F2 Special Circumstances

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

The application form needs to be returned to the Foundation School by Friday 26th January 2018.

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:   

The applicant is a parent or legal guardian with significant caring responsibilities for a child or children under the age of 18 and their circumstances have changed since submitting their original Foundation Programme application.  This would normally mean the child(ren) reside(s) primarily with the applicant. 

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

Criterion 2:

The applicant is the primary carer for someone who is disabled (as defined by the Disability Discrimination Act 2005) expected to be a partner, sibling or parent 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 to meet the caring responsibilities. 

If the person they are caring for is not their partner, sibling or parent, applicants will be expected to explain clearly why they are taking on the role of primary carer for this person. 

Applicants must complete a care plan to demonstrate how they will combine the responsibilities of foundation doctor and primary carer and that local support resources have been fully considered. 

Supporting documentation required (mandatory for all applicants): 

  • 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

Criterion 3:   

The applicant has a medical condition (physical or psychological) or disability for which local follow up is an absolute requirement (as confirmed by a report from an Occupational Health physician or an appropriate medical specialist) 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. 

Supporting documentation required (mandatory for all applicants):

  • 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 region

Criterion 4:   

The applicant has 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. You must provide evidence with regard to these circumstances including the reasons for placement in a particular location from an 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 region

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 Friday 26th January 2018. 

  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 by 19 March 2018. 

  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.