This page outlines the data that have been collected from Thames Valley Local Office and validated at a workshop (28th of November 2023) to map their as-is business processes for Less Than Full Time Training.
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No. | Reason selection | Circumstance | Supporting documentation |
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1 | Disability or ill health | This may include ongoing medical procedures such as fertility treatment. |
The letter should be dated within the past 3 months. - TBC |
2 | Caring responsibilities | Trainees (men and women) with caring responsibilities (e.g. for children, or for an ill/disabled partner, relative or other dependant) |
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3 | Welfare and wellbeing | There may be reasons not directly related to disability or ill health where trainees may benefit from a reduced working pattern. This could have a beneficial effect on their health and wellbeing (e.g. reducing potential burnout). | Applications relating to personal choice and/or individual professional or lifestyle needs will be considered by the TPD. Whilst these applications are not subject to judgement, agreement is dependent upon service considerations. |
4 | Religious commitment | A trainee has a religious commitment that involves training for a particular role and requires a specific time commitment resulting in the need to work less than full time. | None - reason specified on the form |
5 | Unique Opportunities | A trainee is offered a unique opportunity for their own personal/professional development, and this will affect their ability to train full time (e.g. training for national/international sporting events, or a short-term extraordinary responsibility such as membership of a national committee or continuing medical research as a bridge to progression in integrated academic training). | None - reason specified on the form |
6 | Non-medical development | A trainee is offered non-medical professional development (e.g. management courses, law courses or fine arts courses) that requires a specific time commitment resulting in the need to work less than full time | None - reason specified on the form |
7 | Flexibility for training and career development | Flexibility for training and career development with the option to train less than full time with flexibility that might enable development of a broad career portfolio | None - reason specified on the form |
As-Is Processes for Thames Valley
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No | Stage of Process | Question | Responses / Comment |
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1 | Discussion/Pre-approval Stage | What's your involvement in the Less Than Full Time application process? |
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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) |
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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? |
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4 | Discussion/Pre-approval Stage | Do you have any involvement in slot-sharing arrangements discussion and with who? |
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5 | Discussion/Pre-approval Stage | Do you have any involvement in Supernumerary post arrangements discussion and with who? |
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6 | Discussion/Pre-approval Stage | Do you have joint conversations with Head of School / Educational Supervisor on LTFT applications? |
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7 | Discussion/Pre-approval Stage | At what point in the process do you have the discussion with the trust? |
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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? |
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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? |
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10 | Processing/Approval | Once application has been approved by HEE / AD and trainee made aware, are you notified? |
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11 | Processing/Approval | Once approved, do you get involved in the implementation of the LTFT, e.g. negotiation of Rota? |
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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) |
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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)."
| May not need to ask - See UR Question
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