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Regional advance practice programme

There is a national supply and skills shortage in the medical and non-medical workforce.  It has been identified that the existing Advanced Practice workforce could be used effectively to enhance capacity and improve patient care.

The Regional Advanced Practice Programme is managed by University Hospitals Coventry and Warwickshire NHS Trust and has established a Regional Advanced Practice Group to discuss and agree core/specialist competencies and curriculum, with the aim of informing future commissioning and introducing a more standardised approach to the deployment of Advanced Practitioners within Trusts and Higher Education Institutions (HEIs) in the West Midlands.

The programme, led by Arden Herefordshire and Worcestershire LETC on behalf of Health Education England operating across the West Midlands, looks to address the national supply and skills shortages in the medical and non-medical workforce.  The vision is to enable a skilled and knowledgeable Advanced Practice workforce to enhance the capacity of current healthcare staff to ensure a quality service for patients, now and in the future.

All work undertaken on this programme has been with engagement and contribution from our partners across the West Midlands.  This includes HEIs, Community, Mental Health and Acute Trusts, and Primary Care providers.

The programme consists of five key themes as detailed below.  Compiling the outcomes of all areas has provided us with the information to start developing the ‘West Midlands Advanced Clinical Practice Framework’.


Creation of baseline:

Three sources of data were collected; workforce plans for 2014 for Advanced Practice, as well as surveys of HEIs and Trusts. Some main findings included:

  • a varied understanding of Advanced Practice
  • roles were not embedded within Trust workforce plans
  • various job titles
  • lack of standardisation across Trusts or HEIs


A series of workshops were held for representatives from HEIs across the West Midlands.

The main findings have highlighted there is very little difference between the courses provided by individual HEIs and this includes title names, credits and learning outcomes.

Agreements were made on:

  • Titles for Masters, Pg Diploma and Pg Certificate courses
  • PgCert indicative learning outcomes agreed.
  • Representatives commencing discussions with their organisations with the aim of being ready for the September 2015 intake.


A workshop was held to engage Advanced Practitioners and to advise on core and specialist competencies. Delegates attending were practising Advanced Practitioners with differing titles/roles from Trusts across the West Midlands.

Delegates brought along their frameworks and job descriptions, discussed core and specialist competencies, identified priorities for Advanced Practice, shared good practice and discussed standardised approach to the deployment of Advanced Practitioners within Trusts. A report has been developed detailing the main findings from the workshop.



A plan was developed to define the communication requirements for the Programme. This covered how the workstreams would be delivered, how stakeholders would be engaged with, and how relevant information would be gathered, analysed and shared. To view go to related documents.


This workstream specifically looks at creating a toolkit for the deployment of Advanced Practitioners. A conference was held on 27th January 2015, which was attended by senior leaders of NHS Trusts, as this requires their influence and negotiation in embedding the roles in their organisations. Their views have directly influenced the development of the framework and toolkit.

Advanced Clinical Practice Framework for the West Midlands:

The Advanced Clinical Practice Framework for the West Midlands is a multi-disciplinary framework that applies to all non-medical healthcare professionals including nurses, midwives, pharmacists and allied health professionals.  The definition for Advanced Clinical Practice has been agreed to enable clinicians, managers and education providers to deliver the functions, knowledge and skills to support the competence of our healthcare professionals working in as advanced roles.  Case studies are included to share best practice from a range of clinical areas that are at the leading edge of advanced practice in the region.

The framework has been developed with engagement and contribution from staff working in difference settings across the region in primary care, community care, acute, mental health and higher education.  It represents a significant step forward in defining and developing Advanced Clinical Practice within the region.  The framework sets out to aid clinicians, managers and educators on how these roles can be utilised and maximised to deliver outcomes for patients now and in the future.

Advanced Clinical Practice Framework for the West Midlands


Advanced Clinical Practice: defining the future forward role:

Conference held on 29th January 2016, which was attended by higher education institutes, senior leaders and advanced practitioners and colleagues with an interest in Advanced Clinical Practice from healthcare.

The conference consisted of speakers and workshop presenters sharing and discussing innovative work currently underway on Advanced Clinical Practice across Health Education England.  Highlighting how Advanced Clinical Practice across the multi-professional workforce is being used effectively to enhance and provide capability within teams as part of the continuing drive to provide safe, accessible and high quality care for patients.

ACP conference 29th January 2016 presentation

Developing Advanced Clinical Practice in Yorkshire and Humber 

Universities working together to standardise an Advanced Clinical Practice curriculum in collaboration with Health Education West Midlands 

Case studies:

Our portfolio of case studies represents a range of clinical areas that are at the leading edge of advanced practice in the West Midlands. We will add to this portfolio of case studies to celebrate and disseminate good practice so others can learn from our leading health professionals.

For further information regarding the Regional Advanced Practice Programme, please contact us at ahwletc@wm.hee.nhs.uk or Sukvinder Kaur Sukvinder.Kaur@uhcw.nhs.uk.




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