Less Than Full Time

All policies can be found below. 

Contacts can be found on the Less Than Full Time Training section of the website.


LTFT Workshops

A great opportunity to meet fellow LTFTT applicants and hear from APDs, TPDs, the LTFTT administration team and current LTFTT trainees! Trainees from all of Yorkshire and the Humber are invited to attend any of the LTFT Workshops within the region.

'Very good. Wish I had the opportunity to attend a workshop like this years ago!' - October 2015

'Very useful in understanding how everything works.' June 2015

'Nice, friendly, relaxed and enjoyable.'  November 2014.

'Comprehensive, positive and honest approach to LTFT training.' November 2014

'Felt supported after attending the workshop.'  May 2014.

'Very useful and informative day.  All of my questions answered.'  May 2013.

View the Events section for more information on upcoming LTFTT Workshops.



Am I eligible to train less than full time?

Any trainee in a substantive HEE approved post can apply for less than full time training. If your eligibility is approved, this will be accommodated as soon as practically possible.  Trainees of any gender can apply for less than full time training, but must have well founded reasons why full time training is impractical. Reasons for wishing to train less than full time have been nationally agreed upon, and are divided into two categories (outlined below).


The needs of trainees in category 1 will always take priority. Applications in category 2 may be considered but permission will depend on the capacity of the specific training programme and availability of resources.


Category 1 – Those doctors in training with:


- Disability

- Ill health

- Responsibility for caring for children (men and women)

- Primary carer for ill/disabled partner, relative or other dependent


Category 2 - Those doctors in training with:


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

- Short term extraordinary responsibility (for example a national committee)

- Religious commitment – involving training for a particular religious role which requires a specific amount of time commitment

- Non-medical professional development such as management courses, law courses, fine arts courses or diploma in complementary therapies.

How do I apply to train less than full time?
  • There are 2 stages to the less than full time training application process and both stages have their own corresponding form which must be electronically completed in full by the applicant and emailed to the LTFT mailbox. All submitted forms must be agreed by HEE in order for you to commence your requested reduced working arrangement.

Please note that LTFT posts cannot always be accommodated straight away


You are not eligible to commence LTFT training until you have received written HEE EoE approval for your Form 1: Eligibility Assessment & Training Plan (or Form 2: Renewal Training Plan if you are renewing).


LTFT Form 1           Eligibility Assessment & Training Plan


This is the initial form all applicants must submit for approval. 


LTFT Form 2           Renewal Training Plan


If you wish to continue training LTFT when you rotate to a new Trust or Practice, or if you would like to change the percentage of LTFT you are working, or your slot arrangements then you must submit LTFT Form 2 for approval


Please ensure all forms are submitted electronically to the correct LTFT mailbox  with all mandatory fields marked with a red asterisk (*) completed. Hand written, scanned or posted application forms will be destroyed. 

ALL Foundation Trainees

LTFTEast@hee.nhs.uk (Hull Office)

HEE, Health House, Grange Park Lane, Willerby, Hull, HU10 6DT


West Trainees

LTFTWest.yh@hee.nhs.uk  (Leeds Office)

HEE, Willow Terrace Road, University of Leeds, Leeds LS2 9JT

South Trainees

LTFTSouth.yh@hee.nhs.uk (Sheffield Office)

HEE, Don Valley House, Savile Street East, Sheffield, S4 7UQ


North/East Yorkshire Trainees

LTFTEast@hee.nhs.uk (Hull Office)

HEE, Health House, Grange Park Lane, Willerby, Hull, HU10 6DT



GMC position statement: Conditions for less than full-time training

This statement sets conditions for doctors in less than full-time (LTFT) training who are working towards a certificate of completion of training (CCT). It should be read with other legal obligations, for example the Equality Act 2010.

GMC Position Statement 


At what percentage of full time can I work?

LTFT training in HEEYH is normally supported in placements at 50%, 60% or 80% of full-time contracts. Day time working, on call and out of hours work should be undertaken on a basis pro rata to full time trainees in the same grade and specialty. Trainees will be encouraged to slot share or occupy a full time slot dependant on the capacity of the programme.


Should a trainee wish to train at a percentage other than 50%, 60% or 80% this will require written support from the TPD and the authorisation of the Deputy Dean (DD) for LTFT training. Trainees must submit their request in writing to the local HEEYH LTFT Administrator. Such applications must be for well-founded reasons.

The GMC Postgraduate Board have issued a position statement determining that trainees will be required to undertake no less than 50% of full-time training.

For the small number of trainees who experience exceptional difficulties, it has been agreed that postgraduate deans should have flexibility to reduce the time requirement further. The absolute minimum would be 20% of full-time training, with an expectation that trainees should not undertake a placement at this level for more than 12 months.


Can I appeal against HEE’s decision not to allow me access to apply for LTFT Training?

Yes, though it is recommended that you first attempt to resolve any issues informally in discussion with HEE. If agreement cannot be reached you may then wish to utilise the formal appeals process. The Appeals Process can be downloaded from the Policies & Procedures section of this website.

Can I work part time in another job whilst training less than full time?

LTFT trainees may now do additional paid work, including locums.  This will not count towards their training time and must comply with the terms of their contract.

  • The trainee should not feel pressurised to do additional work
  • If the trainee chooses to work additional hours, they should be paid for them
  • Additional work will form part of their practice, so they must declare it on their Form R.
  • The trainee has a professional duty to maintain patient safety and a healthy work/life balance
  • If the trainee is noted to be doing an excessive number of shifts, their eligibility for LTFT training may be questioned.

Any work undertake outside training should not impact negatively on training and must be done so in accordance to Good Medical Practice . Any work undertaken outside of training must be declared via submission of Form R.


LTFT Workshop

Thursday 8 November 2018 10:00 | Don Valley House, Savile Street East, Sheffield S4 7UQ

All trainees applying for, or considering applying for, LTFT are welcome to attend to find out more information regarding less than full time training. The workshop will include presentations from Training Programme Directors, Medical Staffing and a current LTFT trainee, as well as from Dr Mandy Brailsford. 

To book a place, please follow this link: https://healtheducationyh.onlinesurveys.ac.uk/less-than-full-time-workshop 

The workshop is free to attend.