Applying for LTFT


Eligibility for LTFT Training

Training LTFT can be considered in the following categories, as described in the Gold Guide:

Category 1: Those doctors in training with:

  • disability or ill health. (This may include ongoing medical procedures such as fertility treatment.)
  • responsibility for caring (men and women) for children
  • responsibility for caring for an ill/disabled partner, relative or other dependent

Category 2:

  • Unique opportunities including personal reasons, professional development, religious
    commitments, etc.
  • In practice trainees in category 1 usually take priority over trainees in category 2; although any application can be considered by a HEE local office. Requests to undertake LTFT training cannot be guaranteed and will be dependent on the capacity of the programme. 

Application for LTFT Training

And anyone wishing to train LTFT has to first obtain a National Training Number (NTN) in open competition with all other applicants at National Recruitment. Once successful, the trainee can then apply to LTFT training by approaching the appropriate HEE local office, NES, the Wales Deanery or NIMDTA, to where they have been appointed. Each local office will have a LTFT policy and application process, as per the attached flow chart. Trainees wishing to apply to work LTFT are advised to apply at least 6 months before they wish to work LTFT. 

The normal process for acceptance to LTFT training will include the following stages:

  1. All trainees can apply for LTFT training either at the point of application for entry to specialty training or at any time once they have been accepted into specialty training. 
  2. Trainees must inform their College/Faculty of their arrangements for LTFT training and ensure their TPD or Head of School is aware.
  3. Approval of the training plan will normally be given for the duration of the placement but will be subject to annual review. Therefore each LTFT trainee needs to resubmit approval from their local lead in HEE, NES, the Wales Deanery or NIMDTA, for their training post every 12 months, or whenever the post is changed. And to be aware that this process can take a few weeks to finalise.
  4. LTFT trainees who wish to increase or decrease their working should discuss this request with their HEE local office identified LTFT lead and with their TPD. 
  5. LTFT trainees who wish to revert to full-time training must contact their TPD and relevant local office LTFT training lead. And they will be able to revert to FTE training only when a suitable placement is available. A suitable full-time placement may not be immediately available, and will depend on the current LTFT arrangement for that trainee and the specialty programme. The relevant LTFT training lead in HEE, NES, the Wales Deanery or NIMDTA must be informed of the planned start date for a return to full-time training.
  6. The administration of an application may take up to three months and applicants must not expect to be placed immediately. The inability of HEE, to find a post at short notice should not be taken as a refusal of LTFT training; an individual’s needs and expectations must be considered in the context of educational standards and service capacity, and as a result, LTFT training cannot always be guaranteed.
  7. If a trainees’ circumstances change suddenly, and they desire to work LTFT as short notice, they would need to discuss with line manager any appropriate actions such as special leave, as well as applying for LTFT.
LTFT process