How the special circumstances policy works

Find out if you can be considered as an applicant with a special circumstance as a primary carer or medical condition/disability.


You can be considered under the special circumstances policy if you need to be in a certain geographical area because of one of the following:

  • you are the primary carer for someone who is disabled, as defined by the Equality Act 2010
  • you have a medical condition or disability, and follow-up for the condition in the specified location is an absolute requirement

Applying for special circumstances

We can only apply this policy if you have already indicated in your application form that you have special circumstances.

If you have ticked the special circumstances box, please complete the relevant request form and email it, together with the supporting evidence, to  This must be done after your application has been submitted and before the application closing date.

Supporting evidence

If you are a primary carer you must provide us with:

  • a written statement from a general practitioner or social services professional who you will have normally known for at least 6 months, confirming your role as primary carer for this person
  • the care plan
  • proof of current address e.g. driving license, utility bill dated within the last 3 months

If you have a medical condition or disability you must provide us with a report by the current medical specialist treating your condition or Occupational Health physician, in which they:

  • describe the current medical condition or disability describe the nature of the ongoing treatment and frequency
  • explain why the follow-up must be delivered in a specific location rather than by other treatment centres in the UK

You must also provide us with proof of address.

Your application will be reviewed by an eligibility panel and you will be notified of the decision by email. If you are dissatisfied, you will be notified of your right of appeal.

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Allocation for applicants with special circumstances

If your application for the training programme is successful and you have been ranked highly enough to receive an offer, and you have also been approved under the special circumstances policy, we will try to ensure as far as possible, that you are offered a post in your specified region.

We cannot guarantee that the offer will be with your first choice of employer, but we will do our best to accommodate your needs.  Our approach would be as follows.


Suppose you have to be within 20 miles of your home in ‘Camford’. You have applied for a training post in, say, cardiac science within that area. A post in Camford hospital cardiac department is available and you have identified it as your first preference. Another applicant, Miss A, has identified the same post as one of her preferences.


In these circumstances if you ranked higher than or equal to Miss A in the interview outcomes, you will be offered the Camford post. If Miss A ranked higher than you but does not have special circumstances, we will offer Miss A her next preference lower on her list, and we will offer you the Camford post.

However, there are some circumstances where we could not offer you the Camford post. For instance, if Miss A did not have a lower preference to fall back on.

Offers are allocated based on sub-preferences (where you choose your preferred combination of employers/locations). It is most important to select only employers/locations that you are willing to accept. Therefore, in the fictional example given above, you should not select anything more than 20 miles from Camford.

Last updated on 21st February 2022