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 survey below if you have not already done so.


Advanced Practice in Primary Care - Information Pack
Why should I complete the Advanced Practice Survey?

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 included 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.

Advanced Practice Survey

If you are an Advanced Practitioner, and ACP in training or and aspiring ACP, please fill in this form to help use plan for a better and stronger ACP workforce across Cornwall and the Isles of Scilly.

Data sharing agreement: I agree to the Cornwall and Isles of Scilly Health and Care Academy to holding my personal information on a central database for the purpose to meet the aims and objectives of the CIOS ACP Baseline Workforce Audit. I understand that database information analysed and reported will always be anonymous/non-identifiable to the individual; that no personal information will be shared with third parties; and that I will be contacted to request my explicit permission for any personal information to be shared, for which I can refuse. I understand that I will be asked to annually update my information and I can request at any time to have my data removed. Finally, I understand that by submitting my data capture form I will be automatically invited to the system-wide Community of Practice, a networking and collaboration forum of other ACP, ACPs in training and Aspiring ACPs. I have the opportunity of not participating this this forum if I wish. All information collected will be processed under the provisions of the Data Protection Act 2018 and the General Data Protection Regulation.

If I wish to obtain a copy of any information stored about me, I can make a Subject Access Request to the Information Governance Team who will supply the information normally within 30 days.

CIOS Advanced Practice Database Capture Form

By submitting this form, I confirm and agree to the data sharing statement above


In this section, please complete all fields in the category that applies to you

ACP Category
If you selected ACP Category B (In-training ACP and has a future role in service identified).
If you selected ACP Category C (In training ACP but do not have a future role in service identified)
If you selected ACP Category D (Aspiring ACP)

HEE Funding scoping and Advanced Practice Handbook

This years AP funding scoping is open between 1st Feb and 9th of March 2022.

HEE AP handbook, for full details please see  the handbook

The scoping exercise is now closed and will open again Jan 2023


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: [email protected]

HEE advanced practice ePortfolio route

The Centre for Advancing Practice Supported ePortfolio Route is designed to enable Practitioners to evidence that they meet the advance practitioner requirements described in the Multi-professional framework for advanced clinical practice in England (MPF).

Currently, you would normally evidence this by successfully completing a Centre accredited Advanced Practice Programme. The Supported ePortfolio Route will provide an alternative route to do this by mapping your knowledge and skills to the MPF using the Centre’s ePortfolio.


Please note-   This process is not for anyone who completed an AP MSc after 2017, currently studying via apprenticeship or other route.

This process is also not for anyone who is aspiring to AP.

This is for anyone who is currently in an Advanced Practice role whose AP qualifications predate 2017 and are not matched to the multi-professional framework and wish to apply for recognition via the ePortfolio route.

The process includes an application stage where you will be asked to identify how closely you currently map to the MPF, if you are successful, you will then be allocated to an education provider, and you will complete a Learning Needs Analysis and the ePortfolio itself.

If the education provider identifies that additional learning is necessary, and this can be completed within a reasonable time frame, then this will be undertaken in conjunction with the education provider.

The route is intended to provide reassurance to employers, patients, carers, and families, that the capabilities included in the MPF have been evidenced by the practitioner.

This opportunity is suitable for experienced practitioners who already have a significant body of evidence that can be mapped to the MPF with minimal or no gaps in that mapping.

As part of the application process, you will be asked to identify if there are any of the MPF capabilities that you are not able to map and to identify specific learning needs. We suggest that you undertake this task before you submit your application.

To support your application, we have developed a guidance document, and ran a webinar

There is dedicated provision for Primary Care practitioners, who have the experience and evidence to map to the multi-professional framework (with minimal or no gaps), to take up this opportunity.  There is currently no direct cost for the individual. The e-portfolio route is a way for practitioners to achieve ‘Recognition of Education and Training Equivalence’, supported by an Education Provider.

The link above includes a 19-minute explanatory video from Richard Collier, Lead for the Centre for Advancing Practice, and a set of FAQs.  


Guidance document
28 November 2021
For more information please see HEE web page which will be continuously updated
#AdvancingPractice #SupportedEPortfolioRoute

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

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 [email protected] 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.

Below is a link to some useful guidance:

Roadmaps to Practice and resource page