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Comment: draw.io diagram "As-Is LTFT processes for Yorkshire and Humber" edited

This page outlines the data that have been collected from Yorkshire & Humber Local Office and validated at a workshop (7th 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

1

Disability or ill health

This may include ongoing medical procedures such as fertility treatment.

A letter from GP/ Occupational Health Consultant/ Medical Specialist which includes:

  • Nature of disability/health requirements for LTFT Training

It must be on letter-header paper or be from an official email address which can be validated. The letter should be dated within the past 3 months.

2

Caring responsibilities

Trainees (men and women) with caring responsibilities (e.g. for children, or for an ill/disabled partner, relative or other dependant)

  1. Trainee to confirm the anticipated or actual date of birth of their youngest child on the online application form. (No need to continue to re-apply upon each period of maternity leave, eligibility is automatic until their youngest child is 18 years old - TBC

  2. A letter from their GP or Medical Specialist involved in the care of their partner / relative / dependent which includes:

  • Level of care anticipated that they will need to provide

It must be on letter-header paper or be from an official email address which can be validated, dated within the last three months. - TBC

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.

How is the nature of request captured?

5

Flexibility for training / career development / opportunity e.g. development of a broad career portfolio

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).

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.

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.

6

Flexibility for non-training career development / opportunity e.g. non-medical activity requiring specific time commitment

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.

Applications relating to unique opportunities should be supplemented with written details of the unique opportunity, together with relevant letters of support.

7

Other

How is the nature of request captured?

How is the nature of request captured?

As-Is Processes

In trying to map the LTFT end-to-end process we came up with 4 main stages in the order in which they would occur namely:

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Actors in the process

No.

Role

Responsibility

1

Postgraduate Doctor in Training

  • Review LTFT guidance on the HEEYH website

  • Make an application with all information completed

  • Provide 16 weeks’ notice of intentions where possible

  • Meet with Training Programme Director, utilising the crib sheet

2

Training Programme Director (TPD)

  • Support the Postgraduate Doctor in Training

  • Meet with the Postgraduate Doctor in Training, utilising the crib sheet

  • Complete the TPD section of the application

  • Facilitate slot-shares where possible

  • Manage the rotation

  • Maintain a good understanding of the LTFT process

3

School Hub administrative team

  • Take oversight of the administrative process

  • Respond to queries from TPDs, Trusts and Postgraduate Doctors in Training

  • Ensure data quality to enable accurate reporting

  • Understand the LTFT process and relevant SOPs

  • Ensure website is kept up to date

  • Maintain all national and local documentation relating to LTFT

  • Save applications and supporting documents to file, adhering to HEE records retention policy

4

Medical Staffing (Trust)

  • Support the Postgraduate Doctor in Training

  • Enable LTFT where possible via the Rota Co-ordinator

  • Provide 8 weeks’ notice of the rota to the Postgraduate Doctor in Training (in line with Code of Practice requirements)

  • Have a basic understanding of the LTFT process

5

Flexible Working Champion/Guardian of Safe Working

  • Support the Postgraduate Doctor in Training at their place of work

  • Champion safe and flexible working within the Trust

  • Have a detailed understanding of the LTFT process

6

HEE Professional Support Associate Dean

  • Meet with the Postgraduate Doctor in Training, where applicable

  • Provide on-going support for Postgraduate Doctors in Training where health and caring responsibilities are impacting on their training

  • Have a detailed understanding of the LTFT process

7

Educational Supervisors

  • Be aware of the support available (HEEYH website, Trust contacts, TPD) to signpost ➢

  • Have a basic understanding of the LTFT process

8

Sponsorship Team in Yorkshire and Humber

  • Our role is to monitor HEE Sponsored Postgraduate Doctors in training and signpost for further/advice guidance

  • Where LTFT is concerned, our role is to ensure HEE sponsored doctors in training meet the minimum salary requirements for Tier 2/Skilled worker visas

  • Have a basic understanding of the LTFT process

9

HEE Deputy Postgraduate Dean

  • Review supernumerary funding requests

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