Advanced Capabilities Framework: Lower Limb Conditions

Health Education England has commissioned the development of an Advanced Clinical Practice Capabilities Framework for those working with individuals with high risk foot or lower limb conditions. The framework will aim to identify and describe the skills, knowledge and behaviours required to deliver high quality, compassionate care and support.

Many thousands of patients receive healthcare for an underlying illness or condition that puts their legs and feet at increased risk of difficult healing, injury and disability or the loss of a foot/lower limb. Examples of these conditions include poor circulation leading to fragile skin that injures easily and takes a long time to heal and lack of feeling in the feet or lower legs which may mean that injuries go un-noticed and lead to ulceration. People with diabetes, rheumatoid arthritis, cerebral palsy, venous hypertension, peripheral arterial disease and peripheral nerve damage (neuropathy) can be prone to these kinds of conditions.

The Advanced Capabilities Framework: Lower Limb focuses on the capabilities of advanced practitioners working with individuals with chronic wounds, difficult healing and at high risk of losing a foot or lower limb as a result of their underlying condition(s). It is relevant to multi-disciplinary practice and is aligned to the multi-professional framework for advanced clinical practice in England.

The purpose of the framework is to support development and planning of the workforce, to inform the design of curricula and the delivery of education and training programmes.

A steering group comprising key stakeholder organisations (including the College of Podiatry and practitioners from across the UK) is guiding the development process.

The draft Framework is now available for consultation here