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Advanced Clinical Practice

Advanced Clinical Practitioners (ACPs) are staff members within professional healthcare groups who have undertaken additional training in order to become expert in specific areas of work. The benefit of these roles is that they can carry out tasks or procedures that would traditionally be done by other staff groups (such as doctors), which gives those other professionals more time to dedicate to more serious cases, and assists in reducing workforce costs. For a brief overview of our work relating to advanced practice, see the short case study under related documents below.

An initial event was held in 2013 across Yorkshire and the Humber to progress work on Advanced Clinical Practitioner roles. The event brought together a wide variety of stakeholders from around the region to share best practice, create a network around advanced practice, and to work to devise a regional way forward for this important agenda.




The Task and Finish Group

Following the event the Yorkshire and the Humber Advancing Clinical Practice Task and Finish Group was established to guide the development of an Advanced Practice Framework (see document at bottom of the page) for use within the region’s NHS trusts and primary care organisations.

One of the first tasks of this group was to agree the following standard multi-professional definition of advanced practice:

''An Advanced Clinical Practitioner is a professional who has acquired the expert knowledge base, complex decision-making skills and clinical competencies for expanded practice, the characteristics of which are shaped by the context and/or country in which s/he is credentialed to practice. A master’s degree is essential for entry level''

A key aim has been to ensure a move away from a focus on Advanced Nurse Practitioners, recognising the multi-professional nature of the role.

The Task and Finish Group worked on several work streams that fed into the framework:

  • Seeking to ensure a more consistent approach with regard to regional job descriptions and bandings.
  • Developing a standard education framework for advanced practice across the region.
  • Providing clear evidence of the positive outcomes that advancing practice can achieve.
  • Identifying factors that contribute to organisational readiness for implementing advanced practice roles.

We committed over £5m to the development of AP roles in 2014/15, with approximately 200 developed across the region, and are working closely with organisations to monitor their progress. An additional focus for 2015/16 is the development of ACPs in primary care, particularly those professionals from an AHP background.

Find out more about the trusts and service areas developing advanced practice roles in related documents below.

Yorkshire and the Humber Advanced Practice Framework

The Framework is intended to guide the development of advanced practice roles in Yorkshire and the Humber. In addition, it links this regional work to other national frameworks and toolkits such as those produced by the Royal College of Nursing, Department of Health, the Scottish Government and NHS Wales. Its key purpose is to provide advice and guidance to organisations introducing advanced practice roles, spread best practice and ensure a level of consistency and standardisation with regard to Advancing Clinical Practice across the region.

The Framework is intended as a fluid resource that will be updated as work progresses.

For more information please contact Sharon Simister, Project Coordinator sharon.simister@hee.nhs.uk  


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