018.


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 which restricts you to a particular location, you may be eligible to apply for pre-allocation to a specific Foundation School.

However, due to the limited number of placements available, it's not possible to be pre-allocated to a specific area or hospital within this Foundation School's remit.

Please refer to the Applicants' Handbook for further information.

Special Circumstances
Applicants who need to be located in a geographical area due to specific reasons such as caring responsibilities or for health reasons can request to be pre-allocated to a particular foundation school.
In previous years, applicants submitted applications for pre-allocation on the grounds of special circumstances to their medical school or to the UKFPO for those who graduates overseas or who qualified from a UK medical school more that two years prior to the start of the programme.
For 2020, the process will be managed centrally, and all applicants will be required to submit their applications for pre-allocation based on special circumstances to the national UKFPO team. A national review panel will be convened to consider all applications in a consistent and objective manner. The timeline for the submission of special circumstances applications will remain the same and the deadline for applications to be received will be midday on the closing date for Foundation Programme applications (FP).
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.

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. 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.

FROM application to 2020, 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. We can review our linked applications, and where possible would aim for them to be within an approximate hours commute.

If the same trust is an absolute requirement, contact our recruitment team with your rationale and request on receiving our school prior to ranking programmes cut off date, this may mean both parties are moved to a different or unranked trust without further discussion as your request would be mandating prioritising same trust over all other considerations.

EPM scores explained

As part of your application to individual Academic Units of Application (UoA) it is likely that you will be asked to provide more information about additional educational achievements. The AUoA may also refer to your EPM decile score when considering your application. 
Applications will have a maximum score of 100 points and this will consist of two components:
1. Educational Performance Measure (EPM) - 50 points maximum
2. SJT (selection assessment for FP 2014) - 50 points maximum
The EPM comprises two elements: medical school performance and educational achievements. A maximum of 50 points is available.
Your medical school performance score will be calculated by your medical school, which will divide your year group into 10 equal groups (deciles) based on performance in a number of assessments. Each UK medical school has agreed with its students which assessments will be included in this measure. This element of the EPM is known as the EPM decile score. 
If you are in the first decile (the top 10% of your year), you will receive a score of 43; if you are in the second decile your score will be 42; the third decile 41 and so on. Students in the tenth decile will be awarded 34 points.
If you are graduating from a UK medical school, these scores will be supplied by your medical school and uploaded into the system.
Each Academic Unit of Application will undertake its own short-listing and will invite short-listed applicants to attend an interview. 
Following interviews, each AUoA will allocate a score for each interviewed applicant. This AUoA specific score will be added to your EPM score to provide your overall ranking score for your AFP application. The highest scoring AFP applicants (AUoA score + EPM score) will receive offers.
Although your SJT score will not be used to calculate your AFP ranking score for the purposes of AFP offers, all AFP offers are subject to a satisfactory SJT score. This means that you are not withdrawn from the national process due to an exceptionally low SJT score.
More detail can be found in the Applicants’ Handbook