Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Conducts structured medication reviews (SMRs)
• Independent prescribing/deprescribing
• Provides medication advice to healthcare professionals and patients
• Optimises medication (e.g. antibiotic stewardship)
• Translates medicines national policies into local implementation
• Adopts a whole system approach to medicines management

Registered with the General Pharmaceutical Council (GPhC)

Enrolled in or qualified from an approved training programme, e.g. Primary care pharmacy education pathway (PCPEP) or equivalent

Clinical pharmacists must be supervised by a senior or advanced practice pharmacist at least once a month, with access to a GP for support/development

Senior clinical pharmacists must be supervised by a GP or advanced practice pharmacist at least once every 3 months

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Supports SMRs
• Counsels patients on medicines
• Manages prescriptions
• Conducts medicines reconciliation
• Conducts medicines audits

Registered with the General Pharmaceutical Council (GPhC)

Enrolled in or qualified from an approved training programme that meets the National Competency Framework for Primary Care Pharmacy Technicians or, for example, Primary care pharmacy education pathway (PCPEP)

Supervision can be carried out monthly by a pharmacist or GP

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Connects people to non-medical community-based activities, groups and services that meet practical, social and emotional needs, including specialist advice services and the arts, physical activity and nature
• Helps people identify issues that affect their health and wellbeing when co-producing a personalised care and support plan

Completed the eLearning for Health online programme ‘Social Prescribing – learning for link workers’

Enrolled in or qualified from appropriate training as accredited by the Personalised Care Institute

Attends the peer support networks delivered at place or system by the integrated care system (ICS) and/or NHS England in the region

A named first point of contact in the PCN (including a GP); including access to monthly supervision from an appropriate health professional (e.g. allied health professional, GP)

Further guidance on supervision, education and training can be found in the workforce development framework for social prescribing link workers.

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Uses coaching skills to support people to make conscious and informed health choices, change behaviours and encourage proactive management and prevention of illness. 
• Works closely with MDT colleagues, including link workers, to provide access to self-management education, peer support and social prescribing

Undertaking or qualified from appropriate four-day health coaching training as accredited by the Personalised Care Institute.

A named first point of contact in the PCN (including a GP). Should have access to monthly supervision from an appropriate member of the MDT including an advanced practitioner and health coaching mentor. Group coaching supervision is also encouraged.

Further guidance on supervision, education and training can be found in the workforce development framework for health and wellbeing coaches.

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Provides co-ordination and navigation through the health and care systems
• Facilitates joint working across organisations and MDTs
• Makes referrals to services and other health and care professionals
• Helps patients prepare for/follow-up
• Supports patients to book appointments
• Signposts patients to information
• Works in partnership with MDT colleagues including social prescribing link worker(s) and health and wellbeing coach(es)

Enrolled in, undertaking or qualified from appropriate two-day care co-ordination training as accredited by the Personalised Care Institute

Accredited elearning completed in personalised care and support planning and shared decision making.

A named first point of contact in the PCN (including GP). Monthly supervision can be provided by an appropriate member of the MDT including an advanced practitioner.

Further guidance on supervision, education and training can be found in the workforce development framework for care co-ordinators.

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Assesses, diagnoses, treats and manages musculoskeletal (MSK) problems
• Prescribes medication within scope
• Develops skills relating to injection therapy
• Performs diagnostic investigations
• Signposts/refers to health and care services
• Audits of health and care practice
• Requests/progresses investigations

Educated to undergraduate degree in physiotherapy level

Master’s level qualification or equivalent

Registered with the Health and Care Professions Council (HCPC)

Demonstrates working at education (master’s) Level 7 with competence and capability in MSK-related areas of practice (or equivalent)

Expected to work independently without day-to-day supervision

Should have access to monthly supervision from an appropriate clinician, e.g. GP, consultant practitioner, advanced practitioner

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Assesses and triages calls from patients
• Performs home visits for urgent assessment
• Advises and signpost patients
• Supports anticipatory care plans
• Manages minor illness

Educated to degree/diploma level in paramedicine or equivalent

Registered with the Health and Care Professions Council (HCPC)

Acquired 5 years of post-registration experience

If the paramedic is undertaking first contact practitioner (FCP) training, should have access to daily debriefs with roadmap supervisor. Otherwise support from clinicians signed off at clinical practice master’s level or equivalent

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Helps people find ways to continue with everyday activities, e.g. learning new ways to do things or changing their environment to make things easier
• Creates condition management plans
• Advises and signpost patients

Educated to bachelor/master’s degree level (or equivalent, eg diploma)

Registered with the Health and Care Professions Council (HCPC)

Able to operate at first contact practice and an advanced level of practice

Should have access to monthly supervision from a GP, consultant practitioner or advanced practitioner. Should also have an appropriate named individual in the PCN to provide general advice and support on a day-to-day basis

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Diagnoses, treats and manages foot problems that arise from vascular, diabetic inflammatory or MSK disease
• Performs minor surgery, e.g. to manage in-growing great toenails and verrucae
• Prescribes, produces and fits orthotics and additional aids and appliances as appropriate

Educated to bachelor/master’s degree level (or equivalent)

Registered with the Health and Care Professions Council (HCPC)

