Introduction to the Four Pillars
Beginners Guide
The help understand and plan their career progression the NHS has devised a system of four pillars.
The idea being that individuals can evaluate their skills based of four key areas.
Good practice would be to develop all four areas evenly to be a well rounded professional.
The framework is organised around four pillars of practice:
The emphasis on each pillar at a particular level of the framework will vary according to specific roles e.g. for band 5 or equivalent, the clinical pillar may be most important whereas at band 8 or equivalent, the leadership pillar may predominate.
Source: Health Education England https://www.hee.nhs.uk/sites/default/files/documents/Multi-professional%20framework%20for%20advanced%20clinical%20practice%20in%20England.pdf