quote HEE facebook linkedin twitter bracketDetail search file-download keyboard-arrow-down keyboard-arrow-right close event-note

You are here

Delivering greater flexibility

Giving trainees greater flexibility in their working lives.

HEE is committed to increasing flexibility in postgraduate medical training. As a part of HEE’s work to Enhance Junior Doctors Working Lives several initiatives have been developed with partners to increase flexibility within Post Graduate Medical Education. Feedback from trainees indicate that many would appreciate the opportunity to pursue a more flexible approach to their training.

Less Than Full Time Training

NEW! A series of 3 webinars is being held in mid January 2022 for doctors in training who may be interested in the option of Less than Full Time training. The webinars will provide an introduction to LTFT training, discuss the trainee perspective of the LTFT experience and give the opportunity to ask questions of the panel, which will include Mr Jon Hossain, Lead Dean for LTFT, several Associate Postgraduate Deans, Clinical Fellows and trainees. We also want to hear about your feedback on challenges and barriers with accessing or undertaking LTFT training.

Please note the 3 webinars will be broadly the same presentations, but will feature different speakers and are at different times of the day to enable as many trainees as possible to watch.

To find out who is on the panel, look at the webinar agenda as it differs for each event.

Link to join LTFT webinar 1: Tuesday 18 January 13.00 - 14.00

Link to join LTFT webinar 2: Wednesday 19 January 19.00 - 20.00

Link to join LTFT webinar 3: Thursday 20 January 19.00 - 20.00


Less Than Full Time (LTFT) Training Category 3 allows trainees to request the opportunity to undertake a period of less than full time training for personal choice and was initially made available in Emergency Medicine, Paediatrics and Obstetrics and Gynaecology.

The LTFT Category 3 Guidance for each of these specialties can be found below:

- LTFT Category 3 Paediatrics Guidance

- LTFT Category 3 Obstetrics and Gynaecology Guidance

- LTFT Category 3 Emergency Medicine Guidance


If you require these documents in another format please email merp@hee.nhs.uk 


Expansion of Less Than Full Time Training to Higher Physicianly, Radiology, Psychiatry and ICM trainees

Following the success of Less Than Full Time Training, this opportunity is now being expanded to Higher Physicianly, Radiology, Psychiatry and ICM trainees.

Guidance and FAQs on this, including guidance for employers, can be found below.

Less Than Full Time Category 3: Evaluation

RSM UK Consulting LLP (RSM) was commissioned by HEE in 2020 to conduct a three year longitudinal evaluation of the LTFT Category 3 initiative. The Year 1 Report explores the current profile of LTFT Category 3 trainees, and the perceptions of LTFT Category 3 trainees, other trainees, Champions of Flexible Training, educators and employers of the impacts of the initiative. This report also provides a series of further recommendations to enhance the ongoing development of the programme in Year 2 and beyond.


Less than Full Time Training - A Guide

Below are three short videos which explain Less than Full Time training in more detail.




Your HEE local office will be able to advise on application windows and application information for each HEE local office can be found below:

North East and Yorkshire

North East Lead Employer Trust Policies 

North East Education and Training Policies 

Yorkshire and Humber

North West

North West

East of England

East of England


East Midlands

West Midlands



South East

Kent, Surrey, Sussex

Thames Valley


South West

Peninsula Deanery 

Severn Deanery 

Out of Programme Pause 

Allowing trainees to step in and out of training, and to the have their learning during this period assessed on their return and potentially count towards their CCT. More information for trainees considering Out of Programme Pause (OOP-P) can be found here.


For further information, contact the team.