Overview

Equipping Advanced Practitioners with the skills, insight, and confidence to lead in modern primary care The Advanced Practitioner in Primary Care is a timely resource that provides current and aspiring Advanced Practitioners (APs) with a practical roadmap for delivering high-quality, patient-centred care in complex and fast-paced primary care environments. Built on the four pillars of advanced practice—clinical practice, leadership, education, and research—this text supports practitioners in bridging the gap between academic theory and clinical application. Written by experienced clinicians and educators, this book is framed by national and international guidelines—applicable to adult, paediatric, and mental health contexts—and reinforced by real-world case studies that contextualise concepts and build confidence in managing diverse clinical scenarios. Providing the structured support and evidence-informed guidance necessary for confident, competent, and reflective practice, The Advanced Practitioner in Primary Care: Covers complex consultation skills, clinical reasoning, systems-based clinical assessments, and decision-making with evidence-informed guidance Addresses the management of uncertainty and diverse patient presentations, including frailty and paediatrics Offers practical insights on getting the most from supervision and professional development pathways Includes a dedicated chapter on prescribing and medication management tailored for APs Discusses the evolving scope of the AP role in the context of local, national, and international policy The Advanced Practitioner in Primary Care is essential reading for trainee and established APs working in primary care, as well as for nurses, paramedics, pharmacists, physiotherapists, and other professionals transitioning into general practice. It is also ideal for postgraduate programmes in advanced clinical practice and a valuable resource for educators and primary care teams supporting AP development.

Full Product Details

Author:   Josey Coaten (University of Hull, UK) ,  Sarah Pay (University of Hull, UK)
Publisher:   John Wiley & Sons Inc
Imprint:   John Wiley & Sons Inc
ISBN:  

9781394253739

ISBN 10:   1394253737
Pages:   464
Publication Date:   29 January 2026
Audience:   Professional and scholarly ,  Professional & Vocational
Format:   Paperback
Publisher's Status:   Forthcoming
Availability:   Awaiting stock  

