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First Contact Practitioners & Advanced Practitioners - Roadmaps to Practice

The First Contact Practitioners and Advanced Practitioners in Primary Care: Roadmaps to Practice are supportive documents that provide a clear educational pathway from undergraduate to advanced practice for clinicians wishing to pursue a career in primary care.

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Clinicians completing the capability framework will be recognised by Health Education England’s Centre for Advancing Practice and will be placed on a First Contact Practitioner directory in due course.

The capability framework clearly articulates capabilities so that employers and workforce planners can understand what the clinicians can offer to the multi-professional team to enable the best care for their patient population. It also provides clear guidance of the expected supervision needed to support the roadmap to practice and outlines the bespoke supervision training that a supervisor needs to have completed.

By providing a standard of practice there is a solid governance structure around First Contact roles and advanced practice in primary care. This ensures gold standard care and puts our patient’s safety first.


Please download the documents below and save locally before completing the areas marked to track capabilities. 

As first contact practitioner (FCPs) move into primary care, Health Education England is funding the development of supervisors and working in partnership with leading clinical organisations to build capacity; visit the Roadmap updates page for up to date information about development sessions


- Management of the high risk foot

- Diagnosis of new lower limb problems

- Support of people living with long term conditions

- Maintaining physical activity and wellbeing

- Acute conditions

- Prevention of unplanned admissions

- Musculoskeletal

- Rehabilitation

- Frailty

- Public health

- Frailty and malnutrition

- People with diabetes

- People with overweight and obesity

- Gastroenterology

- Paediatrics


- Frail older adults

- Adults with mental health problems

- Vocational support for adults