4 Pillars of Practice – Advanced Clinical Practitioner Jane

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4 Pillars of Practice – Advanced Clinical Practitioner Jane Blakey: Trainee ACP Physiotherapist Mental Health Services for Older People February 2022

Leadership & Management Clinical Practice 4 Pillars of Practice Education (self & others) Research Multi-professionals framework for advanced clinical practice in England

Advanced Clinical Practice Encompasses It is a level of the four pillars practice of practice Core capabilities and area specific competence

Advanced Practice clinical role with a large management element Advanced Practice clinical role with strong research/teaching elements Framework for Advanced Nursing, Midwifery and Allied Health Professional Practice in W ales (2016)

Clinical Practice Leadership & Management 11 capabilities 11 capabilities Education (self & others) 8 capabilities Research 8 capabilities

Advanced Clinical Practice – Four pillars - capability examples Clinical Practice 1.1: Practise in compliance with their respective code of professional conduct and within their scope of practice, being responsible and accountable for their decisions, actions and omissions at this level of practice. Leadership & Management 2.5: Lead new practice and service redesign solutions in response to feedback, evaluation and need, working across boundaries and broadening sphere of influence. Education 3.7: Supporting the wider team to build capacity and capability through work-based and interprofessional learning, and the application of learning to practice Research 4.2 Evaluate and audit own and others’ clinical practice, selecting and applying valid, reliable methods, then acting on the findings.

References/Further Reading Health Education England. (2017). Multi-professional framework for advanced clinical practice in England. Available at: https://www.hee.nhs.uk/sites/default/files/documents/multi -professionalframeworkforadvancedclinicalpracticeinengl and.pdf (Accessed: 01/12/2021) NHS Education for Scotland. Four Pillars of Practice. Available at: https://www.nmahpdevelopmentframework.nes.scot.nhs. uk/post-reg-framework/four-pillars-of-practice/ (Accessed: 01/12/2021)

References/Further Reading continued NHS Wales. (2016). Framework for Advanced Nursing, Midwifery and Allied Health Professional Practice in Wales. Available at: https://www.wales.nhs.uk/sitesplus/documents/829/NLIA H%20Advanced%20Practice%20Framework.pdf (Accessed: 01/12/2021) NHS Wales. (2020). Modernising Allied Health Professions’ Careers in Wales: A post registration framework. Available at: https://gov.wales/sites/default/files/publications/2020-02/ modernising-allied-health-professions-careers-in-wales.p df (Accessed: 01/12/2021)

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