Chief Nurse Blog: Understanding the NMC’s Principles of Advanced Practice and Why They Matter
In today’s rapidly evolving healthcare landscape, Advanced Practice roles are becoming more essential than ever.
Whether you’re an Advanced Nurse Practitioner (ANP), Advanced Clinical Practitioner (ACP), or aspiring to become one, understanding the Nursing and Midwifery Council (NMC) principles of advanced practice is key to delivering safe, effective, and person-centred care.
So, what exactly are these principles, and why do they matter?
1. Professionalism at the Core
Advanced practitioners are leaders. They’re expected to act with integrity, uphold professional standards, and be role models within their teams. This means demonstrating accountability, making ethically sound decisions, and always acting in line with the NMC Code.
Why it matters: Trust in healthcare starts with professional behaviour. Patients and colleagues rely on you to lead by example.
2. Person-Centred Care is Non-Negotiable
At the heart of advanced practice is a deep commitment to person-centred care. This involves listening, respecting individual preferences, and working collaboratively with patients and their families to make informed decisions.
Why it matters: No two patients are the same. Tailoring care to each person improves outcomes and enhances trust.
3. Evidence-Based Practice is a Must
Advanced practitioners don’t just follow protocols — they apply the latest research and clinical evidence to inform their decisions. They’re often involved in research, quality improvement projects, and service innovation.
Why it matters: Healthcare is constantly changing. Staying current means delivering the safest, most effective care.
4. Autonomy in Practice
One of the hallmarks of advanced practice is working autonomously. This means making complex clinical decisions independently, often in high-pressure situations, while knowing when to escalate or collaborate.
Why it matters: Advanced roles come with greater responsibility — and the confidence to act decisively when it counts.
5. Leadership and Team Collaboration
Leadership isn’t just about titles — it’s about influence. Advanced practitioners lead by mentoring others, driving service improvements, and promoting collaboration across disciplines.
Why it matters: Great healthcare doesn’t happen in isolation. Strong leaders build strong teams.
6. Commitment to Education and Development
The learning never stops. Whether it’s pursuing further qualifications, mentoring students, or supporting colleagues, education is central to the advanced practice role.
Why it matters: Sharing knowledge uplifts the profession and ensures continuous improvement in care.
7. Defined Scope and Good Governance
Advanced roles must be clearly defined and supported by robust clinical governance. This ensures that practitioners work within a safe, supported, and structured environment.
Why it matters: Clarity around roles and responsibilities protects both patients and practitioners.
So, in summary the NMC’s principles of advanced practice are more than just guidelines they’re a framework for delivering exceptional, forward-thinking care. As healthcare continues to evolve, these principles help ensure that advanced practitioners are ready to lead the way with competence, confidence, and compassion.