Credible governance of advanced practice is central to the safe, effective, and successful employment of advanced practitioners. The Centres Governance Maturity Matrix aims to help organisations assess and improve advanced practice standards. The maturity matrix allows organisations to self-assess their progress on the governance of advanced practice against each domain. This indicates whether they are making early progress, substantial progress, or are mature in the governance of advanced practice.
The credible governance of the processes for developing and implementing advanced practice in health and care provider organisations is central to the safe, effective, and successful employment of advanced practitioners.
Reliable and consistent governance processes support the advanced practitioner workforce to be maximally productive, expedite access to care and optimise patient outcomes.
The leadership of advanced practice in health and care provider organisations is fundamental to effective governance. The key to success is having leaders who are advanced practitioners.
Health and care organisations across all settings can formatively self-assess their progress on governance of advanced practice against each domain. This will indicate whether they are making either early progress, substantial progress, or are mature in the effective implementation of advanced practice within their system/organisation/team. The matrix is designed to be used across all NHS settings including acute, community, mental health and primary care.
Governance Maturity Matrix
The Matrix is aims to be a developmental activity for health and care provider organisations. It encourages discussion and constructive challenge within organisations and with the relevant Regional Faculty for Advancing Practice. This discussion and debate can help reach a consensus on the current self-assessment. Orgainsations can agree on future aspirations to have credible governance for advanced practice at the health and care provider organisation. The Matrix aims to support providers to put anticipatory governance arrangements in place and to keep their effectiveness under review. It is also helpful for actively planning to strengthen governance arrangements to optimise how advanced practice roles contribute to workforce development and deployment, service delivery, and improved patient care.
This is the first iteration of the maturity matrix, therefore any feedback and suggestions on improvements would be welcome.
The Centre for Advancing Practice Governance Maturity Matrix.
You will need to download a copy of the matrix before editing the document.
Learn about the Governance Maturity Matrix and how it can help NHS organisations assess and improve advanced practice standards. Includes resources and a mini series of webniars.
Health education England (2017) Multi-professional framework for advanced practice in England.
Council for healthcare regulatory excellence (2009) advanced practice: Report to the four UK health departments
Hardy, M. (2021) Advanced Practice: Research Report
National Health Service (2019) The NHS Long Term Plan
Health Education England (2022) Advanced Practice Workplace Supervision: Minimum Standards for Supervision
Health Education England (2021)Signpost for Continuing Professional Development