Improvements in your new contract
There have been lots of positive changes to your terms and conditions for trainees in England designed to help support LTFTT in the new English junior doctor contract. These include compulsory appointment of flexible champions in all trusts with more than 10 LTFT trainees and the ability of junior doctors to choose pay; A £1000 annual allowance for all LTFT trainees in England is being paid under the new terms and conditions with the new nodal pay points and the choice between pay or time off in lieu if you need to attend induction, an authorised study event, or training on your non-working day. I truly believe this will help make LTFT training closer to flexible working as the majority of LTFT trainees do so in order to support their child-caring responsibilities and unfortunately this is often costly.
Who to ask for help if things are not going to plan
Junior doctor training is complex because of interactions between your trust as your employer and your deanery who is responsible for your training. It isn’t always clear at first glance whether challenges to LTFT trainees face relate to their employment or their training…
Don’t despair there are many people you can ask for help. If you are having difficulties with your rota or your pay (in England), you could approach your Flexible Champion of Training or Guardian of Safe working. For all four nations, you could ask your union for assistance, your local negotiating committee via the Junior Doctor Forum. Your educational or clinical supervisor might be helpful with rostering or job share issues as well. If you are having issues accessing equitable training, you could - and should - approach your training programme director and educational supervisor.
You will also have junior doctor reps (via your union) in your local hospital and trainee reps linked with your deanery in gastroenterology who you can approach too. If you need any advice at all please feel free to email me at email@example.com.
Accessing SuppoRTT courses in your region
If you are returning to work after a period of absence of greater than 3 months for whatever reason (eg OOP or maternity leave) then do start the SuppoRRT (Return To Training) process in your deanery. Details can be found on your local deanery website. Health Education England provides lots funding for a range of courses in your local region to help you back into work. Examples include simulation courses about scenarios found on the acute medical take to returning to work LTFT. If you are returning back to work after maternity leave you should make use of your KIT days to access these courses and complete other mandatory training as well as attending your regional gastroenterology training days in order to help maintain your gastro knowledge whilst you are taking time out of work.
Help when you need it
I believe high standards in training ultimately lead to trainees providing high quality services for all of our patients. I hope this page provides you with enough information to support anyone training LTFT. If you have any more queries or suggestions for this page contact me. My door is always open to new ideas.
Shairoz is taking the lead in bringing together a LTFT position statement for training in gastroenterology which will be done in conjunction with several sections at the BSG and Jon Hossain the National Lead in LTFTT HEE.