1

Disability or ill health

This may include ongoing medical procedures such as fertility treatment.

• If you are requesting LTFT for health reasons, we require a copy of an Occupational Health or other medical report supporting the application

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)

1. If your reason for this request is responsibility for existing children, you will need to send a copy of their birth certificate(s)

2. If you are still on or about to go on maternity leave, confirmation of your eligibility under this criterion will be subject to receipt of the birth certificate when this is available

3. (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

4. If you are applying because you are directly caring for an ill/disabled partner, relative or other dependent we require a copy of a medical report confirming the needs of your dependents and that you are directly responsible for their care

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

1

Revised CCT end date is asked on the form, however, there are no Local Office resources available to support the trainee apart from the Royal Colleges guidance and calculator. This has to be manually verified before inputting to TIS.

2

Once approved, does it remain for the duration of the programme or until trainee decides to make a change by submitting an application? Until end of prog. Or new request to change. Sometimes it doesn’t get fed down. Which can have implication on their pay if the % is not reflected without paperwork.

3

There is no SLA published to trainee on expectation of dates on outcomes of applications

4

Applications applied too early are rejected and trainees asked to re-apply within application window. E.g. If a child is not born yet and an application is made on the basis of childcare, they are rejected and asked to apply after child birth.

5

Calculation of CCT for GP is done by the GP team Royal Colleges whereas in Specialty they are done by the admins team at ARCP. The reason GP moved to Royal Colleges was because of the amount of errors in calculating the data.

6

TV uses Local and National spreadsheets in order to support the processing of applications. Currently a Local and a National spreadsheet that have to be completed manually. This is an admin burden and prone-to-error practice.

7

TV has documented process with Trainee, Associate Dean and Postgraduate Dean involved in an appeal process, however, in practice no rejection insofar has reached to this stage following rejection.

8

The form is a WORD Doc and can be filled in manually or by using a Computer. It is an prone to miss filling in required information. It can also be time-consuming having to print, manually fill, scan and send to NHSE TV.