A revised framework for competency in radiotherapy advanced clinical practice

The radiotherapy competency framework for trainee Advanced Clinical Practitioners (ACPs) was revised in response to the introduction of the trainee ACP apprenticeship route and expansion of the ACP service. The competency framework encourages the expansion of advanced level practice across the radiotherapy pathway. A range of service improvement tools were utilised to plan and implement the revised framework.

ACP roles must be carefully considered not only within the immediate service but as part of the wider workforce plan. Clear channels of communication with key stakeholders are vital not only to define specific competencies, but to align ACP training with the future direction of the radiotherapy ACP service. Good support from ACP leads, clinical supervisors and the clinical team is paramount in the development of the confident and competent ACP. Clear scopes of practice, underpinned by comprehensive job plans, and an annual review process encourages fulfilment of the four pillars of advanced practice throughout training and beyond.

Revision of the clinical competency framework has enabled a structured, focused approach to ACP training. A collaborative approach ensured that the competencies aligned with the ACP service direction and the wider workforce plan. In addition, to ensure maintenance of clinical skills acquired throughout ACP training, focused education programmes are under development.

Following a monitoring period, constructive feedback from key stakeholders will be gathered to inform the future development of the framework.