Freedom of Information Request – Ref: FOI 516-2025
Thank you for your recent Freedom of Information request. Please find our response below.
You asked:
1. Please provide the total number of advanced practitioners employed in your Trust/Board for each of the years 2021 to 2025. If possible, please break this information down by department or specialty.
2a) Please could you provide the salary range for advanced practitioners employed in your Trust/Board for each of the years 2021 to 2025.
2b) Please could you provide the total salary expenditure for advanced practitioners employed in your Trust/Board for each of the years 2021 to 2025.
3. Please could you provide the total number of hours worked by advanced practitioners employed in your Trust/Board for each of the years 2021 to 2025.
Our response:
Please click on link to access our response to questions 1, 2a, 2b and 3 – 8.4 – FOI 516-2025
You asked:
4a) Please could you provide us with any existing documentation which describes the job duties and responsibilities of advanced practitioners within your Trust/Board.
Our response:
Please click on link below (note: most of our AP’s join as Trainee ACP’s, they complete the training requirements and need to meet the criteria set out in the framework document attached before becoming qualified AP’s) – see the Multi-professional framework for advanced clinical practice in England – HEE
8.3 – Multi-professional framework for advanced clinical practice in England – HEE
You asked:
4b) If not covered in existing documentation, please confirm whether in your Trust/Board advanced practitioners ever:
i) make referrals to other specialties
Our response
Yes as per JD’s, please click on link for examples – 8.2 – 327-24-940_JD & PS and 8.1 – 327-21-1271 JD&PS
You asked:
ii) hold crash / emergency bleeps
Our response:
All Band 8’s and above join the on-call rota as per JD examples, please click on link for JD’s; 8.2 – 327-24-940_JD & PS and 8.1 – 327-21-1271 JD&PS
You asked:
5. Within your Trust/Board, please could you tell us:
5a) If advanced practitioners are ever deployed on medical rotas
Our response:
Mental Health and Learning Disability – No
Community Hospitals – We have combined AP and doctor roster and a mixed role model at most sites.
You asked:
5b) If advanced practitioners are permitted to cover doctor rota gaps
Our response:
Mental Health and Learning Disability – No
Community Hospitals – Only where risk assessed, the model at most sites allows flexibility, but scope of role and boundaries of function are defined. A doctor is identified as a point of escalation should they be needed and the clinical director acts as a point of escalation.
You asked:
5c) What grade of doctors advanced practitioners are permitted to cover for
Our response:
Mental Health and Learning Disability – Not applicable.
Community Hospitals – Not applicable the cover is for the role of an AP, they do not act beyond their scope of competency.
You asked:
5d) If merged/tiered/general rotas with mixed staffing groups are used and if so, which types and grades of clinicians appear on these rotas.
Our response:
Mental Health and Learning Disability – Usually not applicable. During BMA industrial actions we have used ACP to support SAS doctors covering resident doctors on calls as an additional clinician, not as replacement for doctors taking industrial action.
Community Hospitals – The roster covers trainee aps / qualified aps / salaried doctors and SLA medics.
You asked:
6a) Please provide us with a copy of bank shift rotas currently used for all medical and non-medical roles within your Trust/Board
Our response:
We do not have a stand-alone Bank Shift Rota all bank workers join the rota where they are working shifts / covering shortfalls.
You asked:
6b) Please provide us with the current hourly rate-range paid to advanced practitioners working bank shifts in your Trust/Board, broken down by years of service if applicable.
Our response:
Bank Work is paid at the same rate as substantive staff, all qualified AP’s are Review Body Band 8’s, all AfC workers are on NHSE AfC rates of pay – Pay scales for 2025/26 | NHS Employers
Next steps:
Should you have any queries in relation to our response, please do not hesitate to contact us. If you are unhappy with the response you have received in relation to your request and wish to ask us to review our response, you should write to:
Louise Moss
Head of Legal Services / Associate Director of Corporate Governance
c/o Gloucestershire Health and Care NHS Foundation Trust
Edward Jenner Court
1010 Pioneer Avenue
Gloucester Business Park
Brockworth, GL3 4AW
E-mail: louise.moss@ghc.nhs.uk
If you are not content with the outcome of any review, you may apply directly to the Information Commissioner’s Office (ICO) for further advice/guidance. Generally, the ICO will not consider your case unless you have exhausted your enquiries with the Trust which should include considering the use of the Trust’s formal complaints procedure. The ICO can be contacted at: The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow, Cheshire SK9 5AF.