Sub-specialty training (NTN grid scheme)
At Level 3 of training (ST6-8/SpR years 3-5) trainees have the opportunity to sub-specialise in a specific area of paediatrics.
- What is the NTN Grid scheme?
- Community Child Health Sub-specialty Training - important information
- Training requirements and centres
- Sub-specialty training for those outside the UK/EEA
- 2014 grid appointments round information
- Who can apply for the grid?
- 2013 grid round information
- Information for non-EEA and non-UK doctors
- Further information and contact
Those who complete an approved programme of sub-specialist training will be eligible to enter onto the GMC's Specialist Register as a paediatrician (sub-specialist).
- The grid enables workforce planning so that appropriate numbers of sub-specialists are trained, preventing trainees from completing highly-specialised training with little chance of obtaining a consultant post in that sub-specialty.
- The Royal College of Paediatrics and Child Health runs the NTN Grid Scheme to allow trainees to compete for sub-specialty training programmes available nationally.
- On an annual basis deaneries are asked to submit approved programmes of sub-specialty training to the College for that year's grid matching process.
- Trainees wishing to continue in general paediatric or community child health training can do so within their local deanery training programme*
* As colleagues will be aware the Community Child Health (CCH) sub-specialty training programme is to become part of the national grid as from 2015. This will bring CCH in line with the process we deliver for all other sub-specialty training programmes.
Trainees who are already undertaking CCH training or those who would like to enter CCH training with the expectation of achieving sub-specialty recognition at CCT prior to CCH’s inclusion on the NTN Grid will not need to apply to the Grid. However, in order to achieve sub-specialty recognition in Community Child Health out with the NTN Grid appointment process, the RCPCH must have been notified of your appointment to a CCH programme by 31 August 2014 for programmes starting no later than 31 July 2015. This means if you are already undertaking a CCH programme or expect to start a CCH programme prior to 31 July 2015, with the expectation of achieving sub-specialty recognition at CCT we must be informed of this by 31 August 2014, together with confirmation of your current expected CCT date. It is your responsibility as a trainee to inform the College if you are seeking to obtain sub-specialty recognition in CCH as outlined above. If you have not registered the fact that you are already in a CCH programme, or are intending to start one prior to 31 July 2015 by the deadline of 31 August 2014 then you will not be able to obtain sub-specialty recognition outwith the Grid.
In summary: for trainees seeking Level 3 training in CCH with the expectation of achieving sub-specialty recognition at CCT via programmes starting after 31 July 2015, the route for appointment will be via the NTN Grid process only. Applications for the 2015 round open on 12 September 2014.
If you are unsure how this information affects you, please contact the Recruitment and Careers Team by emailing firstname.lastname@example.org
(PDF, 49KB, 6 pages) This document details each sub-specialties training requirements for level 3 grid training.
programme information for programmes available in the current round.(PDF, 37KB, 2 pages) This list contains all deaneries with approved grid centres by sub-specialty. Individual hospitals for each sub-specialty programme will be detailed in the
- Applications from those outside of a UK/EEA training programme will not be eligible. For those outside of the UK/EEA and interested in sub-specialty training you may wish to consider the Medical Training Initiative (Paediatrics)
You can find out more about the NTN Grid under Frequently asked Questions (FAQs) .
- 2015 Full Advert: Will be published 5 September 2014
- Application Period: 12 September 2014 - 3 October 2014
- Interview Period: 24 November 2014 - 5 December 2014
- Offers made: Week commencing 11 December 2014
The below information is related to the 2013 round but please use the below documents as a guide for eligibility for the grid.
(PDF, 53 KB, 3 pages) The grid is only available to senior trainees who fulfil the essential person specification eligibility criteria for grid training. The person specification may change for each grid round.
(PDF, 428KB, 28 pages) The applicant guide contains information on the whole 2014 Grid process and further guidance on eligibility. Please be aware that all documents are subject to change and applicants must ensure they are using the most up to date version when submitting an application.
- If you are looking to apply to neurology and/or neurodisability please note the interviews will be conducted jointly for these sub-specialties. Please read the below guidance detailing the process
(PDF, 24KB, 3 pages)
If you have any queries regarding your eligibility for the grid after talking to your local deanery then please contact Emily Gooday-Sub-specialty recruitment coordinator as soon as possible.
If you have a specific sub-specialty training query then contact the relevant
The below report gives information on the 2014 Grid round including details on appointments made within each sub-specialty. .
(PDF, 1.22MB, 9 pages).
The Grid is only open to applicants who are already in a paediatric training programme in the UK or EEA.
Anyone wishing to work in the UK must have an immigration status which allows them to do so.
Doctors who are not UK or EEA nationals and whose immigration status entitles them to work without restriction in the UK will be considered on an equal basis with UK and EEA nationals.
Other non-UK or non-EEA nationals with limited leave to remain in the UK and whose employment will require Tier 2 sponsorship are subject to the Resident Labour Market Test (RLMT). Those requiring Tier 2 sponsorship are able to apply to the NTN Grid, however appointment to the grid will be subject to the pool of appointable UK / EEA nationals and non UK/EEA nationals entitled to work in the UK without restriction being exhausted.
- Evidence of immigration status should normally consist of a date-stamped passport and accompanying letter from the Home Office. These documents need to be current at the application closing date and shortlisted candidates must be able to provide evidence of their immigration status at interview.
Trainees who do not have settled status in the UK should contact their Deanery to discuss whether they are eligible to apply for the grid.
For further information, go to the Home Office website. Immigration rules are subject to change by the UK Borders Agency.
For any questions contact Emily Gooday, Sub-specialty recruitment coordinator
Phone: 020 7092 6139