ACCPs must complete a programme leading to an appropriate Postgraduate Masters degree with a Higher Education Institution. Teaching within hospitals is overseen by a Local Clinical Lead (LCL) who holds an honorary appointment with the HEI and is responsible to the HEI for the delivery of the clinical components of training.
In 2021 The Faculty launched an HEI Accreditation programme.
If you think that ACCP training might be for you and would like further information check out our Careers section.
ACCP Training Unit Approval
In 2021 the FICM Board approved a change to the FICM ACCP 2015 curriculum concerning the training centres approved for ACCP training. The details behind the change request and the particulars for training sites moving forward are outlined below.
Rationale for Change
The current document’s wording restricts training of ACCPs to training centres approved for a minimum of Stage 1 and 2 ICM level training. Although during the first five years of ACCP training, this was deemed prudent in order to ensure a consistently high standard of training and monitoring, this approach is now limiting the wider rollout of ACCP training, and the absolutely vital embedding of the role in smaller units as part of a sustainable critical care workforce solution.
Previous requirements (FICM ACCP 2015)
4.6 Training environments
There is no central FICM process for formal endorsement of ACCP training; the training of ACCPs will occur in existing UK training centres approved for, at a minimum, Stage 1 and 2 ICM level training. The FICM considers that units who do not train these levels of ICM CCT trainee would be unable to deliver the level of training required by the ACCP curriculum; as such, the Faculty would not consider it appropriate for FICM ACCP Membership to be awarded to any ACCPs trained in units who do not receive these levels of ICM CCT trainee. Whilst non-training units may be able to partner with a Higher Educational Institution (HEI) and offer ACCP training to interested nurse and AHP colleagues, those trainees would not be eligible for any official Faculty recognition of that training, nor to apply for FICM ACCP Membership upon completion of their ACCP training programme. Any non-ICM training approved unit seeking to run ACCP training must make this prospectively clear to any applicants for their programme.
The training environment should provide appropriate training and supervision with an adequate exposure to a wide spectrum of critical illness. If necessary, rotations to other hospitals should be arranged. Departments in which training occurs must comply with the regulations and recommendations of the relevant national Departments of Health, the GMC, NMC, HPC and the FICM.
Training Unit approval pathway
- The FICM Regional Advisor (RA) must approve training for ACCPs in the relevant unit.
- The RA should forward successful and unsuccessful applications to the FICM ACCP Sub-Committee for ongoing oversight and acknowledgement.
The RA should use the FICM ACCP Training Unit Approval Form to assess the unit’s suitability and once completed, send a copy to the FICM (email@example.com).
To be approved as an ACCP Training Unit, the following aspects of organisation, environment and ethos towards training are required, and should be verified during the application process:
- Compliance with the regulations and recommendations of the relevant national Departments of Health, NMC, HPC and the FICM.
- Nominated ICM Consultant Lead for ACCPs with oversight to support trainers and ACCP trainees to engage in current training requirements. There should be formal links with an appropriate HEI providing the academic elements.
- Named Educational Supervisor for each trainee ACCP to mentor progress and provide pastoral support. Depending on the size of Unit and numbers of Trainee ACCPs, this may be the Consultant Lead.
- The unit would be expected to be recognised for at least core level ICM training (by FICM and Statutory Education Bodies (SEBs)).
- A Unit with sufficient clinical activity to deliver the ACCP training syllabus and meet the curriculum requirements.
- Where this is not possible in a single ICU, alliance with a larger allied teaching hospital/DGH or tertiary centre, in a hub and spoke model, is proposed. The duration of attachments and supervisory structure may need to be addressed on an individual basis.
- FFICM consultants should staff the unit as per GPICS standards. Where this may not be possible, out of hours cover for small and rural units arrangements for appropriate consultant support as detailed in the GPICS chapter on smaller remote and rural units should be in place.
- The recognised national standards, ethos and enthusiasm of the unit to embrace training is of paramount importance.
- Sufficient training opportunities for all trainees (ACCPs and doctors in training) allocated to the unit at any one time must be maintained.
- Sufficient clinical supervision such that every ACCP in training can be responsible to a nominated consultant at all times. The consultant must be available to advise and assist them as appropriate.
