Tag: Advanced Practice

First Contact Paramedics

Diagnostic clinicians who work in primary care, providing urgent and unscheduled care, and addressing acute presentations that have had an acute or chronic unset

Can triage patients, conduct telephone and face-to-face consultations, complete home visits, and request, review, and act upon laboratory results

In 2019, NHS England's Chief Allied Health Professions Officer (England) praised their role in leading "transformational change for the benefit of citizens and their health and well-being in a wide variety of settings"

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Questions?

If you have any questions relating to first contact paramedics, or even to advanced paramedics, please feel free to contact our ACP Lead, Kerri Magnus, at [email protected].

FCP / ACP (Paramedic) Survey

Kerri Magnus has also designed a survey to establish the learning needs of first contact and advanced practitioners, including paramedics. Completing this survey will assist us in directing funding to appropriate higher education modules and CPD.

For more information, and to access the survey, please click here.

What are they?

What benefits can they bring?

What is their scope of practice?

Is funding available for them?

Are there any case studies?

What training, qualifications, and competencies should they have?

What educational pathways are there?

NEW: How does the ARRS link to HEE's Roadmap?

Are they eligible for the apprenticeship levy?

Any example job descriptions?

Any sample interview questions? [DONE]

What clinical supervision do they need? [DONE]

What ongoing support is available? [DONE]

What are first contact paramedics?

First contact paramedics are autonomous, diagnostic clinicians with experience in handling undifferentiated and unpredictable cases; conducting an array of clinical assessment, diagnostic, and treatment activities; and directing and signposting care. They are at the top of their clinical scope of practice at Agenda for Change Band 7 (A Roadmap to Practice, see below).

As generalists, they can effectively use the medical / biopsychosocial model to assess, examine, treat, and manage patients of all ages, with a variety of undifferentiated and chronic conditions. Their work can involve triaging patients, carrying out telephone and face-to-face consultations, and conducting home visits. They refer patients to GPs for the management of presentations and pharmacology outside their scope of practice.

For more information, please read HEE’s A Roadmap to Practice and the College of Paramedics’ Employers’ Guide: Paramedics in Primary and Urgent Care.

A Roadmap to Practice

Produced by HEE, this document provides a roadmap of education for practice, for all first contact paramedics working in primary care.

To read this document, please click here.

Employers' Guide: Paramedics in Primary and Urgent Care

Produced by the College of Paramedics, this document was produced by a multi-professional group and provides concise information regarding the current education and regulatory standards for paramedics.

To download this document, please go to the CoP’s site by clicking here.

What benefits can first contact paramedics bring?

GPs face a constant and increasing demand for their time. First contact paramedics can help to alleviate this by addressing a wide range of undifferentiated presentations to urgent and primary care (including frailty, long-term conditions, and mental health crises). In so doing, they not only enable GPs to turn their attention to more complicated presentations when needed, but paramedics also ensure that patients can receive equitable treatment from a MDT workforce that isn’t so unduly strained. Patients are less likely to need to go to the hospital, as paramedics are well-equipped to see, treat, and / or refer as appropriate by themselves performing home visits.

Please see the Paramedic Specialist Core Capabilities Framework below for more information.


Paramedics have so many complementary skills and in primary care there are many areas where paramedics can complement the rest of the primary care team, not least acute care, but also, domiciliary visiting and follow up to the same that may well enable patients to stay in their own home rather than be admitted to hospital…

Professor Simon Gregory
Director of Education and Quality
(HEE, working across Midlands and East)

(Ref. Paramedic Specialist Core Capabilities Framework)

Paramedic Specialist Core Capabilities Framework (2019)

Produced jointly by HEE, Skills for Health, and the College of Paramedics, this framework establishes the scope of practice for paramedics working in primary care.

To read this framework, please click here.

What is the scope of their practice?

First contact paramedics’ scope of practice is outlined in HEE’s A Roadmap to Practice for first contact and advanced paramedics. This document offers a clear educational pathway from undergraduate to advanced practice for paramedics seeking a career in primary care, outlining the skills and attributes required to become a first contact paramedic or advanced paramedic, in addition to establishing the supervision and governance needed to support them.

In asserting the capabilities of first contact and advanced paramedics, this document assists employers and workforce planners in understanding what this role can bring to the table in a multi-professional team, and thereby support the delivery of the best patient care.

For a detailed breakdown of a first contact paramedic’s scope of practice, please consult the Roadmap to Practice and read:

  • Section 3.0: National standards and frameworks for MSK practitioners
  • Appendix 12.14: Knowledge, Skills and Attributes document
A Roadmap to Practice

Produced by HEE, this document provides a roadmap of education for practice, for all first contact paramedics working in primary care.

To read this document, please click here.

Is funding available for first contact paramedics?

