Foundation Doctor’s Guide to Leicestershire, Northamptonshire and Rutland (LNR)

Leicestershire, Northamptonshire & Rutland (LNR) covers the East Midlands from Northampton up through Kettering to Leicester. Its teaching hospitals include Leicester General Hospital (regional centre for renal medicine & urology), Leicester Royal Infirmary (maternity & paediatrics speciality centre) and Glenfield Hospital (regional unit for cardiac & respiratory medicine & large research unit).

Messly wants to help doctors make evidence-based decisions about their careers. We’ve put together a short guide to the LNR Foundation School to help you rank your rotation programmes. Below is a snapshot of hospital ratings and reviews from the Messly community of doctors together with information about the geography of the region. Sign up to Messly to learn more – we’ve got over 40,000 junior doctor ratings for you to explore.



Click on the hospital to see indepth reviews & GMC ratings on it’s specialties.


A Doctor’s View

“LNR is a small area in the East Midlands which obviously has its advantages and disadvantages. Advantages being you’re in the middle of the country so can get around easily. Trains to London take 1 hour to 90 minutes, with a direct route to London airport. There are plenty of fields, countryside and nice outdoor spaces nearby too. Some of the disadvantages are that you’re in the middle of the country. There isn’t that much of an urban scene in LNR. That said, all the junior doctors are in the same boat, so there is a real feeling of camaraderie and almost a ‘let’s make the most of this’ attitude, meaning you can always find something to do.

LNR imports Doctors from other areas, which means even with an average (or even low) score you stand a good chance of getting your top choices of jobs as the area is frequently undersubscribed. Also, LNR ensures everyone spends at least one year in Leicester, and the vast majority also spend time in DGHs such as Kettering and Northampton. There was a phrase in LNR that “if you can be an F1 in Kettering, you can be an F1 anywhere” and that’s probably phasing out now since the DGHs are getting electronic prescribing and trying to become more paper-free. But for the moment you still have to handwrite blood bottles and forms.

The local district hospitals are certainly very friendly. You mix regularly with your colleagues and seniors, which is extremely useful, welcoming and endearing. Most people absolutely love working at the DGHs even though they offer some challenges.

Fun fact: Leicester Royal Infirmary’s A&E is apparently the busiest in Europe. The specialities in Leicester are spread out across the hospitals e.g. Hepato-Pancreato-Biliary at one, Cardiology at another. This can make for interesting referrals, but ensures you learn a decent grasp of the specialities, no matter where you’re working.

I chose LNR strategically to get my top choice tracks, and it’s the best decision I’ve made. Definitely worth considering!”

Emily Sanders, Foundation Year 1 at Kettering General Hospital

Quick Reviews

  • Great support from all consultants. All consultants and registrars approachable. Good, challenging medicine.
  • One of the busiest A&Es in Europe, but wouldn’t say that’s necessarily a bad thing.
Top tips

Throw yourself in and show you want to be involved in stuff and you will be given more opportunity.

Foundation Year 1, Emergency Medicine – Leicester Royal Infirmary


  • Education value: abundance of cardiology pathology on the wards, and the potential to hone clinical management and cardiology physical examination skills.
  • Workload: high. Supervision: variable; depends on other commitments of supervisor (non-interventionalists may be best option; interventionalists have to divide up other commitments beyond their major investment in spending time in Cath labs) Clinical experience: variable; excellent pathology but service requirements can overwhelm one’s capacity to take full advantage of the learning opportunity each patient provides. Education value: there are some really brilliant clinicians, and interfacing with them can be very productive. Opportunity for such interface is limited by service pressures.
Top tips

Give 100% effort and encourage your colleagues to do the same, and insist upon or rather demand returns for your hard work, in the form of bedside teaching to hone clinical skills, mandatory exposure to Cath lab (PCI), pacemaker placement, and at least elective exposure to other available procedures, such as TAVIs and ablations.

Foundation Year 2, Cardiology – Glenfield Hospital


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