This site is intended for healthcare professionals only

The Role of the Advanced Nurse Practitioner

Written by: | Published:

The Nurse Practitioner role is vital The role of Advanced Nurse Practitioner is invaluable, says Yemisi Osho

The modernisation of the NHS in the past 20 years has resulted in changes to the archaic way of thinking about the nursing profession. As a result of these changes, providers are required to offer services by the most appropriately trained staff and to meet the needs of patients in a negotiated process.

Prerequisite to good health outcomes for our patients is an experienced high calibre workforce who are able to provide high quality and consistent healthcare 24/7 all year round. With the increase in aging population and high proportion of patients living with chronic health conditions, this requires a workforce with advanced skills in order to meet the capacity, demand and complex and constantly changing needs of patients.

The role of Advanced Nurse Practitioner is invaluable. It provides opportunity for patients to receive timely care and negate unnecessarily delay in receiving treatment, especially with the growing shortage of GPs in primary care. ANPs in the community and primary care are able to develop close, long-term relationships with their patients and work in partnership with them to achieve optimum health. Advanced Nurse Practitioners are autonomous in making decisions based on assessment, diagnosis and interpretation of test results. ANPs are able to independently prescribe appropriate medication, evaluate or refer to other specialists if necessary.

While I acknowledge the fact that Health Education England has now developed a definition of Advanced Nurse Practice and the Royal College of Nursing has developed a credentialing system as steps to formal recognition of the individual nurse’s or midwife’s practice at ANP level, more needs to be done.

There are still some big issues in terms of lack of full recognition of the role, and lack of appropriate remuneration compared to similar jobs of equal value. There is also the need for registration of ANPs on the NMC professional register in order to give public assurance and safeguard patient safety. I call on the RCN and the Queen’s Nursing Institute to lobby the government for proper recognition of the role of the ANPs and demand for appropriate remuneration with similar weighting, to match similar jobs of equal value.

I am an advocate of the ANP role as I have worked and led on developing the role within the community, primary, urgent and emergency care for several years. I have been instrumental in shaping workforce transformation including teaching and mentoring nurses and allied healthcare professionals including pharmacists and physiotherapists.

Coping with a complex and evolving environment like the NHS demands expertise in evidence-based practice, service transformation, and implementation of new strategies in managing patient care and healthcare workforce through traditional and non-traditional ways. We need to have practitioners with advanced nursing, leadership and management skills. Do not be afraid to stand up and be counted amongst them.

What do you think? Leave a comment below or tweet your views to @IndyNurseMag

This material is protected by MA Healthcare Ltd copyright.
See Terms and Conditions.


Amazing representation of ANP role.
Thank you
Posted by: ,
Well done Yemisi !!!
This is an inspiring article.
Posted by: ,
Thank you for this very informative helpful article
Posted by: ,
Thank you so much Yemi. This is a very helpful article. Many of our medical colleagues do not know that the ANP role in itself is unregulated (except for the RN and Prescribing).
I think the nursing profession is ready for a UK wide review of post-registration professional regulation, with a view to protecting the public and providing consistent standards of education and regulation for defined roles.
I very much look forward to hearing the result of the NMC review of post registration regulation which is due to report in the next few weeks.
Posted by: ,

Please view our Terms and Conditions before leaving a comment.

Change the CAPTCHA codeSpeak the CAPTCHA code

Read a free issue from Practice Nursing

Register to read a free issue from our sister publication, Practice Nursing.

Including articles on asthma, diabetes and more. Read your copy.


Sign up to the newsletter


Independent Nurse is the professional resource for primary care and community nurses, providing clinical articles for practice nurses and prescribers.


Subscribe to our newsletter and stay up to date with the latest nursing news.

Stay Connected

Stay social with Independent Nurse by following us on Twitter, liking us on Facebook or connecting on LinkedIn.


Need access to some of our older articles? You can view our archive, or alternatively contact us.

Contact Us

MA Healthcare Ltd.
St Jude's Church, Dulwich Road
London, SE24 0PB

Tel: +44 (0)20 7738 5454
Registered in England and Wales No. 01878373

Meet the team


Find out how to contribute to Independent Nurse here.