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.

Completion of Unit of Training (CUT) forms 

These documents will be signed by a designated trainer when the criteria outlined in the intermediate training section above have been fulfilled. 


Prior to an ARCP a list of attendees will be circulated to College Tutors and trainees. Occasionally a trainee is omitted who should be attending and occasionally the opposite occurs. Please check these lists carefully and inform your College Tutor or Programme Director if this is the case. The panel is usually convened in January, April, July and October.

You will be informed of the date by which all paperwork should be submitted and of the date and time of the ARCP. Please ensure that all paperwork is submitted in a timely manner, failure to do so may result in the ARCP being deferred until the next panel convenes. 

Issuing of documentation may be withheld if evidence is not available. The panel consists of the programme director (chair), college tutors, consultant trainers, a regional advisor, a representative of the deanery +/_ and external assessor.

At the ARCP you will be expected to present a summary of your achievements for the year, the panel will review the paperwork, have an opportunity to ask questions and then a recommendation will be made. Details of the outcomes are outlined in the Gold Guide.


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.