Welcome to the Bath Swindon & Wiltshire ICS page for advanced clinical practice (ACP). Advanced practice roles exist across allied health professional and nursing roles, in primary, community and acute sector settings.
This page aims to be a repository of information on these roles, including relevant published documents, links to relevant webinars, links to University modules and courses applicable to ACP, and to the BSW Training Hub.
There is a constant flow of new information and resources and this page will be updated as frequently as possible to reflect this.
Advanced clinical practice is delivered by experienced, registered health and care practitioners. It is a level of practice characterised by a high degree of autonomy and complex decision making. This is underpinned by a master's level award, or equivalent, that encompasses the four pillars of:
- clinical practice,
- leadership and management,
- education research,
- and audit,
with demonstration of core capabilities and area-specific clinical competence.
Advanced clinical practice embodies the ability to manage clinical care in partnership with individuals, families and carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance people's experience and improve outcomes (HEE Multi-professional framework for advanced clinical practice, 2017).
Routes to advanced practice roles
Advanced practice roles need to be necessary in the clinical area you work in and be considered in planning the future workforce requirements. There are three routes to demonstrate your eligibility for advanced roles:
- Higher Education Institute - be part-way through, or have completed, an appropriate MSc in advanced practice. The structure of the MSc will help to evidence the majority of the competencies in the four pillars, which are required for advanced practice registration.
- A portfolio route - building a portfolio of prior learning, clinical reflections, involvement in audit and teaching, that demonstrates your competency in all four pillars of advanced practice prior to registration.
- A blended route - some M-level modules and a portfolio to create a rounded submission.
Portfolios must be able to demonstrate level 7 learning. Level 7 is MSc-level and so must evidence an appropriate level of analysis, evaluation and critical reflection.
Roadmaps and Frameworks
The overarching framework to read and digest is the:
- Multi-professional framework for advanced clinical practice, 2017
There is specific guidance on supervision and mentorship requirements for ACP roles:
- Workplace Supervision for Advanced Clinical Practice: An integrated multi-professional approach for practitioner development, 2020
There are 'roadmaps' to practice for primary care physiotherapists and paramedics, these roadmaps outline the educational and career milestones required prior to starting a career as a FCP in primary care. These roadmaps also describe the clinical competencies expected of these roles.
- First Contact Practitioners and Advanced Practitioners in Primary Care: (Musculoskeletal). A Roadmap to Practice, 2020
- First Contact Practitioners and Advanced Practitioners in Primary Care: (Paramedic) A Roadmap to Practice, 2020
As an ACP in a specific clinical area, you may well have guidance documents which outline the clinical competencies expected of an advanced practitioner. For example:
- Allied Health Professionals: Critical Care Professional Development Framework, The Intensive Care Society, 2018.
- Emergency Care, Advanced clinical practitioner curriculum and assessment, The Royal College of Emergency Medicine, 2019.
- Core Capabilities Framework for Advanced Clinical Practice (Nurses) Working in General Practice / Primary Care in England, 2020.
- Surgical Advanced Clinical Practitioner (SACP) Curriculum and Assessment Framework for Care of the Adult Surgical Patient, 2020.
- Advanced Practice Mental Health Curriculum and Capabilities Framework, 2020.
- Musculoskeletal (due 2021)
- Primary Care Core Framework (see Skillsforhealth.org.uk, due 2021)
- Primary Care Dietetics (see Skillsforhealth.org.uk, due 2021)
- Primary Care Occupational Therapy (see Skillsforhealth.org.uk, due 2021)
- Community Rehabilitation (see Skillsforhealth.org.uk, due 2021)
- Pelvic Health (see Skillsforhealth.org.uk, due 2021)
- Community exercise-based approaches for people living with long-term conditions (see Skillsforhealth.org.uk, due 2021)
These area-specific clinical competencies outline the expectations of clinical skills and autonomy in the clinical pillar.
We will aim to maintain this list of documents as more are published.