flexible training dr helen goodyear associate postgraduate dean for flexible training
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Flexible Training
Dr Helen GoodyearAssociate Postgraduate Dean for flexible training
Working flexibly
• Part time training
• Must work at least 50% i.e. 5 sessions or more per week
Flexible training
• Male or female doctors
• Unable to train full time
• Well founded individual reasons
Eligibility
• Category 1
• Category 2
Each case is considered on its merits
Category 1
• Disability or ill health
• Responsibility for children
• Caring for disabled/ill partner, relative or dependent
Category 2
• Unique opportunities for personal/professional development
• Service to the wider NHS
• Other reasons (but not research)
Which grades
• Training posts– F1– F2– StR/FTSTA– SpR– GP Registrar
Quality of flexible training
• Same mix of training and service as full time
• Same range and breadth of training but over a longer time period
• Equal access to teaching, study, audit, research etc
• Regular reviews of progress.
Advantages
• Reduced working hours
• Fixed weekly commitments, allowing planning for family life
• Studies show flexible trainees are happier and more enthusiastic than full timers
• Can return to full time at any time
Disadvantages
• Drop in salary, complexities of pay
• An additional trainee competing for limited training opportunities
• May be first flexible trainee for department/practice
• Can still be difficult to balance home responsibilities and work
Enquiries
• Postgraduate Dean’s office for the region
• Fill in application form or arrange interview with Associate Dean responsible for flexible training
• www.wmdeanery.org look at careers section and find guide to flexible training
• www.bma.org
Appointment process
• If already in post, convert to flexible training by asking Associate Dean
• Otherwise, apply for post in same way as fulltimers
• Get written confirmation that Associate Dean has considered you eligible for flexible training
• Be short-listed and appointed in open competition
Once appointed
• Educational approval –Royal college, Deanery and PMETB
• Training programme– Hours of work– Educational supervisor
• Administrative details - start date, pay, occupational health etc
Deanery approval
• Specialist and specialty registrars retain their Training number
• F1/F2 - staffing approval from the Postgraduate Dean( provided the programme has educational
approval and satisfies the Associate Dean)
Deanery funding of flexible training
• Slotshare
• Part time in a fulltime slot
• (Supernumerary)
Flexible funding -slotsharing
• Many deaneries ask flexible trainees to slotshare
• Two trainees share a fulltime slot and may work 50-70% each
• Has the advantage that training programme is already established
• Different to a jobshare where 2 trainees apply together for a post and may only work at 50% each.
Hours of work
• All flexible trainees must work a minimum of 50% of a full-time post.
• Usually a maximum of 60% in a slotshare. Working more than 70% the trainee is usually in a fulltime slot with reduced hours
• Actual hours worked depends on fulltimers hours – Fulltimers work 56 hours – 50% is 28 hours Fulltimers
work 48hours – 50% is 24 hours
Duration of training
• Extended pro-rata so that training duration is equivalent to a full timer– working at 60%, need to work 10 months for 6 months
WTE
– If fulltime posts are for 4 months then a flexible trainee will work for 8 months eg GP VTS posts
Future training will be competency based
Pay scales
• See www.bma.org for pay scales
• Paid on flexible band if work < 40 hours per week (applies to all trainees working 50-70%)
• New Pay Deal for flexible trainees started in June 2005
Flexible trainees basic salary• Basic salary is determined by the actual hours of work
– i.e. = standard hours + out of hours worked
Divided into 4 hour bands• F5 is 20 to<24 hrs of actual work/week - 0.5FBS• F6 is 24 to<28hrs of actual work/week - 0.6FBS• F7 is 28 to<32 hrs of actual work/week - 0.7FBS• F8 is 32 to<36 hrs of actual work/week - 0.8FBS• F9 is 36 to<40hrs of actual work/week - 0.9FBS
Banding supplements
• Payable if hours are worked outside 7am to 7pm Monday to Friday or are > 40 hours per week.
• Band FA – trainees working at high intensity and at the most unsocial times.
• Band FB – trainees working at less intensity at
less unsocial times. • Band FC – all other trainees with on call duties.
Banding Summary – see flowchart• Band 3 Not new deal compliant –1.0 FBS• Band FA (0.5)
1/3 duty hours outside 7am to 7pm Mon to Fri OR work 1 in 6.5 weekends or greater OR on call rota of 1in 10 (inc PC) or more frequentlyOn call rota of 1in 13.5 or more frequently and resident on call
• Band FB (0.4)< 1/3 duty hours outside 7am to 7pm Mon to FriAll other resident on callNon-resident on call 1in 13.5 or more frequently and less than 4
hours work after 7pm on 50% occasions
• Band FC (0.2)Non-resident on call 1 in 13.5 or less frequently
Banding supplements
• Supplement payable as a proportion of the calculated flexible basic pay (band F5 to F9)
• FA - 50%
• FB - 40%
• FC - 20%
Total salary
• Total salary = salary* + [ salary* x 0.5or 0.4or 0.2]
• *salary = F5 to F9 calculated
Example• 70% of the work of a full-time trainee• Total working hours add up to 33, putting the
trainee’s basic pay at F8 (0.8)• Banding FB (40%)• Basic Pay = 0.8 x FBS• Supplement = 0.4 x 0.8 x FBS• Total = 1.12 x FBS
• Needs to be monitored twice yearly and hours of work should be 32 to 35 hours/week
Funding
• Depends on satisfactory progress and career progress
• Foundation year assessments
• SpR and StR yearly RITAs
Flexible training
• Limited resources
• Aim to fund all category 1 applicants
• Waiting lists of around 6 months in some deaneries to train flexibly
What you can do to help• Plan well in advance - 6 months at least if possible
• Check the following– Educational approval has been given– Training programme has been arranged– Flexible post will be funded– Administrative details eg start date, contract , pay
• Start on the correct day, work well and enjoy flexible training
Summary
• Flexible training (5 sessions +)
• If you are considering this option ensure early discussion with the Associate Postgraduate Dean for flexible training