Apply for sub-specialty training (NTN grid) - guidance

At Level 3 of training (ST6-8), paediatric trainees may sub-specialise in a specific area of paediatrics. Those who complete an approved programme of sub-specialist training are eligible to enter on the GMC Specialist Register as a Paediatrician with a sub-specialty. This is also known as NTN Grid.

Before you start your application, please read all information on this page, including the full applicant guide available to download below.
Last modified
19 June 2018

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Applications open Friday 7 September 2018, 12:00 (British Summer Time)
Applications close Friday 28 September 2018, 12:00
Interview dates  19 - 30 November 2018

Who can apply for Grid?

It is open to:

  • UK trainees holding an NTN (National Training Number), or
  • EEA (European Economic Area) trainees that are still in training in an equivalent programme within the EEA.

Applications from those outside of a UK/EEA training programme are not eligible to apply for Grid. You may wish to consider the Medical Training Initiative (paediatrics).

If you are a Royal College Of Anaesthetists (RCOA) applicant or EEA trainee, please contact as soon as possible to discuss your application.

How long do I need to complete Grid training?

Grid training is a 2-3 year programme. You must ensure you have enough time left in your training before your agreed CCT date. CCT dates cannot be changed to accommodate sub-specialist training.

In exceptional circumstances, candidates may be able to apply from a higher year of training, for example, ST7 - providing that sufficient sub-specialty training can be completed without an extension of the current CCT date. If you would like to do this, you must carefully discuss your circumstances with your deanery and the CSAC Chair.

How many times can I apply for Grid?

You can apply for Grid two times.

You may only make a third round application to the same sub-specialty if you were deemed appointable in your second round application.

If you applied to two sub-specialties in your second round application, you must have been deemed appointable at interview for both sub-specialties in order to be eligible for a third round application to both sub-specialties in the future.

How many sub-specialties can I apply for?

You can apply for a maximum of two in each round.

You must apply for each vacancy and complete the application forms separately.

Which posts are available?

The list of programmes available for the 2019 recruitment round will be released at the end of August 2018.

What do I need to do before I apply?

RCPCH (UK) trainees

Your deanery contact needs to complete your confirmation of eligibility form. This confirms that you are eligible for grid training.

  • Download the form below.
  • Add your name and the sub-specialties you are applying for.
  • Send this to your deanery contact before Friday 14 September 2018, 17:00. If your contact receives the form after this date, it is at their discretion to complete the form.
  • Ask your contact to complete the form, and then email to and upload on to Oriel.

Any applications missing the confirmation of eligibility form will be automatically longlisted out of the process.

We no longer require additional references.

EEA/RCOA trainees

Please contact us on before you apply, with details about your current status.

RCPCH officers will confirm whether you are eligible for grid training.

If you are eligible, we will confirm what documentation you need to provide with your application and interview.

How do I apply?

All applications for paediatric specialty training are made via the NHS Oriel recruitment system.

We advise you register on the Oriel application system well before the application window opening. We recommend you submit your application at least 48 hours before the closing date to allow for any technical problems.

Late applications are not accepted under any circumstance.

Download the applicant guide below for full details.

What criteria will my application be marked on?

Shortlisters mark grid applications using a proforma.

We recommend you refer to this as you make your application.

Note! We are updating the Grid Shortlisting proforma for the 2019 interviews, and will post this no later than 31 July.

What other information do I need to submit with my application?

You need:

  • confirmation of eligibility form
  • fitness to practice declarations if necessary
  • if appropriate pre-approval of Level 3 training from the CSAC chair (if applying from ST6 or above only).

Download the applicant guide, below, for full details.

Contact us

For any questions, contact Abigail Wright, Subspecialty Recruitment Coordinator: