Non-medical practitioner roles in the UK: who, where, and what factors influence their development?

Acute care workforce Advanced clinical practitioner Non-medical practitioner roles Service development

Journal

British journal of nursing (Mark Allen Publishing)
ISSN: 0966-0461
Titre abrégé: Br J Nurs
Pays: England
ID NLM: 9212059

Informations de publication

Date de publication:
25 Jul 2019
Historique:
entrez: 27 7 2019
pubmed: 28 7 2019
medline: 21 11 2019
Statut: ppublish

Résumé

traditional health workforce roles are changing, with existing roles being extended and advanced, while new roles are being created, often undertaking duties previously completed by doctors, sometimes referred to as non-medical practitioners (NMPs). to investigate which NMP roles exist within the UK, mapping distribution, and explore factors influencing their development and recruitment. two descriptive, exploratory, online self-completed semi-structured questionnaires were used. One was sent to all NHS acute healthcare providers (n=156) and private/independent healthcare providers in England (n=90). A separate questionnaire collected data, using convenience and snowballing approaches, from NMPs across the UK. Quantitative data were analysed using descriptive and frequency statistics. Qualitative data derived from open questions and comments were analysed using content and thematic analysis. healthcare organisations in England returned 23/246 useable questionnaires; 115 NMPs returned responses, 19 did not meet the criteria, leaving 96 useable responses. seven NMP roles were identified, throughout the UK, with regional variation. Several factors influence the development and recruitment of NMP roles in England such as service delivery and national policies. Inconsistencies were noted in Agenda for Change pay banding. Many practitioners undertook NMP roles to progress their career clinically.

Sections du résumé

BACKGROUND BACKGROUND
traditional health workforce roles are changing, with existing roles being extended and advanced, while new roles are being created, often undertaking duties previously completed by doctors, sometimes referred to as non-medical practitioners (NMPs).
AIM OBJECTIVE
to investigate which NMP roles exist within the UK, mapping distribution, and explore factors influencing their development and recruitment.
METHODS METHODS
two descriptive, exploratory, online self-completed semi-structured questionnaires were used. One was sent to all NHS acute healthcare providers (n=156) and private/independent healthcare providers in England (n=90). A separate questionnaire collected data, using convenience and snowballing approaches, from NMPs across the UK. Quantitative data were analysed using descriptive and frequency statistics. Qualitative data derived from open questions and comments were analysed using content and thematic analysis.
RESULTS RESULTS
healthcare organisations in England returned 23/246 useable questionnaires; 115 NMPs returned responses, 19 did not meet the criteria, leaving 96 useable responses.
CONCLUSION CONCLUSIONS
seven NMP roles were identified, throughout the UK, with regional variation. Several factors influence the development and recruitment of NMP roles in England such as service delivery and national policies. Inconsistencies were noted in Agenda for Change pay banding. Many practitioners undertook NMP roles to progress their career clinically.

Identifiants

pubmed: 31348700
doi: 10.12968/bjon.2019.28.14.930
doi:

Types de publication

Journal Article

Langues

eng

Pagination

930-939

Auteurs

Jenny Abraham (J)

Lead Advanced Clinical Practitioner & Surgical Care Practitioner, University Hospitals Coventry and Warwickshire NHS Trust, Coventry.

Liz Bailey (L)

Research Fellow, Midwifery, University Hospitals Coventry and Warwickshire NHS Trust / Coventry University.

Jane Coad (J)

Professor of Children and Family Nursing, University Hospital Coventry and Warwickshire NHS Trust / Coventry University / Nottingham University.

Becky Whiteman (B)

Medical Scientific Liaison, Advanced Surgery, UK and Ireland, Baxter Healthcare Limited.

Rosie Kneafsey (R)

Head of School, Nursing, Midwifery and Health, Coventry University.

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Classifications MeSH