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Less Than Full Time (LTFT) Training in the Northern School of Anaesthesia

If you are thinking of training less than full time (LTFT) it is likely that you have other commitments or areas of your life you need to devote time to, whilst getting the most out of your training.  The NSAICM has a long tradition of valuing and supporting its LTFT trainees.  The School have a Training Programme Director (TPD) for trainees with differing needs, including those who train LTFT and across the region, each department has a lead Consultant for LTFT training.  We have a trainee representative for LTFT training and an active LTFT trainee group.  If you are interested you can find some frequently asked questions below.

More detailed information is available in the A to Z of LTFT training or contact the trainee representative.


Who can train Less Than Full Time?

Anyone holding an National Training Number can apply to train LTFT.  You need to be able to demonstrate that full time training would not be practical for you.  Requests normally fall into 2 categories

Category 1 – Those doctors in training with:

Category 2 – Those doctors in training with:

How do I apply to train LTFT?

If you would like to train LTFT please let your educational supervisor and TPD know.  Once the TPD has approved your request to train LTFT, they will contact Human Resources (HR) at the Lead Employer Trust (LET).  HR will then contact you with the relevant documentation to complete.  Once your application is accepted, the LET will notify you in writing and you should receive an amended contract of employment.  Please don’t forget to notify the training department at the RCOA – they need to know your percentage of work in order to re-calculate your CCT date.

What are my hours of work?

Trainees tend to work either 0.6 of full time or 0.8 of full time.  Full time trainees usually work an average of 48 hrs per wk.  Therefore, if you are 0.6, your hours are 0.6 x 48 = 28.8 hrs average per week, or if you are 0.8, this would be 0.8 x 48 = 38.4 hrs average per week.

What is my Pay Banding?

Anaesthetic full shift rotas band at FAF7 if you are 0.6 and FAF9 if you are 0.8.  You can look up your salary on the NHS Medical and Dental Pay Circular available online*.

Can I fix my days?

Most LTFT trainees work fixed days, but this is with prior agreement from the department you are working in.  Please speak to your departmental rota maker well in advance of rotating.  It may be worth bearing in mind that for certain modules, certain lists only take place on certain days.  If all the lists you need to complete are on days you do not work, then you may need to re-arrange your schedule to allow you to get the appropriate training.

Modular Training

All training modules should be adjusted pro-rata.  For example, if you work 0.6, one training year is 20 months.  If you work 0.8, one training year is 16 months.  Therefore, a 3 month placement full time would become a 5 month placement at 0.6 or 4 months at 0.8.

On call shifts

LTFT trainees should work the appropriate pro-rata proportion of the on call rota, ie. if you are 0.6 you should work 0.6 of the long day shifts, 0.6 of the night shifts and 0.6 of the weekend shifts that a full time trainee would work.  If you work more than your fair share of on call shifts, you will lose out on valuable daytime supervised lists.

Parental Leave (maternity/paternity/shared parental leave)

Information and relevant paperwork can be found at HEE NE website.  Before you go on parental leave please plan your return to work using the resources below.

Return to Work

All the information you need can be found in the documents below.  As well as contacting your educational supervisor, please contact the LTFT Consultant lead in your department as they will be able to facilitate your return to work.

Return to practice guidance

Pre-absence ES meeting paperwork

Return to work ES Meeting and review

LTFT Consultant Leads

Each Department has a lead consultant for LTFT training.  Their job is to support you within the department and many have personal experience of LTFT training.  Please get in touch with the relevant consultant prior to your start date in the department.  They will be able to assist you with planning your day to day training in the department and advise you regarding rota, annual leave, study leave, pay queries etc.  They are a valuable source of support if you are having any difficulties and will provide support for those returning to work following a prolonged absence.  Contact details for your LTFT lead can be found below:

Cumberland Infirmary – Dr Sally Eason

Freeman Hospital – Dr Joanne McCheyne

James Cook University Hospital – Dr Rebekah Thompson

Memorial Hospital (Darlington) – Dr Vaishali Nalawade

Northumbria – Dr Catherine Rafi

Queen Elizabeth Hospital – Dr Vanessa Nesbitt 

Royal Victoria Infirmary (Anaes) – Dr Karen Simpson

Royal Victoria Infirmary (ICM) – Dr Miriam Baruch

Sunderland Royal Hospital –  Dr Linda McGhee

University Hospital of North Durham – Dr Hannah Whinn

University Hospital of North Tees – Dr Ola Shalaby