Confirmation of Eligibility
                        Recruitment into Sub-specialty Training 2022
        This confirmation of eligibility form is for the sole purpose of confirming the candidates’ eligibility for
        sub-specialty training. The form will be used at the longlisting stage to determine if any candidates are
        ineligible at that stage, so completeness and accuracy are of vital importance. If there are any specific
        concerns   regarding   the   trainee’s   application,   please   email  ntn.grid@rcpch.ac.uk  with   further
        information.
            The confirmation of eligibility form should be completed by the Head of School (or 
               representative) and sent back completed to the candidate. Please complete one form per 
               applicant and include the sub-specialties they are applying to. If the applicant has 
               gained approval from the CSAC to count level 3 experience towards their training, 
               please complete a separate form for each sub-specialty they are applying to and 
               provide these details.
            Head of School- please send signed copies of all eligibility forms completed for trainees in your 
               deanery to ntn.grid@rcpch.ac.uk
        Applicants are required to submit the confirmation of eligibility form along with their completed Oriel
        application by the application closing date  12 noon on Wednesday 17 November 2021. Any
        applications submitted without the required confirmation of eligibility form will not be accepted.
        Applicants therefore need to submit the form to their deanery contact by Monday 8 November 2021
        at the latest, so that there is sufficient time for the deanery contact to complete and return the form to
        the applicant in good time before the closing date.
        Please note that Shape of Training will not affect the eligibility criteria for sub-specialty applicants
        starting in post in 2022.
        Applicants Name:                     
        Sub-specialty(s) applying            
        for:
        Level 2 completion 
        Is it expected that by August / September 2022, the candidate will have completed     Yes        No 
        core Level 2 ST training? 
                                                                                 ST 
                                                                   4       5     6     7       8      
        What is the trainee’s current level of                 Other (please
        training?                                                 indicate)                
                                                              Full time or LTFT
                                                            If LTFT please tell us         
                                                              what the WTE is
        Current assessment progress                                                           Yes        No 
        What was the most recent ARCP outcome for this applicant?                               
             
        Have you any reason to anticipate the applicant’s ARCP between now and the start 
        of their sub-specialty post will return an unsatisfactory outcome (i.e. not an outcome
        1 or outcome 8 if on OOPC/E/P/R)?
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        If so, please explain why you think this applicant may still be eligible for sub-
        specialty training? 
             
        Completion of Training 
        What is the trainees expected CCT date?                                                        
        Will the trainee be taking OOP before starting sub-specialty training if successful?      Yes        No 
        If so when will the trainee be anticipating starting sub-specialty training?              Start Date:
                                                                                                       
                                                                                                  MM:YY [format]
        Will the applicant be able to complete the sub-specialty syllabus in the time 
        remaining before their CCT?                                                               Yes        No 
        N.B. Trainees with a CCT date which does not fall in Aug/Sep are allowed the 
        necessary latitude to complete a sub-specialty programme that commences in 
        September.
        If the applicant starts the sub-specialty training programme on [5 September 2022], 
        how long (WTE months) have they left in training before their anticipated CCT date?            
        Is this less than the indicative training time, outlined in the relevant subspecialty 
        syllabus?                                                                                 Yes        No 
        If the answer above is yes, please indicate why you think the applicant will be able 
        to complete this training by their CCT date.
             
        If the remaining time before CCT is less than the indicative sub-specialty training 
        time, has the relevant CSAC opinion been sought on whether the applicant could 
        feasibly complete their sub-specialty programme in the time remaining before CCT?         Yes        No 
        Completion would be feasible if the CSAC feel the applicant has demonstrated 
        previous capabilities, relevant to the sub-specialty, that would enable them to 
        progress through the sub-specialty programme at a rate quicker than the indicative 
        training time. Please include any relevant CSAC comments below.
             
        Concerns
        Do you have any concerns about the candidate’s clinical experience, knowledge and         Yes        No 
        skills?
        Do you have any concerns about the candidate’s personal / communication skills?           Yes        No 
        Please elaborate on any concerns you have highlighted or please use this space if you have any 
        further comments on the applicant: 
             
        Disciplinary Record / Fitness to Practise
        Please give details of any existing disciplinary/fitness to practise record or outstanding disciplinary / 
        fitness to practise matter, together with the relevant details if known.
             
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    Further Comments 
    If you have any further information regarding the candidate’s eligibility to apply for sub-specialty 
    training please use this space e.g. further detail on CSAC approval for previous sub-specialty training 
    posts, additional ARCP notes etc.
         
    Print Name:      
    Signed:          
                    
    Date:      
    Deanery:      
    NB: Scanned Electronic Signatures are accepted.
    The RCPCH uses the information you have provided in this form as part of the longlisting 
    process for each applicant, therefore its completeness and accuracy are of vital 
    importance.  We thank you very much for participating in this process.
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