Foreword

This updated Multi-professional Framework for Advanced Practice in England 2025 marks an important step in the development of advanced practice in this country.

Since the publication of the first framework in 2017, advanced practitioners have played a key role in managing complex patient needs and championing innovation, quality, and compassionate care in a rapidly changing healthcare landscape.

Advanced practice now reaches far beyond its traditional settings, making a difference in areas like primary care, diagnostics, rehabilitation, education, housing, and justice. Advanced practitioners from a wide variety of professional backgrounds—nurses, midwives, allied health professionals, pharmacists, clinical scientists, optometrists, and practitioner psychologists—are improving patient care, bridging gaps in services, and supporting sustainable, patient-focused healthcare.

This framework offers a clear and practical guide for those developing their expertise in the 4 key areas of clinical care, leadership, research, and education and incorporates updated evidence, insights, and contributions from advanced practitioners. Whether you are an advanced practitioner yourself, aspire to be one, or are relying on or supporting the development of advanced practitioners in your area, we urge you to explore the framework and build on the vital contributions these roles make.

---

---

---

---

---