Analysis of the Bi-Annual Survey of Less Than Full Time Training

ANALYSIS OF THE BI-ANNUAL SURVEY OF LESS THAN FULL TIME TRAINING

1st November 2010 – 30thApril 2011

The bi-annual survey for the period 1stNovember 2010 to 30thApril 2011 was sent to all Deaneries across the U.K. This report summarises the information submitted by each Deanery and, where possible, comparisons have been made.

Trainee Numbers

The overall number of less than full time (LTFT) trainees (all grades but excluding FTSTA and LAT) for this reporting period is 3777. This can be seen in the chart below, which compares the figures since 1994.

The figures in the above chart do not include any LAT or FTSTA figures which totalled 13 for this reporting period, taking the overall number of trainees working LTFTto 3790.

A full breakdown by Deanery can be found at Annex 1, which shows the total number of LTFT trainees by Deanery since 1994 (excluding LAT/FTSTA). This information is given in table form, with raw data and shows individual changes in the number of LTFT trainees by Deanery.

Deaneries were asked to provide information on the total number of trainees. The total number of all trainees is recorded as 57377. This figure excludes FTSTAs and LATs , recorded at 1411, making an overall total of 58788.

Breakdown of LTFT by Grade - April 2011

LTFT by Grade and Post Type – April 2011

Breakdown of LTFT by Gender/Grade – April 2011

NOTE: The Unknown category on the chart on this page consists of trainee doctors from North Western and Scotland Deaneries, where data was not available.

NOTE: The Unknown categories on the chart on this page consist of trainee doctors from North Western and Scotland Deaneries, where data was not available.

Academic LTFT Trainees

The total number of LTFT academic trainees in all Deaneriesin April 2011 is 36.

The percentage of LTFT academic trainees compared toall LTFT trainees is 1%.

The London Deanery did not supply any data for the chart below.

Enquiries

Total Number of Enquiries received for 2005 –April 2011

Eligibility for LTFT Training

Category 1: (Please note that the East of England Deanery did not supply any data.)

Disability / 1
Ill Health / 33
Responsibility for caring for children (men and women) / 533
Responsibility for caring for ill/disabled partner, relative or other dependant / 4
Total / 571

Category 2: (Please note that the London Deanery did not supply any data.

Unique opportunities for their own person/professional development eg. Training for national/international sporting events / 3
Religious commitment - involving training for a particular role which requires a specific time commitment / 1
Non-medical professional development such as management courses, law courses, fine art courses etc. / 0
Total / 4

Pending/Forward Planning

Trainees with a delayed start

The raw data from 2005 to April 2011 is given below.

2005 / 2005/2006 / 2006 / 2007 / 2007/08 / 2008 / 2008/9 / 2009 / 2009/10 / 2010 / 2010/11
Trainee Reasons / 53 / 13 / 60 / 11 / 17 / 29 / 11 / 17 / 12
Trainee Other / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0
Deanery Other / 56 / 2 / 1 / 12 / 0 / 1 / 1 / 4 / 2
Trust Other / 7 / 4 / 1 / 2 / 3 / 3 / 0 / 2 / 4 / 2
College - GMC / 0 / 2 / 1 / 2 / 1 / 0 / 0 / 2
Deanery Funding / 0 / 3 / 2 / 9 / 1 / 0 / 6
SHA Cutbacks / 0 / 0 / 9 / 0 / 0 / 0 / 0
Trust Funding / 0 / 0 / 1 / 3 / 0 / 0 / 1 / 1
Unknown / 29
Total / 116 / 24 / 75 / 39 / 22 / 33 / 19 / 24 / 16 / 4 / 31

Trainees who are eligible for LTFT training, but with no post agreed.

Application Rejected on grounds of Eligibility

In 2010, 7 trainees across all Deaneries had their application rejected for the following reasons:

6Did not meet eligibility criteria
1Trainee did not meet the criteria because they were able to work full time

Appeals Logged

No appeals were logged during this reporting period.

Conversions

During this reporting period, 278 trainees converted from full time to LTFT and 134 LTFT trainees converted back to full time.

How many of your current LTFT Traineesconverted from full time training?

2007 / 477
2007/08 / 215
2008 / 346
2008/9 / 270
2009 / 440
2009/10 / 400
2010 / 358
2010/11 / 278

How many of your current LTFT Trainees converted back to full time training?

2007 / 131
2007/08 / 66
2008 / 149
2008/9 / 101
2009 / 154
2009/10 / 170
2010 / 43
2010/11 / 134

How many LTFT trainees where appointed to Consultant posts?

Of the 33 trainees who converted to Consultant posts in this reporting period, 17 were LTFT trainees and 16 were full time trainees.

2007 / 44
2007/08 / 16
2008 / 38
2008/9 / 23
2009 / 60
2009/10 / 41
2010 / 92
2010/11 / 33

How many LTFT trainees where appointed to GP Principal posts?

Of the 113 trainees who converted to GP Principal posts in this reporting period, 4 were LTFT trainees and 109 were full time trainees.

2010 / 4
2010/11 / 113

Specialties

The Deaneries were asked to breakdown current LTFT trainees by specialty. The most popular specialty groups are shown below.

Annex 1

Total number of LTFT trainees by Deanery (all grades but excluding FTTA and LAT) from 1994
Total 94 / Total 95 / Total 96 / Total 97 / Total 98 / Total 99 / Total 00 / Total 01 / Total 02 / Total 03 / Total 04 / Total 05 / Total 05/06 / Total 06 / Total 07 / Total 07/08 / Total 08 / Total 08/09 / Total 09 / Total 09/10 / Total 10 / Total 10/11
East of England / 34 / 40 / 49 / 47 / 44 / 53 / 47 / 57 / 62 / 75 / 114 / 106 / 91 / 105 / 110 / 101 / 101 / 122 / 139 / 114 / 122 / 160
KSS / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 80 / 80 / 64 / 70 / 0 / 51 / 114 / 102 / 113 / 79 / 128 / 129 / 112 / 150
East Midlands South / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 39 / 37 / 35 / 24 / 33 / 30 / 35 / 35 / 45 / 54 / 76 / 83 / 96 / 110
London / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 480 / 455 / 451 / 560 / 531 / 548 / 382 / 568 / 599 / 701 / 732 / 836 / 851 / 851
Mersey / 32 / 36 / 27 / 25 / 40 / 57 / 43 / 54 / 60 / 75 / 70 / 59 / 75 / 69 / 69 / 80 / 85 / 111 / 118 / 125 / 138 / 153
N Ireland / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 19 / 0 / 0 / 34 / 0 / 42 / 36 / 54 / 52 / 57 / 57 / 69 / 75 / 70 / 73
North Western / 82 / 69 / 80 / 82 / 87 / 99 / 92 / 93 / 94 / 100 / 100 / 103 / 107 / 118 / 99 / 122 / 126 / 117 / 157 / 177 / 162 / 181
Northern / 71 / 84 / 94 / 27 / 96 / 119 / 147 / 121 / 103 / 109 / 141 / 115 / 114 / 124 / 225 / 0 / 156 / 163 / 155 / 149 / 152 / 229
Oxford / 65 / 76 / 79 / 89 / 91 / 91 / 95 / 89 / 74 / 65 / 74 / 79 / 73 / 92 / 74 / 87 / 85 / 90 / 94 / 129 / 168 / 131
South West Peninsula / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 0 / 42 / 44 / 63 / 61 / 66 / 72 / 73 / 56 / 88 / 87
Severn / 47 / 58 / 76 / 90 / 91 / 101 / 109 / 139 / 146 / 143 / 142 / 138 / 134 / 124 / 133 / 144 / 136 / 149 / 188 / 188 / 159 / 174
Scotland / 0 / 0 / 0 / 0 / 0 / 0 / 166 / 131 / 197 / 209 / 199 / 62 / 223 / 39 / 242 / 249 / 262 / 289 / 134 / 327 / 346 / 384
East Midlands North / 63 / 82 / 81 / 95 / 112 / 107 / 107 / 138 / 60 / 79 / 73 / 82 / 69 / 89 / 69 / 17 / 99 / 125 / 119 / 108 / 103
Wales / 16 / 18 / 19 / 30 / 37 / 57 / 68 / 62 / 59 / 86 / 97 / 121 / 104 / 103 / 87 / 95 / 108 / 118 / 152 / 159 / 162 / 173
Wessex / 47 / 53 / 66 / 81 / 92 / 99 / 102 / 127 / 91 / 90 / 85 / 109 / 112 / 108 / 251 / 79 / 96 / 113 / 118 / 127 / 150 / 154
West Midlands / 20 / 42 / 70 / 73 / 90 / 105 / 106 / 100 / 129 / 168 / 192 / 183 / 178 / 177 / 205 / 213 / 216 / 232 / 257 / 278 / 297 / 320
Yorkshire and the Humber / 0 / 57 / 72 / 62 / 70 / 86 / 88 / 85 / 150 / 166 / 209 / 214 / 239 / 226 / 222 / 205 / 255 / 273 / 194 / 307 / 345 / 344
Totals / 477 / 615 / 713 / 701 / 850 / 974 / 1170 / 1215 / 1764 / 1918 / 2086 / 2016 / 2180 / 2063 / 2454 / 2262 / 2523 / 2839 / 2909 / 3378 / 3526 / 3777
Comments
KSS
Having introduced LTFT Training funding changes in July 2010, KSS Deanery was concerned that the numbers would reduce and trusts would find it more challenging to meet the demand through slot-sharing and reduced sessions, so we are pleased to report an increase of 31% LTFT trainees, compared to the same period last year.
London
London’s LTFT budget has increased by 10% in the last 5five years but the number of flexible trainees has increased by 40%. Therefore a great deal of attention is paid to managing the budget very tightly. We do not have the resources to provide the level of detail requested in this questionnaire.
Northern Ireland
Northern Ireland has reviewed the policy on approval for new applicants to LTFT. Eligibility is confirmed when the child is born, or if the doctor has health reasons for requesting LTFT. Almost all are now facilitated as reduced hours, or slotshare arrangements, and fewer are facilitated using supernumerary funding.
Scotland
WEST REGION: Note disparity between Specialties by Grade and the Questions which relate to Gender. We have the following breakdown of trainees who 'would prefer not to say' about their gender. Therefore the number of trainees who have no gender identified are therefore not included in the totals provided in this form! Note from Data Team – The totals were given separately and have been included in the relevant charts in this report as ‘Unknown’.
Severn
Re Question 2 Total number of Foundation Trainees, unfortunately we are not able to show the split between Male & Female so thetotal numbers are (F1) 280 & (F2) 288. Re Questions 13a &b this information is not routinely collected. However we know the LTFT trainees are securing consultant post in and outside the Region.
Wales
1. Wales is currently reviewing funding arrangements for LTFT. The budget has so far been reduced to £1.5 million which represents the current LTFT commitment. The budget for this financial year is expected to be confirmed by WAG around the end of May 2011. 2. Information about the number of GP trainees who have obtained a GP principal post is currently not available. 3. Outcomes of LTFT Research Project - This project reviewed all LTFT trainees from 2000-10 and has given the Wales Deanery an in-depth view of many aspects of LTFT training. Positive outcomes have been identified and benefits to both the trainees and the NHS in Wales are clear. 4. Wales Deanery now has 2 LTFT trainee reps in post to support LTFTs in their transition to part-time training. 5. In liaison with the WCAT programme director we have agreed processes in LTFT for academic trainees. 6. As well as the LTFT trainees indicated above by specialty we also have the following LTFT trainees in Neurology & Clinical Oncology (Neurology F2 x 2, ST3+/SpR x 2 and Clinical Oncology STR3+/SpR x 4).
Wessex
We still do not have a robust way to capture the number of enquiries that have been made that do not result in an application.
Yorkshire and the Humber
Figures given are for the total number of LTFT trainees appointed to Consultant/GP Principal positions - LTFT or FT appointments are unknown.
Our Workshops continue to be popular and are an excellent way of allowing LTFT Trainees to speak to each other and learn from the experiences of established LTFT Trainees. We continue to see all trainees who are wishing to train LTFT for health or carer reasons.