Enhancing advanced clinical practitioners' non-clinical skills

The introduction of advanced clinical practitioners (ACPs) has become a pivotal strategy in addressing the increasing demands on health services both nationally and internationally. ACPs are encouraged to develop autonomy within a variety of specialties. This role allows them to expand their scope of practice to allow them to better meet the needs of the people they care for (NHS England, 2025). Despite the existence of a national framework to provide guidance and consistency (Health Education England et al, 2017), there remains considerable variation in training, support and supervision for ACPs, particularly in non-clinical domains (Fothergill et al, 2022).

ACPs have emerged as crucial contributors to modern healthcare systems, addressing the increasing demands placed on health services. Despite the structured national framework provided by the advanced practice multiprofessional framework, which outlines key competencies across four pillars – clinical practice, leadership, education and research – ACPs frequently encounter significant challenges. These challenges primarily stem from the variation in scope of practice, background, and formal governance structures (Fothergill et al, 2022). Additionally, ACPs often report limited support, especially in non-clinical areas, which are essential for practising independently and autonomously across all four pillars of advanced practice. These pillars form the foundation of the ACP role, empowering advanced professionals to deliver high-quality care, lead initiatives, educate others and contribute meaningfully to practice.