Emergency Care Advanced Clinical Practitioners

New Emergency Care ACP credentialing process from 2018

A new process is being introduced following a successful pilot.  From 2018 there will be no face-to-face meeting between assessors and applicants and there will be no detailed feedback before the credentialing day.  ACPs who wish to apply must be confident, along with their supervisors, that they will have appropriate evidence on ePortfolio before the end of the application window (anything uploaded afterwards will not count) of acquisition of all required competences.  Please refer to the guidance for further information.   Please note that a fee of £295 will be charged and that there will be no discount for re-application following an unsuccessful attempt.

EC ACP Credentialing application - Spring 2019

Application window is open from 22 February until 22 March 2019.  Applicants and their named Educational Supervisors must be confident that they will have all appropriate evidence (please refer to the checklists below) on ePortfolio before 22 March 2019 (anything uploaded after this date will not count).  Apply via this link.  The next credentialing panel will sit on 17 May 2019.

New checklists have been created which have been arranged for greater ease of use and clarity.  ACPs planning to submit a credentialing application, and Educational Supervisors who are signing them off, should ensure that they refer to the checklist clearly marked as the version for the relevant credentialing window.  Checklists for the Spring 2019 Credentialing opportunity are below.  

ACP seeing both Adults and Children
ACP seeing Adults only
ACP seeing Children only

Applicants and supervisors are asked to note for Spring 2019:

One additional competence in the Combined (Adults and Children) and Children only checklists: venepuncture in children by any approved assessor.   Safe sedation in children is optional.  It is expected that discussions in the other procedures cover in principle the differences between children and adults. 
An additional competence for Children only – Intra-osseous access (PP46) (and basic and advanced life support)

New EC ACP Credentialing Guide 

The "Guide to Emergency Care ACP Credentialing" has been updated (latest version dated 4 March 2019).   

There is a Word version of the Academic Component Declaration Form.

Assessment Descriptors are available here.

The appeals policy (subject to approval by Council) is available here.

NB: the Royal College of Emergency Medicine took over support of the ACP credentialing process from Health Education England on 12 January 2018.  

Emergency Care ACP Supervisor Training Days

It is important that at least one individual at a local department involved in assessing trainee and established ACPs must have attended a Supervisor Training Day. 

Registration for the Spring 2019 EC ACP Supervisor Training day on 15 March 2019 is now open.  More details are available here.
The date of the Autumn event has provisionally been set for 13 September 2019 (Registration to open on 16 July 2019)

Presentations from previous Supervisor Training Days:
How to run a Programme
ACP in difficulty
Preparation for credentialing
ACP sign-off

Emergency Care Advanced Clinical Practitioner Curriculum
The Royal College of Emergency Medicine (RCEM) and Health Education England (HEE) are pleased to announce their co-production of an Emergency Care Advanced Clinical Practitioner (ACP) Curriculum, which has full endorsement by the Royal College of Nursing (RCN). The pilot curriculum has been developed by a working party with representatives from Health Education England, the Royal College of Emergency Medicine and specialists in Emergency Care, and was published in May 2015. Higher Education Institutions provide high quality Masters level courses in advanced practice however these do not include specialty specific competences or nationally defined curricula. There is variation in the range of competences acquired, and no standardisation of the level of competence of the practitioner. The Emergency Care Advanced Clinical Practitioner (ACP) curriculum provides an opportunity for standardisation and consistency.  

EC ACP curriculum (Adult and Paediatric)
EC ACP curriculum (Adult only)
EC ACP curriculum (Paediatric only)

A formal process has now been established in order that Emergency Care ACPs can demonstrate the competences required within the curriculum. The first, formal credentialing process took place in June 2016, with ACPs gaining access to the Royal College of Emergency Medicine e-portfolio (adapted for Emergency Care ACPs) from June 2015.

Robert Crouch, Consultant Nurse at University Hospital Southampton NHS Foundation Trust and Chair of the HEE/RCEM Emergency Care ACP Curriculum Development Group commented, “This has been a very positive development for RCEM and HEE, and we are pleased to have received wide-spread support for this development from so many individuals and organisations, including the Royal College of Nursing. I am particularly grateful to the Curriculum Development Group for their hard work and enthusiasm throughout this development”.

Advanced Clinical Practitioners - Emergency Care

Further information

For information on access to the RCEM e-portfolio adapted for Emergency Care ACPs/Associate Membership (ACP), please see the initial application form.


The College has an eLearning resource, RCEMLearning, content of which has been mapped to the curriculum.  For information about accessing the RCEMLearning site, please contact RCEMLearning@rcem.ac.uk

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