Less Than Full Time Training (LTFT)

Less Than Full Time

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 40% of our trainees at any one time train and work on a part time basis. We recognise that the demand for LTFT working is increasing each year.

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.

LTFT training is open to all anaesthetic trainees in Wales. 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 include:

  • Being the parent of a young child
  • Caring for an ill or disabled relative
  • Having a disability
  • Having a health problem
  • Wellbeing or personal reasons for an improved work-life balance
Less Than Full Time

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.

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. HEIW introduced a new LTFT pilot policy in October 2022. The new policy clarified the eligibility criteria, removed the requirement for renewal of LTFT paperwork between placements and the introduction of application windows to support the process in a fair and transparent way.

Applications must be submitted in the following windows for the next training year:

  • For start date Aug 2023 - Feb 2024 - window of application 1st -28th Feb 2023
  • For start date Feb 2024 - July 2024 - window of application 1st - 31st Aug 2024

Only crisis applications will be considered outside of this timeline and an exemption form will need to be completed and discussed with your TPD.

Newly appointed posts will need to make applications within 10 days of their post offer.

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. 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.

Additional advice for those embarking on maternity leave is also available on this link to North West Deanery Gasmummy.

Contact list

Dr Liz Boucher, LTFT Lead for Anaesthesia, elizabethkaty.boucher@wales.nhs.uk
Dr Sonia Sathe, LTFT Lead for ICM, sonia.sathe@wales.nhs.uk
Dr Nia Williams, LTFT Lead for Anaesthesia in North Wales, nia.williams@wales.nhs.uk
Dr Jade Loughran, LTFT School Trainee Representative, jade.loughran@wales.nhs.uk
Dr Graeme Lilley Stage 2/3 Anaesthesia Training Programme Director, coretpdanaesthesiawales@gmail.com
Dr Mike Adamson, Stage 1 Anaesthesia Training Programme Director mike.adamson@wales.nhs.uk
Dr Bethan Gibson, FICM Training Programme Director, bethan.gibson@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 Training

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.

The next Return to Clinical Anaesthesia course will be held on 8th February 2024 at UHW. Please contact Dr Gemma Phillips to book or for further information. Gemma.Phillips3@wales.nhs.uk

Further information on LTFT training and preparing for prolonged leave can be found within the documents below: