ST0217 Level 3 Senior Healthcare Support Worker Assessment Plan Version 1.5

• complete training to develop the knowledge, skills and behaviours (KSBs) outlined in this apprenticeship’s standard
• complete training towards English and mathematics qualifications in line with the apprenticeship funding rules
• compile a portfolio of evidence
• complete training towards the qualification listed in the senior healthcare support worker apprenticeship standard

The qualification required is:

• Level 3 Diploma in Healthcare Support

The apprentice must:

• confirm they are ready to take the EPA
• have achieved English and mathematics qualifications in line with the apprenticeship funding rules
• have passed Level 3 Diploma in Healthcare Support

For the professional discussion underpinned by a portfolio of evidence, the apprentice must submit a portfolio of evidence. The apprentice must submit the gateway evidence to their EPAO, including any organisation specific policies and procedures requested by the EPAO.

Observation of practice with questions:

• fail
• pass

Professional discussion underpinned by a portfolio of evidence:

• fail
• pass
• distinction

Overall EPA and apprenticeship can be graded:

• fail
• pass
• distinction

Demonstrates working within the scope of practice, the limits of their knowledge and skills, escalating and reporting to others when needed. (K2, S2)

Establishes consent, or checks that consent has been established, from the individual and together with others from the multi-disciplinary team provides safe, person- centred, dignified and non-discriminatory care and support that is informed by the active participation and choices of the individual. (K3, S3, B1)

Implements a duty of care, safeguarding and protection and acts in the best interest of the individual, recognising and reducing the risks of abuse and raising safeguarding and protection concerns in line with organisational procedures. (K4, S4)

Adheres to an individual’s care plan and promotes and monitors the correct, safe access to fluids and nutrition in line with the principles of hydration, nutrition and food safety (K9, S9)

Undertakes physiological measurements on an individual, selecting and using the correct tools or equipment and explains the normal ranges and results (K28, S28)

Responds to limits in mental capacity, taking into account the individual’s condition and needs (K11, S11)

Records, stores, reports, shares or discloses information correctly and in line with policy and legislation, using technology safely and securely and maintaining confidentiality at all times (K21, K22, S21, S22)

Uses, stores and disposes of equipment and supplies safely following local processes. Ensures stocks are supplied and managed (K13, S13)

Moves and handles equipment or other items or assists an individual safely and in line with health and safety legislation (K14, S14)

Delegated nursing care and support for adults

Assists with a tissue viability risk assessment, identifying the factors that lead to tissues being compromised and manages pressure areas to support the structure and function of the skin and underlying tissues. (K30, S30)

Works according to the care plan to assist with wound care for an individual, selecting and using the correct materials and equipment to manage and treat the wound. (K31, S31)

Demonstrates taking and testing specimens in line with the care plan. (K32, S32)

Delegated maternity care and support for women, babies and their families

Assists with a tissue viability risk assessment, identifying the factors that lead to tissues being compromised and manages pressure areas to support the structure and function of the skin and underlying tissues. (K30, S30)

Assists the midwife with engaging and teaching a woman or carer feeding and hygiene needs of babies, parenting skills and/or antenatal and postnatal exercise. (K37, S37)

Assists healthcare professionals with an antenatal, newborn screening and providing information about immunisation to parents in line with local and national services and programmes. (K38, S38)

Supports the maternity team in the maternity environment by maintaining the correct supply of resources, instruments and equipment in line with the local systems and protocols. (K39, S39)

Cares for the physical needs of a baby including the observations and routine checks and reports any abnormalities. (K42, S42)

Delegated peri-operative care and support for individuals

Supports the surgical team by maintaining the sterile field and asepsis by correctly providing surgical instruments and medical devices. (K47, S47)

Supports and monitors a pre-medicated, sedated or unconscious individual. (K49, S49)

Moves, positions or transports an individual or specialist equipment, using the correct techniques within the perioperative environment, before, during or after surgery. (K51, S51)

