Advanced Practice Succession Planning Development Pathway Maggie Grundy Janet Corcoran

Background NMC (2005) Modernising Nursing Careers (2006) Priority actions: Develop a competent and flexible nursing workforce Update career pathways and career choices Prepare nurses to lead in a changed healthcare system Modernise the image of nursing and nursing careers Advanced practice development inconsistent – little national guidance about what is required at this level. Scotland lead for Advanced/Specialist Practice NMC - Need for systematic means of developing advanced practitioner attributes play central role in building workforce capacity to aid direction of travel set out in MNC 2006

Advanced Practice A level of Practice, rather than a role or title Applicable across practice contexts Applicable across professional contexts ‘Specialist’ practice is not above or below ‘Advanced’ practice – it is on a different continuum.

Expert Practice Specialist Practice Generalist Practice Novice Practice

Diagram to Illustrate Advanced Practice Advanced Generalist Practitioner Specialist Practitioner NHS Lanarkshire

Succession Planning Building talent through flexible options to develop individuals (Cunningham 2007). Not “Job Titles” but key skills and behaviours required to enable organisations to achieve its goals and strategies (Guinn 2000). A national approach towards key skills and behaviours through education provision is necessary at advanced practitioner level given the extensive and rapid change highlighted in BHBC (SGHD 2007). Succession planning pathway therefore devised with intention of providing a generic, flexible and sustainable framework, supporting educational solutions for advanced practice. Anticipated that it will enhance capability and capacity within nursing profession using consistent approach nationally within Scotland.

High levels of Decision Making& Problem Solving Values Based Care 1. Central Supporting Mechanisms (Infrastructure) Includes: Organisational support Development Needs Analysis Tool On-line Action Learning Sets Critical Companionship 4. Underpinning Principles (Development) Autonomous Practice Critical Thinking High levels of Decision Making& Problem Solving Values Based Care Improving Practice Advanced Practice Pilot Succession Planning Development Pathway Supportive mechanisms vital to success of succession planning. Links to PDP and KSF and support from manager Action Learning – Methodology that enables linking theory with practice as grounded in facilitating active learning within individuals areas of practice. Incorporates methods to develop many of the underpinning principles of advanced practice. Peer learning through experienced facilitation Critical companion - Experienced facilitator accompanies another on an experiential learning journey using methods of “High Challenge” and “High Support” in a trusting relationship Enable others to practise in ways that are person centred and evidence based Support high level critical reflection and metacognitive skills to enable individuals to interrogate their own practice and continually develop their learning 2. Four Overarching Themes (Areas of Learning) Advanced Clinical Practice Leadership Facilitating Learning Research 3. Examples of Educational Solutions (Methods of Delivery) Includes: Workbased Learning and/or Academic Education

Pilot so far…. Regional Events – 2007 National Steering Group Consultation with key stakeholders, and links to other projects Recruitment - Completion of Development Needs Analysis Tool and Interview Two cohorts recruited March ’08 & Sept ’08 Critical Companions prepared Action Learning sets ongoing Evaluation commenced

Maggie.grundy@nes.scot.nhs.uk

Clinical Career Fellowships More Senior Staff – level 9 Consultant Practitioner – level 8 Consultant NMAHPs Clinical Academic Careers Advanced Practice Toolkit Advanced Practitioner – level 7 SCN/CQI Project Senior Practitioner – level 6 Early Clinical Career Fellowships ‘Effective Practitioner’ Registered Practitioner – level 5 Flying Start NHS Associate Practitioner – level 4 Senior Support Worker – level 3 HCSW Toolkit Project Support Worker - level 2 Support Worker – level 1 Scottish initiatives to support the Nursing Career Framework