Less Than Full Time (LTFT) Training in Gastroenterology

Supporting flexibility, wellbeing, and excellence in training

Balancing the demands of gastroenterology training with personal, professional, or family commitments can be challenging. Less Than Full Time (LTFT) training offers a flexible, supported way to continue progressing toward your CCT while maintaining a sustainable work–life balance.

Many trainees choose LTFT for a variety of reasons — and it’s now a normal and well-supported pathway across UK postgraduate training.

What will this article cover?

  • Eligibility
  • How LTFT Training Works
  • Impact on Training Progression
  • How to Apply for LTFT Training
  • Pay, Pensions and Leave
  • Rota Arrangements and Working Patterns
  • Practical Tips and Common Questions
  • Trainee Stories
  • Culture and Support
  • Useful Resources
  • Contact and Support

Introduction

LTFT training allows doctors to train at a reduced percentage of full-time hours while continuing to achieve all the curriculum outcomes required for specialist certification.

Flexibility in training recognises that doctors’ needs and circumstances change over time — and that maintaining wellbeing is key to providing the best patient care. The British Society of Gastroenterology (BSG), Health Education England (HEE), and the GMC all support LTFT training as part of a modern, inclusive workforce.

Eligibility

Any trainee in gastroenterology can request to train Less Than Full Time, provided service needs can accommodate the arrangement.

Trainees may choose LTFT training for a range of personal or professional reasons, including:

  • Health and wellbeing
  • Caring responsibilities
  • Academic, leadership or educational roles
  • Lifestyle preferences and balance

Your local postgraduate deanery will review requests on a case-by-case basis, and most regions now support LTFT training for all trainees who wish to pursue it.

How LTFT Training Works

LTFT trainees typically work between 60% and 80% of full-time hours, though other percentages can sometimes be arranged.

Training is completed pro-rata — for example:

  • A trainee working 80% will take 1.25 years to complete a 1-year full-time block.
  • A trainee working 60% will take roughly 1.67 years.

You will follow the same gastroenterology curriculum and assessment framework, with an adjusted CCT date that reflects your working pattern. Your Annual Review of Competency Progression (ARCP) will continue as normal, focusing on progress and competencies rather than strict time.

Impact on Training Progression

LTFT trainees achieve the same competencies and clinical experience as full-time colleagues. The main difference is the extended timeframe for training.

To maintain continuity:

  • Plan endoscopy and clinic exposure carefully with your supervisor.
  • Ensure you have opportunities for procedural development at a suitable pace.
  • Keep your ePortfolio updated regularly.

Flexibility and good communication with supervisors are key to ensuring your experience remains balanced and fulfilling.

How to Apply for LTFT Training

The application process is straightforward but should be started at least 3–6 months in advance.

Steps:

  1. Discuss your plans with your Educational Supervisor and Training Programme Director (TPD).
  2. Complete the LTFT application form for your region (usually available on your deanery’s website).
  3. Submit your application to the LTFT team or postgraduate office.
  4. Once approved, confirm details with Medical Staffing / HR and agree a new work schedule.
  5. Review your CCT date and ensure your portfolio reflects the new pattern.

If you are unsure where to start, contact your TPD or the deanery LTFT administrator for guidance.

Pay, Pensions and Leave

  • Salary is calculated pro-rata to your percentage of full-time hours.
  • Out-of-hours and on-call supplements are adjusted accordingly.
  • Pension contributions are based on your actual earnings.
  • Annual leave and study leave are also pro-rata, but you retain access to the same training opportunities.

Always double-check your work schedule and pay details when transitioning to LTFT, as administrative errors are not uncommon.

Rota Arrangements and Working Patterns

Your local rota coordinator and department will work with you to create a pattern that aligns with your LTFT percentage.

Common models include:

  • Slot-share: Sharing a full-time post with another LTFT trainee.
  • Part-post: Covering a portion of a full-time rota individually.

Agree on your non-working days early and protect them where possible. Clear boundaries help maintain the benefits of flexible working and prevent burnout.

Practical Tips and Common Questions

  • Endoscopy exposure: Plan regular sessions or focused blocks to maintain skill development.
  • Study leave: Prioritise key courses and discuss with your TPD if opportunities clash with non-working days.
  • ARCP and portfolio: Evidence expectations remain the same; regular updates prevent last-minute stress.
  • Wellbeing: Use non-working time for rest, family, or personal pursuits — guard against hidden admin tasks.
  • Peer networks: Many regions have LTFT trainee groups or reps who can share experience and advice.

Trainee Stories

Information to follow.

Culture and Support

LTFT training is now a well-established, valued option in gastroenterology. It recognises that flexibility and wellbeing are essential to professional development and patient care.

Choosing LTFT does not reflect reduced commitment or ambition — it’s a proactive decision to train sustainably and perform at your best.

If you encounter challenges, reach out to your:

  • Educational Supervisor or TPD
  • Deanery LTFT Champion
  • BSG Training Committee
  • BMA or your local trainee network

Useful Resources

Contact and Support

If you’re considering applying for LTFT training in gastroenterology or would like to connect with another trainee who has done so, please get in touch (contact details to follow).