From April 2021 onward, first contact paramedics can be recruited by PCNs through the Additional Roles Reimbursement Scheme (ARRS). This scheme provides funding for additional roles, enabling the creation of bespoke multidisciplinary teams. All PCNs are eligible for reimbursement funds, with the amount available dependent on their weighted population share.

Through ARRS, paramedics can be employed by PCNs and reimbursed at 100% of defined salary, plus defined costs. More information on this can be found in NHS Confederation’s guide, below.

Additionally, like nurses, nursing associates, and other AHPs, paramedics are entitled to £1,000 of CPD funding over 3 years.

Recruiting paramedic practitioners through the Additional Roles Reimbursement Scheme

Produced by NHS Confederation, this document serves as a guide to how the ARRS works, how paramedics can be recruited through it, and how paramedics can support your multidisciplinary practice team.

To read it, please click here.

What training, qualifications, and competencies should a paramedic have?

The College of Paramedics (CoP) states that, from 2021 onward, all paramedics should have a BSc (Hons) to be registered with the Health and Care Professions Council (HCPC). This qualification is acquired over 3 to 5 years of study. Paramedics working in advanced practice should be educated to the level of a Master’s degree, however.

The CoP notes that the requirement for higher education qualifications is relatively new, though, with a number of paramedics in advanced practice not having such. The CoP maintains that paramedics aspiring to transition should be educated in line with these requirements — and it is hoped that employers will assist the paramedics they recruit in meeting these standards.

It is also expected that paramedics will have successfully completed a preceptorship programme (or the equivalent of) prior to working in primary care; this is usually done in the first two years after initial registration, via schemes like the Newly Qualified Paramedic (NQP) programme. Completion of a preceptorship is intended to round out paramedics, with experience in assessing and managing an array of patients across the clinical and social spectrum.

For more information on a first contact paramedic’s required competencies, please refer to the Paramedic Specialist in Primary and Urgent Care Core Capabilities Framework.

For a detailed breakdown on the training required for a paramedic to practice at first contact and advanced levels, please refer to HEE’s Roadmap to Practice below.

Paramedic Specialist Core Capabilities Framework (2019)

Produced jointly by HEE, Skills for Health, and the College of Paramedics, this framework establishes the scope of practice for paramedics working in primary care.

To read this framework, please click here.

A Roadmap to Practice

Produced by HEE, this document provides a roadmap of education for practice, for all first contact paramedics working in primary care.

To read this document, please click here.

Are there any case studies?

HEE are currently producing case studies for first contact paramedics. Please stand by until they’re ready to be released.

Are paramedics eligible for the apprenticeship levy?

The short answer is yes — to access it, a first contact paramedic will need to secure the backing of a GP and their practice manager, before reaching out to the Training Hub. It is then a matter of applying to UWE’s apprenticeship scheme.

For more information, please do contact our ACP Lead, Kerri Magnus, at [email protected]t using the button below.

Alternatively, you can download MSc AP Apprenticeship Programme to read more about UWE’s scheme for advanced clinical practitioners.

MSc AP Apprenticeship Programme

This document provides information on UWE’s apprenticeship programme for advanced clinical practitioners.

To read it, please click here.

What academic qualifications should an FCP have?

An FCP should be pursuing one of the following routes to become qualified:

  • Completing a BSc Physiotherapy degree at a recognised university
  • Completing a BSc Degree Apprenticeship, combining on-the-job training with university-level learning an study
  • Completing an integrated Master’s degree — a four-year, full-time course combining undergraduate and postgraduate study into a single course
  • Completing a Master of Science degree for those who have studied at undergraduate level in another relevant subject area: (e.g., biological sciences, psychology, or sports science, consisting of a range of lectures, placements, and assessments over 2 years

Generally speaking, an FCP should have 1,000 placement hours under their belt, though this can vary depending on the qualification they’re pursuing.

Detailed information on accredited university courses can be found at this link:
Find a physiotherapy programme | The Chartered Society of Physiotherapy (csp.org.uk)

Any example job descriptions?

Please stand by whilst we confirm HEE’s job description for first contact paramedics.

Any sample interview questions?

We will provide sample interview questions soon. Thank you for your patience.

What clinical supervision do you need to provide?

HEE stipulates that the clinical supervision you provide should build the first contact paramedic’s confidence, capability, clinical reasoning, and critical thinking. As such, it should include:

  • Regular supervision within practice
  • A routine debrief (at least daily) to ensure patient and practitioner safety
  • A high-quality feedback process, to help with addressing practitioner and patient uncertainty
  • A Workplace-Based Assessment (WPBA) to assess the application of knowledge, skills, and behaviours in primary care

Brooke Petter Associates likewise advocate for routine supervision to be provided, noting that while paramedics typically have a high degree of autonomy early in their clinical practice, consistent support and supervision will allow them to acclimatise to the specifics of primary care more safely and confidently. They advise assigning paramedics a named clinical supervisor, one ideally with experience in a teaching practice. As the paramedic’s skills and confidence grow, the degree of supervision should be lessened (see A How To Guide below for more).


