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NMC flags up increased costs to care homes of regulating advanced nurse practitioners

The increased cost to employers of regulating advanced practitioner nurses has been highlighted in a new report.

Commissioned by the nurse regulator the NMC, the Independent report on the regulation of advanced practice in nursing and midwifery includes nursing homes among those locations where assurances on the suitability of the advanced nurse practitioner (ANP) and their role could be weak.

 The report notes that risks arise in situations where there is less supervision or understanding of the scope of ANP practice. The greatest risks (across all clinicians) relate to tasks such as diagnosis and interventions, which increasingly sit within the scope of advanced practice. There can also be substantial variation in formal training and only limited assurance on the standards of those completing them.

The policy across the four countries of the United Kingdom is to increase the number of advanced nurse roles and the NMC has committed to review the possibility of regulation for advanced practice. Separate research by the NMC highlights support for the regulation of ANPs, while recognising the trade-offs around the complexity and cost of introducing more regulation.

Among the report’s recommendations are that employers should be part of the credentialling solution.

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