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1
  • following appointment to a programme, an NTN (national training number) or Deans Reference Number (DRN) will be awarded

what’s the difference between the two?

which one is used when?

an NTN is given to a trainee who's programme leads to CCT. This includes run through and higher specialty programmes.

a DRN is given to trainees following a programme that does not lead to CCT e.g Foundation, CMT, CST, CPT


Tom de Salis - NTNs are issued for programmes leading to CCT, DRNs are issued for core/uncouple programmes


2
  • for docs in NHS and non-NHS employment, but not for LAT posts

what’s a LAT post?

does HEE look after non-NHS roles? ie should we be concerned with this?

A LAT is a Locum (cover for a trainee). These are being phased out so not a great concern.

All our trainees should be in NHS roles I believe.


Tom de Salis - 

LATs are/were fixed-term training appointments which could be accumulated and used to ‘add up’ to a CCT (through the CESR route). I don’t think we recruit LATs anymore. They used to get a DRN (with an ‘L’ suffix).

 

I think, in this context, it’s talking about things like Occupational Medicine with industry placements, and Palliative Med trainees with hospices


3
  • trainees should only have 1, except in pre-approved circumstances
    • NTN should change to reflect that a trainee is undertaking a dual or sub-specialty programme

what should be done about those with multiple NTNs now?

We will need Russell to analyse how prevalent multiple NTNS are. there shouldn't be a huge amount.


Tom de Salis - I think the current system of attaching the NTNs to the programme membership works well (and allows for the ‘pre-approved circumstances’). There is no situation where a trainee would have 2 NTNs for one programme membership


4
  • where NTN is issued, it will be held so long as
    • trainee is in specialty training
    • trainee is out of programme on statutory grounds
    • or agreed out of programme

how do we know this is true for a trainee?

Tom de Salis - I think we are the arbiters of most of this. OOP applications are approved by Royal College/HoS, but we process them all so there shouldn’t be any we don’t know about.
5
  • NTN’s only awarded to programmes with CCT or CESR/CESP/CEGPR/CEGCP
    • in order to receive the final award, they must have NTN

is a flag needed for those who do not have an NTN at a certain point in their training?

What should the single letter suffx be, assuming there needs to be one for each of the following - CCT / CESR / CESP / CEGPR / CEGCP - can they be defined by TIS?

Yes, a flag for trainees on a curriculum leading to CCT but without an NTN would be useful


Suffix Codes

Suffix A is Academic

Suffix C is the standard CCT route

Suffix L is CESR/CEGPR (CP and E is old version)

We no longer issue training numbers to new starters with a N suffix (but indicates old SpR type)

Suffix F is Fixed-Term Training Appointment (FTTA) Been renamed to Post CCST for Dental (no longer used?)

Suffix S is Trainees who switched to the new Speciality curriculum from ‘N’ suffix.

Suffix I is Industrial Training Number For Occupational Medicine

Suffix T is for non-medical Public Health trainees




6
  • core trainees will be awarded DRN, not NTN

how is a DRN different / made up?

DRN takes the format 11/XXX/Y222/ZZZ


11 – Academic year of issue (e.g. ‘17’ for 2017/18 academic year)

XXX – 3 letter or number code to indicate core programme (see table below)

Y – Letter to indicate type of contract (C for Core training, F for FTSTA, L for LAT)

222 – Numerical indicator (generally issued sequentially)

ZZZ – 2 or 3 letter code to indicate issuing deanery (e.g. WM for West Mids)


Image Added


7
  • NTN’s are persisted through the lifetime of a programme
    • even through research or career breaks

How is this currently handled?

NTNs can be owned by only one trainee at a time. V10 validates this through programme membership dates (no overlap allowed)
8
  • where inter-deanery transfer takes place, a new NTN to be issued

What should the trigger point be?

At the point of IDT, the old programme membership will end and a new one (with the new deanery) will be issued. Each programme membership will have a different NTN
9
  • NTN is removed where
    • completion of training
    • is assessed as unstable to continue
    • does not comply with requirements for maintaining their registration with Postgraduate Den
    • does not hold GC number
    • resigns
    • is dismissed
    • is erased/suspended from medical register
    • at Dean’s discretion

What should be the process be to "remove" an NTN? (New scenario)

The programme end date should be ‘trimmed’ to end early. If an NTN is removed, the trainee exits the training programme, so this should be all that is necessary
10
  • where an NTN has been removed it can be reinstated

with the old one?

We would just issue a new one, as the old one would probably have been recycled to a new trainee, unless the period between removal and reinstatement was very short. (NB RE: suspension – we wouldn’t typically remove an NTN until all appeals had been exhausted)
11
  • Some specialty training award NTN(I)

who specifically should have this?

how do we structure the number?

Occupational Medicine trainees who spend their entire training seconded to a single industry placement (i.e. one non-NHS organisation ‘sponsors’ their whole training)
12
  • Defence Medical Services - Successful candidates for specialty training will be selected as required by the DMS. Those appointed as Specialty Registrar (StR) will be awarded a DPMD NTN by the Defence Postgraduate Medical Dean and the prefix of the NTN will remain “TSD” to designate the trainee as a Defence Deanery trainee
  • once this is complete, they need to seek training as a civilian and will be awarded a new NTN
  • relinquish DPMD NTN


whats the current process?

DMS issue their own NTNs. Currently we email DMS and ask them.

 

If a trainee resigns from the military and relinquishes their DMS NTN, they generally need to apply in open competition to a ‘normal’ training programme. Occasionally our PGD will waive this process, usually for DMS trainees who are quite close to CCT (because it is hard to be appointed to a programme at ST6/7/8 level)