Optimising Advanced Practice Across the North West 1 – Leading Change in Delirium Screening: Advance Practitioners implementing the 4ATBy Garry Hacking 2 – Improving the physical health knowledge and confidence of mental health practitioners via the use of education and training By Jordan Ormshaw 3 – Improving the Peri-operative Pathway of Patients with Diabetes By Teffy Thomas 4 – Creation of a virtual forum for community ACPs in Cheshire and Merseyside By Caroline Walker 5 – Co-creating a digital learning and assurance platform with Advanced Practitioners at the NCA By Lucy Knott, Vicky Gibbons and Martin Troedel – The Northern Care Alliance Foundation NHS Trust 6 – Evaluating the impact of further education and training on referral optimisation to the Emergency Macular Assessment Clinic (EMAC) at Manchester Royal Eye Hospital (MREH) By Mohammed Abid (MREH), Nicola Cassels (MREH), Rosalind Creer (MREH), Shehzad Naroo (Aston University) 7 – Life after discharge from mental health services. Understanding the experiences of service users with severe mental illness in general practices: An exploratory-descriptive qualitative study within a primary care network in Greater Manchester. By Ruth Ambrose 8 – Community ACPs across GM: An approach to Advancing Practice transformation and innovation. By Jennylea Gray, Karen Fern and James Fletcher 9 – Introducing an Advanced Clinical Practitioner (ACP) led Surgical Same Day Emergency Care (SSDEC) has transformed emergency surgical workflow. With such a heavy clinical focus, what about the other pillars? By Rachael Hanley-Hine, Stephanie Polisena, Patrizia Capozzi and Sarah Duff 10 – Is ACP- led discharge of acute surgical patients safe in the Surgical Assessment Unit in a busy Teaching Hospital? By Anjaly Thomas, ACP(Surgery), Caroline Ashworth ACP(Surgery) , Victoria Heald(Prescribing Pharmacist), Tracy Earley(Consultant Nurse, Nutrition), Kish Pursnani (Consultant Surgeon, UGI), Vinutha Shetty(Consultant Surgeon, UGI), Jeremy Ward(Consultant Surgeon, UGI) 11 – Advanced Clinical Practitioners in clinical research – Opportunities and Challenges to transform research delivery. By Suja Subin NIHR/Manchester Clinical Research Facility , Manchester University Hospitals, NHS Foundation Trust; Lorraine Turner. NIHR/Manchester Clinical Research Facility, The Christie NHS Foundation Trust. 12 – Addressing the National Crisis: The next chapter By Payal Wilson and Jason Holland 13 – What enables Hospice Advanced Clinical Practitioners to integrate the four pillars of advanced practice? By Alice Thompson and Gill Isherwood