For information on how to become a first contact paramedic’s supervisor, please consult the illustration and relevant documents below.

HEE Clinical Supervision for FCPs / ACPs FAQs

Compiled by Kerri Magnus, this document addresses many frequently asked questions surrounding clinical supervision for first contact practitioners and advanced clinical practitioners (including first contact physiotherapists).

To read it, please click here.

HEE's FCP / ACP Roadmap Supervision slides

Provided by HEE, this slide deck outlines the supervision process for first contact practitioners and advanced clinical practitioners.

To read it, please click here.

HEE's Workplace Supervision for Advanced Clinical Practice guide

Produced by HEE, this document is intended for employers and supervisors, to support them in delivering high-quality workplace supervision to advanced clinical practitioners in training.

To read it, please click here.

What ongoing support is available?

There are various ways in which first contact paramedics can receive support, including:

The ACP Forum

Organised and led by our ACP Lead, Kerri Magnus, The ACP Forum can assist first contact paramedics on the journey to becoming an advanced clinical practitioner. The Forum can signpost to relevant education and training, provide 1-to-1 guidance, and facilitate networking with like-minded colleagues from across BNSSG.

To visit The ACP Forum’s site, please click here.

1:1 Sessions

Kerri Magnus, our ACP Lead, is available to run 1:1 sessions for advanced clinical practitioners, in which they can create their own individual pathways, relevant to their role and practice goals. These will be 15-30 minutes, and GPs / Practice Managers are also welcome to book a slot, should they wish to ask any questions relating to first contact practitioners or advanced clinical practitioners.

You can contact Kerri at [email protected], by clicking here.

The College of Paramedics (CoP)

The College of Paramedics is a professional body for UK paramedics, well-placed to lead the profession’s development across a variety of health and care settings, informing national and regional legislation and policy. Membership does require a fee but comes with a number of benefits, including free access to The British Paramedic Journal (BPJ) — a quarterly, peer-reviewed electronic journal.

To find out more, please click here.

CoP Diploma in Primary and Urgent Care

The College of Paramedics provides a professional Diploma in Primary and Urgent Care (DIP PUC) examination, which is designed to assess the skills, knowledge, and attitudes of experienced, specialist paramedics. It is intended to incorporate the range of possible patient presentations and depth of knowledge required to carry out an effective, successful patient consultation.

To find out more, please click here.

BNSSG FCP / ACP (Paramedic) Survey

Kerri Magnus has also designed a survey to establish the learning needs of first contact and advanced practitioners, including paramedics. Completing this survey will assist us in directing funding to appropriate higher education modules and CPD. All data acquired will be anonymised in presentations, but ourselves and Avon LMC will keep a summary of individual requirements so that if resources become available (and agreed by practice), we’ll be able to direct funding appropriately.

To access the survey, please click here.

What educational pathways are there?

At present, there are two main educational pathways by which one can train to be a first contact or advanced paramedic:

  • Via an FCP portfolio and taught routes, with onward portfolio route or a taught Advanced Practice master’s to become an Advanced Practitioner
  • Via an AP portfolio or taught routes with the addition of the required primary care KSA training

The diagram below provides a visual representation of this routes.

For more information, please see HEE’s Roadmap to Practice using the collapsible box below.

A Roadmap to Practice

Produced by HEE, this document provides a roadmap of education for practice, for all first contact paramedics working in primary care.

To read this document, please click here.

Diagram sourced from HEE’s A Roadmap to Practice

How does the ARRS link to HEE's Roadmap?

First contact physiotherapists employed under the Additional Roles Reimbursement Scheme (ARRS) have a deadline of April 2022 to complete stages 1 & 2 of HEE’s Roadmap to Practice to enable drawing down of funding.

If you are not employed under ARRS, then you do not have this deadline. It is beneficial to complete them, however, if you want to be on the Centre for Advancing Practice Directory — you will need to have gone through stages 1 & 2 before moving on to stage 3 and advanced clinical practice.

Both stages can be completed in general practice and signed off by a verified clinical roadmap supervisor, or you can attend a taught route. You will still need to have evidence of clinical supervision by a roadmap supervisor to ensure competency, though.

For weekly updates here, please refer to HEE’s site using the button below.

Literature
Employers' Guide: Paramedics in Primary and Urgent Care

Produced by the College of Paramedics, this document was produced by a multi-professional group and provides concise information regarding the current education and regulatory standards for paramedics.

To download this document, please go to the CoP’s site by clicking here.

HEE Clinical Supervision for FCPs / ACPs FAQs

Compiled by Kerri Magnus, this document addresses many frequently asked questions surrounding clinical supervision for first contact practitioners and advanced clinical practitioners (including first contact physiotherapists).

To read it, please click here.

HEE's FCP / ACP Roadmap Supervision slides

Provided by HEE, this slide deck outlines the supervision process for first contact practitioners and advanced clinical practitioners.

