Acute Common Care Stem (ACCS) guidance for LLP users
The Acute Care Common Stem (ACCS) is a core training programme for doctors managing acutely unwell patients. It is the only route into Higher Specialty Training (HST) in Emergency Medicine and an alternative pathway for Anaesthetics and other approved specialties.
- Trainees collect evidence for each of the 11 ACCS Learning Outcomes through assessments, panel reviews, courses, and reflections.
- This will be a mix of workplace-based assessments (WPBAs), panel judgements (MCR/MTR/FEGS), e-learning, courses, reflections, and more.
The table below is taken from the ACCS website and denotes the training outline and requirements for CT1 and CT2

Below you will find a series of informational videos related to the ACCS curriculum. Please note that there are dedicated pages for Personal Activities, Personal Reflections, Personal Development Plans and the MSF which can all be accessed from our Help and Support section on the website.
Dr Ryan Moffat, TPD for the West of Scotland gives a detailed outline of the ACCS curriculum
Dr Ryan Moffat, TPD for the West of Scotland explains how to complete ACCS Supervised Learning Events, including HALOs
Dr Suzy O’Neill, TPD for the Northwest of England gives a detailed explanation of how the ACCS Milestones and Certificates work
Aviva Spiers, Product owner of the LLP demonstrates how to complete the ACCS MCR-MTR
Dr Suzy O’Neill, TPD for the Northwest of England gives a detailed explanation of how to complete an ESSR
Dr Suzy O’Neill, TPD for the Northwest of England gives a detailed explanation of how to complete a FEGS form
Below are some FAQs relating to the ACCS curriuclum:
You may have been put on the wrong curriculum by mistake when your account was initially set up so please make sure that we have assigned you the correct syllabus. If not, please complete the Curriculum change form below and we will amend your profile:
Curriculum change form for the Lifelong Learning Platform | The Royal College of Anaesthetists
Only Current Educational and Clinical supervisors will be able to access your profile and sign off forms assigned to them, so please ensure to always update your placement details when you change rotations.
The minimum number of feedback responses required to complete the MSF is twelve.