Advanced Critical Care Practitioners (ACCPs) are clinical professionals that form part of the multidisciplinary team responsible for patient care during their critical care admission. They are highly experienced and educated practitioners who have developed their skills and theoretical knowledge to a very high standard. They are empowered to makehigh-level clinical decisions to ensure that patients receive timely, personal, and effective care.


COVID-19 Contingency Workforce Planning – Trainee ACCPs: Please click here to see the guidance issued by the ACCP Sub-Committee*

*Updated on 4 May 2020 to include additional guidance for trainee ACCPs deployed in Nightingale Hospitals

The ACCP role is a way of working for health professionals, which crosses professional boundaries. ACCPs are currently developed from experienced nurses, physiotherapists, paramedics or other related health care professionals. In the future it is envisaged that ACCPs may also be drawn from other emerging healthcare roles.

ACCPs can:

  • Undertake comprehensive clinical assessment of a patient’s condition
  • Request and perform diagnostic tests
  • Initiate and manage a clinical treatment plan
  • Provide accurate and effective clinical handovers
  • Undertake invasive interventions within the scope of practice
  • Provide professional leadership and support within a multi-professional team
  • Work autonomously in recognised situations
  • Demonstrate comprehensive knowledge across a range of subject areas relevant to the field of critical care
  • Critically analyse, evaluate and synthesise different sources of information for the purpose of assessing and managing the care of a critically ill patient
  • Apply the principles of diagnosis and clinical reasoning that underlie clinical judgement and decision making
  • Apply theory to practice through a clinical decision-making model
  • Apply the principles of therapeutics and safe prescribing
  • Understand the professional accountability and legal frameworks for advanced practice
  • Function at an advanced level of practice as part of the multidisciplinary team as determined by the competency framework
  • Apply the principles of evidence-based practice to the management of the critically ill patient
  • Understand and perform clinical audit

ACCPs must complete a programme leading to an appropriate Postgraduate Diploma/Masters degree with a Higher Education Institution.  Teaching within hospitals is overseen by a Local Clinical Lead (LCL) who holds an honorary appointment with the HEI and is responsible to the HEI for the delivery of the clinical components of training. The Department of Health National Education and Competence Framework for ACCPs can be found in the related downloads section below.

The ACCP Advisory Group have produced an information leaflet for patients and relatives. You can download and print a copy here.


Care Capabilities Framework development for MAPs
As part of developing core capabilities to underpin the HEE MAPs career framework, Skills for Health have established a project website to enable a wide range of organisations and individuals to be kept updated on development of the framework and to provide comments or feedback as part of the process. The website includes details of how anybody interested in this work can register their interest. 
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