To read it, please click here.

HEE's A Roadmap to Practice

Produced by HEE, this document provides a roadmap of education for practice, for all first contact paramedics working in primary care.

To read this document, please click here.

HEE's Workplace Supervision for Advanced Clinical Practice guide

Produced by HEE, this document is intended for employers and supervisors, to support them in delivering high-quality workplace supervision to advanced clinical practitioners in training.

To read it, please click here.

MSc AP Apprenticeship Programme

This document provides information on UWE’s apprenticeship programme for advanced clinical practitioners.

To read it, please click here.

Paramedic Specialist Core Capabilities Framework (2019)

Produced jointly by HEE, Skills for Health, and the College of Paramedics, this framework establishes the scope of practice for paramedics working in primary care.

To read this framework, please click here.

Recruiting paramedic practitioners through the Additional Roles Reimbursement Scheme

Produced by NHS Confederation, this document serves as a guide to how the ARRS works, how paramedics can be recruited through it, and how paramedics can support your multidisciplinary practice team.

To read it, please click here.

A/V resources
An Essential Update about First Contact Practitioners and Advanced Clinical Practice in primary care

Arranged by Somerset LMC and Somerset Training Hub, this 1.5 hour webinar provides a concise, ideal look at the scope and requirements of first contact / advanced clinical practitioners (FCPs / ACPs), and at how best to provide the support, supervision, and conditions they need to thrive.

A range of individuals contributed, including our own ACP Lead, Kerri Magnus.

For more information, and to watch this webinar, please click here (do note that you will need to register).

[This webinar was held on 04/02/21]


HEE FCP Roadmap Webinar

On Wednesday 24 March, HEE held a webinar on their first contact practitioner (FCP) Roadmaps to Practice. This webinar will be of interest to those in MSK and paramedic roles and will specifically cover the portfolio route through, with guidance and insights into how delegates can look to build their portfolios.

The recording is now available to watch and download.

To access the recording, please click here. To download the slides, please click here.

[This video was published on 01/04/21]

HEE National Paramedic Webinar

Photo by Andrew Neel
An overview of the Paramedic Roadmap
To be held on Tuesday 23 March

Following the HEE Paramedic Roadmap’s publication, HEE will be running a webinar to provide an overview of the roadmap and the supervision requirements on Tuesday 23rd March, from 15.30 to 17.00. This will be an opportunity to hear from a GP’s perspective what the roadmap means for them in primary care and to hear from the College of Paramedics.

The agenda is as follows:

  • 15.30: Welcome and open | Andy Collen (Paramedic Subject Matter Expert, HEE / Consultant Paramedic)
  • 15.40: Roadmap Overview | Amanda Hensman-Crook (HEE AHP National Clinical Fellow)
  • 15.55: Roadmap Supervision and Verification | Julia Taylor (HEE Primary Care Roadmap Supervision and Verification Lead)
  • 16.10: College Perspective on the Roadmap | Helen Beaumont-Waters (Primary Care Lead, College of Paramedics)
  • 16.25: FCP & AP in Primary Care GP Perspective | Alistair Bavington (GP)
  • 16.40: Q&A
  • 17.00: Close

For more information, please contact Carrie Biddle (Regional Head of Allied Health Professions, HEE) at [email protected]. To join via Microsoft Teams on the day, please use the button below.

Recent news

CPD Plenary

A free, 30-minute Q&A on CPD funding

C&SW 2021 Annual Conference

Streaming live, from Ashton Gate

CPD Funding for Nurses & AHPs

Apply for CPD Funding for 2021 / 22

Advanced Nurse Practitioner (ANP) QI Project

ANP QI WS
Identifying the learning and training needs of our local ANPs
Complete the survey today

Organised by The ACP Forum’s Kerri Magnus, this quality improvement project has been devised to establish the existing training level and needs of ANPs, trainee ANPs, and aspiring ANPs working in primary care in BNSSG.

Completing the linked survey (via the button below) will help to identify the modules or courses required for these individuals to meet the standards set out in the Core Capabilities Framework for Advanced Clinical Practice (Nurse) Working in General Practice / Primary Care in England. The data will be compiled anonymously, but BNSSG Training Hub and Avon LMC will keep a summary of individual requirements so that, when resources do become available (and agreed by practices), we can direct appropriate funding.

Please ensure all qualified nurses working in your practice whom identify as working at an Advanced Practice Level, or are working towards such, complete this questionnaire as soon as possible.

To access it, please click the button below.

Recent news

CPD Plenary

A free, 30-minute Q&A on CPD funding

C&SW 2021 Annual Conference

Streaming live, from Ashton Gate

CPD Funding for Nurses & AHPs

Apply for CPD Funding for 2021 / 22

First Contact Physiotherapists

Diagnostic clinicians who work in primary care, addressing undiagnosed and undifferentiated MSK presentations

Serve as the first point of contact for patients with MSK conditions, releasing time for GPs and providing specialist support

In 2016, the British Medical Association asserted that an "expanded workforce in and around the practice" should include FCPs

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next arrownext arrow
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Questions?

