Dr Geoffrey Wright
Associate Postgraduate Dean, Less Than Full Time (LTFT) Training
Returning to medicine after a career break?
Individuals who have been out of medicine and wish to explore a return to practice are welcome to discuss their options with the Associate Postgraduate Dean of Less Than Full Time Training Dr Geoffrey Wright.
How much am I expected to work?
A LTFT trainee will usually be required to undertake at least 50% of a normal working week. Day time working, on-call and out-of-hours duties should normally be undertaken on a basis pro rata to that worked by full time trainees in the same grade and speciality, unless the circumstances which justify LTFT training make this impossible, provided that legal and educational requirements are met. It is normally advised that a programme based on 60% of a full time post is drawn up.
Most trainees will work a total of 24-28 hours per week and will be in the F6 Band. The basic salary will be paid by the Strategic Health Authority and the intensity supplement by the Trust. Some trainees may work 28-32 hours (F7) but we expect F6 to be the norm.
A LTFT trainee’s programme should contain the same elements as that of a full-time trainee including departmental meetings, audit, research, teaching etc.
- The duration of training (eg until CCT) will be extended according to the number of hours worked.
If you are considering LTFT training because of a young family it is vital that you arrange comprehensive child care. This may not be cheap but it is an essential component of a stress free professional life (as stress free as possible!). Other LTFT trainees will be able to give you practical advice on obtaining child care.
What if I want to work more?
If you are already working at F6 as a LTFT trainee and you wish to work more hours, and the Trust wishes to pay the additional amount, the PGME is happy to support this, but Health Education England funding will only go up to F6.
Do I have to do on-call?
If the equivalent post has on call duties you will need to do approximately pro-rata on-call to the full timers. It may be possible to do a maximum of 6 months without on call if full timers are doing on call. If you have already undertaken and met the College educational requirements for on call/out of hours work during your training in your speciality, then whether or not you are required to do on call will depend on the service needs of the Trust within that post.
How much study leave and annual leave should I get?
Annual leave is calculated on a pro-rata basis. Study leave is allocated on a pro-rata basis.
Can I take time off in lieu?
Time recouped in lieu of work out of contracted hours is possible. For example if a trainee usually works Monday, Tuesday and Wednesday and attends a conference on Friday, they are entitled to claim back a day in lieu of study leave is they wish to do so.
What impact does maternity leave have on my CCT?
Sick leave and/or maternity leave up to a total of three months during the training programme is allowed without it affecting your CCT date. After this time, the CCT date will be put back by the relevant amount of leave taken.
Does it affect the incremental date?
The incremental date for salary increases remain annual for LTFT trainees, and does not become pro-rata per sessions worked. As with full timers this is not affected by time out of training due to maternity leave.
Can I do an interdeanery transfer as a LTFT trainee?
Individuals who are training LTFT can request an Inter Deanery Transfer (IDT) as can any other trainee. Funding is not usually available immediately, and trainees who need to move should do this in good time - at least six months in advance.
How is LTFT training funded?
Health Education England will fund the basic salary costs of LTFT trainees normally at the F6 Band. Trusts are responsible for intensity payments.
What if I want to return to full time training?
You may, at a future date, request to return to full-time training. To do this you will need to apply through the Programme Director and await the availability of a full-time vacancy in the programme. You will need to inform the Associate Dean (LTFT Training) and your Speciality Manager of your intentions.
Can I do the Foundation Programme as a LTFT trainee?
If you want to undertake LTFT training in the Foundation Programme then you need to complete the application form for LTFT training and also apply for the Foundation Programme as normal. It is advisable to discuss your intentions with the Foundation Programme Director. Once you have secured a place on the Programme, assuming you are eligible for LTFT Training, the Foundation Programme Director will work with you to identify a suitable training location.
Can I do the GP VTS as a LTFT trainee?
If you want to undertake LTFT training in the GP VTS then you need to complete the application form for LTFT training and also apply for the GPVTS as normal. Once you have secured a place on the VTS programme, assuming you are eligible for LTFT Training, the GPVTS Director will work with you to identify a suitable training programme.
What if my partner also wishes to apply?
When both partners (eg husband and wife) request LTFT training this should be made clear on the application form. A case for funding both partners would need to be made on the application form.
Eligibility would be determined by national criteria.