Frequently asked questions about programme and site approval

What approval do I need for ACCS?

For Acute Care Common Stem (ACCS) you must have support from the Intercollegiate Board for ACCS Training (IBACCST).

You must have approval for each of the programmes a doctor in training will gain competences in. This is because ACCS anaesthetics, ACCS emergency medicine and ACCS acute medicine and foundation (though related) all have different curricula and supervision requirements.

What do I do if the name of a trust or board has changed or has split?

We are notified of trust or board name changes by the Organisational Data Service (ODS). If a trust or board has split you should let us know which part of the trust is retaining the training by emailing

Do I need approval for a location where different doctors in training do clinics, day cases etc. for less than two sessions per week each?

Not necessarily, as individual doctors in training will be spending only two sessions or less per week there (so gaining most of their CCT competences in approved environments).

However, if a location is being routinely used for a number of doctors in training you might want to request approval if it would be helpful to appear as an approved location on our published list (for example to include it within your quality management processes).

Do I need approval for community training posts linked to hospitals?

Some doctors in training, for example in paediatrics, often spend more than two sessions per week outside their main hospital base. They are in a few different locations but a doctor is not in one single location for more than two sessions.

If the main hospital base is approved, the multiple locations outside the main hospital don't need approval as the doctor in training is not spending more than two sessions per week there.

If a location is being routinely used for a number of doctors in training you might want to request approval if it would be helpful to appear as an approved location on our published list.

If a hospital is approved but has a separate location within it, does the separate wing/building need approval?

We often see other buildings, for example a maternity hospital, which is part of the main hospital but run as a single healthcare provider. Separate approval is not required because the separate buildings are part of the same healthcare provider.

If however, the other building is named and administered through separate governance arrangements you will need to request separate approval. This will be useful if, in our example, the maternity hospital became subject to enhanced monitoring. You could then be clear which senior managers are responsible.

When do I need separate approval for vascular surgery and general surgery programmes at the same location?

Vascular surgery is now a stand-alone specialty with specific competencies required. So it must have separate approval, even for the general surgery elements. Although they are similar, they are not the same.

Can F2 doctors be placed in GP practices that have been approved for GP training?

No. You must have separate approval for the Foundation Programme in each GP practice. Doctors in GP training and doctors in Foundation training have different curricula and supervision requirements.

You may choose to approve all GP practices for Foundation Programme training (if they can deliver the appropriate supervision and competences). It doesn't matter if you don't rotate F2 doctors into the practice in a given year. As long as doctors in training only move into practices that meet our standards you shouldn't have to change the paperwork each year.

How do I work out what GP training locations need approval?

The same principles for the acute setting and hospitals should be applied to GP practices. If the GP practice has different GP trainers, systems for raising concerns, and governance processes then it should be approved separately.

Some practices run outreach clinics without a permanent practice but doctors in training visit regularly to provide services to the community. In this example, the practice is effectively a mobile practice where supervision and systems for raising concerns rotate across locations. You don't need separate approval for each building linked to the practice.

Sometimes the governance is the same across locations and the trainee is still linked to the same GP trainer, but the clinical teams are different and the trainer may not be present. In this situation the quality of training and the support may be different, so it may be helpful to separately identify the location. You should exercise your discretion in a way that will help you identify and deal with concerns about training. You might decide there is a benefit to the clinics being identified as approved locations for your programmes.

What should be approved when trainees are working remotely?

When trainees are working remotely (eg. working from their home), we require that the site the trainee is working remotely from (eg. a GP Practice) is approved; approval of the place of their remote working is not required.