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Guides / LTFT and CCT dates

Guide · LTFT and completion dates

How LTFT and time out change a CCT date

Training time is counted pro rata, and time out of training does not count. The principle is simple; the dates are where it goes wrong. Here is how the counting works, with five worked examples.

The principle

A doctor training less than full time (LTFT) completes the same amount of training as a full-time colleague, spread over longer. A year at 80% counts as 0.8 of a year. Time out of training, such as maternity leave or an out-of-programme career break, adds nothing, so everything after it moves later by its length.

Annual and study leave are part of training. Annual leave that builds up during maternity or shared parental leave counts too.

What counts towards training in anaesthetics

The RCoA's guidance for its CCT date calculator lists what counts:

CountsDoes not count
Time in training, at its LTFT percentage
Annual leave accrued during maternity or parental leave
Out of programme for training, research or a pause (OOPT, OOPR, OOPP)
Maternity, paternity and shared parental leave
Sick leave of two weeks or more in a row
Out of programme experience or a career break (OOPE, OOPC)
Phased return, shielding and unpaid leave

Other colleges and deaneries draw these lines slightly differently, so check your own college's guidance.

How the RCoA calculator counts

The RCoA's workbook (version 4.5) counts in days. Each year of training is 365 days. Each period of a working pattern is a row; the row counts its length times its percentage, rounded up to a whole day. A period of time out counts nothing. The completion date is the day the total is reached.

One more rule: if the date lands within six days of the February or August changeover, it moves to the Tuesday before the changeover Wednesday. That is the last day of the rotation, so training ends with it.

Higher training in anaesthetics (ST4 to ST7) is four years, so 1,460 days. The RCoA confirms a CCT date counted from the start of ST4.

Five worked examples

Each starts ST4 on Wednesday 6 August 2025, the August changeover. Every date here is what the free CCT date calculator gives, using the RCoA method.

PatternThe count reaches 1,460 daysCCT date
1. Full time throughoutSun 5 Aug 2029Tue 31 Jul 2029, moved to the changeover Tuesday
2. 80% throughoutMon 5 Aug 2030 (1,460 ÷ 0.8 = 1,825 days)Tue 6 Aug 2030, moved to the changeover Tuesday
3. 60% throughoutMon 5 Apr 2032Mon 5 Apr 2032, no changeover nearby
4. Full time for a year, then 80%Tue 7 May 2030 (363 + 1,097 days)Tue 7 May 2030
5. Full time, with six months' maternity leave from 1 Mar to 31 Aug 2027Tue 5 Feb 2030 (571 + 0 + 889 days)Tue 5 Feb 2030, already the changeover Tuesday

Two things stand out. First, a CCT date is rarely on a changeover unless the count happens to land near one: example 3 finishes in April. Second, the first row in example 4 counts 363 days, not 365. The workbook counts each row as finish minus start, one day short of its calendar length, and that is why each extra row, even with the same percentage, can move a date by a day. Enter one row per real change of pattern.

When absence triggers a review

Under the Gold Guide (11th edition, 2026), 14 or more days of absence in a 12-month period, not counting study or annual leave, triggers a review at ARCP of whether the completion date should move. It is a review, not an automatic extension: the ARCP panel decides.

Who confirms the date

In anaesthetics, schools (normally the Training Programme Director) calculate CCT dates and record them on the ARCP outcome form. A change of more than two weeks from the date the College holds is treated as an exceptional change and goes to the College's training committee. See the RCoA's guidance on managing CCT dates.

Other specialties

The principle is the same everywhere, but the arithmetic differs. Emergency medicine's calculator counts in months, with days counted inclusively; paediatrics counts days without rounding; most other colleges publish no formula and leave the date to the deanery. The CCT date calculator offers each method side by side.

Last reviewed 12 October 2026. This guide explains the counting; it is not advice about any individual's training.