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The Advanced Clinical Practitioner (ACP) in UK healthcare: Dichotomies in a new ‘multi-professional’ profession

Stephen Timmons, Claire Mann, Catrin Evans, Ruth Pearce, Charlotte Overton, Kathryn Hinsliff‐Smith

2022SSM - Qualitative Research in Health25 citationsDOIOpen Access PDF

Abstract

Advanced Clinical Practitioners (ACPs) work in a wide range of settings across the English National Health Service. ACPs come from a wide range of health professional backgrounds. This paper explores the ACP as a multi-professional role, and the implications of these understandings for the sociology of professions. This paper analyses what happens when a new occupational role is created that encompasses several established professions. This qualitative study gathered views and experiences across a range of stakeholders. Fifty-eight semi-structured interviews were undertaken with participants employing ACPs (n = 14) actively working in an ACP role (n = 10), training as an ACP (n = 13) or engaged in the delivery of the ACP education programme in England (n = 21). Findings were analysed into three overarching themes: (i) professional identity, (ii) differing definitions of ACP and (iii) advanced practice, professional regulation and recognition. ACPs hold a unique and emerging professional identity based on their previous professional health background and are themselves clear that they are not doctors. The role is not yet formally regulated, though many ACPs aspire to this. This research is an early look at a new type of professional which challenges existing understandings of what a profession is.

Topics & Concepts

Identity (music)DichotomyHealth professionsHealth professionalsProfessional developmentHealth careProfessional boundariesAllied health professionsProfessional studiesMedical educationPedagogySociologyNursingPublic relationsMedicinePolitical sciencePhysicsAcousticsPhilosophyLawEpistemologyNursing Roles and PracticesHealthcare Quality and ManagementInterprofessional Education and Collaboration