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Whole systems approach: Advanced clinical practitioner development and identity in primary care

Juliana Thompson (Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK)
Anne McNall (Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK)
Sue Tiplady (Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK)
Phil Hodgson (Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK)
Carole Proud (Department of Nursing, Midwifery and Health, Northumbria University, Newcastle upon Tyne, UK)

Journal of Health Organization and Management

ISSN: 1477-7266

Article publication date: 8 July 2019

Issue publication date: 8 July 2019

Abstract

Purpose

The purpose of this paper is to ascertain primary care advanced clinical practitioners’ (ACP) perceptions and experiences of what factors influence the development and identity of ACP roles, and how development of ACP roles that align with Health Education England’s capability framework for advanced clinical practice can be facilitated in primary care.

Design/methodology/approach

The study was located in the North of England. A qualitative approach was used in which 22 staff working in primary care who perceived themselves to be working as ACPs were interviewed. Data analysis was guided by Braun and Clarke’s (2006) six phase method.

Findings

Five themes emerged from the data – the need for: a standardised role definition and inclusive localised registration; access to/availability of quality accredited educational programmes relevant to primary care and professional development opportunities at the appropriate level; access to/availability of support and supervision for ACPs and trainee ACPs; a supportive organisational infrastructure and culture; and a clear career pathway.

Originality/value

Findings have led to the generation of the Whole System Workforce Framework of INfluencing FACTors (IN FACT), which lays out the issues that need to be addressed if ACP capability is to be maximised in primary care. This paper offers suggestions about how IN FACT can be addressed.

Keywords

Acknowledgements

This paper reports on an aspect of a wider study commissioned and funded by Health Education England to scope the profile and application of ACP in primary care in the North of England, and identify any specific developments required to support ACP is to be effectively maximised “at scale” within primary care. The authors acknowledge the involvement in the study of Jane Smiddy, Carol Wills, Karen Elton, Lynn Craig, Sue Tweddell and Jonathan Yaseen.

Citation

Thompson, J., McNall, A., Tiplady, S., Hodgson, P. and Proud, C. (2019), "Whole systems approach: Advanced clinical practitioner development and identity in primary care", Journal of Health Organization and Management, Vol. 33 No. 4, pp. 443-459. https://doi.org/10.1108/JHOM-11-2018-0337

Publisher

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Emerald Publishing Limited

Copyright © 2019, Emerald Publishing Limited