Workforce perspectives on Health Education England's 'Multi-professional Framework for advanced clinical practice in England', and it's implementation.

This is the initial report on the findings of the research around Advanced Clinical Practice (ACP) in the Barking Havering and Redbridge University Trust (BHR) with a view to develop a trust specific implementation tool for the newly developed Health Education England; Multi-Professional Framework for Advanced Clinical Practice in England (2017).

The research was undertaken between September and October 2019 and utilised focus groups with three participant groups: advanced clinical practitioners, clinical managers and non-clinical managers employed by BHR. The study assesses the following key areas: 1) The advancements of knowledge regarding current workforce challenges including knowledge of ACP, value, and patient outcomes; 2) BHR specific identifiers for development and implementation including around supervision, accountability and pathway guidance.

Efforts were made focus groups to guide participants towards talking specifically about their knowledge and understanding of the HEE (2017) Framework, however discussions regularly shifted toward more action focussed elements around workforce challenges and systemic issues, resulting in a rich data set. Therefore, this report presents, discusses and suggests solutions relative to both extant issues and framework implementation.