Table of Contents

Unit 1 – The ACP Role in Primary Care   Chapter 1        Scope of Practice and the ACP role in primary care Josey Coaten Aim Learning outcomes Introduction    Chapter 2        How to get the most from supervision in practice Sarah Pay Aim Learning Outcomes Introduction What is supervision? Competence and Capability Frameworks and Standards Tailored Supervision Planning Supervision in Primary care Overcoming barriers to supervision Demonstrating capability Self- Awareness Reflective Points References      Chapter 3        Patient Centred Care Josey Coaten Aim Learning outcomes Introduction      Chapter 4        Clinical Uncertainty Sarah Pay Aim Learning Outcomes Introduction Types of Uncertainty Managing uncertainty      Information gathering      The value of time as a tool      Safety Netting      Ethical Considerations and shared decision making      Back to Basics Communicating uncertainty Uncertainty and Burnout Reflective point References                 Unit 2 – Leadership   Chapter 5        Leadership Josey Coaten Aims Learning outcomes Introduction            Chapter 6        Research Pillar in Primary Care Sarah Pay Aims Learning Outcomes Introduction The importance of the research pillar for ACPs Challenges of embedding research into primary care ACP roles Evidence Based Practice Research Opportunities and the National Institute for Health can Care Research (NIHR) Clinical Academic Roles Quality Improvement Audit Reflective Points References      Chapter 7        Education and Teaching Josey Coaten Aims Learning Outcomes Introduction      Unit 3 – Consultation skills   Chapter 8        Consultation Models Sarah Pay Aims Learning Outcomes Introduction Consultation Models Introduction Overview of Models Using a model in practice The short or 15 minute consultation and agenda setting Remote Consultations Conclusion Reflective points References        Chapter 9        Advanced Clinical Reasoning Josey Coaten Aims Learning Outcomes Introduction      Unit 4 – Clinical Examination and Assessment   Chapter 10     History Taking Sarah Pay Aims Learning outcomes Introduction Applying Structure to history taking     Care study     Preparation (Housekeeping)     Introduction and Rapport Building     Presenting Complaint     Ideas, Concerns and expectations     History of Presenting complaint     Past Medical History     Vaccination History     Medication History     Allergies     Family History     Social History     Occupation     Travel     Sexual history     Systematic enquiry     Closing the encounter Difficult Consultations Collateral History Taking Communication considerations in history taking Managing time Digital tools in history taking Care study reflection References        Chapter 11     Introduction to clinical examination in primary care Sarah Pay Aims Learning Outcomes Introduction Equipment Home Visits The acutely unwell patient     Red Flags Chaperone Structured examination principles      Preparation/Housekeeping      Environment      End of bed/chair      Inspection         Hands         Face and Mouth      Palpation      Percussion      Auscultation Lymph Node Assessment      History considerations      Inspection      Palpation      Red flag signs for lymphadenopathy      Typical features of lymph nodes and associated pathology Decision making, referrals or admissions Case Study – Lymphadenopathy Closer Look- Lymphoma References        Chapter 12     The Respiratory System Sarah Pay Aims Learning Outcomes Introduction History taking for the respiratory presentation      Preparation      Initiating the consultation      Taking a respiratory history Common Presenting Symptoms      Chest pain      Cough      Sputum      Breathlessness      Wheeze      Stridor      Haemoptysis      Fever/Night sweats and Rigors      Weight Changes      Sleepiness      Red Flags Clinical Examination of the respiratory system      Environment      End of the bed assessment      Hands and arms      Face, eyes and mouth      Neck      Inspection      Palpation      Percussion      Auscultation      Posterior      Legs Common Presenting complaints in primary care Other investigations in primary care      Pulse Oximetry      Sputum Cultures      Spirometry      ECG      Peak Flow      Fractional exhaled nitric oxide      Chest X-ray      Blood tests      Rapid point of care testing for C-Reactive Protein      Pertussis testing Risk tools Case Study – Community Acquired Pneumonia References      Chapter 13     The Cardiovascular System Josey Coaten Aims Learning outcomes Introduction                 Chapter 14     Abdomen/Urology and Gynaecology Josey Coaten Aims Learning outcomes Introduction          Chapter 15     Neurological Assessment Josey Coaten Aims Learning Outcomes Introduction    Chapter 16     Musculoskeletal and Rheumatology Sarah Pay Aims Learning Outcomes Introduction      Chapter 17     Ear, Nose and Throat Josey Coaten Aims Learning Outcomes Introduction      Chapter 18     Dermatology Sarah Pay Aims Learning Outcomes Introduction Taking a dermatological history Common presenting symptoms      Itching      Rash      Lesions      Pain      Psychosocial factors Examination of skin      Inspection      Description      Palpation      Systematic Review Examination of moles Dermoscopy and photography Red flags Case study References                 Chapter 19     Paediatrics in Primary care Sarah Pay Aims Learning Outcomes Introduction Initiating the consultation with a child and history taking      First Impressions      Introductions and Rapport building      Golden minute and establishing ICE      Taking a history Examination      Airway      Breathing           Compromised respiratory system           Respiratory distress           Respiratory Rate           Oxygen saturation           Chest Auscultation      Circulation            Colour            Heart Rate            Capillary Refill time            Blood Pressure      Disability      ENT Examination      Temperature      Tummy      Blood Glucose      Examination Tips Identifying serious illness in children      Vital signs      Traffic light system/PEWS/Sepsis The Febrile Child      Management and parental/carer advice      The unexplained fever Growth and Feeding Safety netting Professional and Legal Issues in Paediatrics      Consent      Gillick Competence      Fraser Guidelines Safeguarding Prescribing for children Closer look – Kawasaki Disease Case Study – Bronchiolitis Common differential in primary care – feverish illness Useful resources References                    Chapter 20     Mental Health in Primary Care Sarah Pay Aims Learning Outcomes Introduction History taking in Mental Health consultations      Mental Status Examination (MSE)      Determining risk           Ethnicity           Frailty           Maternal Mental Health           Learning Disability           Gender      History taking framework for mental health Legislation and mental health      The Mental Health Act 1983      The Mental Capacity Act 2005 Management of common low risk presentations in primary care      Social Prescribing      Generalised anxiety disorders      Depression      Bi-Polar Disorder Mental health of the practitioner Useful information Case study – depression References        Chapter 21     Frailty Josey Coaten Aims Learning outcomes Introduction      Chapter 22     The advanced Practitioner as a Prescriber Sarah Pay Aims Learning Outcomes Introduction NMP Professional Considerations The NMP and Scope of practice in primary care      Continuing professional development as a prescriber Remote Prescribing Repeat Prescribing Medication Reviews      Re-authorisation of repeat medications      Medication Review      Structured Medication Review (SMR)      Medicine Reconciliation      Polypharmacy Medicines Optimisation      Medicined optimisation for older people Antimicrobial stewardship      Delayed prescriptions      Communication regarding antibiotic prescribing Supporting other NMP’s Reflection Activity References                     Chapter 23     Completing the consultation/developing as an ACP and beyond Josey Coaten Aims Learning Outcomes Introduction   

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Author Information

Josey Coaten is a lecturer and Programme Director for the MSc Advanced Clinical Practice at the University of Hull. An experienced registered nurse and Advanced Clinical Practitioner, she is also a non-medical independent prescriber. Josey brings extensive experience from primary care, having held roles from practice nurse to Senior ACP. She holds a postgraduate certificate in academic practice and is a Fellow of AdvancedHE. Sarah Pay has experience as a lecturer in the MSc Advanced Clinical Practice programme at the University of Hull and currently works as an ACP and clinical educator at Haxby Group. With a background in adult nursing, she has worked extensively in primary care as both a practice nurse and a Senior ACP. She is a non-medical prescriber and holds a postgraduate certificate in academic practice, as well as being a Fellow of AdvancedHE.

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