This document describes the way in which part-time trainees can work in the Paediatric Training Programme in the Oxford Deanery. It aims to inform trainees about LTFTT and to cover some of the pitfalls and problems which LTFT trainees can find to be obstacles in their way. It also explains that LTFT trainees are required to undertake a training programme similar to that of full time trainees.
Please also read the document “Doctors in LTFT Training; Principles underpinning the arrangements for LTFT training” which is produced by NHS Employers, and is the latest guidance on training part-time. For recent information about overcoming barriers to part-time working, see also the report from the Medical Women's Federation and the Government Equalities Office "Making Part-Time Work"
Dr Shveta Chana is the training lead on LTFT training in the School of Paediatrics, one of the consultants in Milton Keynes . (firstname.lastname@example.org) She is the first person to contact to discuss any aspects of LTFT training.
How to apply for LTFT training
As soon as you are considering training LTFT, you should arrange to meet with the Associate Dean for LTFT training, currently Dr Rebecca Mather (contact details below). If you are expecting a baby, then you need to meet her before you go on maternity leave in order to discuss the available options for your return. This will not commit you to LTFT training, but will be helpful when you make your decision about how to return to work.
If you decide on LTFT training, then the Associate Dean has to confirm your eligibility according to the rules set by the BMA, NHS employers and the Deanery.
You then need to discuss your options for starting in a LTFT post with one of the Training Programme Directors (see Who’s Who in LTFT Training below). Please give them as much notice as possible of your intentions. Please note that it is not likely to be possible to return to work LTFT at times other than the usual rotation dates of the first Monday in March and September.
How the training programme Is organised:
LTFT Trainees within the Oxford Deanery in Paediatrics are expected to work in the same types of post as the full-time trainees. They will be expected to move around the Deanery in the same way as full-time trainees, and will be expected to compete on the same basis as full-time trainees whenever competition is necessary for posts within the rotations.
All trainees in posts at ST 1-5 who wish to train LTFT will be matched with a slot-sharing partner and will be expected to job-share. Each doctor will be able to work at 50-60% of full-time with pro-rata on-call commitments of the full-time trainees.
If there is no partner who can slot-share at that particular time, it may be possible to arrange that the LTFT doctor can work part-time in a full-time slot. This would obviously be at the discretion of the particular Paediatric Department.
If there is no slot-share partner and it is not possible to place the LTFT trainee in a full-time post, then trainee may be able to return to work LTFT for a short period of time in a supernumerary post, until a slot-share again becomes possible. This will only occur if there is a vacant supernumerary post.
If there is no possible slot-share, the trainee cannot be placed in a full-time post, and there is no vacant supernumerary post, then the trainee will not be able to return to training until one of these posts again becomes available. The Training Programme Directors will obviously try to ensure that this is as soon as possible, but trainees need to appreciate that they may have to wait for a post.
If the trainee prefers not to wait for a post under these circumstances, then they could opt to return full-time after giving at least 3 months notice of their intended date of return.
Supernumerary posts will only be used in the following circumstances:
LTFT trainees wishing to train in a specialty post where there is no slot-sharing partner
LTFT trainees with significant illness or other difficulties meaning that they are unable to train in a slot-share post
LTFT trainees at ST1-5 who do not have a slot-share partner for a short period of time
There are only 6 funded supernumerary posts agreed for Paediatric training at any one time, and so there may be some delay in being given a supernumerary training post.
These will be given to the trainees who fulfil the criteria in order of priority, as decided by the Training Programme Directors, in discussion with the Associate Dean for LTFT training. If there are too many trainees for the number of posts, trainees who fulfil the criteria will be placed on a waiting list within the Paediatric Department held by the Training Programme Directors, and will be offered supernumerary posts in order of training priority.
If there is no vacant supernumerary post for a trainee in the above circumstances, then the LTFT trainee will have the option of either:
remaining in a slot-share in a non-specialty post until the post becomes available
returning to full-time work after giving three months notice of their intention to do so
Choice of posts:
Every specialist/specialty registrar in paediatrics (whether full-time or part-time) is offered as much choice as possible in their training programme.
LTFT trainees are expected to train in exactly the same way as full-time trainees and have no priority over particular posts.
At ST6 all trainees will be offered the option of specialist training within Oxford for 18 months - two years. Because of the popularity of some posts, it may not be possible to accommodate every trainee in the specialty of their first choice. Trainees will all be asked for their preferences for allocation of posts for the September in Feburary –March.
An attempt is then made to accommodate all trainees into their choice of post. If there is competition for posts, there will be competitive interviews including full-time and LTFT trainees. Ranking of candidates will determine whether two LTFT trainees are offered a job-share of the full-time post (if ranked 1 and 2), or whether a full-timer and a LTFT trainee can be accommodated in a full-time and a supernumerary slot (if ranked 1 and 2). Details will vary according to each post or specialty.
Approval of posts:
All posts now have approval from the GMC for training, for both full-time and part-time trainees.
However, each trainee in a slot-share will need to demonstrate that the 60% post which they are working in contains an equal amount of the clinical activity and the on-call. This will require discussion of the individual job plans with the supervising consultant.
We hope that you will enjoy your training with us. If you have any problems then please do contact one of the relevant people to discuss them.