Demonstrates carrying out and recording counts for swabs, sharps, instruments and disposable items, following correct organisational procedures if any items are unaccounted for. (K53, S53)

Delegated therapeutic techniques and Interventions for individuals to promote mental health recovery

Observes, records and reports changes or barriers in an individual’s mental health using proactive approaches to identify the benefits of early intervention and to manage any behaviour which challenges (K56,S56)

Actively supports an individual with mental ill health and those supporting them to manage their condition at a key stage or time of transition (K57, S57)

Maintains the therapeutic relationship with an individual and their carers or family if appropriate, by using the correct techniques to build, monitor and sustain the relationship (K58, S58)

Demonstrates promoting a recovery based approach which enables an individual to manage their condition (K59, S59)

Delegated clinical and therapeutic activities for children, young people and their families

Assists with a tissue viability risk assessment, identifying the factors that lead to tissues being compromised and manages pressure areas to support the structure and function of the skin and underlying tissues. (K30, S30)

Works according to the care plan to assist with wound care for an individual, selecting and using the correct materials and equipment to manage and treat the wound. (K31, S31)

Demonstrates taking and testing specimens in line with the care plan. (K32, S32)

Engages the child or young person in therapeutic play using the correct techniques to support their learning and development. (K64, S64)

Supports the parent, family or carer of a child or young person to meet the child or young person’s needs, in line with the public health agenda for family centred care and promoting and protecting the health and wellbeing of children and young people, including looked-after children and young carers. (K66, S66)

Applies recognised procedures, tools and equipment to support children or young people either before, during or after diagnostic, clinical or therapeutic procedures. (K67, S67)

Delegated therapeutic activities to support individuals in meeting their optimum potential

Assists with undertaking a clinical risk assessment or management plan in line with the requirements of own work setting and local systems (K69, S69)

Works according to the care plan to identify, order or fit therapeutic equipment or resources for an individual adhering to the correct local systems and criteria for provision (K74, S74)

Uses equipment or resources therapeutically and safely, identifying its correct purpose, function, limitations and contra-indications in line with local policy and procedure (K75, S75)

Carries out a safety check for therapeutic equipment or resources, following the correct protocols to report issues or make adaptions if appropriate (K77, S77)

Delegated clinical activities to support service users and their carers before, during and after diagnostic imaging and/or intervention

Prepares individuals for imaging procedures, including those that maybe pre-medicated, sedated or unconscious in line with protocols, safety requirements and the condition of the individual. (K80, S80)

Supports and positions individuals during imaging procedures, including those that maybe pre-medicated, sedated or unconscious in line with safety requirements and the condition of the individual. (K81, S81)

Provides after care for individuals following imaging procedures in line with the protocols and procedures for onward care incorporating side effects, adverse responses and post-procedural checklists for the relevant imaging procedure undertaken. (K85, S85)

Assists practitioners in setting up and maintaining aseptic or clean area in the imaging environment. (K86, S86)

Assists with undertaking a clinical risk assessment or management plan in line with the requirements of own work setting and local systems. (K90, S90)

Describes how they have actively sought an opportunity to support an individual to maximise their health, taking into account the availability of services and how to make a referral if required (K6, S6)

Outlines how they have participated in the local arrangements for appraisal of performance (K19, S19)

Applies the principles of reflective practice to reflect on and develop their own practice (K20, S20)

Describes how they meet the requirements for providing basic life support, showing an understanding of the techniques and principles required (K16, S16)

Explains a time when they have recognised and responded to a potential conflict, challenging behaviour or escalating situation giving context to the description by describing common causes of conflict and the correct ways to respond to them (K17, S17)

Explains how they have sourced and used a piece of evidence to validate and improve the delivery of care and support within their own scope of practice identifying the principles of investigatory techniques, research and evidence-based practice that they used (K24, S24)

Explains how they have critically appraised a source of information and applied their findings to practice describing the principles of critical thinking and the methods of critical appraisal that they used (K25, S25)

