LESS-THAN FULL TIME (LTFT) TRAINING · 2020. 2. 5. · 3 | Page WHY? PAEDIATRICS. Highest number of LTFT trainees among hospital specialties - female-dominated specialty . Advantage:

LESS-THAN FULL TIME (LTFT) TRAINING

Marietta Pal-Magdics

Sarita Depani October 2019

2 | P a g e

CONTENT

WHY? Page 3-4 HOW? Page 5 WHAT? Page 6 PAY! Page 7-10 PRACTICAL TIPS Page 11 Disclaimer: This guide is up to date as of October 2019 – please always refer to NHS employers and BMA for up to date negotiations regarding the new contract. A detailed narrative is available via the Less Than Full Time Training video under Paediatric Return to Acute Clinical Practice (PRACP) Videos. https://londonpaediatrics.co.uk/current-trainees/returning-to-clinical-practice/pracp-videos/

3 | P a g e

WHY?

PAEDIATRICS Highest number of LTFT trainees among hospital specialties - female-dominated specialty Advantage: less stigma, easier to organise than in other specialties 1 CARERS – main reason for training LTFT is childcare but could be for other WORK-LIFE BALANCE LTFT Training is one of the Improving Working Lives (IWL) standards (NHS Policy 2002) 2

NEW - Enhancing Junior Doctors’ Working Lives programme (March 2016) addressed issues with significant negative impact on the quality of life of doctors in training 3-4

PURSUIT OF OTHER INTERESTS LTFT training is available to doctors in training who are unable to work full time for “well founded individual reasons”

(European Union Council Directive 93/16-/EEC 1993) 5

LTFT training = Flexible Training Referring to doctors within the Specialist Training System working reduced number of hours compared with full time trainees

4 | P a g e

Category 1 Category 2 !! NEW !! CATEGORY 3 Disabled or health reasons (including IVF)

Unique opportunities for own personal/professional development (training for national/international sporting events)

ANY ST1+ Paediatric trainee

Caring responsibility for a family member Religious commitment – training for a particular role which requires specific time commitment

Must discuss with current TPD before applying

Personally providing care for a child aged 18 or younger

Non-medical professional development such as management/law/fine art course Two windows for application – in line

with rotation dates 6 month’s notice period to all categories

!!NOTE NEW CATEGORY TO ANY PAEDIATRIC TRAINEE WHO WISHES TO TRAIN FLEXIBLY!!

Paediatrics LTFT Category 3 Guidance https://www.lpmde.ac.uk/training-programme/specialty-schools/paediatrics/opportunities-for-paediatrics-less-than-full-time-training-an-expansion-project-guidance?utm_campaign=LTFT+Trainee+letter&utm_source=emailCampaign&utm_content=&utm_medium=email 1https://www.gmc-uk.org/-/media/documents/NTS_Report_20173.pdf_72689147.pdf 2https://webarchive.nationalarchives.gov.uk/20110929223834/http://www.dh.gov.uk/prod_consum_dh/groups/dh_digitalassets/@dh/@en/documents/digitalasset/dh_4074065.pdf 3https://www.hee.nhs.uk/sites/default/files/documents/Mapping%20exercise%20FINAL.pdf

4https://www.hee.nhs.uk/our-work/doctors-training/enhancing-working-lives?utm_campaign=LTFT+Trainee+letter&utm_source=emailCampaign&utm_content=&utm_medium=email 5https://eur-lex.europa.eu/legal-content/EN/TXT/PDF/?uri=CELEX:31993L0016&from=EN

5 | P a g e

HOW?

APPLY FOR LTFT TRAINING VIA DEANERY WEBSITE

At start of LTFT training When changing number of sessions (increasing or decreasing) Returning back to full time

PLEASE ALSO NOTIFY YOUR TPD ABOUT THE NUMBER OF SESSION CHANGES!

CONTACT YOUR TPD ASAP (MINIMUM 6 MONTHS PRIOR TO COMMENCEMENT OF POST) Find your TPD in London: https://londonpaediatrics.co.uk/current-trainees/whos-who/

APPLY VIA DEANERY WEBSITE London: https://lasepgmdesupport.hee.nhs.uk/support/tickets/new?form_20=true

6 | P a g e

WHAT?

Note: SUPERNUMERARY POSTS are not LTFT specific, only granted in exceptional circumstances (trainees with very specific training requirements or requiring extra support), at the discretion of the postgraduate dean.

