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Background The North East and North Cumbria Deep End Network (NENC DE) comprises of general practitioners (GPs) taking a targeted approach to addressing health inequalities by providing additional support into socioeconomically disadvantaged communities experiencing the greatest health needs. GPs often work in practices where they have trained, yet there are fewer training practices in the DE, limiting recruitment opportunities. TrainDEEP aims to increase training practice numbers, by embedding an experienced trainer into the DE practice, enabling a DE GP to complete an intending trainers course. This is to enhance GP recruitment and to improve healthcare access for communities with the greatest need.The aim was to explore, from the perspective of the Integrated Care Board, the costs and benefits of delivering the TrainDEEP intervention to establish training practices compared with practices becoming training practices independently.Methods A cost-benefit analysis was undertaken to assess the economic efficiency of the TrainDEEP intervention compared to GPs becoming training practices independently. The benefit and micro-costing inputs to the model were informed by the experience of two NENC DE practices.Results Over a two-year period, the total costs of delivering TrainDEEP for a practice were £42,042 and the total benefits amounted to £107,538, meaning there was a total net-benefit of £65,496. This is compared with becoming a training practice independently which had a lower net-benefit of £14,414 due to lower benefits (£55,676) but similar costs (£41,262).Conclusion The greater net benefit from TrainDeep compared to becoming a training practice independently was due to the reduced time taken to become a training practice bringing the benefits from taking on trainees forward. Therefore, ICBs should consider further funding and expansion of the TrainDEEP model to help meet targets set in the Long-Term Workforce Plan which aims to increase GP training places by up to 60%, by 2034.