Table 1.

Leadership secondment opportunities for junior doctors in alphabetical order

Name of program	Information
Darzi Fellowships	In 2009, following recommendations from Lord Darzi's Next Stage Review, the London Deanery funded secondments for junior doctors to learn more about health management and quality improvement. This was spread to other Strategic Health Authorities (SHAs) with funding from the National Leadership Council. Each SHA has taken a different approach to their fellowships, including the use of used different names (‘Darzi Fellowships’, ‘Leadership Fellowships’). Some are hosted at SHAs whilst others at individual trusts. Some are ongoing whilst some have now stopped due to lack of funding.
Leadership Foundation Programme	Since 2009, Foundation Programme doctors have been able to select programmes that include a rotation to provide experience in medical management. Trusts that have offered this track include Lancashire Teaching and Royal Bolton Hospital.
National Leadership Council Clinical Leadership Fellowship Programme	On 12th May 2011, Secretary of State Andrew Lansley announced the creation of at least 60 clinical fellowships. The first cohort of this multi-professional programme are now in post for 2011/12.
NHS Medical Director's Clinical Fellows Scheme	Formerly the Chief Medical Officer's Clinical Advisor Scheme. The programme started in 2005 under Sir Liam Donaldson and has catered for almost 50 junior doctors. Recruits are seconded to work under medical directors in a range of organizations such as the Department of Health, National Institute for Health and Clinical Excellence, World Health Organisation and BUPA.
NICE Scholars	Opportunities since 2010 have been available for junior doctors to work part-time at the National Institute for Health and Clinical Excellence, developing quality standards for the NHS.
North West Junior Doctors Advisory Team	Started in 2002, this is ostensibly the first full-time programme for UK junior doctors. Operating across the SHA and post-graduate deanery, they were initially set up to facilitate compliance with the European Working Time Directive. Their remit now covers more broadly education and workforce issues for North West junior doctors.
North Western Medical Leadership Programme	Started in 2008, this programme provides part-time experience in medical management alongside clinical training for Specialty Trainees. Training is extended by a number of years and participants study towards a degree in Healthcare Leadership.
Third sector opportunities	These opportunities are becoming more popular with clinicians, who can work as non-clinical consultants on freelance projects. Such opportunities include McKinsey and Company, a management consultancy with a healthcare division, or Diagnosis, a clinical leadership social enterprise.