For patients

ACPAC extended-role practitioners

ACPAC-ERP, extended role practitioner, advanced practice

Are you a clinician? See the clinical version of this page.

The short versionSome of your care may be provided by an advanced-practice clinician called an extended-role practitioner. These are experienced physiotherapists, occupational therapists, nurses, or chiropractors with extra training in arthritis care who work closely with your rheumatologist. They can help you get seen sooner and support you through planning, pregnancy, and afterwards.

How this model works

What an extended-role practitioner does

They assess your joints and symptoms, explain your condition and medicines, help coordinate your care, and flag anything that needs your rheumatologist. Many people see them sooner than they could see a specialist.

How it improves access to care

Because these clinicians can see and support more people, waits are often shorter and care is more joined-up.

Working with your rheumatologist

The extended-role practitioner and your rheumatologist work as a team. Your rheumatologist stays responsible for your overall care.

In pregnancy and family planning

In a pregnancy and rheumatic disease clinic, an extended-role practitioner can help with planning ahead, education about medicines, exercise and pelvic health, and staying on track through pregnancy and afterwards, alongside your rheumatologist and pregnancy team.

One model among several

This is one way to organise care. Other clinics use specialist nurses or nurse practitioners in similar roles. The right mix depends on the clinic and the health system.

iThis page helps you prepare a conversation with your care team. It does not replace individual medical advice. Always confirm your own plan with your rheumatology and pregnancy team.