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This page outlines the data that have been collected from East and West Midlands Local Offices and validated at a workshop (2nd November 2023) to map their as-is business processes for Less Than Full Time Training.

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No

Stage of Process

Question

Responses / Comment

1

Discussion/Pre-approval Stage

What's your involvement in the Less Than Full Time application process?

2

Discussion/Pre-approval Stage

Which specialties do you cover in regard to discussions with trainees on LTFT? (GP, Specialty, Medicine, Foundation, PH) (GP, Specialty, Medicine, Foundation, PH)

3

Discussion/Pre-approval Stage

Do you get contacted by trainees who wish to change their LTFT arrangement, e.g. increasing or decreasing % WTE or returning FT?

4

Discussion/Pre-approval Stage

Do you have any involvement in slot-sharing arrangements discussion and with who?

5

Discussion/Pre-approval Stage

Do you have any involvement in Supernumerary post arrangements discussion and with who?

6

Discussion/Pre-approval Stage

Do you have joint conversations with Head of School / Educational Supervisor on LTFT applications?

Educational supervisor and TPD approves

TPD involves in informal discussion with trainee in case of rejection

TPD might get Head of School involve in discussion if the application is rejected?

7

Discussion/Pre-approval Stage

At what point in the process do you have the discussion with the trust?

I want to think at the pre-application on capacity, funding but not sure if rota is discussed at this stage

8

Discussion/Pre-approval Stage

How do you receive the application form to complete and sign? Is it from the trainee by email? Or brought to the face-to-face meeting and completed by hand?

Automated email after submission of application

9

Discussion/Pre-approval Stage

How do you come to a decision that the programme the trainee is on can be accommodated on an LTFT basis and the percentage WTE required to fulfil the requirements of the programme?

10

Processing/Approval

Once application has been fully approved and trainee made aware, are you notified?

Yes

11

Processing/Approval

Once approved, do you get involved in the implementation of the LTFT, e.g. negotiation of Rota?

12

Processing/Rejection/Appeal

What's your involvement if an application is rejected by the AD? (re-classification of reason/criteria discussion with the trainee and meeting with HOS. e.g. Health and Disability)?

Involve in Informal discussion with Trainee

13

Processing/Rejection/Appeal

According to GMC Gold Guide we understand that "3.124 All well-founded reasons will be considered. However, support to progress the application may be dependent on the capacity of the programme and available resources as well as compliance with relevant legislation relating to CCT requirements (paragraphs 3.118 and 3.119)."

  • How do you see this being implemented in practice to avoid any potential rejections?

  • What factors contribute to rejection following initial discussion with yourself (TPD) with the trainee?

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