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Trainee Information

How to apply for LTFT training - guidance and forms

Criteria for Assessment of Application for LTFT Training:

  • A trainee should have clear well-founded reasons for seeking LTFT training.
  • The LTFT post should be EWTD compliant. (Whilst this is the responsibility of the employer the trainee is required to co-operate with compliance monitoring).
  • There must be resources to meet the additional LTFT training programme.
  • If funding is available there must be good reasons to deny/delay LTFT training to the individual.
  • Educational capacity and approval is available within the unit in which the LTFT training is to be accommodated.
  • There must be evidence of satisfactory ARCP process or equivalent for the trainee to date.

In order for LTFT training to proceed there must be agreement that:

  • Appropriate training is possible, and that this will not impact on the training of others within the department.
  • The Service needs of the department can be met, this means that a full agreement with the Service must be reached to ensure that this arrangement can be accommodated without affecting patient care/rotas, etc.
  • Adequate funding exists.

Therefore even if a trainee does fulfill the eligibility criteria it is essential that agreement is reached by all interested parties before arrangements can be confirmed.  To this end the Associate Dean will liaise with the appropriate Training Programme Director (TPD), who will in turn, liaise with the Service.  If either the TPD or Service reject the application, they must provide a written reason for this.

Once approval has been granted, an appropriate start date organised and the amount of pro rata training agreed, the Associate Postgraduate Dean will confirm this arrangement in writing with all those concerned including the trainee and the relevant HR department.  The arrangements for each case are organised on an individual basis, but where possible slot shares are favoured.  A slot share is where 2 or more trainees shared the funding for a post or posts.

Checklist prior to offering a flexible appointment

Application process

1. Make initial / informal enquiries with your relevant Associate Postgraduate Dean (contact details here).  

Once you are ready to make a formal request (aim to do so at least 3 months prior to taking up post/wishing to take up LTFT training),  please complete the formal process as follows:

2. Complete Form A. This involves discussion with your Training Programme Director (TPD), and their signature is requested on this form to indicate educational approval.  

3. Meet with your local Associate Postgraduate Dean (contact details here), taking completed Form A with you.

4. Associate Postgraduate Dean asks for the approval of the Health Board (Form B).  Please see also flow chart for completion of Form B.

5. When this has been obtained, the Associate Postgraduate Dean will inform you (in writing) that your application has been approved.   Copies will be sent to Human Resources and Finance.

6. There will be an annual review of the arrangements (Form C).

Multi-Region and National programmes

The process for approval and organisation of LTFT training for trainees in National programmes in Scotland may differ slightly in logistical terms from those in regional programmes, although based on the same eligibility criteria and principles as all LTFT trainees.

1. Make initial / informal enquiries with your local Associate Postgraduate Dean (i.e. in the region you are training in: contact details here).  

Once you are ready to make a formal request (aim to do so at least 3 months prior to taking up post/wishing to take up LTFT training),  please complete the formal process as follows:

2. Complete Form A. This will involve discussion with your local educational supervisor and TPD. TPD signature is required on this form to indicate educational approval.

3. Meet with your local Associate Postgraduate Dean (i.e. in the region you are training in: contact details here), taking completed Form A with you.

4. Associate Postgraduate Dean contacts the local educational supervisor and Service to indicate that the trainee is eligible and to request whether this is supported by the Service and local trainers (Form B).  Please see also flow chart for completion of Form B.

5. The TPD and Associate Dean in the Specialty's host region is copied in to the letter for information and they can either approve or deal with any training issues.

6. An annual review of LTFT training will take place as with all LTFT trainees (Form C).

7. Trainees who are rotating to another education provider will require forward planning with the Service.  If this involves a change of region then the TPD/host Associate Dean should co-ordinate this, rather than the local Associate Dean. 



Trainees who are unsuccessful in their application for LTFT training are able to appeal this decision.  See the Appeals Process and Flowchart, and Form E.


Forms and flowcharts

Below are links to all the relevant forms and systems for LTFT training.


LTFT training in Foundation


LTFT training in Core and Specialty

New entry: Applications to a training programme will be made in the normal way through Specialty Recruitment.  A wish to train LTFT can be indicated on the SMT application form and a confirmation of eligibility from the relevant Associate Dean will be required prior to application.  The short listing and interview committees will not be aware of the desire to train LTFT.

Once appointed to a programme the trainee should make an appointment to see the Associate Dean in the Deanery to which they have been appointed as soon as possible.  They will be asked to complete an application form (Form A), which will be sent to them in advance or downloaded from this page.

Existing trainees: For trainees already in post they should contact the relevant Associate Dean to make an appointment in order to discuss whether they fulfil the appropriate eligibility criteria.  They will be asked to complete an application form (Form A), which will be sent to them in advance or downloaded.

  • Some may start training LTFT and request an increase in their sessions or transfer to full-time training (using Form D) when their circumstances permit although this will depend on the availability of funding and training capacity.
  • Trainees should be aware that completion dates will be adjusted in line with the time equivalence of the programme.
  • LTFT trainees will require programme management to ensure that they fulfil the educational requirements of the appropriate Royal College.
  • It is the responsibility of the trainee to inform the relevant College/Faculty about their LTFT training arrangements.


Trainee responsibilities

  • The trainee must liaise with the rota master and rota arrangements should be monitored.
  • The trainee must tell the College Faculty of their new arrangements.  They must let the Deanery know of any changes in circumstances as soon as possible.

Pay structures

  • The LTFT trainee must ensure that they are being paid at the appropriate rate.

Details of the pay structure for LTFT trainees

Annual review

The continuing need and eligibility for LTFT training, the training needs of the trainee with regards to suitability for continuance of LTFT training and the needs of the department overall will be reviewed on an annual basis.

Change of circumstances

Where circumstances change, and the trainee wishes to increase or reduce sessional commitment, the trainee should contact the Associate Dean for LTFT training.

All attempts to alter the LTFT training arrangement will be made where appropriate in discussion with the Training Programme Director and Service.  This may not be possible and may not be accommodated in the time frame requested.  All changes of circumstance will be recorded on Form D.

Inter-deanery transfer

Inter-Deanery transfers are at the discretion of the local Postgraduate Dean, relevant Training Programme Director and Associate Dean (LTFT training).  The trainee must identify an appropriate change in circumstance, and if approved must await the availability of a post through the inter-Deanery transfer programme.

Appraisal & assessment

LTFT training posts are subject to the same appraisal and assessment processes as full-time trainees.

College requirements

Individual Colleges have different requirements for training towards CCT.  Out-of-hours commitment requirements are particularly variable and may necessitate individual programme tailoring.  Some Colleges specify the minimum amount of out-of-hours work which is required for their trainees over a specific period.

Information on College requirements and relevant contacts for specialties are available through the Deaneries or directly from the individual Colleges or through the College websites.

Most colleges require individual approval of training programmes for LTFT trainees although this is under review.  Therefore it is essential that trainees discuss the training programme with the Training Programme Director, and ensure that any required paperwork is completed.

This page was last updated on: 20.07.2018 at 10.36