Alzheimer's Disease International. 2019.

Alzheimer's Society. 2019.

Boyd R Early diagnosis and access to treatment for dementia patients.. Nurse Prescribing. 2013; 11:(4)174-178

Cabinet Office, Department of Health and Social Care, Prime Minister's Office. 2015.

Clibbens R The role of the nurse in the assessment, diagnosis and management of patients with dementia, 2nd edn.. London: CRC Press; 2011

Royal College of Psychiatrists. 2018.

Department of Health and Social Care. 2018.

Dobel-Ober D, Brimblecombe N National survey of nurse prescribing in mental health services; a follow up 6 years on.. Journal of Psychiatric and Mental Health Nursing. 2016; 23:(6-7)378-386

Dodd E, Cheston R, Fear T An evaluation of primary care led dementia diagnostic services in Bristol.. BMC Health Serv Res. 2014; 14

Elsom S, Happell B, Manias E Expanded practice roles for community mental health nurses: what do consumers and carers have to say?. Issues Ment Health Nurs. 2007; 28:(9)1065-1079

Fisher SE, Vaughan-Cole B Similarities and differences in clients treated and in medications prescribed by APRNs and psychiatrists in a CMHC.. Arch Psychiatr Nurs. 2003; 17:(3)101-107

Fung YL, Chan Z, Chien WT Role performance of psychiatric nurses in advanced practice: a systematic review of the literature.. J Psychiatr Ment Health Nurs. 2014; 21:(8)698-714

Fung Y-L, Chan ZCY, Chien W-T We are different: the voices of psychiatric advanced practice nurses on the performance of their roles.. Contemp Nurse. 2016; 52:(1)13-29

Hain D, Fleck LM Barriers to NP Practice that Impact Healthcare Redesign.. Online J Issues Nurs. 2014; 19:(2)

Health Education North West. 2015.

Healy D, 6th edn.. London: Elsevier Health Sciences; 2016

Hemingway S, Ely V Prescribing by mental health nurses: the UK perspective.. Perspect Psychiatr Care. 2009; 45:(1)24-35

Hemingway S Mental health nurses' medicines management role: a qualitative content analysis.. Nurse Prescribing. 2016; 14:(2)84-91

Hemingway S, Brimblecombe N Community psychiatric/mental health nursing: contexts and challenges—the case of nurse prescribing and recovery-focused interventions.Cham, Switzerland: Springer/European Specialist Nurses Organisations; 2018

International Council of Nurses Nurse Practitioner/Advanced Practice Nursing Network. 2019.

Miller R, Clibbens RWakefield: South West Yorkshire Partnership NHS Foundation Trust; 2017

Mitchell G Applying pharmacology to practice: the case of dementia.. Nurse Prescribing. 2013; 11:(4)185-190

Mitchell G, McCollum P, Monaghan C The personal impact of disclosure of a dementia diagnosis: a thematic review of the literature.. British Journal of Neuroscience Nursing. 2013; 9:(5)223-228

National Institute for Health and Care Excellence. 2018.

NHS Employers. 2019.

NHS England. 2018.

NHS England. 2019.

Norman IJ, Coster S, McCrone P, Sibley A, Whittlesea C A comparison of the clinical effectiveness and costs of mental health nurse supplementary prescribing and independent medical prescribing: a post-test control group study.. BMC Health Serv Res. 2010; 10

Nursing, Midwifery and Allied Health Professions Policy Unit for the Department of Health. 2016.

Page D, Grant G, Maybury C Introducing nurse prescribing in a memory clinic: service user and family carer experiences.. Dementia. 2008a; 7:(1)139-160

Page S, Hope K, Bee P, Burns A Nurses making a diagnosis of dementia–a potential change in practice?. Int J Geriatr Psychiatry. 2008b; 23:(1)27-33

Page S, Hope K Towards new ways of working in dementia: perceptions of specialist dementia care nurses about their own level of knowledge, competence and unmet educational needs.. J Psychiatr Ment Health Nurs. 2013; 20:(6)549-556

Parker JM, Hill MN A review of advanced practice nursing in the United States, Canada, Australia and Hong Kong Special Administrative Region (SAR), China.. Int J Nurs Sci. 2017; 4:(2)196-204

Royal Pharmaceutical Society. 2016.

Scottish Government. 2010.

Sheer B, Wong FKY The development of advanced nursing practice globally.. J Nurs Scholarsh. 2008; 40:(3)204-211

Wattis JP Dementia in the new millennium, 2nd edn.. London: CRC Press; 2011

Developing the advanced nurse practitioner role in a memory service

24 October 2019
10 min read
Volume 28 · Issue 19


This article describes how one NHS trust in northern England developed the advanced nurse practitioner (ANP) role within its memory services. It discusses how ANP roles were developed and implemented across four localities of a large NHS trust that provides a number of locally based memory services to improve the diagnostic pathway for people referred to the service and their carers. Advanced practice is considered more broadly followed by a review of the literature related to the role of the ANP and non-medical prescriber in mental health and, more specifically, memory assessment and diagnostic services. Challenges to gaining the requisite competency to work as an ANP are discussed. The need for a clear agreed strategy to ensure practitioner competence and effective governance for the introduction of these roles is described. It is argued that using this model allowed for mental health nurses within memory services to make a major contribution to the transformation of such services and receive recognition for the expansion of their role and appropriate remuneration linked to national NHS employment role profiles. The potential benefit of the ANP role more broadly in mental health services is discussed, together with factors that may have previously hindered their contribution to the transformation of services. The strategic development and planning process that led to implementing the ANP role within memory services is presented, together with a description of how the relevant higher level clinical skills required for the roles were achieved and formally accredited.

Memory services provide access for people with suspected dementia to timely expert assessment and diagnosis, enabling them to receive appropriate information, education, treatment, post-diagnostic support and intervention (Dodd et al, 2014; National Institute for Health and Care Excellence (NICE), 2018; Copland et al, 2018). Mental health nurses have been key members of memory service multiprofessional teams in the UK for more than two decades, including in nurse-led clinics utilising non-medical prescribing (Clibbens, 2011).

This article discusses how advanced nurse practitioner (ANP) roles were developed and implemented across four localities of a large NHS Trust, providing a number of locally based memory services. How this improved the diagnostic pathway for people referred to the service and their carers is outlined. ANP roles were developed in the presence of a clear agreed strategy, ensuring practitioner competence and effective governance for the introduction of these roles. It is also argued that using the model provided would allow mental health nurses within memory services to make a major contribution to the transformation of such services.

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