A Roadmap to Practice

1 First Contact Practitioners and Advanced Practitioners in Primary care : (Musculoskeletal)A Roadmap to PracticeHealth Education EnglandJuly 20212 First Contact Practitioners and Advanced Practitioners in Primary care : (Musculoskeletal) A Roadmap to PracticeAcknowledgementsThis Primary care Educational Roadmap was developed by health Education England, with support from and in collaboration with multi-organisational, multi-professional, and patient group stakeholders. It builds upon work previously undertaken by the national programme delivered by the Arthritis and Musculoskeletal Alliance (ARMA) and its member organisations, as well as the subsequent work that delivered the Musculoskeletal core capabilities framework for first point of contact practitioners:IFOMPT has granted permission for the IFOMPT Educational Standards 2016 to be used within this document First Contact Practitioners and Advanced Practitioners in Primary care : (Musculoskeletal) A Roadmap to Practice and other accompanying documents, this includes both words and illustrations.

2 The Educational Standards 2016 remains the intellectual property of IFOMPT, and any changes and or modifications to this document requires the consent of IFOMPT. IFOMPT supports the use of a single set of clinical and educational standards for musculoskeletal physiotherapists within the of the Roadmap to First Contact Practice and Advanced Practice in Primary care was project managed by Amanda Hensman-Crook ( health Education England). The Roadmap was led by Dr Neil Langridge (Southern health NHS Foundation Trust). The development of the clinical and governance frameworks and the Knowledge Skills and Attributes was led by Dr Tim Noblet (St Georges University Hospitals NHS Foundation Trust) with Jodie Smith (Somerset NHS Foundation Trust). Supervision content was led Julia Taylor (Lister House Surgery and health Education England).

3 Matthew Low (Royal Bournemouth and Christchurch NHS Foundation Trust) provided expertise and support throughout the Roadmap s are extremely grateful to the many stakeholders who have been instrumental in shaping this piece of work, in particular to our patient representatives who sit in the heart of the Roadmap . We would also like to thank:Dr Richard Collier (Centre for Advancing Practice , health Education England), Primary care Deans, NHSE and NHSE/I, CQC, ARMA, HCPC, RCGP, Chartered Society of Physiotherapy, Royal Collage of Occupational Therapy, College of Podiatry, College of Paramedics, Institute of Osteopathy, MSK Partnership group, Musculoskeletal Association of Chartered Physiotherapists, Society of Musculoskeletal Medicine, IFOMPT, Advanced Practice Physiotherapy Association, The British Dietetic Association, National First Contact working group, Primary care Network representatives, Nursing and Midwifery Council, Public health England, Primary care Rheumatology and Musculoskeletal Medicine Society, Skills for health , Connect health , MSK Reform, Higher Education Institutions.

4 And all the multi-professional clinicians who have taken time to Contact Practitioners and Advanced Practitioners in Primary care : (Musculoskeletal) A Roadmap to PracticeTable of ContentsGlossary 6 Introduction 8 i Purpose 8 ii Historical background and context 8 iii The Centre for Advancing Practice Declarations What is a First

5 Contact practitioner ? What is an Advanced practitioner ? Agenda for Change (AfC) Band 7 and Band 8a How do they differ? What is Quality Assurance Agency (QAA) Level 7? Primary care Educational Pathways 17 Diagram to illustrate pathways to FCP and AP in Primary care National standards and frameworks for MSK practitioners MSK Core Capabilities Framework (MSK CCF) Multi-Professional Framework for Advanced Clinical Practice Framework in England (MPFACP)

6 IFOMPT Linking the Frameworks Building the evidence The Roadmap to FCP Stage 1: Knowledge, Skills & Attributes (KSA) E-learning Next steps KSA document 274 First Contact Practitioners and Advanced Practitioners in Primary care : (Musculoskeletal) A Roadmap to Stage 2.

7 Moving into Primary care Building the portfolio Recognition and supervision process Recognition process Roadmap supervision and verification Continuing Professional Development (CPD) supervision Clinical supervision Supervision requirements Checklist of recognition processes: Stage 1 and Stage 2 Stage 3.

8 Roadmap to AP Linking to Advanced Practice in Primary care portfolio (MSK) Useful resources Online learning Leadership development Charity & sector resources Primary care APPENDICES Roadmap supervision flow chart

9 Case-Based Discussion FCP Clinical Examination Procedural Skills (CEP) Assessment FCP Clinical Supervisor s Report Consultation Observation Tool: marking/notes sheet FCP Multi-Source Feedback (MSF) Personal Development Plan (PDP) Person Satisfaction Questionnaire (PSQ) for an FCP 725 First Contact Practitioners and Advanced Practitioners in Primary care : (Musculoskeletal) A Roadmap to Tutorial record Tutorial evaluation Multi-professional Supervision in Primary care for First Contact & Advanced Practitioners - course overview Knowledge, Skills and Attributes document 79 Domain A: personalised approaches 79 Domain B: Assessment, investigation and diagnosis 82 Domain C: Condition management, interventions and prevention 87 Domain D.

10 Service and professional development 94 Personal attributes Linking to Advanced Practice Portfolio (MSK) document References 1126 First Contact Practitioners and Advanced Practitioners in Primary care : (Musculoskeletal) A Roadmap to PracticeGlossaryABBREVIATIONFULL TEXTAPA dvanced PracticeAdvanced PractitionerARMAA rthritis and Musculoskeletal AllianceBand 7 Band 8aAgenda for Change pay bands 7 = FCP 8a =Advanced PractitionerCBECase Based ExaminationCCFCore Capability FrameworkCCGC linical Commissioning GroupThe CentreCentre for Advancing PracticeCEPC linical Examination ProcedureCOTC onsultation Observation ToolCPDC ontinuing Professional DevelopmentCSPC hartered Society of PhysiotherapyFCPF irst Contact PractitionerFTEFull time EquivalentGPGeneral PractitionerHEEH ealth Education EnglandHEIH igher Education InstitutionICSI ntegrated care SystemIFOMPTI nternational Federation of Orthopedic Manipulative PhysiotherapistsKSAK nowledge Skills and AttributesLevel 7 Level 8