Actions/recommendations

1. Enhancing generalism:

• The adoption of the Enhance programme
• The adoption of longer placements
• A pilot of blended learning placements

2. Equity in training:

• Continue to support overseas doctors in GPST through the HEE programme
• Applying the recommendations of the BAPIO report to GPST
• Use of GP curriculum to highlight inequalities in care delivery and ways to address them

3. Social accountability and serving all communities:

• Support for prioritisation of areas of deprivation within primary care estate plans
• Identification of further opportunities for development of HEFT programmes
• The further development of post-CCT deprivation-themed fellowships

4. Improving the quality of training:

• Exploration of options for further reforms to placement and delivery model
• Standardisation of quality management processes in line with the refreshed HEE Quality and
• Intensive Support frameworks
• Expansion and diversification of placements following move to training hubs overseeing PCNlevel quality control
• Increase in use of innovative placements, including those across community, voluntary and digital services

5. Better wellbeing and mental health care in general practice and the community:

• The creation of new learning opportunities through NHS England and mental health providers
• The exploration of innovative training placements through charities, third sector organisations and other services not typically used

6. Improving cancer diagnosis and earlier detection:

• Education opportunities to engage with cancer diagnostic academics
• Training in clinical decision-making to enhance cancer diagnosis and referral
• Training in the harms of overdiagnosis
• Innovative ITP placements

7. Population health:

• Exposure to placements, learning opportunities and educational events about population health
• ITP posts in public health, ICBs, community specialities and prisons
• Involving GP DiT in HEFT
• More GP DiTs doing the national Population Health Fellowship
• A dual CCT in general practice and public health

8. Technology in practice

• The development of a primary care Virtual Training Academy
• The development of a national virtual learning environment
• The commissioning and development of technology to support GP training programmes

9. Planetary health in practice

• The embedding of teaching on planetary health and sustainability in the curriculum
• Opportunities for GP DiTs to be involved in projects that support the NHS zero carbon commitment
• Considerations on environmental impact to be routinely factored into decisions on the delivery of GP training

10. Leadership, management and strategy in context:

• Exposure to leadership opportunities during GP DiT training
• Provision of specific, relevant and ongoing leadership training
• Representation of primary care voices and patient voices at all levels of healthcare leadership
• Training in knowledge and skills to provide clinical supervision of the wider MDT, including other doctors