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Standards of proficiency for community nursing specialist practice qualifications (SPQ)

Last Updated 29/10/2026

The Nursing and Midwifery Council are required to set standards of proficiency, education and training for nursing and midwifery professionals seeking to join our registers for the first time. As part of this we review our standards regularly to ensure they continue to protect the public, are fit for purpose, and are necessary for safe, effective and kind care. When we review any of our standards, including standards that lead to annotation, we take into account new evidence, the changes taking place in society and changes in health and care.