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Access to specialist clinics


Overall, the Training Evaluation Form (TEF) and the GMC survey program specific questions data shows that access to specialist clinics is provided to 47-62% of trainees nationally and regionally. Access may be limited by coverage of short-term rota gaps in particular. 

When considering access to specialist antenatal clinics and specialist gynaecological skills, more trainees suggest that they have access to specialist obstetric clinics in comparison to specialist gynaecological clinics.  This could well reflect the nature of service provision, with antenatal clinics (whether they be specialist or not) requiring adequate service coverage.  In contrast, specialist infertility, gynae-oncology clinics and urogynaecology clinics are being better accessed and covered by advanced trainees undertaking ATSMs or subspecialty training.



  1. Discussion amongst Heads of School and at Specialist Training Committees in each region will encourage improvement
  2. Access to specialist clinics is an important indicator for each Trust and region and needs to be promoted.  Importantly, performing well in providing specialist clinics is likely to improve the overall morale and experience of trainees, who will feel empowered to develop their own careers and to complete their RCOG Training Matrix modules.