SLOT SHARE REDUCED HOURS IN FULL TIME SLOT

ADVANTAGE DISADVANTAGE ADVANTAGE DISADVANTAGE

Exposures to out-of-hours Needs a slot-share partner working appropriate days of the week

Exposure to out-of-hours May require to do more on-calls/ nights than if in slot-share

Can split the rota as per individual needs

Good communication to ensure adequate handover

Choice of days/shifts as per individual needs

Uncovered shifts – morale

Overlap day/days (if working >50%)

May miss activities on non-working days

SLOT SHARE • 2 trainees share

a full-time slot on rota

• Each must work at least 50%

REDUCED HOURS IN A FULL TIME SLOT • A trainee works a certain %

of hours • The department has to cover

remaining shifts

7 | P a g e

WHO PAYS

8 | P a g e

PAY! OLD CONTRACT 2002

• Applies if ≥ ST3 at time of new contract • Until exit of training programme or up to August 2025 whichever is sooner • Broad bands (hours worked + banding supplement)

NEW CONTRACT 2016

• Applies if < ST3 at time of new contract • Cash floor pay protection • Same system as full timers but on a pro-rata basis

** ALWAYS CONTACT HR FOR PAY AND ROTA DETAILS **

https://www.bma.org.uk/advice/employment/pay/less-than-full-time-ltft-junior-doctor-payslip-explained

BASIC PAY (in broad bands based on working hours)

Scale Hours worked on average Payment as fraction of full time basic salary

F5 Between 20 and 24 hours/week 0.5 50% F6 Between 24 and 28 hours/week 0.6 60% F7 Between 28 and 32 hours/week 0.7 70% F8 Between 32 and 36 hours/week 0.8 80% F9 Between 36 and 40 hours/week 0.9 90%

BANDING SUPPLEMENTS

9 | P a g e

10 | P a g e

New changes since the latest BMA negotiations in September 2019

Basic pay NOTE new nodal point 5 introduced

Night duty Calculated based on night hours in your current rotation predicted for the year and divide it by 12 – this is added to the basic pay and built into your monthly pay)

Weekend allowance Note new weekend allowance uplift!

Non-resident on call

Flexible pay premia

Transitional pay premia NOTE new LTFT allowance for all LTFT trainees

Cash floor protection NOTE new extension of Section 2 transitional pay protection

MORE ON PAY HERE https://www.nhsemployers.org/-/media/Employers/Documents/Pay-and-reward/Pay-and-Conditions-Circular-MD-22019.pdf Amendments as of negotiations in September 2019 https://www.nhsemployers.org/-/media/Employers/Documents/Need-to-know/Record-of-Amendments-2016-TCS.pdf and https://www.nhsemployers.org/-/media/Employers/Documents/Pay-and-reward/Junior-Doctors/Framework-Agreement.pdf Very useful interactive, illustrative LTFT pay calculator by BMA https://www.bma.org.uk/features/lessthanfulltimetrainees/

11 | P a g e

PRACTICAL TIPS

TOP TIPS Make friends with your job share! Be ORGANISED Be fair and systematic Consider your training needs CONSIDER different working patterns Keep a note of YOUR shifts/times REMEMBER REDUCED SUBSCRIPTIONS Out-of-office is your friend!

CHALLENGES CHANGE IN ROTATIONS NO SLOT-SHARE: ROTA CHALLENGES ADMIN TIME MISSING OUT ON TRAINING OPPORTUNITIES

THE LTFT COMMUNITY LOTS OF US OUT THERE! UTILISE SHARED EXPERIENCES FACEBOOK GROUP- Request to join Paediatric LTFT trainees in London BE AN LTFT EDUCATOR! - https://portal.e-lfh.org.uk/Component/Details/473676

12 | P a g e

MORE HELP CAN BE FOUND HERE Gold guide LTFT training (From page 30 of Gold Guide 7th Edition Jan 2018)

https://www.copmed.org.uk/images/docs/gold_guide_7th_edition/The_Gold_Guide_7th_Edition_January__2018.pdf

RCPCH https://www.rcpch.ac.uk/resources/less-full-time-training-guidance

GMC https://www.gmc-uk.org/education/standards-guidance-and-curricula/position-statements/less-than-full-time-training

NHS Employers https://www.nhsemployers.org/-/media/Employers/Documents/Need-to-know/TCS-2016_June-2016.pdf https://www.nhsemployers.org/-/media/Employers/Documents/Pay-and-reward/Junior-Doctors/NHS-Doctors-and-Dentists-in-Training-England-TCS-2016-VERSION-6.pdf https://www.nhsemployers.org/-/media/Employers/Documents/Pay-and-reward/Pay-and-Conditions-Circular-MD-32019.pdf https://www.nhsemployers.org/-/media/Employers/Documents/Pay-and-reward/Junior-Doctors/Framework-Agreement.pdf

PGMDE https://lasepgmdesupport.hee.nhs.uk/support/solutions/articles/7000026685-ltft-trainee-applicant-guide

Medical Women’s Federation

http://www.medicalwomensfederation.org.uk/advice-support/less-than-full-time-training