If you have any questions relating to first contact physiotherapists, or even to advanced physiotherapists, please feel free to contact our ACP Lead, Kerri Magnus, at [email protected].

HEE’s Roadmap to Practice

HEE has published their Roadmap to Practice for first contact physiotherapists, which features a wealth of information pertaining to the role’s requirements and paths to progress to advanced practice.

To read it, please click here.

UPDATED: To watch HEE and the CSP’s webinar on the Roadmap to Practice, please click here.

What are they?

What benefits can they bring?

What is their scope of practice?

Is funding available for them?

Are there any case studies?

What training, qualifications, and competencies should they have?

What educational pathways are there?

NEW: How does the ARRS link to HEE's Roadmap?

Are they eligible for the apprenticeship levy?

Any example job descriptions?

Any sample interview questions?

What clinical supervision do they need?

NEW: What ongoing support is available?

Updates

This first contact physiotherapy summary page was last updated on 05.05.21. The following sections were updated:

  • How does the ARRS link to HEE’s Roadmap?
    [Under ‘How do you employ a first contact physiotherapist?’]
  • What ongoing support is available?
    [Under ‘What support do first contact physiotherapists need?’]
What are first contact physiotherapists?

First contact physiotherapists are the first point-of-contact for patients with MSK conditions in primary care; they are at the top of their clinical scope of practice at Agenda for Change Band 7 (A Roadmap to Practice, see below).

They are qualified to assess, diagnose, treat, and manage patients, and when appropriate, can discharge them without a medical referral. They refer patients to GPs to address non-MSK conditions and pharmacology outside their agreed scope of practice.

They also have a range of clinical and service-based responsibilities, playing an important role in supporting ongoing educational and research development within primary care.

A Roadmap to Practice

Produced by HEE, this document provides a roadmap of education for practice, for all first contact physiotherapists working in primary care.

To read this document, please click here.

What benefits can first contact physiotherapists bring?

The presence of first contact physiotherapists in multi-disciplinary teams can help to release time for GPs; one-in-five GP appointments are about musculoskeletal conditions, thereby allowing them to address other presentations. Physiotherapists may also bring an increased focus on lifestyle issues, such as smoking, drinking, and lack of sleep; all these issues can exacerbate muscle pain, and physiotherapists are well-placed to assist in ensuring that patients can be pain-free and mobile.

Please see What MSK First Contact Physiotherapists can offer you below for more information.


In my view and experience [first contact physiotherapists] are a valued and now essential member of the primary care team. The role is effective both in delivering great outcomes and experience for patients but also in our area resilience for practices. Their approach in my experience empowers patients to better self-manage their condition and become less reliant on traditional medical approaches such as analgesia.

Dr. Darren Cocker
GP, Lydden Surgery
Deputy Governing Body Member, Kent and Medway CCG
GP Tutor, HEE

(Ref. What MSK First Contact Physiotherapists can offer you)

What MSK First Contact Physiotherapists can offer you

Produced by the Chartered Society of Physiotherapy, this page outlines the case for first contact physiotherapists and the benefits you can expect from employing them.

To visit this page, please click here.

Diagram sourced from CSP’s What MSK First Contact Physiotherapists can offer you

What is the scope of their practice?

First contact physiotherapist appointments typically last 20 minutes, to provide ample time for safe and effective consultation. Most appointments involve assessment, diagnosis, and first-line treatment, but first contact physiotherapists are qualified to:

  • Assess and diagnose — this includes screening for serious pathologies
  • Refer for a course of treatment
  • Refer to orthopaedic / rheumatology / pain services
  • Convey information about self-care and facilitate behaviour change
  • Discuss physical activity and health — i.e., discuss the negative impact of lifestyle choices on a patient or service user’s health (e.g., smoking)
  • Appraise fitness for work
  • Conduct social prescribing
  • Conduct medicines optimisation
  • Request investigations
  • Administer soft-tissue injections (if qualified)

For more information, please consult CSP’s About First Contact Physiotherapist services page below.

About First Contact Physiotherapist services

Produced by the Chartered Society of Physiotherapy, this page answers several FAQs about the scope and function of first contact physiotherapy in primary care.

To visit this page, please click here.

How much training do they have?

According to HEE’s e-Learning for Health platform, to work in primary care FCPs must have completed a physiotherapy degree (BSc).

For Band 7 roles, FCPs must complete the HEE Primary Care FCP capability training, at minimum, and be backed by appropriate governance and indemnity. For Band 8A roles, this training should be completed and the FCP must be working at an advanced level of practice (e.g., at Master’s level) across all four pillars of Advanced Practice.