Explains the scope of their own role in relation to mentoring and supervision, explaining the relationship and differences between leadership, management, supervision and mentoring and giving an example of when they have taken a leadership role (K27, S27)

Delegated nursing care and support for adults

Explains the local systems for discharge and transfer of individuals between services, giving an example of when they have contributed to signposting an individual to a relevant agency or service and explaining the availability of services and agencies offered by the wider health and social care system (K34, S34)

Describes how they have recognised and responded to a deterioration in the physical, mental health and wellbeing of an individual, sequencing the signs and symptoms that indicated the deterioration (K35, S35)

Explains how they supported an individual to take responsibility for their own health and wellbeing and to manage their own condition and identifying the impact it had on the individual (K36, S36)

Delegated maternity care and support for women, babies and their families

Describes how they have recognised and responded to a deterioration in the physical, mental health and wellbeing of a woman or baby, sequencing the signs and symptoms that indicated the deterioration. (K35, S35)

Explains how they have supported the personal care of a woman with a urethral catheter describing how they have monitored it regularly and correctly. (K40, S40)

Explains how they have identified the baby and the woman, explaining how and why they provided a wristband or label in line with local security procedures. (K41, S41)

Describes how they support parents and carers to meet the developmental, nutritional and hygiene needs of babies, explaining the benefits of different feeding methods and the importance of skin-to-skin contact in bonding. (K43, S43)

Describes how they worked in partnership with a family or another support service to support individuals in difficult circumstances, bereavement or loss explaining the availability of services and how to access them. (K44, S44)

Describes a time when they have supported the midwife and others in the team during an emergency situation during the pregnancy, labour, birth or postnatal period explaining the situation and the scope of their own role. (K45, S45)

Explains how they measure and record an individual’s body fluid balance, describing the purpose of recording this and the factors that affect input, output and wound drainage (K50, S50)

Describes how they prepare the clinical environment and provide surgical instrumentation for the surgical team, listing the types, purpose and function of surgical instruments and supplementary items used noting the cost implications such as on cost or commissioning of surgical procedures (K52, S52)

Explains the sequence of activities they carried out on an occasion when they have received, handled or dispatched clinical specimens or blood products, listing the type and use of container used and identifying the procedures for labelling, handling, dispatching, recording and reporting used (K54, S54)

Delegated therapeutic techniques and interventions for individuals to promote mental health recovery

Describes how they enable or empower an individual to actively participate in society and how they help the individual to recognise the impact of mental health on themselves and on the family, friendships and life (K60, S60)

Describes a time when they have identified a situation of risk to self or others in the mental health setting and identifies the triggers and the impact of the environment on this occasion explaining the correct actions to take to seek support (K61,S61)

Explains a time when they have involved an individual, their carers or family in the mental health risk management process identifying and listing the types of risk reduction and prevention strategies they used and the impact of these on the individual (K62, S62)

Reflects on how they have reviewed and promoted their own mental health and wellbeing at work explaining the importance of it and the impact it has on their daily work (K63, S63)

Delegated clinical and therapeutic activities for children, young people and their families

Explains the local systems for discharge and transfer of individuals between services, giving an example of when they have contributed to signposting a child or young person to a relevant agency or service and explaining the availability of services and agencies offered by the wider health and social care system. (K34, S34)

Describes how they have recognised and responded to a deterioration in the physical, mental health and wellbeing of a child or young person, sequencing the signs and symptoms that indicated the deterioration. (K35, S35)

Describes how they have supported a child or young person through transitions, showing how they have enabled them to take part in shared or independent decision making. Explains the main life transitions for children and young people and the scope of their own role in relation to the associated legal policy and service frameworks (K65, S65)

Delegated therapeutic activities to support individuals in meeting their optimum potential

Explains how they recognise that mental or physical capacity, health condition, learning disability or overall wellbeing of an individual has impacted on the therapeutic or clinical task, describing any adaptions that they needed to make (K70, S70)

Describes how they facilitate group sessions to support the health and well-being of individuals or communities, explaining the strategies and tools they use to engage them (K72, S72)

