MicrosoftTeams image 1

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 health and care professionals.  This is part of a national programme.

Following the NHS long term plan and subsequent people plan report, Health Education England launched the future doctor report, which highlighted the need for a greater proportion of doctors and all other healthcare professionals to have generalist skills.  Learning from the COVID-19 pandemic has reinforced the need to enhance generalist skills to create adaptable clinicians better able to meet patient need and to address population health needs of local populations.  The enhance, or enhancing generalist skills, programme, is an interwoven professional development offer that delivers this vision.  The recent NHS long term workforce plan emphasises the importance of generalist skills needed to care for patients and it is mandated that the enhance programme be expanded to demonstrate the benefits of more generalist approaches to education and training.  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 development offers available as part of the South West programme. Read on for more information about each training offer and how to apply.


What are enhance 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 enhance 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: NHS England Enhancing Generalist Skills or watch this introduction video.  To learn more about the enhance programme you can download our handbook here.


Our educational development offers:

Gloucestershire Trailblazer Project:

Gloucestershire Hospitals NHS Foundation Trust (GHNHSFT) is an NHS England pilot site for the enhance programme.

The enhance programme recognises the need for healthcare professionals to develop a range of generalist skills, in order to better meet patient need and improve the health of local populations.

Clinicians with generalist skills are confident at managing complex care within multi-professional teams, and can work across community, primary and secondary healthcare settings in order to provide person-centred care for a broad range of health conditions.

By developing a holistic approach to the health and wellbeing of both individuals and local populations, clinicians of all disciplines can help to improve patient experience and the quality of healthcare. 

Our Programme 

A free, part-time, multi-professional course. 

Currently in development and is due to be launched June 2024 for September intake.


Contact Details:

Dr Sean Elyan, Clinical Lead

Dr Caroline Bailey, Senior Clinical Fellow

Claire Parkhouse, Clinical Fellow

Ruth Bafta, Programme Support Administrator

Please direct all queries to the Gloucestershire Trailblazer team at  


North Devon Generalist Trailblazer Project:

The North Devon based Trailblazer project is one of seven UK pilot sites blazing the trail, offering a mixed clinical and educational programme to develop a wide range of skills and knowledge for our staff.  We aim to encourage our workforce to pursue best practice through ‘person centred’ care, regardless of speciality, as well as linking across departmental boundaries, primary care, secondary care and the voluntary sector.

The initial 12-month phase will be aimed at Post-Foundation Training doctors and will contain a number of different elements including postgraduate and undergraduate educational programmes, using immersive explore and delivered enable approaches within the overall national Enhance programme.  Our clinical posts will be split between Emergency Medicine, General Medicine, Paediatrics, Trauma and Orthopaedics, longitudinal acute frailty and individually agreed project components with faculty support and supervision to help focus on the Enhance Generalist domains.  The projects will contain themes relating to Remote, Rural and Coastal Healthcare, aimed at 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.

We will also be offering a variety of placements across specialties for Undergraduate Medical students across years, 3, 4 and 5, introducing them to the Enhance Domains.

The Enhance Programme aims to support the next generation of clinicians to work effectively across health and care developing personalised approaches to multimorbidity and complexity, advocate for social justice, seeking new ways to reduce health inequalities; be community and population-orientated in their approach, taking responsibility for resource stewardship creating sustainable processes and practice; and work and lead collaboratively, inclusively and compassionately within multidisciplinary teams, and across organisations and systems.  These future doctors will lead on overcoming processes that risk fragmented, duplicated and disjointed care resulting in error, waste and patient safety implications.

This programme offers motivated fellows 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.


Contact Details:

Dr Mark Fresch, Clinical Lead

Dr Tom Cracknell, Senior Clinical Fellow

Dr Philippa Hardy, Senior Clinical Fellow

Andrea Stanley, Senior Clinical Fellow

Madeleine Carter, Education Support Administrator

Please direct all queries to the North Devon Trailblazer team to