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enhance: South West 

Welcome to the South West enhance: Generalist skills programme

The South West is piloting a new programme of teaching to enhance generalist skills for early career doctors. This is part of the national HEE Enhance programme.
The Covid-19 pandemic required healthcare professionals to respond to change on a systematic level and to work, learn and communicate across traditional boundaries. The initial rapid changes have led to a focus on more long-term population needs, for which healthcare professionals must both acquire new and enhance existing generalist skills as an integral part of their professional development.
Our vision in the South West is to champion a person-centred, 'team around the person' approach, by working across different disciplines to promote collaboration through compassionate and empathetic leadership.

There are two educational pilot projects available as part of the South West programme; Gloucestershire Homelessness Trailblazer Project and the North Devon: Rural, Remote and Coastal Health Project. Read on for more information about each training offer and how to apply.


What are Generalist skills?

Skills that enable best practice across the NHS, regardless of specialism, with the aim of delivering better joined-up care, staff and patient experience and health outcomes. The generalist skill domains are; person-centred practice; system working; complex multi-morbidity; social justice; environmental sustainability and population health.  Find out more about the programme: HEE Enhancing Generalist Skills or watch this introduction video.  To learn more about the enhance programme you can download our handbook here.


Our educational development offer:

Gloucestershire Homelessness Trailblazer Project:

Gloucestershire Hospitals NHS Foundation Trust is one of seven UK pilot sites that will deliver free, part-time enhanced generalist skills training. Generalist skills help to champion a ‘team-around-the-person’ approach in a multi-professional environment and develop better staff and patient engagement for healthier outcomes. The training will help build critical understanding of the healthcare pathways for people experiencing homelessness, with the aim of delivering improved patient care and access to services and strengthening on-going support through local networks.

The project receives input from expert local organisations, speakers, clinicians, trainers and our national award-winning homelessness pathway team. All participants will receive a certificate of attendance and have the option to complete a Silver Level QI project.  

How will training be delivered?  

A combination of in-person interactive learning, case studies, specialist outreach experience, reflective practice, action learning sets and more... supported throughout by an educational and clinical supervisor. Expect sociable interactive sessions. 


Applications are now closed, information to follow on future programmes.

Who can apply?

Anyone in an NHS healthcare role in the South West England region is welcome to apply including F3 doctors, physician associates, nurses, AHPs, pharmacists, paramedics.


Applications are now closed.  Information on future programmes to follow.

If you you wish to be considered for future programmes or would like more information please email 


Contact Details:

Dr Sean Elyan, Clinical Lead

Dr Caroline Bailey, Clinical Fellow

Abigail Stephens, Clinical Fellow (AHP)

Lynn White, Programme Lead

Hilary Carter-Thompson, Programme Support Administrator

Please direct all queries to the Gloucestershire Trailblazer team at  


North Devon Generalist Trailblazer Project:

The North Devon based Trailblazer project takes a “cradle to grave” approach to healthcare training based around 12-month clinical posts rotating between Paediatrics, Emergency Medicine, and General Medicine with longitudinal support and supervision to help focus on the Enhance Generalist domains.

The posts will be split between clinical practice and time for successful candidates to pursue a suitable individual mentored project. The projects will contain themes relating to Remote, Rural and Coastal Healthcare, aimed at the specific demographics and challenges of the locality and with the goal of advancing healthcare provision, sustainability, and resource stewardship by working across and breaking down barriers in the local area.

There will be an emphasis on crossing traditional boundaries between multidisciplinary workers, primary and secondary care, and voluntary sector groups to achieve more unified practices for the benefit of all, but particularly vulnerable and under-represented societal groups. The 6 Enhance Generalist domains of person-centred practice, complex multi-morbidity, system working, population health, social justice & health equity, and environmental sustainability will be woven throughout the programme.

This initial phase is aimed at F3 Trust grade doctors and offers motivated candidates a unique opportunity to participate in a ground-breaking project to develop healthcare provision in a beautiful geographical area and develop their interests and professional skills.

Further information to follow shortly.


Contact Details:

Dr Mark Fresch, Clinical Lead

Dr Tom Cracknell, Senior Clinical Fellow

Dr Philippa Hardy, Clinical Fellow

Lynn White, Programme Lead

Please direct all queries to the North Devon Trailblazer project to