(Source: First Contact Physiotherapist,
HEE)


For more information, please consult HEE’s First Contact Practitioners and Advanced Practitioners in Primary Care: (Musculoskeletal) A Roadmap to Practice, via the button below.

Is funding available for them?

First contact physiotherapist roles created from 31 March 2019 onward will likely be funded, in part, by PCNs through the Additional Roles Reimbursement Scheme (ARRS), as detailed in the five-year framework for GP services agreed between NHS England and the BMA General Practitioners Committee (GPC). The scheme is projected to produce around 20,000+ additional posts in five reimbursable primary care roles by 2023 / 24, including the first contact physiotherapist role.

Through ARRS, NHS England will reimburse employment on-costs, in addition to 70% of ongoing salary expenses.

This is but only one way in which to secure funding for first contact physiotherapists, however.

For more, please consult HEE’s Implementation Guide using the collapsible box below.

HEE's Implementation Guide

This document addresses capability frameworks and governance issues around introducing implementation of first contact physiotherapists.

To read it, please click here.

What training, qualifications, and competencies should a physio have?

Please find below links to two significant documents which will help service providers, managers, and physiotherapists themselves to identify what training, qualifications, and competencies they should have to safely and effectively practice at first contact and advanced practice levels.

A Roadmap to Practice

HEE are in the process of producing a roadmap of education for practice for all first contact practitioner roles, including physiotherapists. This roadmap sets out:

  • The definition of first contact roles, their respective training processes, and educational pathways
  • The definition of advanced practice roles, their respective training processes, and educational pathways
  • How to build a portfolio of evidence for both first contact and advanced practice roles

As such, this document should be considered invaluable when determining what skills and knowledge a first contact physiotherapist should have under their belt to practice and progress.

To read this document, please click here.

Musculoskeletal Core Capabilities Framework (CCF)

Skills for Health, Health Education England, NHS England, Public Health England, and the Arthritis and Musculoskeletal Alliance (ARMA) have collaborated to produce an MSK Core Capabilities Framework. This document is intended to provide a resource by which first contact physiotherapists can demonstrate and evidence how they meet the capabilities required for the role, and to assist them in identifying their specific learning needs.

To read this framework, please click here.

Are there any case studies?

NHSE / I have produced a document featuring the details of 16 first contact physiotherapist case studies, which you may access using the button below.

Are physios eligible for the apprenticeship levy?

The short answer is yes — to access it, a first contact physiotherapist will need to secure the backing of a GP and their practice manager, before reaching out to the Training Hub. It is then a matter of applying to UWE’s apprenticeship scheme.

For more information, please do contact our ACP Lead, Kerri Magnus, at [email protected]t using the button below.

Alternatively, you can download MSc AP Apprenticeship Programme to read more about UWE’s scheme for advanced clinical practitioners.

MSc AP Apprenticeship Programme

This document provides information on UWE’s apprenticeship programme for advanced clinical practitioners.

To read it, please click here.

What academic qualifications should an FCP have?

An FCP should be pursuing one of the following routes to become qualified:

  • Completing a BSc Physiotherapy degree at a recognised university
  • Completing a BSc Degree Apprenticeship, combining on-the-job training with university-level learning an study
  • Completing an integrated Master’s degree — a four-year, full-time course combining undergraduate and postgraduate study into a single course
  • Completing a Master of Science degree for those who have studied at undergraduate level in another relevant subject area: (e.g., biological sciences, psychology, or sports science, consisting of a range of lectures, placements, and assessments over 2 years

Generally speaking, an FCP should have 1,000 placement hours under their belt, though this can vary depending on the qualification they’re pursuing.

Detailed information on accredited university courses can be found at this link:
Find a physiotherapy programme | The Chartered Society of Physiotherapy (csp.org.uk)

Any example job descriptions?

The Chartered Society of Physiotherapy (CSP) has kindly produced two example job descriptions for Band 8A and Band 7 first contact physiotherapists. As they state, however, these JDs are only examples, providing a broad overview of the responsibilities of the role; local JDs will be structured differently, reflecting local needs.

Likewise, HEE has example JDs on their e-Learning for Health Hub, though it should be noted that these are still being drafted and therefore subject to change.

Please note: the banding is a point of reference for allied health professionals and their employers, and is not a reflection of the capability of the individual. In primary care, pay is negotiated on an individual basis.

Any sample interview questions?

We will provide sample interview questions soon. Thank you for your patience.

What clinical supervision do you need to provide?

HEE stipulates that the clinical supervision you provide should build the first contact physiotherapist’s confidence, capability, clinical reasoning, and critical thinking. As such, it should include:

  • Regular supervision within practice
  • A routine debrief (at least daily) to ensure patient and practitioner safety
  • A high-quality feedback process, to help with addressing practitioner and patient uncertainty
  • A Workplace-Based Assessment (WPBA) to assess the application of knowledge, skills, and behaviours in primary care

For information on how to become a first contact physiotherapist’s supervisor, please consult the illustration and relevant documents below.

