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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(?).

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  • 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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'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

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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.
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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.
Read the full guidance via our LTFT homepage