Developing Excellence in Healthcare

An NHS Wales Skills and Career Framework
for Clinical Healthcare Support Workers

The Purpose of this Framework is to provide a
governance mechanism to inform the skills and
career development of the clinical Healthcare
Support Worker (HCSW) workforce in NHS Wales.

 

 
 
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How to use this framework tool

This web page will give you guidance about how best to use this website.

The icons on the front page of the website screen will take you to the main subjects of the website.

When you click on each of the icons you will be taken to information about that topic and sometimes links to further information. The information will give you a greater understanding of the content and you can click on the links to find further information.

The central part of this website details the Learning Pathways for a range of roles. It is made up of four elements and once you have read the content for each element there will be information on what to do next. There will also be a link to specific information relating to your Health Board or Trust.

Each of the main icons can also be found as a link at the top of the screen. In order to access the trainer log in area you will require a specific password as the information stored here will be personal to you and your organisation.  To create your own login please click register and follow the instructions.

To create your own login please click Service Area Login and follow the instructions.

 
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Role Definition

Healthcare support workers provide a direct and indirect service to individuals in a variety of care settings. They undertake a range of delegated duties under appropriate supervision.

Level 2 Scope of Practice Descriptor

A Level 2 HCSW will at all times work under the delegation of a registered practitioner or assistant practitioner in the delivery of person centred care. They are expected to work as part of a team providing care within defined protocols, under supervision of and reporting to a registered practitioner/assistant practitioner. They will be responsible for following care plans and recording all personally generated observations and documenting care given in an individual’s notes.

Education requirement - Minimum of 46 credits from any pillar of the Credit and Qualifications Framework for Wales mapped to an individual’s job role. (60% of which must be at Level 2).

Level 3 Scope of Practice Descriptor

A Level 3 HCSW will have a greater degree of autonomy and may undertake a broader range of more complex interventions, problem solving and taking action on an individual’s health and care in accordance with organisational policy and procedures. They will work on their own initiative, undertaking delegated tasks with appropriate supervision in place from a registered practitioner/assistant practitioner. They should contribute to assessment and assist in the development, implementation and evaluation of individualised care plans. They are able to supervise other staff and will promote the delivery of high quality individual are.

Education requirement - Minimum of 58 credits from any pillar of the Credit and Qualifications Framework for Wales mapped to an individual’s job role. (60% of which must be at Level 3).

Level 4 (Assistant Practitioner) Scope of Practice Descriptor

A Level 4 Assistant Practitioner is expected to independently manage their own work and case load, undertaking tasks delegated by a registered practitioner with appropriate supervision in place. Having an understanding of evidence based practice and delivering care in line with current evidence, they will take responsibility for taking action relative to an individual’s health and care in accordance with organisational policy and procedures. They will be responsible for some elements of assessment, implementing programmes of care and modifying individualised care plans, reporting back to the registered practitioner. They may delegate work to others and may supervise, teach and assess other staff.

Education requirement - Minimum 120 credits (60% of which must be at Level 4).

 
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Learning Pathways

Each Learning Pathway will comprise of four elements:

  • Induction
  • Essential Skills Wales
  • Core Competences
  • Clinical Skills relevant to each identified role

HCSWs working within Nursing, Midwifery and Allied Health Profession (AHP) clinical areas detailed in the table (below) will have Learning Pathways in place for their specific roles.

Nursing and Midwifery   Allied Health Profession
Adult   Arts Therapies
Learning Disabilities   Clinical Psychology
Mental Health   Dietetics
Midwifery   Occupational Therapy (OT)
Paediatric   Operating Department Practice
    Orthoptics
    Paramedics
    Physiotherapy
    Podiatry
    Orthotics
    Radiography
    Speech and Language Therapy (SLT)

As a HCSW, Learning Pathways have been developed to support you in your current role. The Pathways can also be a route to progression, either within your own area or to another clinical area, should there be an opportunity. Your development will be captured in your portfolio and measured through the Personal Appraisal process. It is expected that each HCSW will commit to 20 hours, over a three year period, of their own time to their learning. You will be supported by your organisation to achieve your Learning Pathway. You should achieve your Core Competences within six months of starting in NHS Wales with the relevant clinical skills being achieved where possible within 12 months but no longer than 18 months.

