Less Than Full Time Working


What is Less than Full Time (LTFT) Training? 
Less than full time training (LTFT) is when a Postgraduate Doctor in Training reduces their working hours below the standard 100% full time (40 hours per week) to a different percentage such as 60% or 80%. 
There are many reasons a Postgraduate Doctor in Training may choose to apply for LTFT training, and consideration must also be taken to look at the impact this will have on the training pathway and expected CCT.
The BMA LTFT information can be found here. 
Contact information for teams mentioned in the below information can be found at the bottom of this webpage.


How to Apply for LTFT Training  
All Postgraduate Doctors in Training are welcome to apply for LTFT training.

  • Already in training, please start discussions with your Educational Supervisor (ES) and Training Programme Director (TPD) in the first instance. Contacting your Programme Support Officer (PSO) is also required as they will need to be made aware of your request and can help you look at how your training pathway will change. 
  • Not yet commenced training and are at the Oriel application stage for the GP Training Programme, please include in your Oriel application that you would like to train LTFT. This will be communicated through to the GP School and the Lead Employer Trust (LET) before you commence your pre-employment checks. 
  • Currently on a period of extended leave (e.g. parental leave, long term sickness absence) and you are wishing to look at returning at LTFT, please make contact with your PSO and LET HR Officer to request this as soon as possible. 

The LET’s LTFT Training policy can be found here. Please read this for information on eligibility, application rules, notice periods and appeals. You must not start working LTFT until the LET have approved your application and you have been sent official confirmation of this. 


**Please note that it is your responsibility if on a visa to ensure that the LTFT percentage you apply for is supported by the visa type you are on**
Visa FAQ page here 


LTFT Percentages 
Please discuss the different options available with your ES/TPD/PSO and look to find a percentage that suits your personal and educational needs. The two most common LTFT percentages are 60% (24 hours per week) and 80% (32 hours per week). 


Non-Working Day(s)
It is not possible to allocate a fixed non-working day as part of the LTFT process. During the application process, you will be expected to liaise with your host placement to negotiate rota arrangements. During these negotiations, you may request a certain non-working day, however your placement are not required to grant this if they cannot support due to service or educational needs. Your LET HR Officer and Programme Support Officer will be able to provide further support and information should you require it.


Working Patterns
During the LTFT application process, you will work with your ES to draw up a template rota that will cover the required educational and clinical aspects of your training within your LTFT hours. This rota makes up part of the Stage 2 form and must be completed before the form is sent to your host placement for the rotational period. 
If working in a Practice, the form will be sent to the Practice Manager for sign off and you will receive a LTFT work schedule from the LET once your application is approved.
If working in a Hospital post, your form will be sent to the Trust’s HR/Rota team for them to sign off and create a work schedule. This is the point where you would be in touch with them to discuss any non-working days and working patterns. The GP School and the LET are not involved in the creation of this work schedule so please only contact the Trust directly for information on this. Once the Trust have finalised your work schedule, they will send it to the LET for salary input, who will then send it out to you. 
Please also see the 2016 Terms and Conditions of Service for further information on LTFT work schedules. 


If you wish to see an example of basic pay for a LTFT percentage amount, please contact LET Payroll. They cannot forecast future rota payments or enhancements, only a basic pay amount for the current ST rate applicable to you. This would show you the least amount of pay that you could expect for a particular LTFT percentage. 
As per the 2016 Terms and Conditions of Service a Doctor training LTFT and on the 2016 TCs contract will be paid an annual allowance of £1,000 for as long as they continue to train LTFT. This allowance will be paid in monthly instalments over the year.  Please read the TCs document as linked above for further information. 


Annual Leave and Bank Holiday Working
Working LTFT will impact your annual leave allowance and how you are affected by Bank/Public Holidays. Please see the LET policy here. For more information, please contact the LET HR Officer directly. 


Study Leave
A full-time doctor receives a study leave allowance of 15 days per 6-month post. From this allowance, days must be used for attending mandatory weekly teaching.
When working LTFT, your study leave allowance will be pro-rata to match your LTFT percentage:
  15/100 * LTFT %
e.g., if working 60% LTFT, 15/100*60 = 9 days
Please contact your PSO if you require any further information on how this works. 


Maximising Educational Opportunities whilst Working LTFT
You may find that working LTFT restricts training opportunities for some activities/meetings/clinics etc. that only fall on your non-working day(s). If this is the case, please work with your ES and CS to see if you can be flexible with your non-working day(s) on certain weeks in order to attend. It is recognised however, that you may not be able to move non-working days due to arrangements such as childcare. If you are worried about missing training opportunities, please speak to your ES/TPD/PSO for further support. 


Attending Mandatory Weekly Teaching
You will still be required to attend mandatory weekly teaching sessions, the number of teaching sessions that you must attend per rotation will depend on your LTFT percentage, the placement you are on and the sessions you have already attended. Please discuss this aspect of your training with your ES and PSO during the LTFT application process. 


Workplace Based Assessments 
If working LTFT, your e-Portfolio will be adjusted to account for this so please use this as your guide in relation to workplace based assessments (WPBAs). WPBAs will be pro-rata in relation to your LTFT percentage amount.
 In depth information can be found on the Royal College of General Practitioners website and you can also speak to your ES and PSO regarding this. 


Working LTFT will usually result in your ARCP being out of sync with the full-time cohort. This is not something to worry about and the ARCP panel members are used to scheduling and panelling out of sync Postgraduate Doctors in Training. If you are unsure as to the number of competencies you will need to have by your panel date, please speak to your ES and PSO to check well in advance of your panel. 


Impact on Expected CCT Date 
Going LTFT will change your expected CCT date and lengthen the amount of time you spend in training. To have your expected CCT date calculated, please contact your PSO. For queries relating to CCT date change and visas, please contact sponsorship@hee.nhs.uk directly.
If your LTFT application is approved, the LET will issue you with an extension to contract letter to ensure that your employment with them covers the duration of your training. 


Reduction in Membership Fees
Certain membership bodies offer a reduction in fees to LTFT Doctors, contact any that you pay for to ask if this is an option. 
GMC fee discount information can be found here. 


Continuation of LTFT Training 
Once approved for LTFT training, the LET will ask you to renew/review your LTFT arrangement every time you rotate posts. You will be asked to complete a new rota template with your ES per rotational period to ensure that your LTFT plan is meeting your educational needs. The form with the template rota is then sent to your upcoming placement for them to negotiate a working rota with you. 
Further information can be found in the LET LTFT policy, or via the LET HR Officer. 


Useful Contacts 

Programme Support Officers (PSOs)
Northumbria Programme: michelle.taberham@hee.nhs.uk 
North Cumbria Programme: emma.clarke@hee.nhs.uk 
Durham & Tees Valley Programme: chris.alderson@hee.nhs.uk 

The Lead Employer Trust 
HR Officer for North Cumbria and Durham & Tees Valley: bethany.manning5@nhs.net 
HR Officer for Northumbria: allison.wallwork@nhs.net 
Payroll: paula.peacock4@nhs.net 
Helpdesk: nhc-tr.lethelpdesk.ne@nhs.net