F2 Special Circumstances

Severn Foundation School recognises that situations can change, and offers an F2 Special Circumstances process for trainees who meet the relevant criteria, which are aligned to the UKFP Special Circumstances criteria for F1s. This process is open to existing F1s whose situation has changes since their original FP application and also to F1s originally allocated via special circumstances whose F2 rotation may not be suitable.

Before completing your application, please familiarise yourself with the guidance notes below. 

The application form needs to be returned to the Foundation School by Sunday 13th January.

Guidance Notes

Current Severn F1 trainees were allocated to a two year programme when appointed. This policy is designed to ensure that trainees with specific needs are placed in appropriate F2 programmes WITHIN the Severn Foundation School.  It is not suitable for those needing to transfer between Deaneries/Foundation Schools.  Such trainees should complete a Foundation School Transfer application, available from the national Foundation Programme website.

From Foundation Programme Reference Guide: 

7.94     Medical students and foundation doctors must act in accordance with the GMC’s guidance in Good Medical Practice on accepting posts and then refusing them, i.e. they must give the foundation school sufficient time to make suitable arrangements to meet patient and service needs. Appointees and employees are expected to meet the terms and conditions of their contract if they wish to resign (see 10.54 – 10.55 and 11.50 – 11.51 resignation).

Policy

The following (in isolation) DO NOT constitute grounds for making a Special Circumstances application: 

  • Wishing to stay in the same Trust/wishing to move to a different Trust
  • Living/owning property in a specific location
  • A spouse’s/partner’s geographical location
  • Career aspirations (ie your allocated programme does not contain the specialty you want)

Special Circumstances Criteria 

Criterion 1:   

You are a parent or legal guardian of a child or children under the age of 18, who reside primarily with you or for whom you have significant caring responsibilities, and your circumstances have changed since submitting your original Foundation Programme application.

Applicants must describe how their circumstances have changed and why they need to change their F2 allocation to meet their caring responsibilities. 

Supporting documentation required (mandatory for all applicants):

  • copy of birth certificate(s) of the child(ren).
  • for legal guardians, a copy of the legal document that confirms your status for the child named in the birth certificate.
  • statement confirming that you have significant caring responsibilities for the child(ren)from an appropriate professional who you would normally have known for at least six months.
  • proof of current address, e.g. driving licence, utility bill dated within the last three months or council tax bill dated within the last twelve months

Criterion 2:

You are the primary carer for someone who is disabled (as defined by the Equality Act 2010) and your circumstances have changed since submitting your original Foundation Programme application.

Applicants must describe how their circumstances have changed and why they need to change their F2 allocation to meet their caring responsibilities. 

For you to meet this criterion, you must be the primary carer for this person, who would normally be your partner, sibling or parent. If the person you are caring for is not your partner, sibling or parent, you will have to explain clearly and present a strong case as to why and how you have the role of primary carer for this person.

You will be required to complete a care plan to demonstrate how you will combine the responsibilities of a foundation doctor and primary carer, and that you have fully considered local support and resources.

You will be required to supply the following supporting evidence:

  • statement from GP/Social Services professional that you have known for normally at least six months confirming your role as primary carer for this person.
  • care plan.
  • proof of current address, e.g. driving licence, utility bill dated within the last three months or council tax bill dated within the last twelve months.

Criterion 3:

The applicant has a medical condition or disability for which local follow up for the condition in the specified location is an absolute requirement and their circumstances have changed since submitting their original Foundation Programme application.

Applicants must describe how their circumstances have changed and why they need to change their F2 allocation.

You will be required to supply the following supporting evidence:

  • A report, by the current medical specialist treating your condition or Occupational Health physician, in which they will be required to:
    • describe the current medical condition or disability.
    • describe the nature of the ongoing treatment and frequency.
    • explain why the follow up must be delivered in a specific location rather than by other treatment centres in the UK.
  • proof of current address, e.g. driving licence, utility bill dated within the last three months or council tax bill dated within the last twelve months

Criterion 4:

Unique circumstances

If you consider that there are particular unique circumstances that require you to be in a particular environment whilst you undertake your Foundation Programme, you can apply for Special Circumstances under this criterion.

Applicants must describe how their circumstances have changed and why they need to change their F2 allocation.

You must provide evidence with regard to these circumstances including the reasons for placement in a particular location from a professional individual who has recognised
standing to support the application.

You will be required to supply the following supporting evidence:

  • Statement by a professional that:
    • describes the current unique situation.
    • explains why the follow up must be delivered in a specific location rather than another location in the UK.
  • proof of current address, e.g. driving licence, utility bill dated within the last three months or council tax bill dated within the last twelve months.

PROCESS

  1. In the first instance, discuss your plans with your Educational Supervisor and Trust Foundation Programme Director.
     
  2. Complete the Special Circumstances application form, and obtain the signatures required.   Please be aware that even if an application is approved in principle, approval will be dependent on posts being available.

  3. In section ‘Applicant’s explanation of Special Circumstances’, describe your circumstances as they relate to criteria 1, 2, 3 and/or 4 (above).  One or more of these criteria may be relevant to you.  Please provide information appropriate to your application; eg the nature of your relationship to a dependant, the ages of any children, the nature of any relevant illnesses or disabilities, the nature of your commitments to a dependant (time and geographical restrictions), statement regarding your unique circumstances. 

  4. In the ‘Evidence’ section, list the documentation you are including to support your application.  This may include doctors’ letters, occupational health report, copies of your children’s birth certificates, explanations of how your allocated F2 programme does not meet your unique circumstances and evidence to support this claim. 

  5. If you are applying to swap your allocation of programme within a rotation (ie to do GP/A&E/Ortho rather than A&E/Ortho/GP) you must provide evidence that you have approached the other trainee involved and obtained their agreement.  This should take the form of a signed letter or statement from all trainees involved.  The Foundation School will confirm that all trainees concerned have given their agreement, but will NOT enter into negotiations on your behalf.  PLEASE NOTE:  You may only apply to swap programmes with another trainee in the same rotation, not to change the composition of your programme. 

  6. Your completed form and supporting documentation must be submitted to The Foundation School Manager.  The deadline for submissions is Sunday 13th January 2019. 

  7. Incomplete or incorrectly completed forms will not be considered. 

  8. The Foundation School Director or their representative will lead a panel to review the form and determine whether or not to approve your application. 

  9. If your application is approved, the panel will decide whether to recommend that you require a specific geographical location and/or a specific programme.  The F2 programme you are offered will depend on availability.  Some vacant F2 programmes will be used for trainees repeating F2, trainees returning from Time Out of Foundation Programme, LTFT Trainees, Foundation School Transfers (in), etc.  The Foundation School will make decisions about appropriate programmes to offer you, based on a balanced educational experience.

  10. The Foundation School will notify you of the outcome of your application. 

  11. If you are unsuccessful, you may lodge an appeal against the decision. 

  12. If your circumstances change after the Special Circumstances deadline, you may still make an application, which the Foundation School will consider, but the above process may not apply.