Professionals' views and experiences of the TrainDEEP (TRaining Assistance INitiative in DEep End Practices) pilot: transforming GP practices into training practices in disadvantaged areas in the North East of England.

Abstract

The North East and North Cumbria Deep End (NENC DE) Network comprises GPs and primary care staff serving the most socioeconomically disadvantaged communities. GPs often work in practices where they have trained, yet there are fewer training practices (TPs) in the Deep End (DE), limiting recruitment opportunities. TRaining Assistance INitiative in DEep End Practices (TrainDEEP) aims to increase TP numbers, to enhance GP recruitment, and to improve healthcare access for communities with the greatest need. This study aimed to explore the views and experiences of professionals involved in the TrainDEEP intervention designed to transform DE practices into TPs to enhance GP recruitment and retention in socioeconomically disadvantaged areas. A qualitative longitudinal study involving professionals working in two DE practices in the North East of England, who were part of the TrainDEEP intervention. Semi-structured interviews were conducted at two points during the 12-month intervention. Transcripts were coded inductively and thematically analysed. A total of 17 interviews with 10 participants were conducted (September 2023 to February 2025). The following three main themes emerged: (1) becoming a TP, including resource provision and barriers; (2) training in a DE context, focusing on learning opportunities, and recruitment and retention challenges and solutions; and (3) impact on the practice, evaluating TrainDEEP's success and future sustainability.. The TrainDEEP model was successfully implemented, receiving positive feedback. This model could be expanded across the local and national DE networks to increase TPs, boosting recruitment and enhancing healthcare provision for underserved communities.