Advanced Clinical Practitioner (ACP) Role: Description & Competencies

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 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. 

Source: HEE Multi-Professional Framework for Advanced Clinical Practice In England (2017) 

Health Education England, in partnership with NHS Improvement and NHS England, has developed a multi-professional framework for advanced clinical practice in England, which includes a national definition and standards to underpin the multi-professional advanced level of practice. This is to ensure national consistency across the role and to ensure that advanced clinical practitioners, colleagues, employers and patients clearly understand the role. 

HEE is in the process of developing core capability frameworks for advanced clinical practitioner roles. For an overview, please click here to view the Multi-professional Framework for Advanced Clinical Practice in England.

Click here to access the Core Capabilities Framework for Advanced Clinical Practice (Nurses) Working In General Practice/ Primary Care in England 

Frameworks for other roles will be added as they are published.

Information on Advanced Practice for specific roles can be found in the relevant section of the Workforce Navigator.


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