Your web browser is outdated and may be insecure

The RCN recommends using an updated browser such as Microsoft Edge or Google Chrome

A black and white panoramic portrait of five healthcare professionals of various ages, set against a vibrant blue background with colorful abstract geometric shapes and connecting lines.

This is nursing

A professional framework for nursing

Nursing is the largest safety-critical profession in health and social care.

We’re diverse in our people and our skills. Our profession has grown in complexity and responsibility over the past two decades.

But what does it mean to be a member of nursing staff today? What career opportunities are there in nursing? And what can our employers and the public expect from our profession?

Our professional framework for nursing covers all these things and more. Use these pages to understand more.

Defining nursing

A female nurse smiling and providing support to an elderly person who is using a walking frame indoors.

Definitions and principles of nursing

What does nursing mean today and what are the principles that underpin it?

Read our definition and principles

A portrait of a female nurse in blue scrubs looking thoughtfully off-camera.

The four pillars of nursing

What are the core capabilities that make up all nursing roles and how do they work together?

Read about the four pillars

The different levels of nursing

A female nurse in a blue uniform standing in a clinical setting, such as a hospital ward or clinic.

Levels of registered nurse

What's the difference between registered, enhanced, advanced and consultant nursing?

Go to nursing levels

Two healthcare workers smiling and engaging with a young child in a wheelchair during a play-based therapy or care session.

Levels of nursing support worker

What do we mean by a nursing support worker and what are the two levels they work at?

Go to nursing support worker levels

Registered nurse substitution

A registered nurse must never be substituted with any other health care professionals including nursing support workers.

Read more to understand why

Careers in nursing

From primary care to prison nursing, careers in our profession are wonderfully varied.

Our career frameworks resource is an invaluable one-stop-shop for planning your career growth.

A black-and-white portrait of two women, one older and one younger, set against a vibrant blue background with colorful abstract circles and geometric lines.