Advanced Clinical Practice 

What is Advanced Clinical Practice (ACP)? 

Health Education England (HEE) defines advanced clinical practice as a defined level of practice within clinical professions such as nursing, pharmacy, paramedics and occupational therapy. This level of practice is designed to transform and modernise pathways of care, enabling the safe and effective sharing of skills across traditional professional boundaries. 

Resources for Advanced Clinical Practitioners (ACPs) 

HEE have developed a range of resources including a Multi-professional framework for advanced clinical practice in England which can be helpful to understand how the role works. 
You can also use the Advanced Practice Toolkit which contains information and resources suitable for both employers, commissioners and clinicians. 
Subscribe to ACP newsletter to keep up-to-date with important developments at Health Education England. 
Nottinghamshire Alliance Training Hub (NATH) are planning to launch an ACP forum for those working in primary care if you are interested in joining please contact us 
Information and supporting links for those seeking to undertake Supported e-portfolio Route (for recognition of education and training equivalence.)  

Join our ICS Primary Care ACP Network 

Aims for the Network: 
Promote collaborative working 
Provide educational and supervisory support for the advanced clinical practitioners 
Promote effective and safe practice within the Nottingham and Nottinghamshire Integrated Care System (ICS) 

Routes Into and Through Advanced Clinical Practice 

Healthcare Workforce 

Allied Health Professions (AHPs) 
Health Care Scientists 
Physician Associates (PAs) 
Physician Associate PA degree 
Unregistered healthcare workers 
For more information on the different levels of practice (e.g. Initial, Enhanced, Advanced, Consultant), read the Multi-professional framework for advanced clinical practice in England. 

Initial Level Practice 

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Enhanced Level Practice 

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Professional regulation 
Experience (4 Pillars of ACP) 
On-going learning and development (4 Pillars of ACP) 



Advanced Clinical Practitioners (ACPs) 


Various job titles 
To work at ACP level, you need to maintain your: 
Regulation (compulsory) – this feeds back into ‘Professional regulation 
Personal portfolio (compulsory) 
Accreditation (optional) – this could be through Royal Colleges 
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Consultant Level Practice 

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HEE Centre of Advancing Practice National Directory of ACPs, e.g. accredited programme, HEE supported portfolio 

The 4 Pillars of ACP and Potential Career Pathways 

Clinical Practice 
Research and Innovation 
Clinical Academic Careers 
Healthcare Organisation Managers 
Programme Director 

HEE resources for curriculum and competencies 

These resources are available on the HEE website, e.g. 
Acute Medicine 
Older Person 
Learning Disabilities and Autism 
Mental Health 

Royal Colleges, e.g. 

Royal College of Nursing (RCN) 
Royal College of Emergency Medicine (RCEM) 
Faculty of Intensive Care Medicine (FICM) 
Royal College of Surgeons of England (RCS) 
Royal College of Physicians (RCP) 
Royal College of General Practitioners (RCGP) 
Royal Pharmaceutical Society 
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