This is an arrangement that allows doctors to train in their specialty, when they would be prohibited from doing so on a full time basis, due to well-founded personal reasons. It allows the creation of a post that balances the educational needs of the trainee with the service needs of the employer.
This is an entitlement open to all NHS employers with 26 weeks employment who have caring responsibilities. The employer has to treat all such requests reasonably, but their primary issue may be the service and not the education needs of the trainee.
Normally, a LTFT trainee will work 50% or 60% or 80% of the working week. Daytime working, on call and out of hours will be undertaken on a basis pro rata to full time trainees in the same specialty and grade. 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 (e.g. until CCT date) will be extended according to the number of hours worked.
Previously LTFT trainees were not allowed to do any additional paid work. There has been a recent agreement that LTFT trainees can now undertake extra paid work. But this will need to be declared on your Form R at ARCP and guidance sought from their clinical and educational supervisor. Examples of acceptable additional work will include occasional additional shift due to unexpected circumstances.
If the equivalent post has on call duties you will need to do approximately pro-rata the on call to full time trainees. If there are health reasons that would prohibit such work, particularly in the case of suggested patterns of work in an occupational health report, you will need to meet with HEEYH faculty (TPD, Head of School, AD or Deputy Dean) to agree a bespoke placement.
Annual and study leave will be calculated on a pro rata basis.
As a LTFT trainee you still have to complete all the courses that a full timer has to do in your allotted whole training time, in order to achieve the required Work Placed Based Assessment (WPBA) competencies and other requirements for the specialty.
You need to acquire the same clinical and non clinical competencies, including psychotherapy competencies, as a FTE colleague over the whole course of your training. This may require you to take a larger proportion of your training time in any one calendar year, for you to be able to undertake your short and long case for psychotherapy and supervision in a timely way. This would mean that you will need to use proportionally less of a calendar training year for psychotherapy before or subsequent to that. This is best discussed with your College Tutor and clarified with your clinical supervisor.
Yes. The Gold Guide makes clear that trainees who work LTFT should have access to all the same training opportunities as FTE colleagues. Because this may require you to remain in a Higher Training post for more than a calendar year, in order to obtain 12 months WTE working in that specialty, this may need prior discussion and agreement with your TPD.
Time recouped in lieu of work out of contracted hours is normally possible. For example, if a LTFT trainee who works Monday, Tuesday and Wednesday attends a training day on a Friday, they should be able to claim a day in lieu of study leave. It would be important however to seek out local arrangements with your contractual employer on such matters in the first instance, to ensure service continuity, and certainly ahead of any planned work on days that you are not contracted to be in work.
Yes. But this will not be pro rata, but for a total time period of up to 6 calendar months, irrespective of the proportion of FTE that you work.
The incremental date for salary increases remains annual. It does not become pro-rata for sessions worked. As with full timers the incremental date is not affected by time out of training due to maternity leave.
LTFT trainees can apply for an Inter-deanery Transfer (IDT) in the same way as any other trainee provided they satisfy the requirements of the national IDT process. However, there is no guarantee that the new host HEE NES, the Wales Deanery or NIMDTA or local office will be able to accommodate LTFT in a slot at the time of transfer.
You may at a future date return to full time training. You will need to apply through your TPD and give 6 months’ notice. You may also need to wait for a full time vacancy to appear in the programme.
Trainees can seek advice for their TPD or College Tutor. In addition each local education office has a LTFT advisor. The College can provide additional advice through the Psychiatric Support Service (link here), and through the Specialty Training email help at: SpecialtyTraining@rcpsych.ac.uk.