Stages of Training

Training in anaesthesia is a competency-based, time-limited programme that normally takes a minimum of seven years. The Royal College of Anaesthetists (RCoA) divides the stages of anaesthetic training into basic, intermediate and higher.

Less Than Full Time (LTFT) Training

Flexible / Less Than Full Time (LTFT) training is possible within the school. For details contact Dr Yogita Chikermane, Consultant Anaesthetist and lead for LTFT on

Further information can also be obtained from the West Midlands deanery website.

Accreditation of Transferable Competencies (ATC)

ACCS trainees can count the Anaesthetic and ICM competences and still get a CCT (providing of course they meet all other requirements). The current version of the curriculum has approved transferrable competences (see page23, section 3.2.4 and page 27, section 3.9). 

Application for ATC should be before appointment to CCT B. ATC should usually be agreed before entry into CCT B training, or at the latest within three months of commencement of training in CCT B.

Please note that the maximum amount of time than can be counted is 9 months. Contact your Training Programme Director for further details.


Leave allowance is 30 days annually and pro rata for less than full time trainees (LTFT). Study leave is also 30 days. Details of allowances can be found on the West Midlands Deanery Website. Private study leave is allowed and is allocated locally by individual hospitals. Leave can be tight at certain times of year so forward planning is essential. A minimum of 6 weeks’ notice is required for annual or study leave. Protected teaching is usually taken as study leave as is time spent teaching on provider courses as this forms part of CEPD.