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The aim of this article is to outline the underpinning conceptual principles of advanced nursing and competency embedded in the Heart Failure Specialist Nurse Competency Framework, launched in January 2021. The authors refer to Benner's novice to expert pedagogy and explore how this provides a robust framework on which to assess the progress of the heart failure specialist nurse. Some key considerations are discussed, for example the importance of constructive feedback and feed-forward in the individual's learning cycle. Finally, plans for the future are discussed and the importance of evaluation in the authors’ ongoing commitment to improving the learning experience.

reduced barriers to end of life care for those who are homeless ConclusionsThe evaluation provides evidence that the homelessness co-ordinator project is improving the support that professionals can provide to those who are homeless and needing end of life care. It has allowed for more advance care plans and discussions with people who are homeless about their preferences for care at the end of their life. Impact The service has improved multi-agency working for professionals who are supporting people who are homeless and in need of end-of-life care. By bringing professionals together to discuss patients, Marie Curie and GPs have been able to work jointly to pull in multi-agency support at hostels where patients are living. In some cases, the project has supported individuals to die at a hospice, when this has been their preferred place of death.