The West Midlands is a diverse, large region from Stoke in the north to Hereford in the South, Shrewsbury in the west to Rugby in the East. It encompasses the large cities and urban areas of Birmingham and the Black Country, Coventry and Stoke as well as the more rural areas of Staffordshire, Shropshire, Worcester, Warwickshire and Herefordshire.


  • University Hospitals Birmingham NHS Foundation Trust (Queen Elizabeth Hospital)
  • Heart of England NHS Foundation Trust (Birmingham Heartlands Hospital, Good Hope Hospital, Solihull Hospital)
  • Sandwell and West Birmingham NHS Trust (City Hospital, Sandwell Hospital)

Black Country:

  • Royal Wolverhampton Hospital s NHS Trust
  • Walsall Healthcare NHS Trust (Walsall Manor Hospital)
  • Dudley Group  NHS Foundation Trust (Russell’s Hall Hospital)

Hereford & Worcestershire:

  • Worcester Acute Hospitals NHS Trust
  • Hereford Hospitals NHS Trust

Staffordshire & Shropshire:

  • University Hospital North Midlands NHS Foundation Trust (Royal Stoke Hospital, County Hospital)
  • Burton Hospitals NHS Trust
  • Shrewsbury and Telford Hospital NHS Trust

Coventry & Warwickshire:

  • University Hospitals Coventry and Warwickshire NHS Trust
  • George Eliot Hospital NHS Trust
  • South Warwick NHS Foundation Hospital

Each zone has a slightly different style and environment, but all offer a wide-range of specialties and experience.

Trainees in Hereford and Worcester will have rotations linked to other rotations in Birmingham, Coventry and Warwickshire or the Black Country.

IMT has an extensive training programme for educational supervisors to ensure that all trainees get a good training experience.

There is a regional induction programme held on three days in August mainly for IMT trainees.

All trainees will rotate through 6 placements with a wide variety of specialities available. Trainees are normally allocated to a particular zone for their two years to reduce the need to move between IMT1 and IMT2 but inter-zone transfers are accommodated.

As well as regular appraisals, trainees are required to meet with their supervisors at least every couple of weeks for a one-to-one tutorial and review of progression with their IMT competencies.

There is an active quality control process in place that maintains and improves the quality of the educational experience and teaching sessions. Summaries of reports will be made available via the NHS England West Midlands website.

Each of the five training zones has a slightly different arrangement for IMT teaching. The teaching runs over a two-year repeating cycle, and includes days spent at the regional simulation training centre where both clinical and 'human factor' skills are developed.

Teaching equates to half a day per week. Teaching topics are coordinated across all zones so trainees are not disadvantaged by moving between zones.

There is a twice yearly IMT Conference that covers more specialized topics and presentation of QIP projects (spring conference).

All trainees have an MRCP plan developed and updated with their Educational Supervisor. PACES teaching is available locally and at a number of within region courses.

Procedural simulation training is made available to all IMT trainees and immersive, hi-fidelity simulation training is being developed for all IMT trainees.

Trainees have a £600 study leave budget available each year and 30 days of study leave each year (15 days of which are taken for the IMT training programme).

Training programmes in the West Midlands cover a geographically and culturally diverse part of the UK, including Birmingham, the Black Country, Staffordshire, Shropshire, Warwickshire, Herefordshire and Worcestershire. 

The West Midlands is located in the heart of England and has excellent transportation networks.