Advanced Practice

What is Advanced Practice

Advanced Practice has developed in many areas and in many ways over the last 25 years. Recently Health Education England have drawn these numerous different threads into a multi-professional framework for all those working at advanced level.

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 and research, with demonstration of core capabilities and area specific clinical competence.

Advanced 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.

If you are an advanced practitioner, trainee or aspiring AP please complete the short AP workforce data survey below if you have not already done so.


AP workforce data collection survey - NOW LIVE

The ACP Workforce Database

A system-wide audit will populate a system-level database to inform workforce planning and provision for current, and aspiring ACPs. Several attempts to scope the ACP workforce have been attempted in the last few years. Problems with organisational engagement and consent to information sharing are just some of the problems that have hampered delivery to date. To create an effective single database, the workforce needs to have confidence in the quality of the information collected, its security and understand its intended purpose. Openness and transparency are critical success factors. This document sets this out and includes a data capture form for completion.


To scope current and future ACPs across Cornwall and the Isles of Scilly to inform current and future workforce planning.


  1. To create a single system database of:
  • In-role ACPs
  • In-training ACPs that have a future role in service identified
  • In training ACPs that do not have a future role in service identified
  • Aspiring ACPs
  1. To use the database to inform organisational and system level workforce planning, that will include (the list is not exhaustive):
  • Career pathway communications
  • ACP Community of Practice engagement
  • Training needs analysis
  • Commissioning of future training provision
  • Informing service investment plans / business cases

Establishing the ACP Workforce Database

The database will be created by CIOS ACP Baseline Workforce Audit Task and Finish Group, formed under the CIOS Health and Care Academy. Members are:

  • Dr Julie Gription, Academy Principal (CFT)
  • Berni George, Director of Integrated Governance (RCHT) and Acting Deputy Director of NMAHP – Workforce (RCHT)
  • Paul Jeffrey, KCCG Lead Practice Nurse and Training Hub Educational Facilitator (KCCG/Kernow Health CIC)
  • Alan Jervis, Head of Education (CFT)
  • Clare Rotman, Associate Director of AHP (CFT/RCHT)
  • Dr Frazer Underwood, Associate Director of NMAHP Research, Innovation and Improvement (RCHT/CFT)

Individual staff members being asked to complete the workforce audit will have been identified by their line-mangers to meet the criteria highlighted in Objective 1 above.

Individuals will complete the data capture form (Appendix 1)* and return it to the CIOS ACP Baseline Workforce Audit Task and Finish Group.

The CIOS Health and Care Academy will host, on behalf of the wider system a password protected database on an NHS server. Access will be controlled and monitored by the Academy Principal, to comply with the data sharing agreement.

An annual update will be required to maintain an accurate database.

Use of the Database

Objective 2 sets out a non-exhaustive list of intended uses of the database. Information analysed and reported will always be anonymous/non-identifiable to the individual. No personal information will be shared with third parties. Individuals will always be contacted to request explicit permission for personal information to be shared.

Fill in the survey here


Are you considering AP trainee? Advice and Podcast

If you are interested in advanced practice please listen to this podcast from Dec 2022 -only the application dates are incorrect otherwise information is correct.

Primary Care Spotlight: Advanced Practice in Primary Care on Apple Podcasts

Look through AP information pack tab 2

Read the AP Handbook Tab 3

Paramedics in primary care podcast

Contact for informal discussion on moving forward

HEE Funding scoping and Advanced Practice Handbook

HEE AP handbook, for full details of funding please see  the handbook

The scoping exercise for funding is opens 1st Feb to 31st March each year for a September course start.

If you are interested in developing advanced practice yourself or as a practice or PCN please read the handbook and contact who will guide you through the process and send you the relevant funding questionnaire.


HEE advanced practice ePortfolio route

If you have undertaken most of the advanced practice pathway but are not entitled to the digital badge you may want to explore the e-portfolio route, if you have more than a couple of modules to undertake you may be better served taking the funded pathway for year 2 or 3. Contact if you would like to discuss this further.

ePortfolio (supported) Route – Advanced Practice (


May 2023 FAQ updated AP information for ARRS
HEE AP Digital Badge explained
AP DRAFT Job Description for primary care Feb 2022

JobDescriptionGenericBand8aAdvancedCarePractitionerv1.0 Primary Care edit

If you wish to discuss this job description or wish to comment on this draft document please email:

HEE national advancing practice podcasts
Advancing Practice Networking Event Keynote Recordings May 2022

Advancing Practice Networking Event Keynote Recordings

Thank you to everyone who attended our HEE South West Faculty Networking Event and made it such a fabulous day, we enjoyed meeting everyone, listening to interesting presentations and discussing advanced practice.

The recordings of the keynote sessions are now available

  • Developing a National Supervision Framework – (Dr Deborah Harding, PhD, MSc, BMedSci (Speech)​
  • The Future of Advancing Practice Research – (Professor Joy Conway, MCSP, MSc, PhD)
  • Multiprofessional Consultant Practice: Towards a Development Pathway – (Professor Robert Crouch, OBE, RN, PhD, FRCN, FRCEM (Hon)

As well as the recording’s you can find out about our speakers and download the slide packs from the keynote sessions.

We are still working hard to edit and upload the talks from the Breakout and Hot Topic sessions and will be posting them in the next few weeks. We will let you know once these have been posted.

November 2021 Advanced Practice Conference on demand

If you missed anything at all, the platform is still live and all sessions are now available OnDemand and will remain so until they are made available on the Centre for Advancing Practice Website.

Workplace Supervision for Advanced Clinical Practice – supporting videos

janegardner – Posted on:

In November 2020, the Centre for Advancing Practice published ‘Workplace Supervision for Advanced Clinical Practice: An integrated multi-professional approach for practitioner development’.  We have created nine videos to accompany this guidance, providing insights about best practice in multi-professional supervision for advanced practice. These insights have been gathered through conversations with colleagues working in advanced practice in a variety of clinical settings. We asked them to share what processes and structures they have found useful and why supervision is a crucial part of professional and public safety in advanced practice.Each film maps to one of these fundamentals. We hope you will find them useful as you plan and develop your own supervision arrangements for advanced practice.
The Advanced Practice (AP) Toolkit


Primary Care Role Development Pathways - Advanced Clinical Practitioner

The Training Hub have developed an ‘at a glance’ document to help navigate the education and training programme – Role Development Pathways.

Visit our courses page or email for more information about our Education Programme including the Primary Care Role Development pathways.

First Contact Practitioner FCP advice on AP eportfolio

Anyone choosing to utilise the portfolio route to AP will need to apply via the supported ePortfolio route. They will need to map to the multi-professional framework using L7 evidence (taught or equivalence).

This means if a paramedic is completing a roadmap in primary care this is the stage 3 part.

As you know Stage 1 + 2 can be verified in practice by a RMSV but this is not the case for AP. If they successfully go onto to complete stage 3 via the ePortfolio route they will then be a primary care ACP.

If you wish to discuss this please contact

Below is a link to some useful guidance:

Roadmaps to Practice and resource page