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Here you'll find quick answers to common questions and scenarios faced by LTFT trainees and their clinical supervisors, plus links to training and peer support via a dedicated supervisors' WhatsApp group(?).​  Copyright add here: 
EMPHASISE keep open and honest channels of communication with the trainee and to seek advice if unsure
Intro blurb.... 
Key people: 

Debbie
Jon ? Is he still FTC, if not still as DME
Clare Smith as RFT SuppoRTT Champion (add to other page)
Medical Workforce-Chelsea
Deanery Email, Assoc PG LTFT Dean, SuppoRRT team, FTC Network
THE TRAINEE!!!!
Support for supervisors: 
Flow chart: future WhatsApp: local, regional, national structure. 
  • If working at a LTFT % then a trainee works that % of ALL types of shifts. Eg. 60% of days, long days, nights and weekend.
  • So-called “zero Days” are not attached to a particular shift but are to make rotas compliant so these may not line up directly to FT zero days. This will need to be calculated on an individual basis.
  • Unless agreed, a day/long day/twilight shift should not be rostered onto a non working day in a fixed shift pattern.
  • Those on a fixed shift pattern can start OR finish a shift on a non-working day, but not both.

Read the full guidance via our LTFT homepage
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Worked examples; Common scenario situation issues: common queries raised by LTFT trainees: 
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​​'Fixed days' negotiation +/- job share​
  • Have open and honest discussion with trainee
  • Discuss when ES/CS activity is
  • Explore their current/proposed working pattern (being mindful that this may be caring responsibilities, for health reasons etc)
  • Aim for mutually acceptable compromise
  • If this isn’t possible, raise with Flexible Training Champion in good time before the start of the placement ??? Copy trainees into correspondence.
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Study leave on non-working days (KS scenario)
  • ​The trainees submits the request prospectively for study leave via the usual channels
  • This is usually to the ES for approval
  • If the study leave is granted, the trainee must be compensated with time off in lieu (TOIL)
  • This is a contractual.
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Bank holidays, leave & pay​
  • If unsure, queries about bank holidays, leave and pay should be directly to HR/Medical workforce in the first instance who have working knowledge of local and national policy.
  • Support with this may be available locally via Flexible Training Champions, trade union (eg. BMA) LTFT representatives.
  • Link to BH calculator: for info 
  • Explanation of pro rata BH and how that is calculated as an example then direct queries to HR for clarification

​TOIL, contractual requirement
Trainees can start or finish on a Non WD but not both. When fixed working days are agreed, they are fixed. Trainees can work a non WD if this is mutually agreed. It is NOT the responsibility of the trainee to “cover” or “swap” shifts that fall on Non WDs. Can’t be rostered to work it without trainees permission. If induction falls on a NWD, can take TOIL or pay.
If “long day” but finishes by 9, doesn’t attract extra pay therefore is treated like normal day therefore can be booked as leave
If paternity leave taken (planned or unplanned), trainees do NOT have to “swap” or cover these shiftfs themselves
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Protection of non-clinical time
  • ​Admin/SPA/audit time given to FT trainees should be given pro-rata to those LTFT.
  • In protection of non-clinical time-to be pro rata
    Also ARCP remains an annual event BUT requirements for the ARCP are pro rata
    Grace period at the end of training is NOT pro rata

Leave for co-parents/shared/adoption/maternity
Read the full guidance via our LTFT homepage
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NHS Networks resources: contact xxx for login: outline resources available..... 
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'Highly recommended for completion by all Educational Supervisors, Training Programme Directors, Heads of School and any person who has/may have supervisory responsibility for a LTFT trainee'. 

​Health Education England e-Learning for Healthcare (HEE e-LfH) has developed a 20-25 minute e-learning session for Educational Supervisors of LTFT trainee doctors.  The session aims to equip healthcare professionals with the knowledge and skills to effectively supervise a LTFT trainee and raise awareness of the supervisors' responsibilities.

It covers: Your duties as a supervisor of a LTFT trainee under the Equality Act 2010; The implications of LTFT training in relation to Certificates of Completion Training (CCT) dates, Annual Reviews of  Competence Progression (ARCPs) and training extensions; What LTFT training is and reasons why trainees may wish to apply; the benefits of LTFT training; How LTFT training is arranged and the different types of post arrangements available. 

Access at: http://portal.e-lfh.org.uk/Component/Details/473676 (If you already have an account with e-LfH you can log in at this stage to access the content. Otherwise please register for an account using your work email address). 

Further information and support at: https://heeoe.hee.nhs.uk/faculty/less-full-time-training-ltft/ltft-e-learning-supervisors