LTFT FAQs

LTFT Resident Doctors in Training should discuss their training with their Clinical and Educational Supervisors, their Programme Director, and perhaps another LTFT Resident Doctor in Training for more detailed insight.

• Form A: Resident Doctors in Training application
• Form B: Training Programme Management (TPM) to service
• Form C: Annual review
• Form D: Resident Doctor in Training for change of percentage
• Form E: Resident Doctor in Training appeal against refusal

To ensure payroll and HR are informed, supporting an appropriate employment contract and accurate salary.

Pay is an employer responsibility. Salary and banding are calculated once LTFT is in place, with in and out of hours agreed and assessed by the compliance team; see Annex B of NHS Circular PCS(DD)2005/7 [PDF] for standard terms and conditions relating to salary for LTFT doctors in training.  It remains the responsibility of a less than full-time Resident Doctor in Training, as it does for a full-time Resident Doctor in Training, to ensure their salary is correct.

Annual leave, public holidays, and study leave are pro rata.  So, for example, a Resident Doctor in Training who is entitled to 25 days annual leave and 8 public holidays, if working at 80% would be entitled to 20 days annual leave and 6.4 public holidays.

This is an employer (Placement Board) responsibility. NES recommend for equity and fairness in training that on-call duties should be proportionate to the Resident Doctor in Training’s percentage of full-time work i.e. 80% in hours commitment should be matched by 80% out of hours commitment when compared with a nominal full-time rota participant. NHS England and the BMA have provided guidance on rostering which includes guidance for LTFT Resident Doctor in Training .

LTFT Resident Doctors in Training should have an ARCP not less than annually but at intervals of no more than 15 months (to comply with the revalidation requirement) but may need an additional ARCP at a critical progression point in training.

Typically, it is expected that the evidence submitted for ARCP should be at least equivalent to the percentageprog of training; for example, 10 supervised learning events for full-time Resident Doctors in Training would be 8 for an 80% LTFT Resident Doctor in Training over a calendar year. However, you should discuss this with your Programme Director to ensure you understand what is expected for satisfactory progress in training taking into account your individual circumstances.

LTFT Resident Doctors in Training normally move between placements within rotations on the same basis as full-time Resident Doctors in Training. Where this is not possible, employers should ensure that appropriate and timely induction takes place to support the individual.

College requirements for minimum periods of time in training, the percentage of LTFT training, achieving a set number of activities, examination passes, capability-based assessments, and other measures of progress through training are taken into account.

This is an employer responsibility, ideally balancing the needs of the Resident Doctor in Training, their training, and service requirements.

Yes, however you will require to meet the current the minimum salary threshold under Occupation Code 2211 (Medical Practitioners).

Further information can be found at the GOV.UK website.

Any change in hours is required to be communicated by the visa holder to the NES Sponsorship Team via the NES Service Desk as soon as possible and prior to changes coming into effect.