Less Than Full Time Training (LTFT)

Less Than Full Time Training

As a speciality, Anaesthesia has a very positive approach to LTFT training. The Welsh School of Anaesthetics has a strong history of support for LTFT training and up to 30% of our trainees at any one time train and work on a part time basis. We recognise this may increase further in the future and we aim to work hard at integrating part time working with the full time workforce in accordance with the NHS Employers guidance document Doctors in Flexible Training

LTFT training is open to all anaesthetic trainees in Wales, who have well founded reasons which prevent them from working full time.

In order to apply for LTFT, a trainee must already be in a post or be appointed to that grade in open competition. Eligibility criteria will include:

  • Being the parent of a young child
  • Caring for an ill or disabled relative
  • Having a disability
  • Having a health problem

HEIW also support trainees who wish to pursue LTFT training for additional or personal reasons - please discuss with the School LTFT Advisor and your TPD.

Less Than Full Time Training

LTFT training provides the same range of experience and education as full time posts but obviously takes longer to fulfil the educational requirement of the curriculum as set out by The Royal College of Anaesthetists. LTFT trainees are expected to work pro rata a percentage of the full timer workforce, including weekday and weekend days and nights.

In Wales, we have been at the forefront of the integration of part time and full time working and have large numbers of LTFT trainees in a range of slot shares and reduced hours posts. Trainees usually work at either 60 or 70% of full time. This gives them enough clinical exposure to progress in training while still maintaining their work life balance. Posts are usually allocated based on the rotation the trainee was appointed to and may include placements in North and South Wales.

Application for LTFT training in Anaesthetics is via HEIW website. Application forms are available to download from the website and can be found at the bottom of this webpage. You MUST apply at least 6 months before the planned start date. Applications need to be discussed with the Training Programme Director, the LTFT adviser in Anaesthetics and with the College Tutor of the department where the trainee is in post. A flow diagram in the information pack indicates the steps required before the LTFT trainee takes up their post.

Once eligibility has been assessed and LTFT training is approved the trainee will be required to fill out a LTFT training plan. This will include a job plan looking at the structure of their working week and on call commitments. It should include attendance at regular teaching sessions appropriate to their grade. LTFT trainees are expected to progress at a pro rata rate compared to their full time colleagues and take exams at appropriate times. They will be assessed at yearly intervals by the ARCP process to ensure they are progressing satisfactorily.

LTFT training has worked well in Anaesthesia in Wales with many trainees progressing to both part time and full time consultant posts. Trainees have moved both in and out of LTFT training as their career, family and other needs have changed. The Wales Deanery has won awards for its family friendly policies and in Anaesthetics we are always happy to discuss with individuals the option for LTFT training.

Contact list

Dr Liz Boucher,LTFT Lead, elizabethkaty.boucher@wales.nhs.uk
Dr Libby Duff ST Training Programme Director, dufftpd@gmail.com
Dr Graeme Lilly CT Training Programme Director, coretpdanaesthesiawales@gmail.com
Tracey Shellard LTFT Officer Deanery: HEIW.FlexibleTRG@wales.nhs.uk

Less Than Full Time Training (LTFT) Webinar & Pre-Webinar Material

LTFT webinar recording 22nd April 2021
LTFT training: the TPD perspective by Dr Libby Duff
LTFT training and the role of the RCoA by Dr Caroline Evans
Rotas, pay and returning to work by Dr Elizabeth Boucher
Return to work course by Dr Gemma Phillips

Returning to Work

Returning to clinical anaesthesia following a period of absence e.g. maternity leave, prolonged sick leave or out-of-programme research/experience can be particularly stressful. The School has supported the development of a number of measures to make the process as seamless and supportive as possible. It is essential that trainees meet with their ES prior to embarking on a prolonged period of leave to discuss plans for staying in touch. Use of KIT days, attending a 'Return to Work' study day and setting a target date for meeting the designated return to work advisor before the actual return to clinical duties to go through an educational checklist are areas that would be discussed.

Please contact Gemma Phillips for details of the next RTW Course - gemmaphillips@doctors.org.uk

Further information on LTFT training and support when returning to work can be found within the documents below: