2. The Shape of LTFT 2015 RCoA & AAGBI 6th May 2015

3. Introduction Dr Carolyn Evans, previous RCoA LTFT Advisor Dr Su Underwood, RCoA LTFT Advisor LTFT – where are we now? LTFT and influence on changing practice Outcome from Training : FT vs LTFT

4. Overall UK Trainee numbers 2014 – GMC Trainee survey Whole time 53077 LTFT nationally6,010 (11.3%) Anaesthetics 447 (12.8%) LTFT as a % of doctors in training GMC Trainee survey 2014

5. LTFT GMC survey information 2014 Most popular programme ie the largest number of LTFTs GP (1620) LTFT percentage by specialty Public Health 33% Paediatrics 24% Pathology 19% GP 18% O&G 18% Psychiatry 18% Anaesthetics 12.8% (8.7% 2009) Surgery 6%

6. LTFT GMC survey information 2012-2014 The changing face of LTFT workforce Impact of 2014 employment legislation on requesting flexible work ?

7. Hidden force for change LTFT = maternity leave Returning to work Highlighted concerns in LTFT survey data 2009 / 2012 /2014 (London, West Midlands and Scotland) “unable to get KIT days funded” “Trust not receptive to KIT days” “expectation of working solo on day 1 back after 13 months off” “conflicting advice being offered as to what was expected” GASAgain 2011

8. Driving change Progress slow but AoMRC working group “Return to Practice” 2012 Patient safety concerns recognised Generic guidance agreed RCoA updated their RTW recommendations 2012 Trainee: LETB /Deanery support for RTW College hosts “GASagain” 2014 Changing peoples thinking Active management of RTW accepted as normal practice

9. Outcome from Training Looking to answer the key questions around length of training, impact of LTFT, award of CCT and subsequent employment Project fully supported by College Carolyn Johnston, Seema Randive, Anna Fowler and Carolyn Evans

10. Outcome from Training Cohort 2009-2011 (1247 trainees) access to College trainee database for training records LTFT / maternity leave / career break / RITA E or ARCP Outcome 3 information collected by College after each AAC E-mail questionnaire to the trainee cohort

11. Outcome from Training Key findings LTFT in later years and for defined periods of time Average length training 8ys 5months FT vs 10yrs 8 months for those LTFT Just as likely to be appointed to a consultant post as a FT trainee Very small numbers taking up PT consultant posts from both groups – influence of 10PA (7.5/2.5) contract at the time?

12. The challenges ahead Demand vs “mind the gap” Backfill / LTFT rotations LTFT role models CTs / PDs / RAs Examiners College Council ?

13. “Agile working option” LTFT for ♀&♂ ☺