National Programmes
The Scotland Deanery is made up of four regions: East, North, South-East and West.
In some specialties, each region has a separate training programme, for example, there are four separate Emergency Medicine programmes within the Scotland Deanery.
In other specialties, there is one national programme which incorporates all four regions, for example, Plastic Surgery.
We also have a small number of cross-regional programmes which incorporate 2-3 regions, for example, there are two ENT programmes within the Scotland Deanery: one is regional (West); and the other is cross-regional, incorporating East, North and South-East regions.
Trainees in national / cross-regional programmes can rotate through regions and are administered by one region; or remain in the same region and are administered by one region; or rotate through some/all regions.
The Lead Region is that which manages and provides administration for the programme.
The Host Region is that in which the trainee is based for each rotation of the programme
Operational Programme Management
- The Lead Region will coordinate day-to-day operational activity within the programme.
- The Lead Region will provide administrative support to the Training Programme Director (TPD).
- The Lead Region will be responsible for recording the minutes of Specialty Training Committee meetings and either cascading these to other Regions and/or for storing same in suitable shared access electronic facilities.
- The TPD and the Lead Region will be responsible for organising ARCPs, Specialty Training Committees, and other relevant Programme related activities.
- It will be the responsibility of the Host Region to manage any targeted support or remediation that trainees require. This will include arranging for routine Deanery processes related to targeted support e.g. recommending Occupational Health referral.
- The Lead Region will be responsible for approving OOP requests in consultation with the TPD.
- Any trainee seeking to move to another location within the Programme should consult with the TPD regarding the potential move, which, if agreed, will be implemented as part of the rotation management process

Figure 1. Governance of national programmes
| Cross Regional Programmes (incorporating East, North and South-East regions, separate regional programme in place for West) |
| Core Surgical Training |
| ENT |
| Medical Microbiology |
| Urology |
| National Programmes | ||||||
| Cardiothoracic Surgery | Clinical Oncology | Forensic Histopathology | Medical Oncology | Nuclear Medicine | Paediatric Cardiology | Public Health Medicine |
| Chemical Pathology | Clinical Pharmacology & Therapeutics | Forensic Psychiatry | Medical Ophthalmology | Occupational Medicine | Paediatric Surgery | Rehabilitation Medicine |
| Child & Adolescent Psychiatry | Combined Infection Training | Genito Urinary Medicine | Medical Virology | Old Age Psychiatry | Palliative Medicine | Vascular Surgery |
| Clinical Genetics | Community & Sexual Reproductive Health | Infectious Diseases | Neurology | Oral & Maxillofacial Surgery | Plastic Surgery | |
| Clinical Neurophysiology | Diagnostic Neuropathology | Intellectual Disability Psychiatry | Neurosurgery | Paediatric & Perinatal Pathology | Psychotherapy | |
This page was last updated on: 02.10.2025 at 14.19