References

Council for Healthcare Regulatory Excellence. Advanced practice: report to the four UK health departments. 2009. https://tinyurl.com/y89m3oca (accessed 17 December 2020)

Department of Health. Advanced level nursing: a position statement. 2010. https://tinyurl.com/y7drfzfc (accessed 22 December 2020)

Health Education England. Multi-professional framework for advanced clinical practice in England. 2017. http://tinyurl.com/yam6qdax (accessed 15 December 2020)

Hill B. Exploring the development and identity of advanced practice nursing in the UK. Nurs Manag (Harrow). 2017; 24:(5)36-40 https://doi.org/10.7748/nm.2017.e1607

Kotter JP. Leading change.Boston: Harvard Business Press; 2012

National Leadership and Innovation Agency for Healthcare. Framework for advanced nursing, midwifery and allied health professional practice in Wales. 2010. https://tinyurl.com/y9t9y37y (accessed 17 December 2020)

NHS Employers. Advanced clinical practice. 2020. https://tinyurl.com/y6ut7vnq (accessed 17 December 2020)

NHS England. Leading change, adding value: a framework for nursing, midwifery and care staff. 2016. http://tinyurl.com/h45wu74 (accessed 17 December 2020)

Northern Ireland Practice and Education Council for Nursing and Midwifery. Advanced nursing practice framework: supporting advanced nursing practice in health and social care trusts. 2016. https://tinyurl.com/y5svldup (accessed 22 December 2020)

Nursing and Midwifery Council. The code. 2018. https://www.nmc.org.uk/standards/code (accessed 17 December 2020)

Pearce C, Breen B. Advanced clinical practice and nurse-led clinics: a time to progress. Br J Nurs. 2018; 27:(8)444-448 https://doi.org/10.12968/bjon.2018.27.8.444

Advanced nurse practitioners. An RCN guide to advanced nursing practice, advanced nurse practitioners and programme accreditation.London: RCN; 2012

Royal College of Nursing. Advanced level nursing practice: introduction. 2018. https://tinyurl.com/y5dfvjke (accessed 17 December 2020)

Schön D. The reflective practitioner. How practitioners think in action.Abingdon: Routledge; 1991

Scottish Government. Supporting the development of advanced nurse practice. 2008. https://tinyurl.com/y72o3y4f (accessed 21 December 2020)

Introducing advanced level practice and the scope of developing new roles

14 January 2021
9 min read
Volume 30 · Issue 1

Abstract

Barry Hill and Aby Mitchell introduce a new series on advanced level practice. They describe the frameworks that outline advanced practitioner roles and explain how the roles affect patients, services and organisations

Advanced clinical practice is a defined level of expertise within health and care professions such as nursing, pharmacy, paramedics and occupational therapy. Practice at this level is designed to transform and modernise pathways of care, enabling the safe and effective sharing of skills across traditional professional boundaries (Health Education England (HEE), 2017). Advanced clinical practitioners (ACPs) are equipped with the skills and knowledge to allow them to expand their scope of practice to better meet the needs of the people they care for.

Advanced level practitioners are deployed across all healthcare settings and work at a level of clinical practice that pulls together the four pillars of clinical practice, leadership and management, education and research (HEE, 2017) (Figure 1). According to HEE (2017) ACPs are educated to master's level or equivalent, although not all advanced level practitioners in England hold a master's; they have achieved this level of practice through experience and expertise. The need for master's level education is advised, but it is not set by law, nor is ‘ACP’ a qualification that can be registered with a professional body; it has yet to be made a legally protected title that requires professional registration.

Register now to continue reading

Thank you for visiting British Journal of Nursing and reading some of our peer-reviewed resources for nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • Unlimited access to the latest news, blogs and video content