Newham - NHSE Advanced Clinical Practice Programme 2023/24

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* 1. To be completed by the Practice Lead - Please enter the required details

Your Full Name

Your Job Title

Your Email Address

Name of the Practice

Full Name of the Student

Profession of the Student

Email Address of the Student

Name of the Supervisor (Each trainee must have a named, appropriately trained coordinating supervisor who will be able to apply the principles of the Workplace Supervision for Advanced Practice framework. )

Job Title of the Supervisor

Email Address of the Supervisor

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* 2. Is this a new role?

Yes

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* 3. Will there be an Advanced Practice role on completion of the training you are applying for and how will it be utilised?

Please ensure that the following details taken from the guidance are evident in your response:
· Should be able to articulate a clear case for the Advanced Practice role, demonstrating that it is an organisational priority in line with their workforce transformation plans and service requirements as well as ICB Workforce plans
· Should, wherever possible, be able to articulate how new Advanced Practice numbers connect to system level recovery priorities.
· Should be able to provide assurance that there will be an Advanced Practice post on completion of training. This is necessary to avoid investing in the upskilling of staff who cannot then put their advanced skills into practice.

Yes

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* 4. Your Practice Setting

Primary Care

Secondary Care

Community Care

Tertiary Care

Emergency and Unscheduled care

Pre-Hospital Care

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* 5. Specialist Training Pathway

Acute and General Medicine

Children and Young People

Critical Care

Older People / Frailty

Autism and Learning Disabilities

Mental Health

Community/Integrated Care

Ophthalmology

Surgical Care

Urgent and Emergency Care

Musculoskeletal Conditions

Neonatal

Neurological Rehabilitation

Pelvic Health

Community - Based Rehabilitation: Healthy Aging

Community - Based Rehabilitation: Physical Activity for People with Long Term Conditions

End-of-life Care

Cancer and Diagnostics / Oncology

Cardiovascular

Primary Care

Public Health

Other (please specify)

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* 6. How will this role map to the Multiprofessional Framework for Advanced Practice?

Please ensure that the following details taken from the guidance are evident in your response:
i. Assurance that the Advanced Practice trainees will be provided with supervision over the course of their training adhering to the principles of the HEE Quality Framework, Multi- Professional Advanced Clinical Practice Framework and The Minimum Expected Standards for Supervision for all learners.
ii. This should include provision of a suitable workplace-based learning environment and opportunities to gain competence at advanced level across the 4 pillars of advanced practice (clinical practice, leadership/management, research, and education).

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* 7. How do you anticipate this role will impact service delivery?

From the HEE website ( Advanced Clinical Practice )– make reference to the following statements and expand how the role will impact service delivery in your place of work:
· Improving supply to meet service needs – expanding advanced clinical practice routes and developing the levels prior to and beyond this level of practice
· The NHS Long-Term Plan highlights how advanced clinical practice is central to helping transform service delivery and better meet local health needs by providing enhanced capacity, capability, productivity and efficiency within multi-professional teams.

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* 8. Please select the training pathway

MSc

Apprenticeship MSc

Top-up module needed to complete recognised ACP pathway

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* 9. Please specify the selected Education provider

Brunel University London

Buckinghamshire New University

City, University of London

Kings College London

Kingston University

St. George's University of London

London South Bank University

Middlesex University London

Queen Mary University London

The Royal Marsden School – Cancer Care Advanced Practice

University College London

University of Greenwich

University of Hertfordshire

University of West London

University of Cumbria

Other (please specify)

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* 10. Please state the full course title

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* 11. Funding priority is given for full pathways. However if you have selected top-up module needed to complete recognised Advanced Practice pathway, please state title hear and academic year it will be undertaken. Funding will only be provided if the modules provide a pathway to an MSc in Advanced Practice.

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* 12. Please state the trainee's expected start date of the course module

Date / Time

Date

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* 13. Please state the trainee's expected end date of the course module

Date / Time

Date

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* 14. Has the supervisor undertaken any supervision training?

Yes

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* 15. Click HERE for the ACP Applicant’ Supporting Statement. This form needs to be completed & signed by the applicant and the signed version should be uploaded here.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 16. Click HERE for the ACP Supervisor’s Supporting Statement. This form needs to be completed & signed by the supervisor and the signed version should be uploaded here.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File

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* 17. Click HERE for the ACP Employer’s Supporting Statement. This form needs to be completed & signed by the employer and the signed version should be uploaded here.

PDF, DOC, DOCX, PNG, JPG, JPEG, GIF file types only.

Choose File