Acting up Consultant Post information.
We would try to support and accommodate trainees wishing to undertake acting-up posts at the end of higher training, usually within their Trust (and if not within the Region).
There is some guidance on acting-up posts in the Gold Guide, and the curriculum pages from the RCPsych, reproduced below. Trainees should also discuss with their educational supervisor and training programme director. Note that acting-up posts are for the benefit of the trainee and to help the move into a future consultant post - they should not be used purely to fill "service gaps", and acting-up opportunities that appear to be new posts created to cover a gap (or several gaps) would not be considered suitable.
Trainees should complete the Out-of-Programme application form, available here , when applying for an Acting Up post.
Gold Guide (March 2020)
3.166 Trainees may be able to take OOP to act up as a consultant and may be able to credit this time towards a CCT or CESR(CP) if there is specific provision for this in their specialty curriculum. This would normally be undertaken in the final year of training. Trainees acting up as consultants will need to have appropriate supervision in place. If the experience afforded by this post is in a location already approved for training in the relevant specialty by the GMC, additional prospective approval for OOPT is not required from the GMC. If acting up as a consultant is undertaken in another location, prospective approval will only be necessary if the acting up placement is relevant and contributes to gaining the competences/capabilities, knowledge, skills and behaviours required by the curriculum. In these circumstances, OOPT will normally be for a period of three months or pro rata for LTFT trainees. However, length of periods approved for acting up as a consultant may be specified in the relevant curricula and where referenced in a curriculum, specific provisions around acting up roles need to be adhered to.
RCPsych Curriculum (here the General Adult Psychiatry specialist training curriculum):
5. Acting Up Up to a maximum of three months whole time equivalent (for LTFT trainee the timescale is also three months, Gold Guide 6.105 [Note that this has since changed, and LTFT trainees can act-up for a pro rata time period] ) spent in an ‘acting up’ consultant post may count towards a trainees CCT as part of the GMC approved specialty training programme, provided the post meets the following criteria:
• The trainee follows local procedures by making contact with the Postgraduate Dean and their team who will advise trainees about obtaining prospective approval
• The trainee is in their final year of training (or possibly penultimate year if in dual training)
• The post is undertaken in the appropriate CCT specialty
• The approval of the Training Programme Director and Postgraduate Dean is sought
• There is agreement from the employing trust to provide support and clinical supervision to a level approved by the trainee’s TPD
• The trainee still receives one hour per week education supervision either face to face or over the phone by an appropriately accredited trainer
• Trainees retain their NTN during the period of acting up
• Full time trainees should ‘act up’ in full time Consultant posts wherever possible. All clinical sessions should be devoted to the ‘acting up’ consultant post (i.e., there must be no split between training and ‘acting up’ consultant work).
• In exceptional circumstances, where no full time Consultant posts are available, full-time trainees may ‘act up’ in part-time consultant posts, but must continue to make up the remaining time within the training programme.
• The post had been approved by the RA in its current form
• If a trainee is on call there must be consultant supervision
• If the period is at the end of the final year of the training programme, a recommendation for the award of a CCT will not be made until the report from the educational supervisor has been received and there is a satisfactory ARCP outcome. If the post is in a different training programme*, the usual Out of Programme (OOPT) approval process applies and the GMC will prospectively need to see an application form from the deanery and a college letter endorsing the AUC post 10
*A programme is a formal alignment or rotation of posts which together comprise a programme of training in a given specialty or subspecialty as approved by the GMC, which are based on a particular geographical area.