Workforce, training and education
East of England

Moving and/or Changing Rotations

Inter foundation school transfer [IFST] NB THIS HAS CHANGED AGAIN FOR 2020/21

Changing Foundation Schools

To qualify for an IFST, 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. The criteria are very strict and are followed closely. Please refer to the UKFPO documentation.

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

  • 3.1.2 If the sole criterion is that the applicant (or their partner) has become pregnant since submitting their Foundation Programme application or since commencing their foundation training, this will not be regarded as a reason for an inter-foundation school transfer 

Please see UKFPO website guidance for medical students and trainees on the new process as this is changing again for 2010-2021 This process has been aligned with the Inter-Deanery Transfer (IDT) process used in specialty. 
 Please check the UKFPO website for important future dates.

New rotations commence August 2021 *incomplete applications will not be put forward for consideration by clinical panels and will be withdrawn.

applications should be sent to Foundation Programmes (EoE) <>


Intra foundation school transfers

Moving Trust, within the same Foundation School

Each year we have some trainees that do require to move trusts for very specific and valid reasons between F1 and F2. They are low in number and we review the indications for movement along the lines of the inter-deanery transfer. If you fall into this category, we would always suggest discussing this with your FTPD first. If this is not possible, or you feel uncomfortable, please contact the programmes team and the relevant deputy FSD. We will need you to provide the information to support your request, and may ask to meet you. Where possible, we will look for a placement that will be suitable. Our F2 posts are advertised for LAT recruitment in March, and so we will need to have your request wherever possible in February. There may not be a suitable post, and we may be unable to facilitate a transfer.

We specifically do not accept trainees who wish to stay in the teaching hospitals of NNUH or Addenbrookes instead of rotating to their peripheral F2 placement. You have applied for a post rotating between f1 and f2, where there were many non rotating posts available at DGH. We assume that you made this conscious decision to preference rotating so that you had the teaching hospital experience. Our policy on this, and the no swap, has been clearly on the website from before your ORIEL application, to allow you to know this wasn't possible. Do we ever have exceptions? Yes, but rarely, only under exceptional case by case basis, and this is predominantly with pre-allocated trainees who we have agreed this as a reasonable adjustment for working prior to commencement of F1.

If our PSW has strongly recommended the transfer, then we make every effort to accommodate this.

No-swap policy

In 2018, following discussion between the dean of  HEE EoE and BMA representation an agreement was made that there are now no swaps during foundation training, except those with exceptional need. Career needs can be managed with taster weeks. Exceptional need would require the robust evidence as per the IFST route and very early discussion from your FTPD/FSD and the PSW team

This does include travelling to community placements. We recommend that trainees review where their community placements are situated, learn to drive, check public transport etc so that they can attend work. This is particularly the case with GP placements as they are often rural. 

leaving before completing F2

Each year some trainees relinquish their training post prior to completing F2 for a variety of reasons. We recommend that all such trainees read the latest information about applying for higher training, as they will need to complete their Foundation programme in a recognised post [not a LAS or trust doctor post]. This was specifically to stop trainees leaving after F1 to do not approved clinical fellow posts with the expectation of progression in a preferred geography. Foundation is a two year programme. If trainees need to leave due to health or carer etc reasons then there are some other routes to considert: an IFST - inter-foundation school transfer, there are some strict criteria around this, but could be considered, or an OOPE or OOPC when they may need to go to support family and wish to have a possibility of return the following august - all needs discussing with FSD.

The 2019 guidance around evidence of foundation competence document can be downloaded below, and this is the relevant section.

Please also refer to the Oriel website for information on Certificate of Readiness for Specialty Training for latest wordings

we advise the trainees as below:

Before leaving your training programme:

  • you must have an ARCP with your FTPD and provide a Form R, you will be given an outcome code of N21- resignation with no training issues or N22- Resignation with training issues.
  • you must notify the Trust HR Department, the Deputy FSD for your region, and the HEE Programme Management Team.

'I started but did not complete a full Foundation Programme. Can I still apply?'

Not unless you can provide evidence of addressing your outstanding educational needs. Time simply served in other posts does not count. All CT1/ST1 person specifications have as one of their eligibility criteria: Not ever relinquished or been released or removed from a UK Foundation Programme or a stand-alone Foundation Year 2 post or its equivalent without subsequent evidence of completion/remediation. This would normally require you to return to the Foundation Programme to complete the outstanding requirements.

If you did leave the foundation programme at FY1, you would then need to complete an FY2 training programme in its entirety [through FY2 LAT]

Trainees who have left our programme due to significant health concerns should contact us around how they may return into training if appropriate in the future. we would look to provide an F2 gap for an August start wherever possible rather than requiring a standalone application. We can only provide a placement in this foundation school not broker posts elsewhere, and placements are limited to the availability.

Those that leave training after FY2 and return to medical training at a later date should look at our SuppoRRT pages or email the FSD/foundation team.

Thursday, 18 June, 2020
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Thursday, 18 June, 2020