Multiprofessional advanced practice: development needs in primary and community care in rural England

This article examines the development and supervision needs of multiprofessional advanced level practitioners in rural and sparsely populated communities in England. The author highlights the sustained pressures on general practice and the introduction of the Additional Roles Reimbursement Scheme by NHS England, which aims to diversify the primary care workforce. The discussion addresses the complexities of integrating new roles, such as first contact paramedics and care coordinators, and the challenges faced by general practitioners in supervising these roles. The article also explores the unique demands of rural primary care, including recruitment and retention issues, the need for a broad skill set, and the impact of geographical and social isolation. The author emphasises the importance of effective supervision, professional development and the establishment of strong supervisory relationships to support ongoing capability and confidence in practice. The commentary concludes with recommendations for addressing the specific development needs of advanced practitioners in rural settings to enhance workforce sustainability and patient care.