NHS Education for Scotland


dh logo artwork (rgb).jpg Dame Christine Beasley, CNO England

The Advanced Practice Toolkit, developed as part of the UK Modernising Nursing Careers programme, provides a consensus view on advancing nursing practice which has broad application across the four countries of the UK and is consistent with global perspectives on this key role.

The establishment of such a benchmark provides the opportunity to ensure practitioners are able to use the full range of capabilities and, supported by robust education and clinical supervision, to provide clear governance and assurance to service users.

I welcome the Toolkit and encourage close working to ensure that it continues to develop and reflect the richness of existing advanced practice roles and that it supports consistency and transferability across the strategic and policy environments of each country. The Toolkit will also need to support individuals, managers and commissioners to demonstrate the economic value of advanced nursing roles in the delivery of high quality care for patients and service users across many care pathways in order to sustain these roles in economically challenging times.


welsh assembly - positive_bi_40mm.jpg Rosemary Kennedy, CNO Wales


Welsh Assembly Government welcomed the Advanced Practice Toolkit (2008), completed as part of the Modernising Nursing Careers UK initiative, and has incorporated the principles within the Post Registration Career Framework for Nurses in Wales, launched in September 2009. Having a consistent UK approach to advanced practice is important as it ensures staff transferability across borders and supports appropriate role development within a modernised health service.


scottish government.jpgRos Moore, CNO Scotland


As the needs of patients and clients change, and service delivery models seek to shift to support appropriate care provision, the need for role flexibility becomes ever greater. Service leads and strategic planners require both to reconfigure the competencies of the existing workforce and to introduce a new mix of skills.

Given this focus on flexibility in the workforce, the NHS Career Framework, the Knowledge and Skills Framework (KSF) and the Scottish Credit and Qualifications Framework (SCQF) all provide opportunities to establish and sustain consistent role benchmarks for professional practice and to provide clarity, consistency and confidence for practitioners, service leads and the public.

In this context, the Advanced Practice Toolkit aims to provide a consistent template for the key elements of this level of practice which can then be used to validate existing roles and support the coherent application of those principles to new roles. Whilst the work was led NHS Scotland on behalf of the MNC Coalition, I'd like to acknowledge the significant contribution from across the UK stakeholders and welcome the formal endorsement of the work by the UK MNC Coalition and AANPE.