Advanced Practice 

What is Advanced Practice (AP)? 

Health Education England (HEE) 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) 

HEE 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 AP newsletter to keep up-to-date with important developments at Health Education 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 

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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 

Healthcare Workforce 

Nurses 
Allied Health Professions (AHPs) 
Pharmacists 
Health Care Scientists 
Doctors 
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 AP) 
On-going learning and development (4 Pillars of AP) 

ADVANCED PRACTICE 

Role 

Advanced Practitioners (APs) 

Level 

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 
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Consultant Level Practice 

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

The 4 Pillars of AP and Potential Career Pathways 

Clinical Practice 
Research and Innovation 
Clinical Academic Careers 
Leadership 
Healthcare Organisation Managers 
Education 
Professorship 
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 
Surgery 
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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