The Shape of LTFT 2015RCoA & AAGBI6th May 2015

• Introduction• Dr Carolyn Evans, previous RCoA LTFT Advisor• Dr Su Underwood, RCoA LTFT Advisor

• LTFT – where are we now? • LTFT and influence on changing practice• Outcome from Training : FT vs LTFT

Overall UK Trainee numbers 2014 – GMC Trainee survey

Whole time 53077LTFT nationally 6,010 (11.3%) Anaesthetics 447 (12.8%)

LTFT as a % of doctors in training

GMC Trainee survey 2014

LTFT GMC survey information 2014• Most popular programme ie the largest number of LTFTs• GP (1620)

• LTFT percentage by specialty• Public Health 33% • Paediatrics 24%• Pathology 19%• GP 18%• O&G 18%• Psychiatry 18%• Anaesthetics 12.8% (8.7% 2009)

• Surgery 6%

LTFT GMC survey information 2012-2014

The changing face of LTFT workforce

• Impact of 2014 employment legislation on requesting flexible work ?

Hidden force for change

• LTFT = maternity leave• Returning to work

• Highlighted concerns in LTFT survey data 2009 / 2012 /2014 (London, West Midlands and Scotland)• “unable to get KIT days funded”• “Trust not receptive to KIT days”• “expectation of working solo on day 1 back after 13

months off”• “conflicting advice being offered as to what was

expected”

• GASAgain 2011

Driving change• Progress slow but

• AoMRC working group “Return to Practice” 2012• Patient safety concerns recognised• Generic guidance agreed • RCoA updated their RTW recommendations 2012

• Trainee: LETB /Deanery support for RTW• College hosts “GASagain” 2014

• Changing peoples thinking• Active management of RTW accepted as normal practice

Outcome from Training

• Looking to answer the key questions around length of training, impact of LTFT, award of CCT and subsequent employment

• Project fully supported by College• Carolyn Johnston, Seema Randive, Anna Fowler and

Carolyn Evans

Outcome from Training

Cohort 2009-2011 (1247 trainees)• access to College trainee database for training

records• LTFT / maternity leave / career break / RITA E or

ARCP Outcome 3• information collected by College after each AAC• E-mail questionnaire to the trainee cohort

Outcome from Training

• Key findings• LTFT in later years and for defined periods of

time• Average length training 8ys 5months FT vs

10yrs 8 months for those LTFT • Just as likely to be appointed to a consultant

post as a FT trainee• Very small numbers taking up PT consultant

posts from both groups – influence of 10PA (7.5/2.5) contract at the time?

The challenges ahead

•Demand vs “mind the gap”• Backfill / LTFT rotations• LTFT role models • CTs / PDs / RAs• Examiners• College Council ?

“Agile working option” LTFT for ♀&♂

☺