Advanced Clinical Practice

What is advanced clinical practice?

Advanced clinical practice (ACP) is a defined level of practice within clinical professions such as nursing, pharmacy, paramedics and occupational therapy. This level of practice is designed to transform and modernise pathways of care, enabling the safe and effective sharing of skills across traditional professional boundaries (NHSE).

Advanced clinical practitioners (ACPs) are healthcare professionals, educated to Master’s level or equivalent, with the skills and knowledge to allow them to expand their scope of practice to better meet the needs of the people they care for.  ACPs are deployed across all healthcare settings and work at a level of advanced clinical practice that pulls together the four ACP pillars of clinical practice, leadership and management, education and research ( NHSE) .

The Multi-professional framework for advanced clinical practice in England underpins the standards of practice for advanced practice as well as its governance ensuring consistency in the level of practice at national level. For further information please follow the link:

Pathway to become ACP

Routes into Advanced Practice

Step 1 Statuary Health Professional: healthcare professionals regulatory body i.e. NMC, HCPC, etc.

Step 2 This Level 6 post-registration practice is for highly experienced healthcare professionals working across a variety of settings with multi-professional backgrounds.

Step 3 Advanced practice see clinicians educated to a high level (Level 7 advanced Practice MSc via either traditional academic/apprenticeships or e-portfolio route), practicing across all four pillars of advanced practice.

Step 4 Consultant level of practice: Advanced practitioners can further develop their careers and practice at consultant level with the right level of training and experience.

Roadmaps – FCPs and ACPs

Roadmaps offer information for allied health professionals (AHPs) regarding becoming First Contact Practitioners (FCPs) and Advanced Clinical Practitioners (ACPs). Inside, you will find information such as definition of the roles, training process, portfolio building and supervision. See more information below:

Podiatrists: View Link

Paramedics: View Link

Dietitian: View Link

Occupational therapists: View Link

MSK physiotherapists: View Link

Are you interested in Advanced Practice:

Full MSc ACP programmes are funded by NHSE ( traditional academic MSc /Apprenticeship).

Clinicians with recently completed level 7 modules, can apply for Top Up funding to complete the MSc. However a transfer of prior credits towards a full MSc pathway must be relevant to the MSc ACP and will be transfer at the discretion of the University.

Funding for MSc places is currently reviewed annually. All applications for ACP MSc pathways must come via LTH.

Please see Readiness to become an Advanced Practitioner link from NHSE:

ACP MSc Lincoln University :

Advanced Practice Apprenticeship further information


The Centre of Advancing Practice has created a e-Portfolio (supported) route to recognised existing experienced advanced practitioners, clinically working in advanced roles on a regular basis who have already completed their advanced practice experiential and educational learning mostly before 2017 when the Multi-professional framework for advanced clinical practice in England was published.

The components of the e-Portfolio route act as an assurance for the Centre that applicants for the Route are experienced advanced practitioners who have demonstrated the development of the capabilities outlined in the Multi-professional framework (2017). The successful completion of the e-Portfolio is linked to a digital badge. For more information please visit:

To complete your EOI please fill the form below:

EOI Form

Advanced Practice Clinical Supervision

Supervision provides protected and safe time to share and discuss practice opportunities and or uncertainties . It is essential to all healthcare professionals but particularly pertinent and beneficial to trainees roles. It safeguards professional and public safety as well as supports training development.

There are seven fundamental considerations, set out in the diagram below, which underpins workplace supervision and ensure that both patient and professional safety are maintained during the trainee’s development.

Follow the link for information in each of these areas.

Registered health professionals are expected to understand the purpose of and engage in supervision and continuous professional development. Employers also have responsibilities for ensuring adequate supervision and training for their employees ( NHS Employers).

NHSE Supervisor readiness checklist :

Advanced practice workplace supervision – Minimum standards for supervision (2020):

The Centre for Advancing Practice Complex Clinical Reasoning Programme: A Supervisor Guide


Workplace Supervision for Advanced Clinical Practice – supporting videos:

Join LTH monthly – Primary Care Trainee ACP Support Network Drop In Session


Core Capabilities links-ACP Nursing in Primary Care:

Paramedic Specialist in Primary and Urgent Care Core Capabilities Framework:

Introducing your Advanced Clinical Practitioner – information for the public

Introducting your ACP Leaflet

Midlands Faculty Education Forum Sessions: Information and a provisional date for the first meeting on Thursday 16th May 2024 has been distributed to leads in the Midlands region. If you need more information contact us on

Thursday 28th March 2024Topic to be confirmed
Thursday 25th April 2024Managing Multi Morbidity and Holistic Access
Thursday 23rd May 2024Lipid Prescribing and Guidance
Thursday 27th June 2024Topic to be confirmed
Thursday 25th July 2024Topic to be confirmed
Thursday 29th August 2024Topic to be confirmed
Thursday 26th September 2024Topic to be confirmed
Thursday 31st October 2024Topic to be confirmed

Subscription to ACP NHSE Newsletter :

Midlands Faculty for Advancing Practice Update Bulletin:

NHS Employers:

AHP Research Lead for Lincolnshire: Kirsten

National Institute for Health and Care Research (NIHR):

‘Lunch & Learn’ series :ARC East Midlands is delighted to launch the ‘Lunch & Learn’ series, offering over 20 online training sessions from March to July, 2024. These sessions are accessible, free and delivered online, with recordings available on our ARC East Midlands YouTube channel for convenient access.

Methodological skills

Academic skills

Implementation and impact

Dissemination sciences

Director of Nursing & ACP:  Lisa Freeman
ACP Lead: Sandra Esteve Sanz:
Paramedic Ambassador : Matt Holmes
AHP Ambassador: Dipika Khanal

Midlands Faculty for Advancing Practice Update Bulletins