HEE Clinical Supervision for FCPs / ACPs FAQs

Compiled by Kerri Magnus, this document addresses many frequently asked questions surrounding clinical supervision for first contact practitioners and advanced clinical practitioners (including first contact physiotherapists).

To read it, please click here.

HEE's FCP / ACP Roadmap Supervision slides

Provided by HEE, this slide deck outlines the supervision process for first contact practitioners and advanced clinical practitioners.

To read it, please click here.

HEE's Workplace Supervision for Advanced Clinical Practice guide

Produced by HEE, this document is intended for employers and supervisors, to support them in delivering high-quality workplace supervision to advanced clinical practitioners in training.

To read it, please click here.

What ongoing support is available?

There are various ways in which first contact physiotherapists can receive support, including:

The ACP Forum

Organised and led by our ACP Lead, Kerri Magnus, The ACP Forum can assist first contact physiotherapists on the journey to becoming an advanced clinical practitioner. The Forum can signpost to relevant education and training, provide 1-to-1 guidance, and facilitate networking with like-minded colleagues from across BNSSG.

To visit The ACP Forum’s site, please click here.

1:1 Sessions

Kerri Magnus, our ACP Lead, is available to run 1:1 sessions for advanced clinical practitioners, in which they can create their own individual pathways, relevant to their role and practice goals. These will be 15-30 minutes, and GPs / Practice Managers are also welcome to book a slot, should they wish to ask any questions relating to first contact practitioners or advanced clinical practitioners.

You can contact Kerri at [email protected], by clicking here.

NEW: The Hub's FCP (MSK) Lead

On 1 May, BNSSG Training Hub welcomed Lizzie Bradshaw as our FCP (MSK) Lead! She is here to aid first contact physiotherapists in setting your objectives and keeping up-to-date on the progress of our physiotherapist projects.

She has already linked in with regional and national teams to represent Bristol, North Somerset, and South Gloucestershire, and will use the community of practice as a platform to build a network with our partners in the community and social care sectors.

If you would like to get in touch with Lizzie, please contact [email protected] and he can pass you on.

interactiveCSP

The iCSP is a forum on the Charted Society of Physiotherapy’s site, which provides its members with access to a range of online physiotherapy networks.

To find out more, please click here.

Our Quality Improvement Project

Kerri Magnus has also designed a survey to establish the learning needs of all advanced clinical practitioners (even if still in training), including physiotherapists. Initially, this is aimed solely at advanced nurse practitioners (ANPs), as it is benchmarked against the core capabilities framework, but it will be rolled out to other roles in due course.

To find out more, please click here.

What educational pathways are there?

At present, there are two main educational pathways by which one can train to be a first contact or advanced physiotherapist:

  • Via an FCP portfolio and taught routes, with onward portfolio route or a taught Advanced Practice master’s to become an Advanced Practitioner
  • Via an AP portfolio or taught routes with the addition of the required primary care KSA training

The diagram below provides a visual representation of this routes.

For more information, please see HEE’s Roadmap to Practice using the collapsible box below.

A Roadmap to Practice

Produced by HEE, this document provides a roadmap of education for practice, for all first contact physiotherapists working in primary care.

To read this document, please click here.

Diagram sourced from HEE’s A Roadmap to Practice

How does the ARRS link to HEE's Roadmap?

First contact physiotherapists employed under the Additional Roles Reimbursement Scheme (ARRS) have a deadline of April 2022 to complete stages 1 & 2 of HEE’s Roadmap to Practice to enable drawing down of funding.

If you are not employed under ARRS, then you do not have this deadline. It is beneficial to complete them, however, if you want to be on the Centre for Advancing Practice Directory — you will need to have gone through stages 1 & 2 before moving on to stage 3 and advanced clinical practice.

Both stages can be completed in general practice and signed off by a verified clinical roadmap supervisor, or you can attend a taught route. You will still need to have evidence of clinical supervision by a roadmap supervisor to ensure competency, though.

For weekly updates here, please refer to HEE’s site using the button below.

Literature
A Roadmap to Practice

Produced by HEE, this document provides a roadmap of education for practice, for all first contact physiotherapists working in primary care.

To read this document, please click here.

About FCP services

Produced by the Chartered Society of Physiotherapy, this page answers several FAQs about the scope and function of first contact physiotherapy in primary care.

To visit this page, please click here.

BMA's 'urgent prescription for general practice'

To read the BMA’s April 2016 report on the state of general practice, click here.

HEE Clinical Supervision for FCPs / ACPs FAQs

Compiled by Kerri Magnus, this document addresses many frequently asked questions surrounding clinical supervision for first contact practitioners and advanced clinical practitioners (including first contact physiotherapists).

To read it, please click here.

HEE's easy-read

To read HEE’s easy-read guide on first contact physiotherapists, click here.

