NHSE- Health Equity Focussed Training (HEFT)


We are excited to be offering several HEFT placements across the North West region from August 2023. These innovative posts have proved popular in other regions of the country and will give Doctors in Training the opportunity to train with experienced clinicians serving our region's most socio-economically deprived communities. You will gain the knowledge & skills to offer great primary care to struggling communities and vulnerable groups, and to develop your own areas of interest.


You will learn how to help people from key inclusion groups including homeless, refugees/asylum seekers, traveller communities, people experiencing poverty and many others that mean they experience worse health outcomes. This experience will allow you to develop the skills to become a caring & compassionate GP with a deep understanding of health inequity and the needs of communities.


  Over the three-year training program, you will:

  • Participate in a variety of innovative 6-month posts working in areas such as mental health, homeless health, substance misuse, public health, research and other key specialties (see full list of examples below)
  • Undertake GP placements that serve communities with higher levels of socio-economic deprivation
  • Attend a national teaching program that covers key topics in health inequalities, led by eminent experts in the field every 8 weeks.
  • Participate in regional peer-learning groups, meeting trainees from across the region to share in your learning and development
  • Explore post-CCT opportunities available and how to develop your future career in health inequalities


For more information regarding HEFT and testimonials please click here




  • HEFT rotations are currently available within the following training schemes: Blackpool, East Lancashire, St Helens & Knowsley, Sefton & North Liverpool and the Greater Manchester Deprivation Scheme
  • Where available, HEFT rotations will be highlighted under each respective training scheme on Oriel. Once allocated to a training scheme, you will then have the opportunity request a HEFT track as one of your preferences.
  • We are unable to guarantee the specific HEFT rotations you may get (Mental Health, Public Health, substance misuse etc), or the GP placement as these will vary between patches.
  • If you undertake the program and subsequently interrupt your training for any reason, we cannot guarantee the availability of HEFT-specific rotations or GP placements when you return.


Examples of possible six-month posts within the HEFT rotations in the Region include:

  • Mental Health
  • Public Health
  • Substance misuse
  • Psychiatry
  • Prison medicine
  • Inclusion health (homelessness, migrant, sex workers, Refugee/Asylum seekers, Gypsies and Travellers)
  • Leadership
  • Research
  • Gastroenterology/ Hepatology
  • Emergency Medicine