1

Responsibility for caring for children

Responsibility for caring for children

• Expiry Until youngest child is 18 years’ old

You will need to confirm the anticipated or actual date of birth of your youngest child on the application form. (Please note you do not need to continue to re-apply upon each period of maternity leave, eligibility is automatic until your youngest child is 18 years old).

2

Health related reasons

This may include ongoing medical procedures such as fertility treatment.

• Expiry is until end of programme

• Must include a letter from your 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.

3

Direct carer for ill/disabled partner, relative or dependant

• Expiry is Until End of Programme

• You must include a letter from your GP or Medical Specialist involved in the care of your partner / relative / dependent which includes:

  • Level of care anticipated that you 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.

4

Other well-founded reasons (options):

• Welfare and wellbeing

• Unique opportunities

• Religious commitment

• Non-medical development

• Flexibility for training and career development

• Other

• Welfare and wellbeing – There may be reasons not directly related to disability or ill health where doctors in training may benefit from a reduced working pattern. This could have a beneficial effect on their health and wellbeing (e.g. reducing potential burnout).

• Unique opportunities – A doctor in training 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).

• Religious commitment – A doctor in training 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.

• Non-medical development – A doctor in training 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.

• 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

• Expiry is Until end of programme or a request to increase hours is approved

• Further details textbox to support the selected reason and nature of the request

1

Postgraduate Doctor in Training

• Review LTFT guidance on the HEE SW 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 (HEE SW 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

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

Given the new policy to extend flexible training, there has been a large number of applications and it has meant that the categories no longer exist. This in turn has made the triaging of applications almost ad-hoc and unmanageable when it comes to prioritising the processing as and when the applications are received based on the reasons. E.g. there is no Local process to prioritise the processing of Childcare/Disability/Health reasons applications over wellbeing ones.

3

It can take significantly more time where applications are submitted with less than 12 weeks notice to process due to approval required from Trust in Y&H process. This may require chasing the Trust who are also operating within their own constraints.

4

Y&H uses Tracker 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.

5

There isn’t always an opportunity in the Y&H process for trainees to be discussing with the Trust directly regarding their ability to accommodate for LTFT for a rotation, as the trainee may not be at the specific Trust they are going to be rotating yet where they intend to train as LTFT.

6

Y&H has a extensively documented process with Trainee, Associate Dean and Postgraduate Dean involved, preparing cases statements, with timescales made aware to the parties involved. However, in practice, this has not yet happened as there have been no rejections yet.

1

Approval

• Trainee

2

Rejection

• Trainee

3

Appeal procedure

• Trainee