Training outside the trainer’s CCT: HEE School of Psychiatry guidance

(draft, Vn 1.4, march 2015)

This policy is to guide applications for trainers to train advanced trainees in a specialty for which they do not have a CCT/endorsement.


An increasing number of consultants find themselves working in jobs for which they do not hold the matching CCT. In the past, the Royal college of Psychiatrists has recommended that these consultants do not have senior trainees unless they pursue proleptic training in the specialty/subspeciality in which they are now working. In practice this has been difficult because of inconsistent availability of proleptic trianing and lack of clear guidance as to what such training should cover.

Consultants applying for senior trainees typically fall in to one of two groups: the consultant has been practicing in the speciality area for many years and to a greater or lesser extent already has the (sub-)speciality skills; or he or she has moved for service development or career reasons and may require training and development in order to train others.

In recent years, formal quality control of training posts has passed from the colleges to the Deaneries (now Post Graduate Medical Education England). In the situation of a trainer working outside his/her CCT there is no clear national guidance and the decision on whether to approve a job is devolved to the head of school and school quality committee. This policy lays out the local arrangements used in the Severn  school in the interests of maintaining high quality training. In writing this document we have also tried to anticipate increased future requirements for credentialing under the ‘Shape of Training’.

Body of Policy

  1. A prospective trainer would not normally be approved within the first year in post.
  2. A trainer in a post for which he or she does not have the ‘correct’ CCT should be encouraged to apply for a higher trainee if he/she wishes to do so, and also encouraged to pursue any proleptic training offered by their new faculty/SIG. The Regional Rep will be able to help with advice on the availability of proleptic training.
  3. In the first instance, he or she should approach the speciality TPD to identify the gaps in his or her competencies in the new speciality. This process may include a portfolio review. Some of the gaps are likely to be ‘soft’ competencies, such as under-developed networks in the speciality. The prospective trainer should work with their TPD to make a personal development plan to address any gaps over the following year. Where the TPD is not competent to advise on a personal development plan (typically when it is in a different specialty/subspeciality to his/her own) , he or she should approach the Regional Rep via the South West Division Office for advice. To provide externality and prevent conflicts of interest, the Regional Reps for Severn will where appropriate provide opinions in the Peninsula and vice versa.
  4. At the end of the year, the TPD should meet the prospective trainer and review the PDP. For an application for approval to proceed, the TPD must endorse the application in writing. Approval is not automatic and the TPD may decline the application, approve it or ask for further training and development.
  5. The trainer is expected to continue to develop skills in the skills of the post and for these to be formally monitored though CPD and appraisal processes.
  6. The application then goes though the normal process of review by the Advanced Training Group and approval by the Quality Committee on behalf of the Head of School. Where any decision is contested, the Head of School will provide a final decision as to whether the job is approved or not.


Guidance written by:

Dr Guy Undrill, Regional Advisor

Dr Rob Macpherson, Head of School of Psychiatry