Doctors in training - improving the rotational experience

Doctors in training

There are approximately 55,000 doctors in training at any one time within the NHS and over a 10-year training career, doctors in training move organisation an average of ten times. This high frequency of movement reinforces the need to get the rotational process right to ensure a good experience for the trainees, while enabling trusts to run an efficient and effective process.

In 2017 a national doctors in training working group was formed to address the issues raised in Health Education England's Enhancing junior doctors’ working lives - a progress report and develop a perfect rotational process that could be used nationally. The working group carried out an in-depth review of existing processes and six principles were formulated as the key steps to achieving the perfect process. Twelve sites and 16 fast followers undertook a pilot study to ensure the six principles worked effectively and that all associated resources were fully tested.

The pilot study concluded in April and the national resources are now published in this streamlining resource hub. The resources include practical tools, guidance and web links to useful sources of information which will support you to improve your local doctors in training rotational experience, and achieve the maximum benefits for your organisation. The resources include a new interactive Doctors in Training Readiness Assessment Tool that will help you to understand where you are on your journey, and direct you to the relevant guidance to help you meet the six principles.



The benefits of streamlining

Read our streamlining case studies to find out how other NHS organisations have made efficiencies and learn more about the benefits of streamlining your processes.

Background information

Background information

Learn about the national working group for doctors in training streamlining, the pilot study and the six principles to achieving the perfect rotational process.

Getting started

Getting started

Access guidance on setting up your local doctors in training streamlining project and use the interactive readiness assessment tool to help you establish your starting position and understand next steps.

ESR/TIS interface

TIS/ESR Interface

Find out how you can benefit from the transfer of data from Health Education England via the ESR/TIS Interface and access resources to help you get started.

12 week KPI

KPIs - 12, 8 and 6 week notifications

Find out how you can improve the recruitment process for doctors in training by ensuring actions are carried out inline with the 12, 8 and 6 week KPI's.

Inner authority transfer process

Pre-hire Inter Authority Transfer

Access guidance on how to use the Pre-hire Inter Authority Transfer (IAT) to reduce staff transfer administration and learn about the efficiencies it can bring to your organisation.



Learn how you can make improvements to your local onboarding and induction processes and the doctors in training experience.

Doctors in training

Competencies in ESR

Improve the rotational experience for doctors in training by recording core skills training framework competencies in ESR, find out next steps and access guidance.

Occupational health

Occupational Health Records

Find out how you can use the Electronic Staff Record system to record and accept occupational health records, enabling records to be efficiently transferred between NHS trusts.

Related News

NHS Streamlining Week Day 5 - streamlining benefits

On our final day of Streamlining Week we focus on the benefits, in particular highlighting the achievements of the North West streamlining programme.

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NHS Streamlining Week Day 4 - doctors in training programme

Find out what is happening nationally to inprove the pre-employment experience of doctors in training.

View article

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