Deanery (NHS)

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An NHS Deanery is a regional organisation, within the structure of the UK National Health Service (NHS), responsible for postgraduate medical and dental training.

Each Deanery commissions postgraduate medical and dental education, to standards set by the General Medical and Dental Councils and the Postgraduate Medical Education and Training Board. Deaneries are each advised by a Specialty Training Committee (STC), which includes Consultants.

**NHS** **Medical Career Grades**
	Old System		New System (Modernising Medical Careers)
Year 1:	Pre-registration House Officer (PRHO) - one year		Foundation House Officer - 2 years
Year 2:	Senior House Officer (SHO) a minimum of two years, although often more		Foundation House Officer - 2 years
Year 3:			Specialty Registrar (StR) in a hospital speciality: six years	Specialty Registrar (StR) in general practice: three years
Year 4:	Specialist Registrar four to six years	GP Registrar- one year
Year 5:		General Practitioner total time in training: 4 years
Years 6-8:				General Practitioner total time in training: 5 years
Year 9:	Consultant total time in training: minimum 7-9 years		Consultant total time in training: 8 years	General Practitioner total time in training: 5 years
Optional	Training may be extended by pursuing medical research (usually two-three years), usually with clinical duties as well		Training may be extended by obtaining an Academic Clinical Fellowship for research.

Effectively, Deaneries work as clearing houses for Specialist Registrar (SpR) training posts in hospitals, dentistry, mental health, public health and primary care. Specialists in the various medical disciplines within Deaneries keep track of training vacancies that arise within the NHS institutions in their Deanery’s area. Typically there will be an Associate Dean and a Medical Workforce Officer for each discipline or group of disciplines. The Deanery will advertise for applications by Senior House Officers or Academic Clinical Fellows [1] for available SpR posts and will interview applicants on behalf of the institutions. As the new initiative Modernising Medical Careers takes effect, candidates will be those who have completed specialist training in the new system.

Successful applicants can receive a National Training Number (NTN), which follows them through the system over six years training, covering training costs in whichever NHS posts they occupy. Others may receive a Locum Training Number, which covers training only for one posting; however, recipients remain eligible to apply for a NTN.

Recent changes in UK legislation mean that Deaneries must give preference to applicants from the UK or the European Union. [2] This is likely over the medium term to change the make-up of the hospital registrar workforce, in which over recent years candidates from developing countries in Asia and Africa have been strongly represented.