L3 Apprenticeship Standard
for Senior Healthcare Support Worker

This Apprenticeship Standard has been developed in consultation with Skills for Health, The Royal College of Nursing, various NHS Foundation trusts and hospices.

Aims of this qualification

The apprenticeship standard provides the learner with a high-level description of the skills, knowledge, values and behaviours required of the Senior Healthcare Support Worker apprentice. On completion of this apprenticeship learner will become to fuilfil the role as a Senior Healthcare Support Worker.

Pathways available through an accredited Diploma embedded within this apprenticeship standard are as follows:

  • Adult nursing support
  • Maternity support
  • Theatre support
  • Mental health support
  • Children and young people support
  • Health profession – therapy support

Job Roles this qualification is suitable for:

Senior Healthcare Support Workers help registered practitioners deliver healthcare services to people1. As an experienced support worker, you carry out a range of clinical and non-clinical healthcare or therapeutic tasks, under the direct or indirect supervision of the registered healthcare practitioner.

You provide high quality, compassionate healthcare, following standards, policies or protocols and always acting within the limits of your competence. You may work in a range of services e.g. hospital, community, health or day-care unit, birth centre or midwifery led unit, someone’s home, operating theatre, nursing or care home, assessment centre, hospice, school, prison, GP surgery, charity or voluntary organisation; working in partnership with individuals, families, carers and other service providers.

Duties are delegated to you in line with care plans, not all duties are routine, and you will need to use your knowledge, experience and understanding to take decisions within your area of responsibility. You are accountable for your work and for reviewing the effectiveness of your actions. You may supervise or guide the less experienced staff in your team.


On completion of this standard the learner will be able to understand and carry out well-defined routine duties such as:

  • How to carry out routine and complex clinical or therapeutic tasks delegated to you, the care plans and delegation protocols used in your organisation
  • The indicators for good physical and mental health in relation to the demographic of individuals you are working with; the importance of fluids, nutrition and food safety, ways to signpost individuals in public health interventions or other services if appropriate
  • How to support a person’s comfort and wellbeing, the signs of a person whose health and wellbeing is deteriorating or who is experiencing pain or discomfort
  • The main types of mental ill health and their impact on people’s lives; indicators for mental capacity, the importance of early diagnosis in relation to cognitive issues; the possible signs of mental ill health and learning disability in people; why external factors, adapting from childhood to adulthood, depression, delirium or the normal ageing process may be mistaken for mental ill health; how changes in cognition can impact health and wellbeing; how to report changes and deterioration; how to support others to report changes and deterioration, how to escalate changes and deterioration
  • How to perform basic life support and use adjuncts to support resuscitation

On Programme Learning:

It is strongly recommended that on programme assessment of knowledge, skills and behaviour outcomes en-route to the final synoptic end-point assessment takes place.

The programme consists of the following:

  • Senior Healthcare Support worker standard
  • Level 3 Diploma in Adult Care
  • Functional skills in Maths at Level 2 (consisting of a test, unless you can provide a valid exemption)
  • Functional skills in English at Level 2(consisting of 2 tests, reading and writing and an assessment in speaking and listening, unless you can provide a valid exemption)
  • Care Certificate (15 Units of knowledge)
  • End-Point Assessment

Care Certificate Units:

  • Understand your role
  • Your personal development
  • Duty of care
  • Equality and diversity
  • Work in a person-centred way
  • Communication
  • Privacy and dignity
  • Fluids and nutrition
  • Awareness of mental health, dementia and learning disabilities
  • Safeguarding adults
  • Safeguarding children
  • Basic life support
  • Health and safety
  • Handling information
  • Infection prevention and control

How is it delivered?

You will be allocated a qualified Tutor to support the full completion of your qualification and prepare you for end point assessment. They will visit you on a regular basis in the workplace to conduct assessments which will be planned with you and your manager; assessment will also be conducted through a blended model of E–Learning and face to face delivery. The Tutor will manage your portfolio of evidence using an online electronic system called Onefile and give you regular updates about progress. You can contact your Tutor in between visits to discuss any aspect of your qualification and will be able to access your portfolio 24/7.

End Point Assessment

An End-Point Assessment will be carried out by staff from an independent End-point assessment provider approved by the Register of Apprenticeship Organisation.

The End Point Assessment will test the entire Standard, and be undertaken as follows:

  • Multiple choice test (60 minutes)
  • An observation of normal work (90 minutes)
  • A learning journal completed by the apprentice with an interview (30 minutes minimum 45 minutes max)

The End Point Assessment requires apprentices to demonstrate they have achieved the standard.

Assessment Gateway

Before the apprentice is adjudged ready to undertake the end-point assessment by their employer and learning provider, they will need to:

  • Achieve Health Care Support Worker standard
  • Achieve the Level 3 Diploma in Adult Care
  • Complete all units of the Care Certificate
  • Achieve Level 2 Maths and English Functional Skills
  • A learning journal. The apprentice documents and reflects on their development (knowledge and skills) as well as their approach to the workplace (the values and behaviours)
  • The learning journal is completed during the 3 months leading up to the planned date of the end point assessment

The purpose of the end point assessment is to test (in a synoptic way) the skills, knowledge and behaviours of the apprentice as set out in the apprenticeship standard
End point assessment provides apprentices with a showcase opportunity to provide oral and documentary evidence of their knowledge, skills and behaviours developed throughout the apprenticeship. Enables the independent assessor to assess the skills and behaviours of theapprentice by observing the apprentice in the course of their normal work. Tests the knowledge acquired by the apprentice throughout the apprenticeship.

How long will it take to complete?

The qualification usually takes around 18-24 months however it is possible to complete earlier depending on existing achievement and individual circumstance- this can be discussed with your Tutor.

Progression routes:

The content of the qualification links with the knowledge and skills required for the Lead Adult Care Worker and Senior Healthcare Support Worker apprenticeship standards.

Upon completion, learners can enter either the adult care or health workforces. After a period of working and gaining experience, you may be able to work towards an Assistant Practitioner or Nursing Associate post or, providing you meet the entry requirements, apply to university to become a registered healthcare practitioner.

Units can also be used for continuing professional development in the learner’s chosen field.

We at Pier Training would be very happy to discuss any aspect of this or any other Apprenticeship Qualification you may be interested in.
Please don’t hesitate to get in touch, we look forward to hearing from you.