How are LTFT trainees funded?

Modified on Thu, 18 May 2023 at 05:19 PM

How are LTFT trainees funded?

All LTFT payments are paid to the Trust quarterly via the NHS Education Contract. Payments are made pro-rata across the year and not in one lump sum. Payments will be adjusted each quarter and a detailed breakdown on how LTFT payments are made to the Trust are confirmed in the finance pack that is sent to the Trust each quarter. 


East of England 


All East of England Trusts are funded via East of England and any finance queries should be sent to the East of England LTFT team


Reduced sessions in a Full-Time Post


  • If the trainee is working reduced sessions in a full-time post, then there is no funding due from the LTFT budget to the Trust.
  • This is because the training post that the LTFT trainee occupies is already fully funded from Tariff funding.
  • The cost to the trust will therefore be nil as the funding for a full-time trainee is already in place but the trainee is working less than full time.


Slot share funding


  • Slot sharing works on the basis that two trainees share one full-time post and manage any out-of-hours between them. Each doctor may work up to 80% whole time equivalent (WTE) and is paid as an individual trainee on the basis of actual contractual hours.
  • Slot share - The first 1 WTE is funded through post funding (50% salary support plus placement fee).  London and Kent, Surrey and Sussex will fund anything above 1 WTE for slot shares.
  • Both trainees can work between 0.5, 0.6, 0.7 and 0.8. London and Kent, Surrey and Sussex will not fund any placements below or above these amounts.


Slot-share example for tariff funded post:


Trainee A – works WTE of:


Trainee B – works WTE of:


Total WTE worked by Trainees  (0.7 + 0.6): 


Trainee A funded by post funding at


Trainee B funded through LTFT budget at


Total funding to Trust for slot share (1.0 + 0.3)



Please note that from 2023-2024, NHS England will no longer provide incentive payments to NHS Trusts for taking on LTFT trainees.

Maternity Leave payments



From 2023-2024, London Trusts will no longer be paid £12,000 for each existing LTFT trainee that takes maternity leave. KSS Trusts have never received these payments.


How are academic LTFT trainees funded?


Academic LTFT trainees are funded via the academic funding schedule and will not appear on the LTFT funding report. If academic LTFT trainees are slot sharing with a non-academic LTFT trainee the non-academic LTFT trainee will be funded as reduced sessions.


How are Supernumerary LTFT trainees funded?


From 2023-24, funding will be provided for LTFT trainees who are placed in Trust funded supernumerary posts. 


NHSE recommends that LTFT supernumerary placements would not normally exceed a maximum period of 3 months and that where possible, all postgraduate doctors in training should be managed within standard rostered placements. This is to avoid postgraduate doctors in training being in permanently supernumerary placements. Any exceptions to this must have the prior agreement of the Regional Postgraduate Dean.  



On-calls, sick leave and paternity leave



The Trust is responsible for paying on-calls, sick leave and maternity leave.

If none of the FAQs have answered your question, please submit an enquiry to the team by clicking here

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