Levels for the registered nurse
Setting standards for nursing practice beyond registration
Our professional framework for nursing encompasses the whole nursing workforce, from the nursing support worker through to the consultant nurse.
Below, we define the levels of nursing practice beyond the point of registration as a nurse.
Standards of proficiency
The Nursing and Midwifery Council (NMC) sets the . These standards represent the knowledge, skills, and behaviours that all nurses must have. The NMC has also developed a to ensure that the standards of proficiency are met in practice.
Beyond the point of registration, the work of the registered nurse increases in its complexity
Below we share the standards for enhanced, advanced and consultant levels of nursing. These definitions can help those who aspire to practice at these levels, as well as giving greater clarity to employers and higher education institutions. They can be applied across all fields of nursing and in all settings.
Levels of practice of the registered nurse
Explore the definitions and standards that apply to all fields of nursing, and all settings in which registered nurses practice.
Why we need definitions of the levels of nursing practice beyond registration
Our new and updated definitions and standards clarify and bring consistency to the levels of nursing beyond a registered nurse. Through these definitions, along with a shared language and consistent approach, the levels of complexity involved in nursing practice can be recognised by practitioners, employers, service users and other professionals within health and care teams.
While advanced level nursing is widely recognised, it lacks consistent definition, is currently unregulated and covers a wide range of roles and titles. We have updated our own definition and added a new definition of consultant level nursing. Enhanced level nursing is a newer concept, which we have also defined.
We are now working on bringing the same consistency of approach to defining other roles within the nursing workforce. This will include assistant practitioners and registered nursing associates.
