What is Advanced Practice (AP)?
NHS England defines advanced 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 Practitioners (APs)
NHS England have developed a range of resources including a Multi-professional framework for advanced 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 the NHS England AP newsletter to keep up-to-date with important developments at NHS England.
Information and supporting links for those seeking to undertake Supported e-portfolio Route (for recognition of education and training equivalence.)
The Nottingham and Nottinghamshire ICS AP Steering Group has authored a Memorandum of Understanding document that contains the recommended minimum standards for qualified APs. This document, having gained approval and sign-off from the ICS Clinical and Care Executive Group, can be used by APs and their employers as guidance.
System-wide AP Development in the Nottingham and Nottinghamshire Integrated Care System (ICS) - October 2021
You can download a PDF version of the 'System-wide Advanced Practice (AP) Development in the Nottingham and Nottinghamshire Integrated Care System (ICS)' poster here.
I have been looking at examples of AP information on other ICS’s websites and came across yours. The video is brilliant – you all come across as a team that would be great to work for/with and as an ACP I would feel the support emanating from you. The MOU is superb, the routes into and through AP is gorgeous and simple, the posters are inspired! It looks amazing and I would love to learn a bit more of how you executed your project.
Senior Project Manager in Workforce Development for Advanced Practice, Independent Prescribing & Health Care Science.
Surrey Heartlands Integrated Care System | NHS Surrey Heartlands
We’re so pleased Sophie reached out to us to learn more about our AP Project and to hear such nice feedback! If you would like to know more as well, contact us at firstname.lastname@example.org
Join our ICS Primary Care AP Network
The ICS Primary Care AP Network Group is now up and running. If you are training or working in advanced practice within Primary Care and would like to join via the link below.
Aims for the Network:
Promote collaborative working
Provide educational and supervisory support for the advanced practitioners
Promote effective and safe practice within the Nottingham and Nottinghamshire Integrated Care System (ICS)
Routes Into and Through Advanced Practice
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
Enhanced Level Practice
Experience (4 Pillars of AP)
On-going learning and development (4 Pillars of AP)
Advanced Practitioners (APs)
Various job titles
To work at AP 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
Consultant Level Practice
NHS England Centre of Advancing Practice National Directory of APs, e.g. accredited programme, HEE supported portfolio
The 4 Pillars of AP and Potential Career Pathways
Research and Innovation
Clinical Academic Careers
Healthcare Organisation Managers
NHS England resources for curriculum and competencies
These resources are available on the NHS England website, e.g.
Learning Disabilities and Autism
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