Career Framework for Specialist Nurses

Date published: 03 December 2018

The Career Framework for Specialist Nurses is designed to help clarify and strengthen their important clinical practice role, which is essential to support the transformational changes required to deliver the world class service described in Delivering Together.


The Career Framework outlines the core competencies for all those practitioners who are:

  • employed as a Specialist Nurse, holding an NMC recordable Specialist Practice Qualification;
  • employed as a District Nurse holding an NMC recordable Specialist Practice Qualification.

In addition, the Framework is enhanced with a number of specific core competencies in particular areas of specialist practice designed to support:

  • practitioners in the role and those aspiring to Specialist Nursing roles;
  • the introduction of new Specialist Nursing roles to facilitate service  developments; and
  • Approved Education Institutions (AEIs) to enhance the professional development of these practitioners.

The Framework will be reviewed three-yearly to ensure it remains aligned with other relevant professional resources and government policy.

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