Welcome to the Mid and South Essex (MSE) Advanced Practice Capability Library
As an advanced practitioner, you are a professional who has acquired a high level of expertise and autonomy in your field of practice. You have been awarded additional level 7 education, while undertaking advanced level training and gaining experience that reaches beyond the standard level of requirements for your baseline profession.
This library has been developed to support you in navigating advanced level practice beyond the initial education and training you have undertaken, either a masters in advanced clinical practice with NHS England Programme accreditation, or through the NHSE ePortfolio (supported) Route.
You will already be aware that you need to maintain you evidence of advanced level practice within a portfolio, across the 38 capabilities as set out in the Multi-professional framework for advanced practice in England. These capabilities span across the four pillars of clinical practice, research, education and leadership and management.
Possible ways you maintain your capabilities include:
Continued Professional Development (CPD)
Engaging in regular learning activities such as workshops, conferences, academic coursework
NHS England Advanced Level Practice Credentialled Modules
Staying up to date on the latest evidence-based guidelines, practices and technologies in your field
Professional Proficiency
Reviewing and monitoring boundaries of defined scope of practice
Maintaining and refining clinical knowledge, skills and behaviours through regular practice
Performance evaluations and reflective assessments
Participate in the education, mentorship and clinical supervision of colleagues
Participate in research, innovation and service improvement opportunities.
To support you in building the evidence and organising your portfolio, the available downloadable templates are as follows:
Work-based assessment tool templates
Capability templates – either ones already populated for core or area-specific capabilities and a blank capability template.
Capability Matrix templates– either one already mapped with a set of core or area-specific capabilities and a blank matrix template.
The matrix template allows for multiple evidence to be populated and added to at multiple dates and allows for the clinical supervisor to sign off the capability as complete at the end.
Evidence for each capability can be used as part of a review discussion, such as an appraisal or capability review meeting.
The recommendations on the total number of pieces of evidence required to meet each capability will vary with your background knowledge, skills and experience.
Each advanced practitioner may require a different selection or number of capabilities depending on their practice requirements. Blank advanced practice capability and matrix templates can be used to design a new capability and set of capabilities suitable for an individual’s advanced practice, and can be sent to [email protected] for review and potential publishing.
As a qualified advanced practitioner, NHS England recommends in the Minimum standards for supervision – Advanced Practice guidance you are to receive 1 hour of clinical supervision a month. The hour can be broken down into smaller sessions if required, however these sessions must be utilised for your continued learning and development as an advanced practitioner.
Clinical supervisors are advised to discuss your capability requirements with you on employment, and a minimum of annually in your appraisal and to ensure you have a learning development plan to support achievement of capabilities in your advanced practice.
Please note, the designated clinical supervisor will need to gain assurance that the evidence supplied for sign off, is sufficient to meet the level 7 attainment requirements of the capability. Some evidence will require the clinical supervisor to sign, others may be a range of both clinical or non-clinical colleagues as well as patients, carers or relatives.
Evidence sources for capability sign off can be a mixture of work-based assessments and reflections, further details and templates are provided in the lesson sections below.
You may use this library flexibly – drawing from one or more core or area-specific capabilities related to practice or even design your own if a specific capability is not yet available. This resource enables you to both demonstrate your current advanced-level practice and expand your scope of practice safely by building new capabilities aligned with evolving responsibilities and service needs.
Each capability will outline a range of knowledge, skills, and behaviours, and be accompanied by an associated scope of practice that must meet the defined level 7 of attainment.
Please note some capabilities have a level descriptor between 1-4 at the end to measure against, the expectation would be to meet both levels of 3 and 4 and map any associated evidence to the level 7 attainment as described in the defined level of practice section.
The 25 core capabilities available across MSE have been structured using the Royal College of Emergency Medicine (RCEM) (2022) syllabus and the Faculty of Intensive Care Medicine (FICM) (2023) syllabus.
These core advanced practice capabilities have been cross mapped and tabulated to the following frameworks:
This is so you can chose one (or more) core capability to gain evidence against, and then cross reference against the NHS England multi-professional framework for your portfolio.
