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Assistant Practitioners (APs) are a growing part of the health care workforce. Sometimes known as associate practitioners, they take on more responsibilities than health care assistants, under the delegation of registered colleagues in a range of different settings.

With the introduction of the nursing associate role, we wanted to outline the role of the AP and dispel some of the myths and misinformation. This page provides information and guidance to anyone wishing to become an AP or employ an AP. We include links to APs who are happy to share their role.  

Assistant Practitioners:

• have been in practice since 2002
• are a highly valued and skilled support role that 'bridges the gap' in many different specialties.
• follow a nursing or a therapy pathway
• work within defined local policies and parameters and are accountable for their practice, to their employer, patients and the law.

The role will often be locally developed but there is expected commonality for preparation for the role and as part of their training APs will usually study the following: 

• values and ethics in healthcare practice enhancing holistic person centred care
• applied anatomy and physiological principles/clinical research in practice
• clinical practice skills/managing long-term conditions
• medication management training (can be either employer or college led
• mental health across the life span
• introduction to critical and high dependency care.

Their skills are transferable and many APs move to other specialties and fields of practice once qualified. 

In 2011 a Skills for Health Expert paper exploring the role of APs in the NHS and outlined 6 core standards for APs and summarised that the AP role sits at Level 4 of the Career Framework and is a worker who: 

• competently delivers health and social care to and for people
• has a required level of knowledge and skill beyond that of the traditional healthcare assistant or support worker, and
• is able to deliver elements of health and social care and undertake clinical work in domains that were previously the remit of registered professionals. 

Areas of practice

APs work in wide range of clinical settings UK wide. These include (but are not restricted to):  

• Trauma, neurology, rehabilitation, blood sciences, critical care, rehabilitation, emergency care, ITU, recovery, endoscopy, renal, pharmacy, clinical imaging, minor injuries, breast screening, cytology, elderly care, community district nursing teams,  Acute, GP and more recently private sector in nursing and residential homes. 

In fact, APs exist in the majority of areas in clinical practice and numbers are continuing to rise.

Northern Ireland

There is not a nationally recognised AP role in Northern Ireland. The agreed titles of the support workforce are nursing assistant and senior nursing assistant in health and social care and a variety of titles in the independent sector. 

Scotland

There are a small number of APs in Scotland. The role is described in detail in the national guide to HCSW role development in Scotland.  

Wales

APs are employed, successfully utilised and are well represented in Wales, (Miller et al, 2014). The Developing Excellence in Healthcare Framework in Wales refers to a band 4 AP.

Career opportunities

APs have the opportunity to develop and enhance their knowledge and skills through various CPD opportunities. They may also wish to continue on to completing a BSc (Hons) or BA Degree. They also have the opportunity to progress to a registered nurse and this might be via a shortened programme. Enquire at a local university or The Open University.

A day in the life of an assistant practitioner is varied and depends on the field you’re employed in.