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Autonomous specialist community public health nursing practice

Last Updated 29/10/2026

In this guide

SCPHN Health visitors, school nurses, occupational health nurses and SCPHN public health nurses understand that health and access to health support is a fundamental human right. They use their professional autonomy to adapt and tailor their response to the health and wellbeing needs of people, communities and populations within diverse and changing contexts at home, in school, in the workplace and in communities. They are sensitive to different cultural perspectives and advocate for and protect those people, communities and populations who are most vulnerable. They are innovative, creative, promote health literacy and maximise the use of new technologies in their day to day practice.

Sphere A: Outcomes

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At the point of registration, the registered SCPHN HV, SN, OHN and SCPHN PHN will be able to:

A.1demonstrate the ability to practice with a high level of autonomy, entrepreneurship and innovation as a specialist community public health nurse

A.2be an effective ambassador, role model and compassionate leader, and a positive influence on the profession

A.3use an expanded knowledge of the links between global and national socio-economic and political strategies and policies and public health to drive and influence their own field of SCPHN practice

A.4select and apply relevant legal, regulatory and governance requirements, policies and ethical frameworks to their specialist community public health practice, differentiating between the devolved legislatures of the UK

A.5lead on the application of legislation, guidance and advice regarding sustainable development goals, including environmental factors and other pollutants that affect the health and wellbeing of people now and in the future

A.6influence and promote health as a fundamental human right and as a shared value through engagement, inclusion and participation

A.7make professional judgements and decisions, and work in complex, unfamiliar and unpredictable environments, proactively identifying actions and solutions to problems that may have many interacting factors

A.8lead and promote public health provision that is person-centred, anti-discriminatory, culturally competent and inclusive

A.9demonstrate critical awareness of stigma and the potential for bias, taking action where necessary to educate others and resolve issues arising from both

A.10recognise the need for and lead on action to provide reasonable adjustments for people, groups and communities, influencing public health policy change and best practice

A.11demonstrate the advanced numeracy, literacy, digital and technological skills required to meet the needs of people, communities and the wider population, to ensure safe and effective specialist public health nursing practice.