Project Objectives
Project Objectives
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Research Question
Research Question
What are the conditions that contribute to effective outcomes in multi-professional advanced practice in primary care for staff and patients?
Aim
Aim
To undertake a realist evaluation of multi-professional advanced practice in primary care.
Objectives
Objectives
Our project has four clear and achievable objectives. These will ensure we answer our research question and provide helpful outputs that can be used by the advanced practice community and the wider NHS.
To develop an initial programme theory (IPT) through interviews with regional and national advanced practice leads.
To refine the IPT through a survey of APs in primary care across England.
To undertake case studies of GP surgeries in a range of contexts in the North of England to develop programme theories, these will be refined through workshops with key stakeholders.
To disseminate the findings via academic publications, conferences, to patient groups and key stakeholders through workshops, video animations and web resources.
Four pillars of advanced practice
Four pillars of advanced practice
Our research evaluation will align with the four pillars of advanced practice.
The four pillars of advanced practice outline the core components that define and support the role of an advanced practitioner.
In line with NHS England (2025) guidance, these pillars consist of clinical practice, leadership and management, education, and research. Together, they ensure that advanced practitioners deliver high-quality, evidence-based care, contribute to service development, support and educate others, and engage in continual improvement and innovation within their field.
What will we learn from this research?
What will we learn from this research?
New knowledge generated by this study will inform future advanced practice workforce planning and support in primary care, benefitting individual APs, their colleagues and patients. The findings will provide important insights into how different mechanisms lead to key outcomes.
How will we share our findings?
How will we share our findings?
We will share the results with key policymakers, professional leads, practitioners and those who take part in the study. Working with our PPIE group and stakeholders, we will develop creative ways to share the findings with the wider public, such as video animations. We will also publish the results in academic journals and present them at research conferences.
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