The use of advanced practitioners in the NHS is no reason to fear for patient safety

‘The claim of a safety gap is not supported by evidence.’ Photograph: Getty

I am an advanced clinical practitioner in acute respiratory medicine, and the British Medical Association’s (BMA) characterisation of practitioners like me as unsafe “substitute doctors” demands a response (Safety fears as UK hospitals use nurses to cover for doctors due to shortage of medics, 25 April).

Every shift, I assess and manage patients with severe chronic obstructive pulmonary disease exacerbations, pulmonary embolisms, pneumonia and acute respiratory failure, taking clinical responsibility in a consultant-led multidisciplinary team, underpinned by a master’s-level qualification and over a decade of specialist experience. This is not doctor substitution. This is advanced practice: a distinct, evidence-based clinical role that enhances patient care rather than compromising it.