Transcript Document

Less Than Full Time (LTFT) training
for foundation doctors
Christine Bridge
STFS Manager
South Thames Foundation School
www.stfs.org.uk
Overview
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What is LTFT / Flexible training?
Who can apply?
What are the categories?
How to apply – HE KSS & HE SL
How do placements work?
Funding
Approval of programmes
What are the pros and cons?
Advice for foundation doctors
South Thames Foundation School
www.stfs.org.uk
What is LTFT training?
LTFT (HEKSS) or Flexible (HESL) training is available for
doctors and dentists who are unable to work and train full
time for “well-founded” reasons.
The scheme allows doctors to work less than full-time in
posts that are fully recognised for training.
South Thames Foundation School
www.stfs.org.uk
Who is eligible to apply?
Category 1
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Disability or ill health - this may include
those on in vitro fertility programmes
• Responsibility for caring for children
• Responsibility for caring for a sick or
disabled partner, relative or other
dependant
South Thames Foundation School
www.stfs.org.uk
Category 2
• Unique opportunities for personal /
professional development
• Religious commitment involving
training for a particular religious role
with a specific time commitment
• Non medical professional development
(law, fine arts, complementary therapies)
• Other well founded reasons
South Thames Foundation School
www.stfs.org.uk
Approval priorities
• Category 1 applicants have priority
• HEKSS & HESL will support all Category 1 applicants,
subject to available funds and training capacity.
• Access to Category 2 is dependent on individual
circumstances and the availability of suitable training
placements.
South Thames Foundation School
www.stfs.org.uk
Application process - HE KSS
Application Form available from www.kss.hee.nhs.uk
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complete electronically, print and sign.
submit to LTFT Training Adviser at HEKSS
incl Equality and Diversity Monitoring Form
Curriculum Vitae (CV) – must be up to date
Supporting Documentation – if applying on the grounds of
either disability/ill-health or adult carer responsibilities
South Thames Foundation School
www.stfs.org.uk
Application process – HE SL
• email the Educational Resources team
([email protected]) with ‘Eligibility Form
request’ in the subject line and postal address in the body
of the email. Paper form will be sent in the post.
• Once deemed eligible an Approval Form is sent to the
applicant .
• Contact Foundation School Manager for additional
information needed e.g. educational approval for your
timetable.
South Thames Foundation School
www.stfs.org.uk
Types of LTFT Placement
STFS are responsible for the allocation of doctors to F1 & F2
programmes.
Where possible, slot shares are arranged by matching
trainees to posts based on geography, e.g. for those with
approved special circumstances.
Alternatively, in reduced
sessions placements.
South Thames Foundation School
www.stfs.org.uk
Slot sharing
• Two (or more) trainees share one full-time post and work
between 50-80%
• paid by the Trust as an individual trainee on the basis of
actual contracted hours
• they split out of hours between them
• The Trust receives funding in support of slot shares.
South Thames Foundation School
www.stfs.org.uk
How Slot Shares Are Funded – HE KSS
• HEKSS funding for slot shares currently provides the
employer with surplus funds as an incentive to support the
LTFT training placement.
• both trainees are paid for actual hours worked,
• subject to available funds, the employer will receive
additional reimbursement
• Funding covers the WTE of trainees in post plus a surplus
of 0.1 WTE to acknowledge the extra work involved in
hosting these arrangements.
South Thames Foundation School
www.stfs.org.uk
HE KSS Example
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Trainee A works 70% (0.7) WTE
Trainee B works 60% (0.6) WTE
Trainee 1 + Trainee B = 1.3 WTE
Trainee A funded at 1.0 WTE
Trainee B funded 0.3 WTE + 0.1 WTE (LTFT budget)
• Total funding = 1.4 WTE
South Thames Foundation School
www.stfs.org.uk
LTFT funding - HESL
Enquiries about the funding arrangements should be made
to the Finance Team of the LETB:
South London HEE
Email [email protected]
South Thames Foundation School
www.stfs.org.uk
Reduced Sessions in a full time post
• Doctor occupies an established full-time post but works
reduced hours, e.g. 60% wte.
• No additional funding as the post is already funded from the
Educational Contract.
• the employer retains the surplus funds to support the LTFT
arrangement at local level.
e.g. A trainee works 60% reduced sessions and Trust retains
40% surplus funds.
South Thames Foundation School
www.stfs.org.uk
Out of Hours
• LTFT timetable should give equivalent experience but
need not necessarily include exactly the same hours or
shift pattern of full-time trainees.
• Precise hours worked need to be negotiated and then
agreed with the supervising consultant.
• pro-rata evening, night and weekend work & include time
for handovers, annual leave
• Overall rota approval by STFS
South Thames Foundation School
www.stfs.org.uk
Foundation – LTFT Approval Form
The form should detail all rotations/posts within the
programme. NB unconfirmed rotations will not be approved
To be completed the form must be
• Signed by foundation doctor
• Approved and signed by responsible finance representative
at the Trust
• Approved for educational content by the Foundation
School Director
South Thames Foundation School
www.stfs.org.uk
Training Duration and Approval
Foundation training is time and competence based
Approval lasts for
- duration of each grade in HEKSS
- financial period in HESL
South Thames Foundation School
www.stfs.org.uk
LTFT Training
Trainee Pay & Funding Guidance
Trusts are responsible for establishing
pay and supplement levels for
LTFT Trainees where the Trust is the
employer of the trainee*.
