Official Partner The Royal Society of Medicine


LTFT Training

According to European law, LTFT training is training that meets the same requirements as the full time equivalent, differing only in that participation in medical activities is limited to at least 50% of that required from FT training.

Who Is LTFT Training For?

There are various reasons, both personal and professional, why LTFT training may be preferred to full time training. These could include having certain professional commitments, having a disability or illness, caring for a disabled or unwell relative/dependent or having children. It is important for trainees to decide which training programme is best for them, and to set short-term and long-term training goals.

Health Education England (HEE) and deaneries normally require three months’ notice for those hoping to apply for LTFT training. There are two categories they use to assess eligibility and prioritise applications.

Category 1

Trainees with

Category 2

Trainees with

Other justifiable reasons may also be considered, however individual circumstances would be assessed, including the candidate’s personal situation and the current needs of the specialty of interest.

The Pros and Cons of LTFT

There are several key challenges and benefits of LTFT versus FT training, including



Types of LTFT Training Position

There are two key types of LTFT training position: slot-sharing and reduced sessions.

Slot sharing

Slot sharing is where two trainees share one FT position, including any out-of-hours demands. This does not necessarily mean that both trainees work 50% of a FT position, as each trainee may work up to 80% of a FT position and will receive the pro rata pay based on their hours. It is often preferable to work over 50%, as this allows some overlap and facilitates handovers. However, this is not always necessary, as not all slot sharing partners will work in the same specialty or department.

Reduced sessions

Where a slot share is not feasible, some LTFT trainees may be able to take up a FT slots but work reduced hours, depending on the specialty and individual needs of the employer. In terms of arrangement, the FT post is already funded under the educational contract and the employer should be able to retain the surplus funds to support the LTFT training. The LTFT trainee is still required to complete the necessary training application and forms, and the local trust will also need to provide written approval.

Determining your work schedule

LTFT training candidates should discuss available options with their local HEE office/deanery and potential employer. In secondary care it is likely that LTFT trainees will be scheduled according to a rota, with limited flexibility in their working hours. In primary care, there may be additional flexibility, although full days of working will likely be required.


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