What is Advanced Clinical Practice (ACP)?

Health Education England (HEE) defines Advanced Clinical Practice as a level of practice characterised by a high degree of autonomy and complex decision making. This is underpinned by a Masters award or equivalent that encompasses the four pillars of clinical practice.

ACPs are experienced, registered healthcare practitioners who have been educated to Masters level. They have developed the skills and knowledge to allow them to take on expanded roles and scope of practice in caring for patients.



What skills does an Advanced Clinical Practitioner (ACP) have?

  • Flexible skill set to adapt to and meet the needs of the PCN population/ support public health
  • High level of complex decision making to inform diagnosis
  • Ability to manage complete episodes of care within a broad scope of practice

What can an ACP do in General Practice?

  • Manage undifferentiated, undiagnosed conditions
  • Identify red flags & serious underlying pathology and take appropriate action
  • Manage medical complexity
  • Actively take a person-centred approach to enable a shared management plan with the presenting patient
  • Lead audit and research projects
  • Lead QOF within areas of capability
  • Lead education in their area of expertise
  • Enable, facilitate and support change across care pathways and traditional boundaries

Indicative Salary: AfC 8a



The 4 Pillars of Advanced Practice


Resources for Advanced Clinical Practitioners