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Enhanced Training Practices

Enhanced Training Practices are an exciting initiative, funded by Health Education England, to develop placements for inter-professional healthcare students in Primary Care across the North West. As outlined in point 3 of Building the Workforce - the New Deal for General Practice, these hubs or networks will enable groups of GP practices to offer inter-professional training to primary care staff, extending the skills base within general practice and develop a workforce which can meet the challenge of new ways of working.

What are they?

This new initiative allows for a GP accredited training practice, or group of GP practices, to become an Enhanced Training Practice (ETP) to develop inter-professional placement capacity. Using a Hub and Spoke model, the ETPs provide exposure and breadth of placement experience, allowing general practice the opportunity to address workforce shortages in primary care. ETPs take the lead role by becoming a 'Hub' working to expand the number of placement providers by recruiting and managing ‘spoke placements’. Examples of spokes can be other smaller general practices, community pharmacies, opticians, voluntary services and hospices etc.

Each ETP is committed to accommodating a total of 80 students incrementally over the three year period. With 15 Enhanced Training Practices currently operating across the North West, this will give additional placement capacity of c. 1100 healthcare learners. Hubs have additional responsibilities around Widening Participation. 

What are the advantages of becoming part of ETP model?

  • Promotes careers in primary care, shifting student expectations and providing an opportunity to address the workforce shortage
  • It gives existing primary care staff an opportunity to train and develop their own careers, extending the skills based within general practice
  • Provides a recruitment opportunity, which primary care did not have in place before
  • Due to the needs for an educational audit before placements can take place, it also boosts provider status for CQC


Where are they?

Health Education England in the North West currently have 15 Enhanced Training Practices, reaching out to over 50 practices across the region.

How are Enhanced Training Practices supported?

Enhanced Training Practices are supported by the North West Placement Development Network (NWPDN), which are based across three localities in Cheshire and Merseyside, Greater Manchester and Cumbria and Lancashire. The NWPDN works in partnership with Higher Education Institutions, Practice Education Facilitators and placement providers to develop placements and to maximise inter-professional utilisation of all placement areas. They provide direct and daily support to the Enhanced Training Practices, advising on audit and mentor processes, liaising with Higher Education Institutions and helping the ETPs to extend their placements beyond nursing into Allied Health Professionals, Paramedics and other roles.


Health Education England additional improvement measures include apprenticeship activity, careers engagement with schools and medical schools and mentorship development.

If you are interested in become part of the Enhanced Training Practice model and develop your inter-professional placement capacity, we encourage you to become a spoke by contacting your nearest ETP Hub detailed above.  

Health Education England Contact Details: 

Email: HENW.transformation@nhs.net

Phone: 0161 6257366

For further information, please see the attached documents below.

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