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 of the Skills, Knowledge, values and Behaviours required of the Senior Healthcare Support Worker. On completion of this apprenticeship the learner will become competent to fulfil 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 in delivering healthcare services to people. As an experienced Healthcare support worker, the learner can carry out a range of clinical and non-clinical healthcare or therapeutic tasks. This can be under the direct or indirect supervision of the registered healthcare practitioner.

The learner provides high quality and compassionate healthcare following standards, policies or protocols and is always acting within the limits of their competencies. The learner may work in a range of services like the NHS hospitals, private hospitals, community, health or day care unit, birth centre or midwifery led unit, operating theatre, nursing or care home, assessment centre, hospice, school, prison, GP surgery, charity or voluntary organisation. The learner may work in partnership with individuals, families, carers and other service providers.

Duties are delegated to the learner in line with the care plans. The learner will need to use their knowledge, experience and understanding to take decisions within their area of responsibility. The learner may supervise or guide the less experienced staff within their 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 a routine and complex clinical or therapeutic task delegated to them through care plans and delegation protocols used in the organisation
  • Collate, record and share client’s history
  • Understanding of indicators for good physical and mental health in relation to the demographic of individuals the learner is required to work with
  • The importance of fluids, nutrition and food safety, ways to signpost individuals in public health interventions or other services as 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 health capacity, the importance of early diagnosis in relation to cognitive issues and the possible signs of mental ill health and learning disability in Reasons on why the external factors like depression, delirium or the normal ageing process may be mistaken for mental ill health. How changes in cognition can impact health and wellbeing and how to report changes and deterioration
  • How to perform basic life support and use adjuncts to support resuscitation.

On Programme Learning:

The learner’s Knowledge, Skills and Behaviour outcomes will be assessed en-route to the final synoptic End Point Assessment.

The programme consists of the following:

  • Senior Healthcare Support worker standard
  • Level 3 Diploma in Healthcare Support
  • Functional skills in maths at Level 2 (consisting of a test, unless a valid exemption can be provided)      
  • Functional skills in English at Level 2 (consisting of 2 tests, reading and writing and an assessment in speaking and listening, unless a valid exemption can be provided)
  • 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?

The learner will be allocated a qualified Tutor to support the full completion of the qualification and prepare for end point assessment. The tutor will meet with the learner on a regular basis in the workplace to conduct assessments which will be planned with the learner and their manager; assessment will also be conducted through a blended model of e–Learning and face to face delivery. The Tutor will manage the learner’s portfolio of evidence using an online electronic system called OneFile and provide regular updates about progress. The learner can contact their Tutor in between visits to discuss any aspect of the qualification and will have access to their individual learner’s portfolio.

End Point Assessment

An End Point Assessment will be carried out by staff from an independent End Point Assessment centre approved on the Register of End Point Assessment Organisations (EPAO).  

The End Point Assessment will test the entire apprenticeship standard and will be undertaken as follows:  

  • A multiple choice and short answer test (60 minutes)
  • An observation of practice undertaken in the workplace (90 minutes)
  • A learning journal completed by the learner with an interview (30 minutes minimum 45 minutes max)

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

Assessment Gateway

Before the apprentice is ready to undertake the End Point Assessment by their employer and learning provider, they are required to:

  • Achieve Senior Health Care Support Worker standard
  • Achieve the Level 3 Diploma in Healthcare Support
  • Complete all units of the Care Certificate
  • Achieve Level 2 maths and English Functional Skills
  • Complete the learning journal. The learner needs to document and reflects on their development (knowledge and skills) as well as their approach to the workplace (the values and behaviours).
  • Ensure 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 learner as set out in the apprenticeship standard

End Point Assessment provides learners with a showcase opportunity to provide oral and documentary evidence of their knowledge, skills and behaviours developed throughout the apprenticeship. This also enables the independent assessor to test and assess knowledge, the skills and behaviours by observing the learner in the course of their normal work.

How long will it take to complete?

The qualification usually takes around 18-24 months However, it is possible to complete earlier. This depends on learner’s existing achievement and individual circumstances. This can be discussed with the Tutor.


Progression routes:

Upon completion, learners can pursue a L5 Healthcare Assistant Practitioner apprenticeship standard or may be eligible to apply for an Operating Department Practice (ODP) or a Nursing Degree apprenticeship.

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.