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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.

Application Windows 2022 - 2024 for Y&H

(TBC)

Rotation Month

LTFT Window

PG Dean Sign Off deadline

Confirmation to Trainee Deadline 

TPD Deadline

ES Deadline

GP Scheme Mgr. Deadline

LTFT Reasons

All employees have a legal right to request flexible working – not just parents and carers. Therefore, all doctors in training can apply for LTFT training and section 3.123 of the Gold Guide provides a list of illustrative examples for requesting LTFT training

Reason selection

Circumstance

Supporting documentation

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. - TBC

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

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).

How is the nature of request captured?

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?

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.

How is the nature of request captured?

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.

How is the nature of request captured?

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:

  1. Pre-application Stage: 18 to 16 weeks or earlier, where a trainee discusses with their TPD / Foundation TPD / GP Scheme manager and “in principle” a post is agreed in order for them to apply to train as LTFT. Obtaining signatures from all parties on their PDF form.

  2. LTFT Application Submission Stage: With at least 16 to 14 weeks application submitted to HEE EOE

3.1 Work Pattern, payroll changes and Start date agreement negotiation with Trust stage, following approval of their application, typically around 8 weeks prior to commencing LTFT - TBC?

3.2 Appealing the decision stage, where their application was rejected, typically 8 weeks before commencing - TBC?

  1. Trainee Commencing their training on LTFT basis

As-Is end-to-end LTFT process for Yorkshire & Humber

(TBC)

As-Is Approval Processes for LTFT applications for various Reasons

(TBC)

Application Numbers Feb 2022 to Aug 2023

(TBC)

Pain Points in the process

No.

Pain Point / Area to improve

Comment

1

2

3

4

5

6

7

8

9

10

LTFT Email templates

These are the email templates managed by specialty teams and LTFT Admins that are sent to trainees in the relevant events - (TBC)

Email Template

Body / Content

Approval

Rejection (insufficient evidence)

Rejection – application not made within window

Rejection- include appeal procedure

Documents

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Application Form Fields

(TBC)

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