Multi-professional framework for advanced clinical practice in England

The framework offers opportunities for mid-career development of new skills such as prevention, shared decision making, and self-care.


Download the Multi-professional framework for advanced clinical practice in England.

In 2017, Health Education England and NHS England and NHS Improvement worked in partnership to develop a national framework for advanced clinical practice, which ensures that there is national consistency and understanding about advanced level practice. This is the first time that a national framework has existed in England and has established a shared understanding of the advanced level practitioners and how they can be deployed to deliver better patient care.

The framework offers opportunities for mid-career development of new skills such as prevention, shared decision making, and self-care. The framework includes: 

  • a national definition of the role
  • what the requirements for entry are
  • guidance and principles that advanced practitioners should adhere to in their professional practice
  • a clear career pathway into and within the profession.