Able to operate at first contact practice and an advanced level of practice

Should have access to monthly supervision from a GP, consultant practitioner or advanced practitioner. Should also have an appropriate named individual in the PCN to provide general advice and support on a day-to-day basis

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Provides specialist dietetics advice to address, for example, diabetes, weight management, food allergies, and coeliac, gastrointestinal or metabolic diseases
• Prescribes medication within scope
• Educates and supports patients

Educated to bachelors/master’s degree level (or equivalent)

Registered with the Health and Care Professions Council (HCPC)

Able to operate at an advanced level of practice

Should have access to monthly supervision from a GP, consultant practitioner or advanced practitioner. Should also have an appropriate named individual in the PCN to provide general advice and support on a day-to-day basis

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Enables registered nurses to provide care
• Supports and supervises trainee nursing associates (TNAs)
• Performs and records clinical observations
• Supports wound care management
• Promotes health and wellbeing to patients
• Advises and signposts patients
• Maintains health records

2-year foundation degree delivered by a Nursing and Midwifery Council (NMC) approved provider

Registered with the NMC

Should have access to monthly supervision from a practice nurse or other healthcare professional, e.g. advanced practitioner. Should also have an appropriate named individual in the PCN to provide general advice and support on a day-to-day basis

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Delivers care while under supervision of a nursing associate or registered nurse
• Develops own clinical competence
• Develops scope of practice in line with HEE’s Primary Care and General Practice Nursing Career and Core Capability Framework
• Performs and records clinical observations

Obtained GCSE Maths and English at grade 9 to 4 (A to C) or Functional Skills Level 2 in Maths and English

Working towards completion of the Nursing Associate Apprenticeship

Programme and enrolled on an NMC approved provider 2-year foundation degree

Should have access to monthly supervision from an experienced nursing associate, practice nurse or advanced nurse practitioner. Should also have an appropriate named individual in the PCN to provide general advice and support on a day-to-day basis

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Supports adults and older adults with complex mental health needs whose main need is not anxiety or depression (who would be seen in the local NHS Talking Therapies service)
• Ranging from AfC Band 4 to 8a, roles can include but are not limited to: community psychiatric nurse, clinical psychologist, mental health occupational therapist, peer support worker, mental health community connector or other role, as agreed between the PCN and community mental health service provider

Due to the variety of mental health practitioner roles, there is no universal standard for education and training requirements. Dependent on individual profession

A PCN should ensure that the postholder is supported through the local community mental health services provider (or by the employer) by robust clinical governance structures to maintain quality and safety, including monthly supervision

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Supports children and young people (CYP) (and their families/carers) who present to general practice with identified or suspected mental health issues (e.g. anxiety, depression, recognising risk of an eating problem, or in responding to crisis including those who may have complex needs)
• Ranging from AfC Band 4 to 8a including, but not limited to, a children wellbeing practitioner, CYP community mental health nurse/practitioner, clinical psychologist, mental health occupational therapist, mental health community connector, care navigator or other role, as agreed between the PCN and provider of CYP community mental health teams

Due to the variety of mental health practitioner roles, there is no universal standard for education and training requirements. Dependent on individual profession

A PCN should ensure that the postholder is supported through the local provider of CYP community mental health teams (or by the employer) by robust clinical governance structures to maintain quality and safety, including monthly supervision

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Manages undifferentiated, undiagnosed cases by history taking, physical examinations and clinical decision-making to establish a working diagnosis and management plan
• While they currently do not have prescribing rights, they can prepare prescriptions for GPs to sign

Completed a postgraduate physician associate course*

Professional registration with the Faculty of Physician Associates and/or the General Medical Council

Passed the UK Physician Associate National Re-Certification exam

* Physician associates undertaking approved training can be employed as apprentices if under the supervision of a registered medical practitioner

Should have access to a named GP supervisor

Monthly supervision can be provided

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Arranges clinical support: referrals, tests and follow-ups
• Conducts simple clinical observations
• Provides administrative support: letters, completing forms for GPs to sign
• Explains procedures to patients

Trained in-practice, with on-the-job training in line with the DES role outline and HEE national competency framework for general practice assistants

Can do so by, for example, completing HEE’s accredited training programme

On-the-job training and development should be led by a GP mentor, in line with the DES role outline and the HEE national competency framework for general practice assistants

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

• Undertakes transformation and improvement projects in PCNs, including the adoption and optimisation of digital tools
• Improves population health, workforce, management, and estate planning, and care quality

No standard education and training requirements: for local determination

Work is directed and managed by PCN. Governance and supervision arrangements will vary, depending on delivery model and focus of role. 

Key roles and responsibilities

Education and training
requirements

Recommended minimum
supervision

Depending on profession:

• Assesses and triages patients
• Manages undiagnosed and complex co-morbidities
• Provides definitive treatment
• Supervises the multidisciplinary team

Educated to master’s degree level* in the relevant area of expertise so that work encompasses the four pillars of clinical practice, leadership and management, education, and research

* Advanced clinical practitioner nurses must have completed an accredited MSc advanced practice programme or the HEE e-Portfolio (supported) process

Monthly supervision can be provided by a GP, experienced advanced practitioner or consultant practitioner of the corresponding professions