Advanced Practice

Advanced Practice (AP) is supported by the NHS Long Term Plan (2019), looking at increasing the numbers of AP’s to support the development of the multi-disciplinary team within Primary care. 

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Advanced clinical practice is delivered by experienced, registered health and social care practitioners. It is a level of practice characterised by a high degree of autonomy and complex decision making, enabling APs to manage clinical care in partnership with individuals, families and carers. This also includes the analyisis and synthesis of complex problems, identifying innovative solutions to enhance service user experience and improve outcomes. This is underpinned by a Master’s level award, or equivalent qualification and experience, that encompasses the four pillars of advanced practice; Clinical, Leadership & Management, Education & Research, with demonstration of core capabilities alongside specific clinical competence around Primary Care.

Historically this role has been predominately been nurses, but Advanced Clinical Practitioners now come from a range of clinical backgrounds. This includes: 

  • Nurses
  • Pharmacists
  • Paramedics
  • Physiotherapists
  • Occupational Therapists
  • Dietitians 
  • Podiatrists 

There are other Allied Health Professionals who have AP roles within secondary care, however these roles are not yet within the primary care system.

2022/23 Expression of Interest flow chart

The flow chart provides a step by step process of key deadlines and key requirements from organisations to consider for their part of the process.

HEE NW ACP Readiness Checklist for Primary Care

The readiness checklist is a self-assessment tool to help organisations / PCNs/ GP Federations/ Practices establish their organisational readiness. The checklist is based on the key principles of the Multi-professional framework for Advanced Clinical Practice in England and should be carried out by the senior education lead responsible for ACP, this may be a GP, Practice Manager or an ACP lead.

The Faculty for Advancing Practice across the North West would like the checklist to be completed and share the result at the same time as the submission of the expression of interest. This will enable Primary Care to receive support in developing Advanced Clinical Practice. The results will not have an impact on any future funding.

Principles for the demand, assessment, and commissioning of Multi-professional Advancing Practice in the North West of England (2022/23)

The principles document provides all the information you need to complete the expression of interest forms, however I would like to take this opportunity to remind you of the following:

  • Applications should reflect the workforce need that you are able to support 
  • Support and supervision are key to the success of learners – please consider how your learning environment will actively allow learners to flourish
  • Not all applications can be supported – all the information you supply is important in our decision making.
  • HEE funding is dependent on the demand-led process being followed – securing a place on a programme with the education institution directly does not guarantee HEE funding.
  • Changes to start date or education institution cannot always be accommodated – please be clear on where and when you want learners to commence
  • Funding is for the organisation/employer not the learner 
  • Applications must be completed by organisations / employers not potential students, and as always, we will be requiring a single application form from the ACP lead or designated individual overseeing advanced practice for the organisation / practice.


Health Education England provides funded commissions to support the ongoing development of the Advanced Practice workforce. This funding is to enable workforce transformation by ensuring expansion of the multi-disciplinary team to meet the needs of local populations. Advanced Practice programmes are available via a funded or apprenticeship route. See North West providers listed below:

If you are interested in accessing this funding, please complete this short survey.

Four Pillars of Advanced Practice

The framework requires professionals working at the level of advanced clinical practice to have the knowledge, skills and behaviours relevant to the role. The core capabilities across the 4 pillars

  • Decision making/ clinical judgement and problem solving
  • Critical thinking, analytical skills including critical reflection.
  • Managing complexity,
  • Assessment, diagnosis, referral and discharge
  • Higher levels of autonomy
  • Assessing and managing risk
  • Non- medical prescribing in line with legislation
  • Principles of teaching and learning
  • Supporting others to develop knowledge and skills
  • Promotion of learning/ creation of learning environment
  • Patients/ carer teaching/education
  • Developing education materials
  • Teaching, mentoring, coaching.
  • Leading innovation and managing change include service development
  • Developing care for change
  • Team development
  • Networking
  • Ability to access research/ use information systems
  • Critical appraisal. Evaluation skills
  • Involvement in research
  • Involvement in audit and service evaluation
  • Ability to implement research finding into practices
  • Conference presentations

Often clinical practices is the most dominant pillar, there is a need to show evidence and continuing development across of four of the pillars