Development of a national standard for Advanced Clinical Practice - - PowerPoint PPT Presentation

Development of a national standard for Advanced Clinical Practice in England

Katrina Maclaine Associate Professor Advanced Practice maclaik@lsbu.ac.uk Chair of Association of Advanced Practice Educators (AAPE) UK www.aape.org.uk

Why do we need a single standard?

Safety and provision of high quality care

• Patient confusion
• Misuse of titles
• Education varies
• Not necessarily assessed as competent
• No agreed scope of practice
• Pushed to work beyond limitations

Why do we need a single standard?

To facilitate acceptance & enable parity

• Huge variation across settings, specialities,

professions

• Detracts from focus on providing care
• Differing levels of support for development

and education

• Impact on recruitment, retention,

remuneration

UK: Four different countries

• Scotland
• Wales
• Northern Ireland
• England

Four Pillars of Advanced Practice

English activity

HEE Advanced Clinical Practice project

 Develop and agree multi-professional ACP definition  Develop and agree standard core competencies  Identify and engage with key stakeholders to provide multi- disciplinary representation  Develop a communication strategy and stakeholder engagement plan  Develop an interactive framework with associated principles and guidance  Develop an education specification to underpin the framework  Distinguish between the range of titles and accompanying meanings  Established a National Steering Group and Local Office working group [2 years]

Achieved to date: DEFINITION

Advanced Clinical Practice is delivered by experienced registered healthcare practitioners. It is a level of practice characterised by a high level of autonomy and complex decision-making. This is underpinned by a masters level award or equivalent that encompasses the four pillars of clinical practice, management and leadership, education and research, with demonstration of core and area specific clinical competence. Advanced Clinical Practice embodies the ability to manage complete clinical care in partnership with patients/carers. It includes the analysis and synthesis of complex problems across a range of settings, enabling innovative solutions to enhance patient experience and improve outcomes.

Achieved to date:

 Draft generic capabilities under the four pillars  Held one workshop and one large conference to develop and test draft proposals  Discussing communication strategy with patient representatives  Planning economic evaluation of Advanced Clinical Practice  Website (Toolkit) section on HEE Webpage  www.hee.nhs.uk/our-work/developing-our- workforce/advanced-clinical-practice  Series of case studies / presentations