Less Than Full Time Training

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.

Below are some short videos describing Less than Full Time Training (LTFT) in general:












Rota Patterns




How to apply in the East Midlands

We have recently reviewed and amended the East Midlands LTFT policy which can be found below in PDF format.

Please ensure you complete the LTFT application form both when you are applying to start working LTFT, and if you are changing your LTFT percentage or returning to full time training.


Pilot - Anaesthetics and Psychiatry - February 1st 2023 to June 9th 2023

For any Doctor in Training in either the East Midlands school of Anaesthetics or Psychiatry we will be running a pilot scheme to replace the current PDF and word document form with a more intuitive MS form. From February 1st 2023 until June 9th 2023 you will need to apply for working LTFT or any change to your working percentage (including returning to full time) using the below MS form:

Pilot form link - Anaesthetics and Psychiatry doctors only: https://forms.office.com/e/wk9mkXbxtM

The pilot process map and timeline have been added to the documents at the bottom of the page for further information.


Contact Us

If you have any queries about working LTFT or changing your percentage please contact us on:


Secondary Care 

0116 312 0670


Primary Care

0116 312 0619



0116 312 0670

If you are on a Tier 2 visa please make sure the LTFT percentage you apply for complies with the requirements of your visa. The sponsorship team have a full list of FAQs which can be found here




Courses for Educators and Rota Administrators


Supporting the LTFT Trainee and the Doctor Returning to Training


Help support your trainee return to training after a period of absence and working less than full time (LTFT).

The workshop will help you to:

  • Effectively support a trainee returning to training after a period of prolonged absence
  • Demonstrate knowledge of, and familiarity with the process to support transition to LTFT training
  • Better understand the challenges and benefits for doctors working LTFT
  • Formulate useful learning objectives and work schedules for doctors working LTFT and those returning to work after a period of significant absence

Facilitators: DoctorsTraining


  • Fri 22nd July 2022 9.20-12.30
  • Thurs 20th Oct 2022 9.20-12.30
  • Fri 20th Jan 2023 9.20-12.30
  • Thurs 2nd Mar 2023 9.20-12.30

Booking is via Eventbrite