Regulation and Advanced Practice
Currently, within nursing advanced practice requires no additional regulation except for prescribing. The Nursing and Midwifery Council (NMC) commissioned a review by the Nuffield Trust in 2023. This review concluded that regulation of nursing and midwifery was required.
The NMC are proposing
For pharmacy colleagues advanced accreditation from the core advanced practice curriculum requirements is awarded by the Royal Pharmaceutical Society, but the regulation of advanced practice is via the General Pharmaceutical Council.
Health and Care Professions Council (HCPC) Helen Gough provides an update on the NMC review. The HCPC review identified no risks to public safety as a result of advanced practice and released this Position statement on 9th May 2024.
Regulators such as the NMC, Health and Care Professions Council (HCPC) and General Pharmaceutical Council (GPhC) have revalidation requirements, and these vary across professions.
Nuffield Trust Report
Advanced Practice Qualitative Research Report prepared for the Nursing and Midwifery Council by BritainThinks
The Nursing and Midwifery Council Thematic Analysis Report on Advanced Practice Engagement
Health and Care Professions Council Advanced Practice Final Independent Research Report
Role | Regulator | Revalidation | Post graduate qualifications | Competency framework | Scope of Practice |
Advanced Nurse Practitioner (all specialities) | NMC | Every three years | Level 11 specific Post graduate Diploma minimum | Transforming Roles Papers 2, 7 and 8 | Across the lifespan and independent prescriber |
Rural Advanced Practitioner | Professional regulation with regulator, NMC, HCPC or GPhC | Every three years | Level 11 specific Post graduate Diploma minimum | Transforming Roles Papers 2, 7 and 8
Multidisciplinary Rural Advanced Practice Capability Framework - Primary and Community Care | Across the lifespan and independent prescriber |
Advanced Clinical Nurse Specialist | NMC | Every three years | Level 11 specific Post graduate Diploma minimum | Transforming Roles Paper 8 | Across the lifespan and independent prescriber |
Advanced Pharmacist | GPHc | Annually | Level 11 specific MPharm and Independent Prescribing | RPS Core Advanced Curriculum https://www.rpharms.com/development/credentialing/core-advanced-pharmacist-curriculum | Speciality independent prescriber |
Advanced Physiotherapist | HCPC
| Every 2 years | Level 11 specific Post graduate Diploma minimum | Transforming Roles Paper | Speciality independent prescriber |
Advanced Paramedic | HCPC
| Every 2 years | Level 11 specific Post graduate Diploma minimum | Transforming Roles Paper | Speciality independent prescriber |