Introduction As an ACP specialising in Subarachnoid Haemorrhage (SAH), collaborative working with the Neurosurgery and Neuroradiology departments ensures the ACP can support the patient journey from the acute phase, throughout their inpatient stay and onto discharge home.

The role was developed based on the National Confidential Enquiry into Patient Outcome and Death (NCEPOD, 2013) report. This recommended that all centres admitting this patient group should have a specialist nurse available to address gaps in clinical service delivery.

Case Description ACP roles bring specialised knowledge to the practice setting for patients, relatives, and staff. The role involves autonomous practice, independent decision making, critical thinking, and complex decision making/problem-solving skills. ACP’s can clinically assess, diagnose, prescribe, advise on symptom management, provide staff/patient education, and are involved in complex discharge planning. Once discharged, ACPs provide follow up through nurse led clinics, and a telephone triage service. There is also a family history clinic where ACPs will triage patients and discuss the pros/cons of screening for cerebral aneurysms.

Results Underpinned by a master’s level award or equivalent the role encompasses the four pillars of Advanced Practice.

1. Clinical practice

2. Leadership and management

3. Education

4. Research.

Conclusion Having healthcare professionals working at an advanced level increases capacity and capability within a service and improves communication and patient flow. Through having all patients cared for by the same subspeciality team this has forged stronger relationships with our Neuroradiology colleagues.

Disclosure of Interest no.