Board Bulletin by j30jOH


Frequently Asked Questions


What is a Darzi Fellow?

“Darzi” Fellows are one-year full time supernumerary Fellowships funded by NHS London
and set up by London Deanery and NHS London. This is the second year of the
Fellowship scheme, the aim of which is to enable junior doctors to develop the
organisational and leadership skills necessary for their future roles as consultants and
clinical leaders. The post holder develops their skills by working on service change
projects across the local health economy and within the trust. While much of the learning
will be experiential, the Fellow will be supported by a bespoke leadership development
programme commissioned by the London Deanery on behalf of NHS London.

How does the Fellowship relate to the trainee’s specialty training programme?

Fellows are released from their training programmes for one year ‘out of programme
experience’ (OOPE). This time will not count towards their Certificate of Completion of
Training (CCT) and will delay their CCT by a year. Fellows will need to have obtained
formal OOPE permission from their training programmes in order to take time out.

Can trainees in Public Health apply to become a Darzi Fellow?

Yes. The Darzi Fellowship is open to all trainees taking out-of-programme experience from
London specialty training programmes of all specialties - including public health.

Can trainees apply that have less than 6 months left (WTE) of the training
programme to run by the time they complete their Fellowship? *not applicable to GP

No. This is an OOPE issue. Trainees must have no less than 6 months of their training
programme left as this is to prevent these positions being used as holding jobs pending a
consultant post.

How do I apply for OOPE?

Trainees will need to complete an out of programme experience form, which can also be
found on the Leadership Centre website, under Fellowships in clinical leadership section.
Trainees requesting OOPE must apply to the Deanery at least 6 months prior to their start
date (August 2011). It must be agreed and signed by the trainee’s Training Programme
Director. The final decision will then rest with the Head of School at the Deanery.
Does the post have a clinical component?

Clinical sessions are included in the indicative job description. They should be meaningful,
relevant and not exceed an average of three sessions per week. The main purpose of the
post is to develop the ability to lead and manage change in healthcare organisations.

How are Fellows supported?

Fellows are supported on a day to day basis by their sponsoring medical directors (and/or
nominated deputy) with whom they collaborate closely. In addition the Deanery with the
NHS London delivers an organisational learning programme that includes modules on
change management, team working and leadership development. Learning events are
designed to be relevant to current work within trusts and Fellows’ future work as
consultants. The programme requires about 0.5 day per week of Fellows’ time. The
course content and structure is continuously assessed so that the programme stays
refreshed and relevant and Fellows qualify from the programme with a postgraduate

Who pays?

The posts are fully funded by NHS London although some trusts have, in the past, funded
additional posts themselves.

What level of salary reimbursement is available?

In 2011, acute and mental health trusts will receive £60K on invoice, to reflect 100% salary
replacement costs plus on costs. GP trainees will be funded at the usual rate of salary
reimbursement. Note: Clinical and out-of-hours commitments are not covered by this
funding. There is no requirement for additional study leave or study leave funding as this
is integral to the post.

At interview, we recommend that you are absolutely clear about the terms and conditions
of employment, including salary, and number of clinical sessions expected, if any.

When will we be reimbursed for the Darzi posts?

The Deanery will write to your Finance Director in order to release the first tranche of
funding as soon as we receive your signed confirmation.

What about GP Fellows?

GP Fellows will be paid at the level of ST4 and remunerated directly through the practice
that will be hosting them for their clinical component. Funding will flow for these posts
directly from London Deanery in the same way that GP Registrars are currently funded.

How can my Trust obtain a Fellow?

All London trusts are invited to apply for a Fellowship through their medical directors. Each
medical director is sent an outline of the Fellowships scheme and a short template/form to
describe the service change project that the fellow will undertake while in post. Project
proposals are reviewed by London Deanery and NHS London. If the project fulfils the
criteria set out in the template then the Medical Director, Finance Director and HR Director
are informed and the money is released to the Trust. The Trust will be asked to appoint to
these fellowships as soon as possible and to let the Deanery know (i) fellow contact details
(ii) start date of fellowship (iii) and outline of the fellowship projects.

How are Fellows appointed?

Trusts appoint their own Fellows. An indicative job description and person specification is
provided and may be adapted for local use. The London Deanery may be able to assist in
publicising these posts, contact

Can medical directors contribute to the supporting development Programme?

Yes, medical directors may play a role in at least three ways by (i) contributing to the
design of the training programme (ii) contributing to the provision of the programme, and
(iii) taking part in round table discussions and debates with the Fellows.

Are Primary Care Trusts and GP Consortia included?

Darzi Fellowships are offered to all Trusts and wave 1 and 2 Pathfinder GP Consortia.
Ensuring that current and future secondary care specialists and GPs work well together on
system reform is crucial. GP Fellows will be recruited separately through the London
Deanery School of General Practice and placed in an employing practice for the clinical
component of their post.

My trust is a tertiary referral centre. Are we eligible for a Darzi Fellowship?

Yes! There is a lot of important change management work in specialist Trusts relevant to
these Fellowships. It is crucial that patients are able where necessary to access the sort
of specialist care available in tertiary centres. The work of the Fellow will need to be
based on moves towards new ways of working. For example, the Fellow’s work could be
linked to the development of new care pathways, and improvement or modification of links
with secondary care, as well as with primary care and the community.

My trust is a mental health trust. Are we eligible for a Darzi Fellowship?

Yes! There is a huge amount of important change management work in mental health
trusts very relevant to these Fellowships.

Will any area of work be given preference?

We want the Darzi Fellows to work with you in an area where your trust is moving to new
ways of working. Each project for the Darzi Fellowship must align with the direction of
travel of the NHS in London. Priority programmes identified are listed in the service
change project template. Another important factor is that the work is “live” and will have an
impact on the patients cared for by your Trust.

When should we start our recruitment process?

Recruitment for a Darzi Fellow should start immediately your organisation is notified that
your service change project is agreed by the Deanery and NHS London.

Is there a standard job description (job description) for the Darzi post?

We provide a sample job description template. If you would wish, this can be localised by
including the Trusts own projects and priorities.

Is there any central recruitment process planned for Fellows?

No the Trusts are responsible for recruiting their own Darzi Fellow. Trust HR departments
should be engaged and a formal internal recruitment process followed.

Is the Trust responsible for the appointments process?

Yes, the Trust is responsible for the entire recruitment and appointment process although
we provide an indicative job description and person specification that you can use.

Is there a standard advert for the posts?

No, we are happy for you to design your own advert but it may be worth making the point
that these posts are supported by both the London Deanery and NHS London.

Should we advertise externally as well as internally?

Given the timeframe you could consider advertising externally, as long as the role is well
advertised internally and on local job bulletins.


By what date do we need to submit project proposals?

You should submit your completed project form to by
24th March 2011.

By what date should our Fellow be formally in post from?

Your Fellow should be in post by Wednesday 3rd August 2011.

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