An agreement between you, the trainer and NHS Lothian, your employer

Training Compact

This compact (agreement), developed by Drs in Training and Healthcare Leaders has been approved by the BMA for use within Health Boards to describe the expectations of both parties, promote a shared understanding and development of a fair and mutually supportive training and employment environment.


High quality postgraduate medical education takes time and coordinated effort by trainers, health care managers and Doctors in Training. NHS Lothian is the employer of all Doctors in Training placed within our board alongside the career grade staff in the role of clinician educator; NHS Education for Scotland is the organisation responsible for the overview of progression through training.

Whilst attached to clinical departments in NHS Lothian, we strive to provide for you an excellent working and learning environment. Specifically:

NHS Lothian will:

  1. Provide opportunities for training to allow the doctor to meet the expected outcomes to progress in the training programme as outlined by the Deanery (NHS Education for Scotland) and the relevant specialty college
  2. Provide a comprehensive site induction programme, with specific time allocated to complete this
  3. Provide a comprehensive departmental induction programme, with specific time allocated to complete this
  4. Provide a named Clinical Supervisor
  5. Provide time to attend the departments’ governance, quality improvement and educational programmes
  6. Provide a mechanism for trainees to raise concerns if they are worried about issues relating to clinical practice or interactions with members of staff

As part of their professional responsibilities, NHS Lothian expects that all doctors in training will:

  1. Familiarise themselves and adhere to the duties and responsibilities of a doctor registered with the General Medical Council and outlined in the Council’s document “Good Medical Practice”
  2. Ensures that they take steps to look after their professional registrations, probity and health
  3. Recognise their limitations, and seek senior assistance when appropriate
  4. Familiarise themselves with their specialty's training and development curriculum
  5. Familiarise themselves with their department's guidelines and clinical protocols
  6. Participate in the department's governance, quality improvement, and educational programmes and engage fully with workforce development including rota monitoring & redesign
  7. Complete the relevant deanery and specialty college training requirements
  8. Ensure they have regular meetings with their clinical and/or educational supervisor
  9. Ensure they keep up to date with recording of CPD, training and assessment
  10. Identify opportunities to enhance training, and discuss this with their Educational Supervisor

NHS Lothian expects that the doctor in training and NHS Lothian will jointly:

  1. Work together to improve training opportunities in NHS Lothian for all trainees
  2. Work together to improve and develop services that Lothian provides to improve healthcare for the local population and beyond
  3. Strive to promote a supportive, engaging and joyful workplace including a compliant, educationally rigorous rota, with appropriate rest breaks.

Junior Training Compact

  • NHS Lothian Training Compact (login)