Should diabetes specialist nurses be Advanced Clinical Practitioners?


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The NHS is facing enormous general healthcare demands due to changing demographics and financial constraints, and thus there is a need for workforce redesign. Advanced clinical practice roles have been introduced to help alleviate the pressures and facilitate healthcare interventions in a timely manner. However, until recently, the definition of advanced practice and the competencies required have been undefined. In 2017, Health Education England published the Multi-Professional Framework for Advanced Practice in England to provide consistency on these roles. This was followed by establishment of the Centre for Advancing Practice, with the aim of accrediting advanced practice education programmes and facilitating the supported ePortfolio route to recognise education and training equivalence. The role of diabetes specialist nurses within the multidisciplinary team is undisputed and has evolved and diversified to meet the ongoing challenges of diabetes care; however, does this count as advanced practice? This article explores advanced clinical practice, considers the similarities and differences between specialist and advanced practice and outlines how these relate to diabetes specialist nurses.
Original languageEnglish
Article numberJDN225
Pages (from-to)225
Number of pages4
JournalJournal of Diabetes Nursing
Issue number1
Early online date1 Mar 2022
Publication statusPublished - 1 Mar 2022


  • Service Delivery
  • Workforce development
  • Diabetes
  • Advanced Clinical Practice


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