Training Programme

Before Training Starts

HEE Thames Valley will send you a conditional offer letter two months before you are due to start your training. This includes the Form R which you must complete to register onto the GP training programme and so that we can issue your National Training Number (NTN).

You will then be able to register with the Royal College of General Practioners (RCGP) as an Associate in Training (AiT) and set up your trainee portfolio.

The trainee Portfolio

The new FourteenFish Portfolio was introduced to all Thames Valley trainees in September 2020. The new portfolio is more intuitive and allows evidence to be gathered much more easily and the requirements are much more clear.

If you are having problems with the Portfolio, then please click ‘help’ at the bottom right of the screen when you are logged in to the Portfolio.

Medical Performers List

All GP Trainees must have applied to join the Medical Performers List (MPL) before they start their first placement in a practice. This is a professional requirement. Trainees who have not submitted their application will not be permitted to start work in the practice and are at risk of not being paid during this time.

Enhanced learning opportunities for GP trainees

This section is to ensure that GP trainees are aware of the specific requirements and resources available for their Annul Review of Competency Progression (ARCP). Information and guidance on the ARCP process can be found on the main HEETV ARCP page, and should be read in conjunction with this page.

Specific GP evidence and documents required for ARCP are in addition to the documents stated on the main HEETV ARCP page. The ARCP is a fundamental part of GP training. It is used to review each trainee’s progress throughout their training and decide on an outcome. To have an ARCP you must have completed an up-to-date educational supervisors report (ESR) and Form R (to be saved in the compliance passport area of the portfolio).

You will have an ARCP at least once per year. If you are less than full time (LTFT) or have had some statutory leave, it is possible you will have more than one ARCP per year as we will need to review your evidence when you transition from ST1-2 and ST2-3, as well as on an annual basis. Between ARCPs, you will be expected to do at least one more ESR (likely to change to interim (shorter) ESR in August).

Your next ARCP date should be visible in the top right of your portfolio so please make sure all evidence is submitted 2 weeks before this date. If you think this ARCP date may be wrong, please contact the GP team.

The ARCP panel look at all the evidence that is located in the trainee portfolio.

For the exact requirements for GP training, you should frequently refer to the RCGP website.

Do not forget that to complete your GP training you will need to pass a tripos of assessments. You must continually engage with workplace-based assessments (WPBA), and pass both the applied knowledge test (AKT) and clinical skills Assessment (CSA) exam.

Less Than Full Time Training (LTFT)

Initial LTFT applications should be sent by trainees to LTFT team in Thames Valley at:

https: //

These will be reviewed by the LTFT full time team lead By Dr Anne Edwards Associate Dean for LTFT based on following categories:

Category 1

Disability or ill-health

Responsibility for children under 18 years of age

Directly caring for ill/disabled partner, relative or other dependent

Category 2

Unique opportunities for personal/professional development

Service to the wider NHS

Other reasons (must meet the requirement of a ‘well-founded individual reason’)

Category 3

This is a new category that allows trainees to apply for LTFT for personal/general wellbeing reasons. Applicants in this category are not required to provide further details of their reasons for wishing to train LTFT. However, there are certain limitations for trainees applying for category 3 approval and for August 2021 this is open to trainees in a limited number of specialties (see below)

This doesn’t guarantee a LTFT place or tell you what percentage you will be training at.

This will be overseen by the Thames Valley GP School.

The GP school generally allocates LTFT based on availability. For all secondary care posts and for ST1/2 we will allocate mainly at 60% and slot share, to enable ease of placements and availability. ST3 posts in general practice allow us more flexibility and generally will be at 60% or 80% based on placement and supervisor availability. There will be exceptions to this rule, particularly those in which occupational health have recommended specific percentages or below 60%. These will need individual discussion with the educator team and Head of School Dr Manjiri Bodhe.

The GP school requires minimum 3 month notice of this and trainees shouldn’t expect to start immediately after application unless exceptional circumstances have been discussed with the Head of school.

If trainee starts a LTFT or change in percentage post (particularly an increase in percentage) please note training time may not reflect this if the team have not been informed and have agreed to this in a timely fashion.

We wish to try and accommodate our GP trainees but pressures on placements and increasing applications for LTFT mean that we are having to limit the offering.

The original application for LTFT training form is on the website below:

If already on LTFT and wish change in percentage, the 3-month rule and above still applies.

The change in percentage form can be found here.

All completed application should be sent to

If you wish to download LTFT policy please click here.

Study Leave

New Study leave policy whilst in GP Placement can be found here.

Study Leave Funding Application Form

Additional Trainee Indemnity Insurance

To find FAQ on MPS Additional Trainee Indemnity Insurance please click here.

Unscheduled Urgent Care

To find Thames Valley OOH Guidance and Policy for Trainees and Trainers please click here.

ST1 Induction

7 September 2021 recordings