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Delivering greater flexibility

We are running a pilot that will look at whether we can provide higher specialty trainees in emergency medicine with greater flexibility in their working lives, by extending opportunities to train Less Than Full Time (LTFT).

Within the pilot, trainees will be permitted to apply to train at 50%, 60% or 80% of a full time rota for 12 months, without having to meet the criteria set out in the Gold Guide.

The pilot has been developed in partnership with the Royal College of Emergency Medicine (RCEM) and the British Medical Association Junior Doctors Committee (BMA JDC), in response to concerns raised by junior doctors regarding inflexibility in their work patterns. It is hoped that this approach could reduce ‘burn out’ and attrition; boost morale; and aid recruitment in a high-intensity specialty.

The Academy of Medical Royal Colleges, the BMA, the General Medical Council, NHS Employers, NHS Improvement and the RCEM have expressed their support for piloting this approach to flexibility.  We will work with partners to develop a detailed and robust evaluation process, before making further recommendations based on the pilot’s outcomes.

For further information, contact the Emergency Medicine Less Than Full Time pilot team at emltft@hee.nhs.uk. Applicants are reminded that, whilst all applications will be considered, those individuals that meet the current Gold Guide criteria will continue to be given priority for LTFT training, and the full service implications for all applications will be given careful consideration before a decision can be made.

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