Overview

The growing burden of noncommunicable diseases (NCDs) has put pressure on health systems and their workforce to provide high quality, person-centred care. Nurse Practitioners and other Advanced Practice Nurses are a rapidly growing workforce in an increasing number of countries. Despite the high levels of advanced practice potential to address NCDs, many countries in Europe are only at the early phase of considering or introducing expanded nursing roles. From an implementation perspective, governance is critical as it authorises nurses’ expanded scope-of- practice, educational requirements and nurses’ advanced skills and competencies. Payment policies require revisiting as they impact on practice uptake in multiprofessional teams.