Less Than Full Time Training (LTFT)


LTFT Pilot Extension:

Trainees in Obstetrics & Gynecology, Paediatrics and Emergency Medicine programmes are now eligible to apply for LTFT under the expanded pilot project. Enabling train higher specialty trainees in Emergency Medicine, Obstetrics and Gynaecology and Paediatrics to train Less Than Full Time, giving them greater flexibility in their working lives. The expansion is designed to enhance recruitment, reduce attrition and improve the working lives of Obstetrics & Gynaecology, Paediatrics and Emergency Medicine trainees by offering an opportunity for improved work-life balance. The expansion offers a third category (Category 3) where trainees who choose to train LTFT as a personal choice that meets their individual professional or lifestyle needs. Whilst that choice (and the reasons for it) are not subject to the judgement of anyone else it is dependent upon and might be limited by service considerations.

Trainee can access the latest and most updated information about Category 3 from the national webpage for LTFT Category 3 and Pilot Extension.


Please Note:

Health Education England, East of England (HEE, EoE) LTFT new application and renewal processes is on one form, the application for LTFT will remain until the trainee completes their training programme within the East of England, once approval has been granted.

Trainees only need complete a new form when they wish to change the amount of hours per week they wish to work (percentage) and obtain or change slot share partner. 


Health Education England working across the east of England has a strong commitment to helping all doctors reach their full potential and to helping those with child-caring or other responsibilities or health problems, to continue training.

HEE fully endorses the principles set out in the Gold Guide.

Any trainee in a substantive HEE approved post can apply for less than full time training (LTFT) if they meet the eligibility criteria outlined in the FAQs below. If deemed eligible, LTFT arrangements will be accommodated as soon as practically possible.

Important note: Please be reminded you are not permitted to commence training less than full time until you are in receipt of your fully approved Form 1 LTFT application.


Our fully electronic LTFT application form is available for you to use at the bottom of this page. Please ensure you save the form locally and open as a PDF with Adobe Acrobat or Adobe Reader before completing. Do not begin completing the form if it has opened as a webpage or in PDF Previewer, as this will disable the electronic signature fields and deem the form invalid.  Instructions for setting up a digital ID and additional assistance for Mac users are also available at the bottom of this page. As an organisation we are moving towards going paperless and appreciate your assistance with this. Please ensure you carefully read the instructions on page 1 of the LTFT application form prior to completion.

NHS Terms and Conditions handbook: https://www.nhsemployers.org/employershandbook/tchandbook/afc_tc_of_service_handbook_fb.pdf