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Enhancing Generalist Skills

Developing our integrated healthcare teams

The NHS England Enhancing Generalist Skills (enhance), programme, is a professional development offer for all healthcare professionals with a syllabus covering six health and care domains and four key cross-cutting themes. Find out more about the background to how the programme started.

The aim of enhance is to equip all healthcare professionals with the additional generalist skills required to deliver excellent person-centred care across the evolving complexities of the health and care system. The importance of this was emphasised in the 2023 NHS Long Term Workforce Plan (LTWP), mandating that the enhance programme be expanded to embed the benefits of a more generalist approach across healthcare education and training.  

Since Spring 2022, seven regional trailblazers have been piloting enhance across England, supporting over 400 engaged and enthusiastic multi-professional learners to date. From immersive community placements in the Midlands to innovative virtual reality experiences in the East of England, and field trips with a focus on sustainable health in Yorkshire – each region has had the freedom to be innovative in their own unique way to suit their local health priorities. Find out more by watching our trailblazer champion videos.

Programme evaluation is currently underway, accredited by the Royal College of Physicians, with a year one evaluation report expected in Autumn 2023. Moving forwards, the next phase of the programme is to continue to support the train, retain, reform agenda from the LTWP by accelerating and embedding enhance in the following ways:

Foundation Programme: enhance is available to all Foundation doctors in England from August 2023. Find out more here.

Integrated Care Systems: A bidding process has launched for a series of multi-professional pilots with Integrated Care Boards – contact us to request an information pack.

Medical Specialties: Medical Royal Colleges are integrating enhance into their higher specialty training programmes. For example, enhance has informed the Royal College of GPs curriculum reform, the Royal College of Physicians are piloting enhance in General Internal Medicine training, and the Royal College of Psychiatry are in the process of mapping enhance to their curriculum.

Trailblazer expansion: Our regional trailblazers are continuing to enrol and expand their learner cohorts for the next academic year, iterating their teaching based on learning from their first year of delivery.

Contact us to find out more or follow us on social channels below to keep up to date with enhance developments.

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