The NHS England East of England region covers a large geographical area, which includes Cambridgeshire, Norfolk, Suffolk, Essex, Hertfordshire and Bedfordshire.

Acute care common stem (internal medicine)

Initial two years (CT1 & CT2)

The acute care common stem (ACCS) rotations are currently based for their first two years on one of the below:

  • Ipswich Hospital
  • Broomfield Hospital, Chelmsford
  • Queen Elizabeth Hospital, King's Lynn
  • Norfolk and Norwich Hospital
  • Addenbrookes Hospital, Cambridge & West Suffolk Hospital, Bury St Edmunds (12 months on each site)
  • Peterborough Hospital.

To visit website trusts page, please click this link: https://heeoe.hee.nhs.uk/core_med

Third year (CT3)

At the end of the initial two-year period, a third year of medical specialty training is offered to ACCS (internal medicine) trainees, in order to facilitate acquisition of the IMT competences as well as the ACCS competences.

For this third year, trainees are able to apply competitively for a placement of their choice; trainees are encouraged to attend the internal medicine training days.

Internal medicine training

The NHS England East of England (NHSE EoE) internal medicine training (IMT) programme provides opportunities for over 200 trainees.

The hospitals providing IMT are:

  • Addenbrookes Hospital, Cambridge (Teaching)
  • Norfolk and Norwich Hospital (Teaching)
  • Basildon and Thurrock Hospital
  • Bedford Hospital
  • West Suffolk Hospital, Bury St Edmunds
  • Broomfield Hospital, Chelmsford
  • Colchester Hospital
  • James Paget Hospital, Great Yarmouth
  • Princess Alexandra Hospital, Harlow
  • Hinchingbrooke Hospital, Huntingdon
  • Ipswich Hospital
  • Queen Elizabeth Hospital, King's Lynn
  • Luton and Dunstable Hospital
  • Mount Vernon Hospital, Northwood (oncology)
  • Royal Papworth Hospital (cardiology and respiratory medicine)
  • Peterborough Hospital
  • Southend Hospital
  • Lister Hospital, Stevenage
  • Watford Hospital

Clicking the following link will take you to our website trust page: https://heeoe.hee.nhs.uk/core_med

This will show a map of the NHSE EoE region and its constituent counties, along with weblinks to the trusts and hospitals within the region.

Acute care common stem (internal medicine)

Higher training

The majority of ACCS (internal medicine) trainees are committed to higher speciality training in acute medicine, although our training programmes are suitable for progressing towards any of the acute specialties.

The acute medicine training programme NHS England East of England is well-established and is one of the largest in the country.


Internal Medicine Training

All the IMT programmes are for three years and provide excellent experience in acute medicine.

Most IMT programmes rotate through the more common acute specialties such as cardiology, respiratory medicine, gastroenterology, diabetes & endocrinology, and geriatric medicine; while others offer experience in smaller specialties such as oncology, renal medicine, stroke medicine, and neurology.

Many rotate between teaching hospitals and neighbouring general hospitals; for example, trainees at Addenbrookes Hospital may spend time at West Suffolk, Hinchingbrooke, Peterborough, Bedford or Papworth Hospitals.

Trainees at the Norfolk and Norwich Hospital may rotate through Queen Elizabeth or James Paget Hospitals.

In both the IMT and ACCS Programmes, we will place trainees where they wish to be, whenever possible.

However, some rotations are more popular than others, so a small minority might not be successful with their first choice.

The NHS England East of England School of Medicine sponsors and coordinates teaching throughout the region.

This includes MRCP PACES training, simulator training and free access to the Royal College of Physicians' Medical Masterclass for all trainees.

The East of England is a popular place to live and work, and many of our trainees choose to stay and go on and successfully apply for consultant posts in the region. It comprises some of the sunniest and warmest areas of the UK with beautiful coastline, beaches and stately buildings. It is home to world-famous academic institutions such as Cambridge University and hospitals such as Addenbrooke’s and Royal Papworth. The region is very well served throughout by road, rail and air links to the rest of the country, as well as internationally.

There are many leisure opportunities in our cities and towns. Schools are consistently rated as some of the best in England and the deanery is keen to provide some of the best and “family friendly” training opportunities.

For further information, please contact: [email protected]