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

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  • Additional Information
    • Affiliation:
      Lead Advanced Clinical Practitioner & Surgical Care Practitioner, University Hospitals Coventry and Warwickshire NHS Trust, Coventry
      Research Fellow, Midwifery, University Hospitals Coventry and Warwickshire NHS Trust / Coventry University
      Professor of Children and Family Nursing, University Hospital Coventry and Warwickshire NHS Trust / Coventry University / Nottingham University
      Medical Scientific Liaison, Advanced Surgery, UK and Ireland, Baxter Healthcare Limited
      Head of School, Nursing, Midwifery and Health, Coventry University
    • Subject Terms:
    • Subject Terms:
    • Abstract:
      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: to investigate which NMP roles exist within the UK, mapping distribution, and explore factors influencing their development and recruitment. 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: healthcare organisations in England returned 23/246 useable questionnaires; 115 NMPs returned responses, 19 did not meet the criteria, leaving 96 useable responses. Conclusion: 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.
    • Journal Subset:
      Core Nursing; Double Blind Peer Reviewed; Editorial Board Reviewed; Europe; Expert Peer Reviewed; Nursing; Peer Reviewed; UK & Ireland
    • Instrumentation:
      Bristol Stool Form Scale
    • ISSN:
      0966-0461
    • MEDLINE Info:
      NLM UID: 9212059
    • Publication Date:
      20190730
    • Publication Date:
      20190801
    • Accession Number:
      http://dx.doi.org/10.12968/bjon.2019.28.14.930
    • Accession Number:
      137726046
  • Citations
    • ABNT:
      ABRAHAM, J. et al. Non-medical practitioner roles in the UK: who, where, and what factors influence their development? British Journal of Nursing, [s. l.], v. 28, n. 14, p. 930–939, 2019. DOI 10.12968/bjon.2019.28.14.930. Disponível em: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=137726046&custid=s6224580. Acesso em: 9 abr. 2020.
    • AMA:
      Abraham J, Bailey L, Coad J, Whiteman B, Kneafsey R. Non-medical practitioner roles in the UK: who, where, and what factors influence their development? British Journal of Nursing. 2019;28(14):930-939. doi:10.12968/bjon.2019.28.14.930.
    • APA:
      Abraham, J., Bailey, L., Coad, J., Whiteman, B., & Kneafsey, R. (2019). Non-medical practitioner roles in the UK: who, where, and what factors influence their development? British Journal of Nursing, 28(14), 930–939. https://doi.org/10.12968/bjon.2019.28.14.930
    • Chicago/Turabian: Author-Date:
      Abraham, Jenny, Liz Bailey, Jane Coad, Becky Whiteman, and Rosie Kneafsey. 2019. “Non-Medical Practitioner Roles in the UK: Who, Where, and What Factors Influence Their Development?” British Journal of Nursing 28 (14): 930–39. doi:10.12968/bjon.2019.28.14.930.
    • Harvard:
      Abraham, J. et al. (2019) ‘Non-medical practitioner roles in the UK: who, where, and what factors influence their development?’, British Journal of Nursing, 28(14), pp. 930–939. doi: 10.12968/bjon.2019.28.14.930.
    • Harvard: Australian:
      Abraham, J, Bailey, L, Coad, J, Whiteman, B & Kneafsey, R 2019, ‘Non-medical practitioner roles in the UK: who, where, and what factors influence their development?’, British Journal of Nursing, vol. 28, no. 14, pp. 930–939, viewed 9 April 2020, .
    • MLA:
      Abraham, Jenny, et al. “Non-Medical Practitioner Roles in the UK: Who, Where, and What Factors Influence Their Development?” British Journal of Nursing, vol. 28, no. 14, July 2019, pp. 930–939. EBSCOhost, doi:10.12968/bjon.2019.28.14.930.
    • Chicago/Turabian: Humanities:
      Abraham, Jenny, Liz Bailey, Jane Coad, Becky Whiteman, and Rosie Kneafsey. “Non-Medical Practitioner Roles in the UK: Who, Where, and What Factors Influence Their Development?” British Journal of Nursing 28, no. 14 (July 25, 2019): 930–39. doi:10.12968/bjon.2019.28.14.930.
    • Vancouver/ICMJE:
      Abraham J, Bailey L, Coad J, Whiteman B, Kneafsey R. Non-medical practitioner roles in the UK: who, where, and what factors influence their development? British Journal of Nursing [Internet]. 2019 Jul 25 [cited 2020 Apr 9];28(14):930–9. Available from: http://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=ccm&AN=137726046&custid=s6224580