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.

Applications to the 2015 NTN Sub-Specialty Grid opened at 12 noon on Friday 12 September and closed at 12 noon on Friday 3 October 2014. Applicants can still access the application system to view messages, accept or reject offers.

On this page:

What is the NTN Grid scheme?

shutterstock_104165.jpgThose 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*

Community Child Health Sub-specialty Training - important information

* As colleagues will be aware the Community Child Health (CCH) sub-specialty training programme is now part of the national grid scheme for posts starting September 2015. This brings 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 deadline has now passed.

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.

Training requirements and centres 

Sub-specialty Training Requirements (PDF, 49KB, 6 pages) This document details each sub-specialties training requirements for level 3 grid training.

Grid Centres  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 programme information for programmes available in the current round.

Sub-specialty training for those outside the UK/EEA

  • The NTN grid is only open to UK trainees holding an NTN and those in an equivalent training programme within the EEA.
  • 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 grid appointments round information

The list of programmes that were available during the 2014 round can be viewed at sub-specialty programmes. This will be updated the week beginning 8 September with details of the programmes available for the 2015 round.

  • 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

Who can apply for the grid?

Please carefully read the information and guides below before making an application to the ntn grid.

  • Grid Person Specification 2016 (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.
  • Grid Applicant User Guide 2015 (PDF, 428KB, 28 pages) The applicant guide contains information on the whole 2015 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.
  • Shortlisting Proforma 2015 (PDF, 849KB, 4 pages) The shortlisting proforma provides details of the shortlisting process and criteria for scoring.

Sub-specialty specific information

  • 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 process and guidance document.

Neurology and Neurodisability guidance (PDF, 26KB, 2 pages)

  • If you are looking to apply to neonatal medicine grid please read the below guidance documents.

CSAC approved posts for higher specialist training (PDF, 24KB, 3 pages)

Neonatology Grid 'Rules' Document (PDF, 32KB, 2 pages)

Neonatology Grid - Points Of Clarification (PDF, 15KB, 1 page)

  • If you are looking to apply for community child health grid please read the below guidance document. 

Community Child Health Grid - Points of Clarification

If you have any queries regarding your eligibility for the grid after talking to your local deanery then please contact Emma Felton - Sub-specialty recruitment co-ordinator as soon as possible. 

If you have a specific sub-specialty training query then contact the relevant CSAC.

2014 previous grid round information

The below report gives information on the 2014 Grid round including details on appointments made within each sub-specialty. .

Report on National Training Grid 2015 (PDF, 1.22MB, 9 pages).

Information for non-EEA and non-UK doctors

  • 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.

Further information and contacts

For further information, go to the Home Office website.  Immigration rules are subject to change by the UK Borders Agency. 

For any questions contact Emma Felton, Sub-specialty recruitment coordinator:

Phone: 020 7092 6139