Publication - Advice and guidance
Transforming nursing, midwifery and health professions roles: advance nursing practice
The second in a series of brief papers on the Transforming Roles programme outlines guidance for employers on developing advanced nursing practice in NHSScotland.
Annex 2: Guidance on advanced nursing practice
Area | NHS boards/employers of ANPs should: |
Nursing governance structures | ensure that ANPs are embedded in nursing governance structures, with clear lines of responsibility and accountability leading through the professional nursing line: working across traditional organisational boundaries may be required to facilitate this where no suitable professional nursing governance structure is in place |
Clinical competence | ensure ANPs can demonstrate competence across all four pillars of advanced practice |
Career Framework | ensure ANP posts are aligned to Level 7 of the Career Framework and reviewed at minimum against Agenda for Change ( AfC) band 7 |
Qualifications | ensure ANPs have a Master’s-level qualification with a core educational focus on development of competence |
Clinical supervision | ensure ANPs have effective clinical supervision and support through competence frameworks and supervision models |
Competence, capability and continuous professional development | ensure:
|
Evaluation of impact | work with the Scottish Government to consider evaluation of the impact of advanced practice in any given environment |
Service-level impact | collect baseline data prior to implementing a new model or initial test phase, with follow-up and review post service-change |
Quality assurance | ensure quality of care is evaluated as part of the supervision model, with patient-record review and direct supervision being used to evaluate the competence and effectiveness of each ANP prior to thematic review across the service |
Review and recording of existing workforce | review the existing nursing workforce at AfC band 7 and above against the definition, competences and requirements of advanced practice: those matching directly should be logged as ANPs on the NHS Employee Support System ( eESS) or Scottish Workforce Information Standard System ( SWISS) |
ANP job description | use the points within this paper to populate the job description, specifically the definition, education and supervision requirements, core clinical competences and the four pillars; any local variance should be in the form of addenda to these points matched to AfC – each NHS board should then have a core job description for ANPs within the board |
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