HEE's FCP / ACP Roadmap Supervision slides

Provided by HEE, this slide deck outlines the supervision process for first contact practitioners and advanced clinical practitioners.

To read it, please click here.

HEE's Implementation Guide

This document addresses capability frameworks and governance issues around introducing implementation of first contact physiotherapists.

To read it, please click here.

HEE's Workplace Supervision for Advanced Clinical Practice guide

Produced by HEE, this document is intended for employers and supervisors, to support them in delivering high-quality workplace supervision to advanced clinical practitioners in training.

To read it, please click here.

MSc AP Apprenticeship Programme

This document provides information on UWE’s apprenticeship programme for advanced clinical practitioners.

To read it, please click here.

MSK Core Capabilities Framework (CCF)

Skills for Health, Health Education England, NHS England, Public Health England, and the Arthritis and Musculoskeletal Alliance (ARMA) have collaborated to produce an MSK Core Capabilities Framework. This document is intended to provide a resource by which first contact physiotherapists can demonstrate and evidence how they meet the capabilities required for the role, and to assist them in identifying their specific learning needs.

To read this framework, please click here.

What MSK First Contact Physiotherapists can offer you

Produced by the Chartered Society of Physiotherapy, this page outlines the case for first contact physiotherapists and the benefits you can expect from employing them.

To visit this page, please click here.

A/V resources
A Roadmap to Practice webinar

Delivered by HEE and the Chartered Society of Physiotherapists, this webinar provided attendees with the chance to ask practical questions regarding starting a portfolio and finding support.

For more information and to watch this webinar, please click here

Introduction to First Contact Physiotherapy

Provided by Somerset NHS Foundation Trust, this succinct animation considers who first contact physiotherapists are and what they can do.

To watch it, please click here.

[This video was published on 03/11/20]

An Essential Update about First Contact Practitioners and Advanced Clinical Practice in primary care

Arranged by Somerset LMC and Somerset Training Hub, this 1.5 hour webinar provides a concise, ideal look at the scope and requirements of first contact / advanced clinical practitioners (FCPs / ACPs), and at how best to provide the support, supervision, and conditions they need to thrive.

A range of individuals contributed, including our own ACP Lead, Kerri Magnus.

For more information, and to watch this webinar, please click here (do note that you will need to register).

[This webinar was held on 04/02/21]


FCPs in primary care: video series

To watch the Chartered Society of Physiotherapy’s video series on FCPs working in primary care, please click here.

[These videos were last reviewed on 31/01/19]

NEW: HEE FCP Roadmap Webinar

On Wednesday 24 March, HEE will be holding a webinar on their first contact practitioner (FCP) Roadmaps to Practice. This webinar will be of interest to those in MSK and paramedic roles and will specifically cover the portfolio route through, with guidance and insights into how delegates can look to build their portfolios.

A recording will be available soon on HEE’s Roadmaps Landing Page. Click here to visit this page.

Stage 1 of the First Contact Physiotherapist Roadmap

To watch this video from Sussex MSK Partnership, please click here.

[These videos were last reviewed on 09/02/21]

Sign up for the Advancing Practice workshops!

Photo by Ricardo Aguilera
Haven’t secured a place at HEE’s  Advanced Practice Virtual Conference?
You can still join their online workshops

HEE’s virtual Advancing Practice conference, set to run on Monday 9 November and Thursday 12 November, has received a great deal of interest.

If you have been unable to secure a space, be advised that you don’t need to miss out on everything — you can still sign up for the online workshops.

Commencing at 11.20 on Monday, they’ll be live until 13.30 on Thursday and cover the following topics:

  • Supervision for Advanced Clinical Practice
  • Continuing Professional Development
  • Developing multi-professional credentials
  • Centre for Advancing Practice
  • Research
  • Creating a core AP curriculum
  • Developing consensus for the pathway from Advanced Clinical Practice to Consultant Practice

Recent news

CPD Plenary

A free, 30-minute Q&A on CPD funding

C&SW 2021 Annual Conference

Streaming live, from Ashton Gate

CPD Funding for Nurses & AHPs

Apply for CPD Funding for 2021 / 22

Advanced Practice Virtual Conference 2020

Aerial Shot WS
How is Advanced Practice helping to deliver the national healthcare agenda?
Find out this November at HEE’s Advanced Practice Virtual Conference 2020

This annual, free-to-attend event is the perfect opportunity to share best practice, network, and hear the latest news about advanced practice; practitioners, educators, employers, and researches from across the country will be in attendance, contributing to a range of live, pre-recorded, and interactive sessions.

Places have been snapped up — act now to snag a spot on the reserve list!

Recent news

CPD Plenary

A free, 30-minute Q&A on CPD funding

C&SW 2021 Annual Conference

Streaming live, from Ashton Gate

CPD Funding for Nurses & AHPs

Apply for CPD Funding for 2021 / 22

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