Latest News


Latest News




Government Announcement

Dear Dr/Dentist in Training

Action Required by Monday 20 December 2021 - 10am

The Government has announced that all NHS staff in patient facing roles will need to have both their first and second Covid vaccines by 1st April 2022. This decision has been made to protect our patients and our NHS workforce and the Lead Employer Trust (LET) will comply with this decision and implement all regulations issued.

This change will be delivered providing you the support you need to make an informed decision about the vaccine. 

To comply with the proposed requirement by 1st April 2022, the LET needs to know who has or hasn’t been vaccinated. The Government guidance states that NHS organisations will be required to review and retain proof of your vaccine, thank you to those who have already done this.  The simplest solution is for a small number of designated people in HR Team to access the National Immunisation Management Service (NIMS) database and view your vaccination record. 

To be clear, the only clinical information that can be accessed on the NIMS database is your vaccination status.  Getting this information from NIMS means you will not need to provide evidence of your vaccination status, making it easier for both you and your manager.

I understand that there are some people who have questions about the vaccine and who have not yet been vaccinated.  There is lots of information about the vaccine available.

The LET is committed to delivering the Government’s decision in partnership with our staff.  Over the coming months there will be opportunities for you to talk to HR and where appropriate, receive one to one support from trusted colleagues, the HR team and your manager. 

If you have any concerns about having the vaccine or your future employment with the LET, conversations need to start as soon as possible.  The first step is to meet with our HR team to discuss your concerns.

1 - You now need to make a choice about allowing the Trust to access your vaccination records on NIMS.

Yes, I have no objection for LET to access my vaccination data on NIMS

No, I object to LET to accessing my vaccination data on NIMS

No further action necessary


Email: to advise that you object to the LET accessing your vaccination record on NIMS. 

This needs to be received by 20 December 2021 10am.

Include the following information:

First name, Last name, Date of Birth.

If you know your ESR number please also include that. 

If we do not receive an email by 20 December 2021 we will assume that you have no objection for the LET to access your record on NIMS.


2 – In addition, if you have currently decided not to be vaccinated, please take the action below:

I do not want the vaccine

I have not yet been vaccinated and have no current plans to be vaccinated.

You should email HR who will arrange an appointment with you to discuss your options, this information will be shared with Health Education England North East (HEENE) your education provider to discuss the impact this will have on your progression through the training programme.

3 – If you are medically exempt from vaccination please take the action below:

I am medically exempt from Covid vaccination

Phone the NHS COVID Pass service on 119 to ask for an NHS COVID Pass medical exemptions application form. You can review the national guidance on medical exemption here:

4 – If you have had your Covid vaccine overseas

I have had my vaccine overseas

You will be required to send evidence of your vaccination status and where necessary, have a top-up dose with a UK vaccine consistent with the UK Health Security Agency.  To avoid doubt, mixed doses (that is, where different vaccines have been administered to complete the dose schedule) will be accepted for the purposes of the vaccination requirements.

This is a challenging time for all health and care staff and we recognise that the decision for all frontline staff to be vaccinated will be of concern for some.  This is a time for us all to come together and have open, honest and supportive conversations to enable us to meet the Government’s requirement for all NHS staff to be vaccinated by April 2022.

I thank you for your hard work and dedication to keeping our patients and each other safe at this time.

Yours sincerely,


Linsey Richards

Head of HR

Lead Employer trust






You are invited to come along and meet the LET Guardian of Safe Working:

LEAD EMPLOYER TRUST North East & North Cumbria




You are invited to come along and meet the LET Forum




8th DECEMBER 2021



To Attend please use the below link


Microsoft Teams meeting

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+44 20 3855 5203,,400673403#   United Kingdom, London

Phone Conference ID: 400 673 403#

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Junior Doctor Guide to Exception Reporting - Community based trainees (Public Health, Palliative Med, GP Practice)

What is an exception report?

You can raise an exception report whenever you feel there is a significant and/or regular variance from your work schedule. This could be in terms of hours and rest, patterns of work, educational opportunities, or support available.

Exception reports allow for the opportunity to address issues as they arise, and to make timely adjustments to work schedules and rotas.

How do I raise an exception report?

You will be sent login details to the relevant electronic system used by the Lead Employer Trust (LET). The system will allow you to submit an exception report and this will be sent to your Supervisor and either Head of School if Educational issues or GoSW if working time issues.

If I do not have access to the electronic system to raise an exception report what do I do?

Make contact with the Lead Employer Trust (LET) on or 0191 2754782.

In what circumstances do I raise an exception report?

  1. variation in the hours of work and / or rest; or
  2. the pattern of work; or
  3. missed educational or learning opportunities; or
  4. a lack of support available to the doctor

What is work?

  1. Delivery of direct patient care which is expected of you in the role described in your work schedule during expected hours.
  2. Undertaking clinical administration (clinic dictation, result sign off) relating to patients you are responsible for.
  3. Attending or delivering teaching that is expected for a trainee at your stage or the role you are currently in.
  4. Undertaking quality improvement activity expected of you at your stage or the role you are currently in.
  5. Attending training or a course that has been approved as study leave.
  6. Attending training or other meetings that you have been asked to attend as a trainee representative (e.g. ARCPs, Trainee representative at meetings).

What is not work?

  1. Commuting to the workplace (except for business travel which is work).
  2. Looking for parking when on site at the start of your shift.
  3. When you have chosen to attend an additional session outside of the hours stated in your work schedule to enhance your learning needs or skills over and above that expected of a trainee at your stage or the role you are currently in. 

When is a Fine incurred?

Refer to Schedule 5 of the 2016 Terms and Conditions of Service:

  1. 11. Where such concerns are validated and shown to be correct in relation to:
  2. breach of the 48-hour average working week (across the reference period agreed for that placement in the work schedule);
  3. breach of the maximum 72-hour limit in any seven days; or
  4. that the minimum 11 hours’ rest requirement between shifts has been reduced to fewer than eight hours

12. Where a concern is raised that breaks have been missed on at least 25% of occasions across a four week reference period, and the concern is validated and shown to be correct, the guardian of safe working hours will levy a fine.

Useful document links:

Rota Rules

Examples of how it may work in practice


Useful links