- Consistent positive feedback from the GMC National Training Survey, and local training feedback surveys. Where poor feedback is received, the RA with the support of the FICM ACCP Sub-Committee will review ongoing eligibility as a training unit for ACCPs.
It is recognised that some units are critical care units i.e. a flexible mix of ICU and HDU patients. In these situations, the average Level 3 occupancy should be related to bed numbers. Similarly, many units have adjacent ICU and HDU facilities, covered by the same medical staff. Here a similar calculation could be applied. Geographically separate units, for example separated by several floors or considerable horizontal distance of more than a few yards, should not be normally regarded as one unit.
Please see the Guidance for ICM Training Units for more.
This amendment to the ACCP 2015 Curriculum will take immediate effect and will appear in full in the new ACCP curriculum to be launched in 2023.
Trainee ACCP Registration
All ACCPs in training are requested to register with the Faculty so we can keep you up to date of any useful developments and start to monitor the ACCP workforce.
Please note that is does not automatically mean that you will be accepted as an ACCP Member of the Faculty.
Any individual beginning an ACCP training programme from 5 November 2017 which does not meet the FICM specification for ACCP training (details of which can be found on the ACCP Curriculum page) will not be eligible to apply for FICM ACCP Membership.
It is the responsibility of the individual seeking FICM ACCP Membership and the hospital trust providing their training to ensure trainee ACCPs undertake FICM recognised training.
Registration is free.
Please download and complete the form below and return it to FICM.
ACCP Induction Framework
This document has been developed by trainee and qualified Advanced Critical Care Practitioners with the support of The Faculty of Intensive Care Medicine ACCP sub-committee (FICMASC), ACCP clinical leads and University representatives. The rationale behind this project was based upon a recognised need to standardise the approach to the induction process.
ACCP Trainer Guidance
ACCP Trainer Guidance
The contribution of the Educational Supervisor and the ACCP Clinical Lead in relation to providing supervision, support and opportunities to develop competence and master a specialist area of advanced practice is vital.
As a Supervisor you need to:
- Attend an initial meeting to facilitate your induction to the role, introduce the practice modules and the methods that will be used by the local University to support you in this new role. The workshop will also introduce the comprehensive knowledge and skills necessary for the module and what is required to support ACCP trainees to achieve this level of practice.
- Attend formative progress meetings every four months with the ACCP Local Clinical Lead and trainee ACCP.
- Liaise with the ACCP Local Clinical Lead regarding the ACCP trainee’s progress and highlight any areas of concern.
- Agree with your ACCP trainee how work-based teaching, supervision and assessment will be conducted.
- Help to institute the FICM competency framework for the advanced practice role that the ACCP trainee will undertake.
- Use all the tools in the work portfolio as directed by the competency evidence log and engage with the triggered assessments at six-monthly intervals.
- Maintain the quality of the work-based competency assessment process commensurate with mastery.
- Ensure that all Practice Mentors working with the student are aware of the guidelines relating to trainee ACCP practice and are experienced professionally qualified practitioners.
- Facilitate learning in the clinical area.
- Encourage reflective activity and enquiry.
Students will initially work under your direct supervision or that of your consultant colleagues; however, this level of supervision will decrease to indirect and then proximal as they progress through the programme, demonstrating competence and confidence and becoming more autonomous within their role. Initially students will be working weekdays when maximum supervision and support is available, however, as they achieve their Portfolio benchmarks, the Supervisor, in conjunction with the Local Clinical Leads, will decide when it is appropriate for the ACCP trainee to progress from direct to indirect to proximal supervision and to out-of-hours working. It is anticipated that students will progress to proximal supervision by the end of Year 2.
*The Faculty recognises that the first cohort of ACCP trainees in any location may require more time and focus as the structures and framework for assessment and supervision are developed and implemented. The suggested SPA time below can be used to support discussions locally about the time commitment that would be required as a minimum once the programme is established.
The Educational Supervisor is responsible for providing supervision, support and opportunities to develop skills and competence in Advanced Critical Care Practice
Minimum 0.25 PAs per week per trainee
Additional time may be required for supporting and managing trainees in difficulty.
ACCP Programme Lead
The ACCP Programme Lead is responsible to the HEI for the quality management of the training programme as well as managing the overall ACCP training arrangements in their trust
1 PA per week
Want to know more?
Read the ACCP curriculum.