If you are a trainee within the School and are considering Less Than Full-time training it is advisable to contact the Training Programme Director (TPD) well in advance. You will then need to complete an application form for eligibility which is downloaded from the PGME website. If you have any questions relating to the application form / process it is worth contacting the PGME directly (contacts below). Once the application is approved it is essential to liaise again with the Programme Director regarding the practicalities of your rotation e.g. available slot shares etc.

If you will be occupying a purely supernumerary position we will also need to obtain GMC approval for the post. However, most LTFT trainees will occupy a slot share, which has already been approved. Severn PGME and TPD will advise you if further approval is necessary.

Dr Anna Simpson is the Flexible Trainees Representative who attends the School Board Meetings to represent flexible trainees.

Most FAQs are answered on the PGME and RCoA websites. However, we have added a few FAQs of our own 

Dr Chris Laxton
Flexible Training Adviser
Bristol School of Anaesthesia

Dr Su Underwood is the Bernard Johnson Adviser for Flexible Trainees at the Royal College and can be contacted through the Training Department.

ARCPs for Less than Full-time Trainees

The annual review process for trainees in flexible training will take place at the same frequency as full-time trainees, ie, once yer calendar year.

Return to Training Scheme

The Academy of Royal Colleges recommends that an assessment of doctors on return to practice after an absence of more than 3 months.  The Bristol School of Anaesthesia Return to training is based on a scheme developed by the Wessex PGME and applies to all trainees in Anaesthesia returning to work after a period of absence of greater than 3 months. Trainees returning after a period of ill health may have a phased return plan organised through occupational health, which will take precedence.

Please see Return to Training Scheme flow chart for further information and also the pre-absence form and return to training form.

Supported Return to Training

Trainees may take time out of training for several different reasons and for varying lengths of time. Health Education England understands that regardless of the reason, returning to training can be a difficult and stressful time for a trainee. If this is you, be reassured that you are not on your own; Health Education England and your SuppoRTT team are here to help.  


Royal College of Anaesthetists

Medical Women's Federation

AAGBI and GAT guide to LTFT