- in line with the National guidance
‘Equitable pay for flexible medical
training’.
See http://kss.hee.nhs.uk/education-andtraining/specialty/support/ltft/trainee-pay-funding/
South Thames Foundation School
www.stfs.org.uk
Pay
• Basic pay calculated based on hours worked
• Intensity supplement
– Based on % of hours worked outside 7am and 7pm / at
weekends
South Thames Foundation School
www.stfs.org.uk
Extension needed?
If the approval is due to expire before the end of the training
date contact the LTFT Training Team for advice.
Eligibility may need to be re-assessed and an ‘Extension
Application Form’ may be needed.
South Thames Foundation School
www.stfs.org.uk
Locum Shifts
• Trainees should not normally be permitted to engage in
any other paid employment whilst undertaking flexible
training.
• However, there will be occasions when short notice
additional duties are required in order to deliver a service
to patients.
• In this case LTFT Trainees may undertake extra duties to
assist colleagues, as this is professional behaviour; this
should be the exception and not routine.
South Thames Foundation School
www.stfs.org.uk
Practicalities for foundation doctors
Advise STFS ASAP
– contact the Foundation School Manager
Decide a start date - allow 3 months for application process
Choose a WTE Whole Time Equivalent
• 50% 2.5 days
• 60% 3 days
• 70% 3.5 days
• 80% 4 days
South Thames Foundation School
www.stfs.org.uk
Organise your working week
• FIRST talk to the Foundation School Manager about
options
• Apply for Special Circumstances if required
• Contact your slot share partner asap. Meet up if you can!
• Decide on the days of the week you are each going to work
• Consider teaching , clinics, meetings
• Agree on how to split the Out of Hours
• Complete the LTFT training forms and get
them signed off
• Follow up the forms and keep copies
• Submit in good time!
South Thames Foundation School
www.stfs.org.uk
Rota & timetable
- requires negotiation between all parties!
Find out how many hours full-time trainees are contracted to
work per week and what they do. e.g. proportion spent
covering ward work, clinics, theatre, emergencies etc.
The hours of the full-time post must
be covered by a slot share
arrangement.
South Thames Foundation School
www.stfs.org.uk
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Pro’s
Opportunity to spend
more time with children as
they grow up / pursue a
special interest / fulfil
your caring role
Improved work / life
balance
Appreciate time at work
Slower pace
South Thames Foundation School
Con’s
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Training longer
Less pay
More difficult to become
integrated in medical team
Less continuity of care
Approval forms, splitting rotas
Pressure to manage same
training requirements as full time
trainees
Feel you are falling behind your
peers
Reduced confidence
Guilty you are not working on
days at home
www.stfs.org.uk
Working LTFT has many benefits!
For doctors, part time working can reduce exhaustion and
allow more enthusiasm for work and a better work-life
balance, and it will help to retain doctors in training who
might otherwise have been lost from the workforce.
Trainees’ tales of less than full time training
Authors: Rosa Topley, Gemma Ashwell, Jessica Webb, Alexandra Brightwell, Ros Roden, Oliver J Corrado
http://careers.bmj.com/careers/advice/view-article.html?id=20008522
South Thames Foundation School
www.stfs.org.uk
Working LTFT has many benefits!
Once you start training LTFT, try not to worry about falling
behind your peers in terms of career development. A medical
career needn’t be a rush to a final end point; it is an
important journey that may be as effective, perhaps more
effective, if taken at a slower pace.
Trainees’ tales of less than full time training
Authors: Rosa Topley, Gemma Ashwell, Jessica Webb, Alexandra Brightwell, Ros Roden, Oliver J Corrado
http://careers.bmj.com/careers/advice/view-article.html?id=20008522
South Thames Foundation School
www.stfs.org.uk
Tips on how to make the most of being a LTFT
• Be proactive
• Try to organise your working week to maximise you
educational opportunities and aid the department at busy
times
• Get involved in your department
• Try to be flexible
South Thames Foundation School
www.stfs.org.uk
HEKSS Specialty support team
[email protected]
Specialty Training Manager: Kevin Hand
Specialty Support Advisors:
Kent –Jackie Keith
Surrey – Joseph Okorafor
Sussex – Jessica Tollerfield
Contact telephone: 020 7089 7512
HESL Educational Resources Team
[email protected]
Contact telephone: 020 7862 8607
020 7862 8605
South Thames Foundation School
www.stfs.org.uk
Any Questions?
“A medical career needn’t be a rush to a
final end point; it is an important journey
that may be as effective, perhaps more
effective, if taken at a slower pace.”
South Thames Foundation School
www.stfs.org.uk