Table 2.

Leadership and management training availability to psychiatric trainees (correct as of 2020/21)

				Eligibility/target	Key points
Fellowships (12 months)	Outside of local education provider	National	National Medical Directors Clinical Fellow Scheme^43,^a	On completion of the Foundation Programme	Funded, out of programme, centrally recruited to national organisations. Apprenticeship model, developed in collaboration with UK Government and arm's length bodies, mentored by senior national leaders and undertake a range of project and policy work.
			Welsh Clinical Leadership Training Fellowship^44,^a	C/ST3 and above
			Scottish Clinical Leadership Fellowship Scheme^45,^a	C/ST2 and above
			Northern Ireland (NIMDTA) Achieve, Develop, Explore Programme for Trainees (ADEPT)^46,^a	ST4 and above
		Local/regional	Darzi Fellowship Programme – London South Bank University^47,^a	C/ST3 and above	Funded, out of programme, individually recruited to local/regional organisations through NHS Jobs. Undertake London South Bank University PGCert in Leadership in Health, alongside work-based fellowship challenges.
		Local/regional	Future Leaders Programme – Health Education Yorkshire and Humber^48,^a	C/ST3 and above	Funded, out of programme, individually recruited to local/regional organisations through NHS Jobs. Undertake PGCert of their choice, alongside work-based fellowship challenges.
	Within local education provider	National	Royal College of Psychiatrists’ Leadership and Management Fellow Scheme⁴⁹	ST4 and above	Sponsored, in programme experience, utilising special interest time, individually recruited to by local/regional organisations. Face to face (7 days, London/Liverpool), with work-based application.
	Within local education provider	National	Royal College of Physicians’ (London) Chief Registrar Programme^50,^a	ST4 and above	Funded, in or out of programme experience, individually recruited to by local organisations. Face to face (5 days, London/Liverpool) and 40–50% protected time to practice leadership and quality improvement.
Courses and programmes		National	Royal College of Psychiatrists’ Leadership and Management for Trainees and New Consultants⁵¹	Available to all	Self-funded, face to face (1 day).
			NHS Leadership Academy Edward Jenner (6 weeks)⁵²	Available to all	Free, online (5 h per week), with work-based application.
			NHS Leadership Academy Mary Seacole (6 months) or Rosalind Franklin (9 months)⁵²	Core or higher training, respectively	Predominantly self-funded (circa £1000), sponsorship and bursaries available ad hoc. Online (5 h per week) and face to face (Mary Seacole 3 days/Rosalind Franklin 8 days – regional), with work-based application.
			NHS Wales 1000 Lives ‘Improving Quality Together’⁵³	Available to all	Free, online (bronze) and face to face (silver, 2 days), with work-based application.
			Northern Ireland (NIMDTA) ENGAGE Clinical Leadership and Improvement Programme⁵⁴	ST5 and above	Funded, face to face (1 day, 7 evenings).
			NHS Education for Scotland Leadership and Management Programme (LaMP)⁵⁵	C/ST3 and above	Funded, online and face to face (2 days), with work-based application.
		Local/regional	Learning to Lead – East Midlands Leadership and management programme (3 years)⁵⁶	On completion of the Foundation Programme	Funded, face to face (3 days), with work-based application through a multi-professional quality improvement project.
		Local/regional	Chief Residents’ Management and Leadership Programme – Health Education East of England⁵⁷	ST5 and above	Funded, centrally recruited, face to face (10-day Judge Business School ‘mini-MBA’), with work-based application and supported leadership role.
Postgraduate education	Master's in Medical Leadership (MSc)		Various institutions offer ‘step-on, step-off approach’ from PGCert to PGDip to MSc (1–3 years)^58,⁵⁹	Available to all	Predominantly self-funded (£2500–£25 000), sponsorship and bursaries available. Part time, moderate workload, variable online versus face to face.
Postgraduate education	Master's in Business Administration (MBA)		Various institutions, some offer healthcare specialties or NHS endorsement (2–3 years)^60,⁶¹	Available to all	Predominantly self-funded (£15 000–£90 000), sponsorship and bursaries available. Part time, heavy workload, variable online versus face to face.

NIMDTA, Northern Ireland Medical & Dental Training Agency; NHS, National Health Service; PGCert, Postgraduate Certificate; MBA, Master of Business Administration; MSc, Master of Science; PGDip, Postgraduate Diploma.

^a.

Predominantly non-clinical (although some do allow limited ongoing clinical activity), and therefore often require an extension to training via out-of-programme experience approval.