The F2 swaps process is now closed to applications.

F2 Swaps Policy


In order to offer some flexibility in its allocation of programmes whilst ensuring rotations are balanced, the Severn Foundation School will facilitate a swap process whereby trainees can apply for a swap of their matched F2 programme. This will be managed in conjunction with the existing F2 Special Circumstances application process.

The purpose of this paper is to describe the policy for managing applications from F1 trainees to swap their F2 programmes.


Trainees starting a 2 year foundation programme will be appointed to both a specific F1 and specific F2 programme with identified posts in named providers.

Part-way through their first year, trainees will have the opportunity to apply for a swap of their F2 programme within the Severn Foundation School. They will be invited to complete an application form (Appendix A) indicating whether they would like to change provider location (e.g. Gloucester to Swindon) and/or programme. Trainees can only apply to swap their full programme i.e. it will not be possible to apply to swap part of a rotation (e.g. Oncology for Cardiology).

The School’s ability to meet requests for swaps will depend on several criteria including the number of F2 vacancies at the time of running the process, the number of trainees looking for swaps in and out of the different providers and the suitability of potential posts for any individual trainee. This last issue relates to the responsibility of the School to ensure that trainees do not repeat posts from the same specialty grouping during their 2 year programme (Broadening the Foundation Programme 2014).


  1. Trainees will be able to request a swap of their F2 programme and/or its location.
  2. By requesting a swap, trainees agree to put their existing allocated programme into the pool. If a swap is approved, the trainee must accept the swap – they cannot change their mind, as their own programme will have been allocated to another trainee.
  3. Priority will be given to Special Circumstances applications. Otherwise, trainees will be ranked using their EPM decile score and swaps allocated accordingly.
  4. The Foundation School’s ability to accommodate swaps will depend on a suitable matching swap being identified i.e. one that meets the principles of Broadening the Foundation Programme 2014. This means that trainees should not repeat posts from the same specialty grouping (e.g. Medicine or Surgery) unless one of those posts is community-facing.
  5. Individual provider headroom posts can be included in the process. This is to reduce the incidence of trainees applying for vacant F2 posts later on.
  6. If trainees have completed a 4 month F1 post that entails more than one specialty (e.g. the 4 month post is Histopathology/MAU) they can be matched to an F2 programme with any of these posts included in them.
  7. The swaps process will be managed by the School.
  8. The matching process will be transparent and fair and will not impose an unnecessary administrative burden on the trainees or on personnel associated with the Foundation School.
  9. There will be an appeals process for decisions made as part of the swaps process.

Less than full time trainees (LTFT)

Matching LTFT trainees to F2 posts requires special consideration. It may not be possible for LTFT trainees to secure the rotation they would have gained if they were full-time trainees. This is because by virtue of accepting LTFT training, trainees may be required to slot-share, the full time post may be unsuitable for a LTFT trainee or the post may not have the capacity to take the LTFT trainee in a supernumerary capacity.

An LTFT trainee can still apply for a swap of F2 programme under the policy but it is likely that decisions about their programme will be made outside the policy in order to accommodate other factors.


  1. All F1s will be reminded by the Foundation School of their F2 programme and notified of their ability to request a swap.
  2. Trainees will be notified of the deadline by which all requests for swaps must be received by the Foundation School.
  3. On receipt of applications, the School will give priority to considering requests from trainees who have special circumstances. Trainees will be ranked using their EPM decile score and swaps allocated accordingly
  4. A swap will only be approved if it provides the trainee with an F2 programme which does not contain posts that are repeats of their F1 specialty groups (unless the repeat is a community-facing post).
  5. Trainees will be notified by the Foundation School as to whether or not the request for the swap has been successful.
  6. There will be an appeals process for swaps decisions.

F2 Swaps Process – Accompanying Notes and Application Form