New Chair of AAPE UK

I have great pleasure in introducing myself as the new Chair of AAPE UK.  I have taken over from Ruth Pearce who has stepped down due to a change in her academic remit.  Ruth has been an excellent Chair and the committee really appreciates her contribution and enthusiasm.

I am Associate Professor (Advanced Practice) at London South Bank University. I’ve been involved in Nurse Practitioner education for 15 years, following graduation from the RCN Institute NP programme in 1994 while I was working in General Practice in Newham, East London. I’ve been a long-term advocate for collaboration between providers of advanced nursing education and contributed to the establishment of AANPE by chairing the first seminar for UK NP education representatives in 2001.  Subsequently I’ve actively lobbied for UK-wide standards for advanced nursing education and practice as an AANPE committee member and as the RCN NP Adviser (2002-2007), member of the Department of Health (England) Advanced Nursing Practice Steering group (2010) and more recently membership of Health Education Englands (HEE’s_ national Local Education and Training Board (LETB) group working to develop HEE standards for advanced clinical practice across England.

These have reinforced my belief in the value of AAPE UK for influencing development and implementation of policy at local and national level within all four countries and internationally.  I look forward to working with the committee and wider AAPE UK membership at such a significant time for advanced practice.

2016 has started well for AAPE UK with an excellent conference in March in Salford. The caliber of speakers was evaluated highly – their presentations are available on the Conferences section of this site.

The agenda included the AGM which fed into the updated action plan for 2016 -2017 – you can read more on this website.  Leads are identified but please contact us if you want to contribute to one of the activities.

At the conference, we took the opportunity to co-opt representatives from allied health professionals to strengthen the interprofessional focus of the committee.   This is important for enabling the committee to better reflect the multi-professional mix that now exists within the majority of advanced practice programmes across the UK.

Advanced practice is making headlines regularly now, being heralded by some as the solution to the medical workforce and emergency care crises.  This has attracted national press and debate with the usual questions about the risks of “dumbing down medicine”.  There is not doubt that innovative solutions are urgently needed to meet the challenges of an aging workforce, recruitment and retention difficulties and social trends with an aging population and escalating numbers of patients with complex health needs.  There are now examples of Advanced Practitioners providing safe and effective high quality patient care across all health settings and the benefits to the multi-disciplinary team and wider organisation are also evident in recent evaluations.  These successes are driving a significant escalation in demand for advanced practice programmes, which is particularly notable in a time of reduced funding for education.

However a key issue central to the future direction of advanced practice and associated education across the UK is whether  advanced practitioners should prepared as “medical-substitutes” or have a more rounded scope and focus that values the leadership, educator and researcher aspects, alongside the advanced clinical dimension.   This latter approach is widely advocated in multiple examples of advanced practice literature and national and international policy, but seems to be disregarded in the drive for a quick and cheap solution.

AAPE UK is lobbying at every opportunity to avoid a reductionist, limited approach to the education of health professionals to work at an advanced level of practice. Anything less is a missed opportunity for the future impact and full return on investment for advanced practice.

The committee also has four country representation so we plan to provide regular updates on what the impact of our discussions in England, Scotland, Wales and Northern Ireland.

Best wishes

Katrina Maclaine


Advanced Nursing Practice: Changing Healthcare in a Changing World. Edited by Dave Barton and Douglas Allen

Advanced Nursing Practice: Changing Healthcare in a Changing World is edited by two ex-Chairs of AAPE-UK. The book has many contributions from AAPE-UK committee members and is a comprehensive overview of pertinent issues and topics that affect advanced practice.

The publishers state that Advanced Nursing Practice is a topical and emergent area of developing health practice, but as an area that is still developing it can also be seen as one of uncertainty.

Advanced Nursing Practice seeks to pave the way to a better understanding of ANP by providing a comprehensive overview of its evolution, including practice, theory and core concepts. Written by leading experts with extensive experience in the field it provides practical guidance as well as a review of the current clinical, strategic, educational and research developments. Chapters range from exploring the organizational challenges in ANP and the impact of technology, to assessment, clinical decision making and career development.

This is an essential resource for Advanced Nurse Practitioners, their educators and mentors, and is a valuable resource for undergraduate student nurses, registered nurses and service managers. For more details go to the Palgrave MacMillan website.

Queens Nursing Institute Conference 28th September 2015

Katrina Maclaine and Ruth Pearce attended the Queens Nursing Institute Annual Conference as guests of Hallam Medical. The theme of the conference was ‘Inspire, Innovate and Implement’. Keynote speakers included Jane Cummings – Chief Nursing Officer for England, Rob Webster – Chief Executive NHS Confederation, Christine Hancock – Founder and Director of C3 Collaborating for Health as well as a host of other well known names.

The conference was a platform for the launch of the QNI/QNIS’s Voluntary Standards for District Nurse Education and Practice. The voluntary standards have been developed through working with leading experts from across the UK and are designed to build on and enhance the NMC standards for specialist education and practice, not replace them. The proposal is that all education providers who currently offer the NMC approved Specialist Practice District Nurse programme adopt the QNI/QNIS voluntary standards for District Nurse Education and Practice. The standards are available from the QNI website. The voluntary standards have adapted the four domains or pillars that underpin advanced practice to articulate their practice standards.

The QNI/QNIS now aim to develop voluntary standards for GP nursing and AAPE-UK have asked for a seat at the table – watch this space!

Enabling Excellence

Enabling Excellence
Autonomy and Accountability for Healthcare Workers, Social Workers and Social Care Workers
Download from Documents and Publications

Advanced Level Nursing

Advanced Level Nursing – A Position Statement – Dept. of Health – Sunday, November 21, 2010
Go To Strategic Documents 2010

Advanced Practice Framework

Advanced Practice Framework – Wales – Wednesday, October 13, 2010
A Framework for Advanced Nursing, Midwifery and Allied Health Professions in Wales
Goto Documents and Publications

Acute Care Advanced Practice Forum Scotland

Acute Care Advanced Practice Forum Scotland – Thursday, August 05, 2010
AAPE notes and welcomes a new regional advanced practice forum. Flier downloadable from the news page.