 
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Induction

If you are a new employee of NHS Wales your Health Board or Trust will have arranged for you to undertake a Clinical Induction Programme.

This is mandatory for all new employees and will be undertaken before starting work in your clinical area. On completion of the Clinical Induction Programme you will be assessed and if successful you will be awarded the credits for the Programme. These credits are transferable should you move to another role and may count towards the future training you undertake.

Below are the links to the Induction Programmes to show you what you will learn during this period. You will only undertake one of the Programmes depending on the area in which you are going to work. As a guide if you will be working on a Ward then you will undertake the Nursing Unit but if you will be working within the Physiotherapy or Occupational Therapy departments then you will undertake the Core Unit. You will advised which Unit you will be undertaking on the first day of your Clinical Induction Programme.

In addition there is a link to the Induction Workbook which you will complete and it is this that will be assessed.

NHS Wales Induction for Clinical Healthcare Support Workers (Nursing)
http://www.agored.cymru/Units-and-Qualifications/Unit/CDK199

NHS Wales Induction for Clinical Healthcare Support Workers (Core)
http://www.agored.cymru/Units-and-Qualifications/Unit/CDK196

NHS Wales Induction Workbook
Download

For more information on your local learning & development team,
click on the relevant logo below


 

 
 
 



 
 
 



 
 
 



 
 
 

 

 
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Essential Skills Wales

Essential Skills Wales qualifications support the development of skills needed for education, work and life and are aimed at those accessing learning in a wide range of environments outside of mainstream school.

You will be supported by your organisation to undertake the training relevant for your role and if required you will be able to complete your Essential Skills Wales qualifications.

http://agored.cymru/Units-and-Qualifications/Essential-Skills-Wales/

 
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Core Competences

All Healthcare Support Worker roles have skills which are required for all areas and therefore transferable. Relevant accredited education has been identified which will need to be completed to achieve these Core Competences to give you and your employer the confidence to ensure you and your organization that you have the skills to do your job.

The credits you achieve are transferable should you move to another role and may in some cases count towards a full qualification. Your manager and your Learning and Development department will advise as to how you will access this learning.

Each of the competences identified have been mapped to the NHS Knowledge and Skills Framework Competences outlined below. Behind each icon is a table showing you the accredited units of learning you will need to undertake and the Core Competences you will gain on successful completion of the learning. The units of learning are at Levels 2 and 3 and your manager will help you identify the most appropriate level for your role.

Click on the relevant icon to show you to more information

For more information on your local learning & development team, click on the relevant logo below


 

 
 
 



 
 
 



 
 
 



 
 
 

 

 
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Role Specific Skills

As a Healthcare Support Worker you have been appointed to work within a particular healthcare setting and undertake a particular role.

In order to be effective in your role and deliver high quality care it is necessary that you are trained to do that role. This section of the web tool identifies the education that will need to be undertaken in order for you to gain your role specific skills. The education identified is at Levels 2, 3 and 4 and your manager will help you identify the most appropriate level for your role.

Behind each icon is a table showing the education at each level for the different healthcare settings and professions. Please click on the most appropriate icon below to see what education you should be undertaking to gain the required skills for your role.

Click on the relevant area of work to discover more.


 

For more information on your local learning & development team, click on the relevant logo below


 

 
 
 



 
 
 



 
 
 



 
 
 

 

 
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Other frameworks

Skills for Health
http://www.skillsforhealth.org.uk/

Care Council for Wales
http://www.ccwales.org.uk/

Health Informatics Career Framework (HICF)
https://www.hicf.org.uk/

 
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