Explains how they have supported an individual to engage in the community and access activities or resources in line with their treatment, describing which activities and resources are available and how to access them (K73, S73)

Describes how they demonstrated and taught the safe and appropriate use of therapeutic equipment or resources to an individual, explaining the strategies and tools they used to engage them (K76, S76)

Delegated clinical activities to support service users and their carers before, during and after diagnostic imaging and/or intervention

Explains how they recognise that mental or physical capacity, health condition, learning disability or overall wellbeing of an individual impacts on the therapeutic or clinical task, describing any adaptions that they need to make. (K91, S91)

Describes how they support the multi-disciplinary team in the safe flow of individuals through the imaging environment, explaining the current legislation and best practice in relation to ionising and non-ionising radiation. (K79, S79)

Describes how they support practitioners with the preparation and administration of medicines and contrast agents within the scope of their own role in relation to the regulations, procedures and protocols in the workplace. (K82, S82)

Describes a time when they have administered medicines supplied by a registered practitioner within the scope of their own role and the roles of others in the team. Describes the risks and mitigations of side effects, adverse responses or non-compliance of these medicines. (K83, S83)

Describes a time when they have inserted, flushed and removed a cannula within the scope of their own role and explains the risks and contraindications of cannulation. (K84, S84)

Describes the structure and function of the human body, common pathologies and mechanisms of disease and trauma, in relation to imaging examinations. Reflects on how these impact their role in supporting the multi-disciplinary team in the safe delivery of an imaging service. (K87, S87)

Explains the signs and symptoms that indicate a deterioration in health and well- being of self and others. Describes how they review and promote the health and wellbeing of self and others, including mental health in the workplace. (K88, S88)

• complete on-programme training to meet the KSBs as outlined in the apprenticeship standard for a minimum of 12 months
• complete the required amount of off-the-job training specified by the apprenticeship funding rules and as arranged by the employer and training provider
• understand the purpose and importance of EPA
• prepare for and undertake the EPA including meeting all gateway requirements
• ensure that all supporting evidence required at the gateway is submitted in line with this EPA plan

• select the EPAO and training provider
• work with the training provider (where applicable) to support the apprentice in the workplace and to provide the opportunities for the apprentice to develop the KSBs
• arrange and support off-the-job training to be undertaken by the apprentice
• decide when the apprentice is working at or above the occupational standard and is ready for EPA
• ensure the apprentice is prepared for the EPA
• ensure that all supporting evidence required at the gateway is submitted in line with this EPA plan
• confirm arrangements with the EPAO for the EPA (who, when, where) in a timely manner
• provide access to any employer-specific documentation as required for example, company policies
• ensure that the EPA is scheduled with the EPAO for a date and time which allows appropriate opportunity for the apprentice to meet the KSBs
• ensure the apprentice is given sufficient time away from regular duties to prepare for, and complete the EPA
• ensure that any required supervision during the EPA period, as stated within this EPA plan, is in place
• ensure the apprentice has access to the resources used to fulfil their role and carry out the EPA for workplace based assessments
• remain independent from the delivery of the EPA
• pass the certificate to the apprentice upon receipt from the EPAO

• conform to the requirements of this EPA plan and deliver its requirements in a timely manner
• conform to the requirements of the apprenticeship provider and assessment register
• conform to the requirements of the external quality assurance provider (EQAP)
• understand the apprenticeship including the occupational standard, EPA plan and funding
• make all necessary contractual arrangements including agreeing the price of the EPA
• develop and produce assessment materials including specifications and marking materials (for example mark schemes, practice materials, training material)
• maintain and apply a policy for the declaration and management of conflict of interests and independence. This must ensure, as a minimum, there is no personal benefit or detriment for those delivering the EPA or from the result of an assessment. It must cover:
• apprentices
• employers
• independent assessors
• any other roles involved in delivery or grading of the EPA
• have quality assurance systems and procedures that ensure fair, reliable and consistent assessment and maintain records of internal quality assurance (IQA) activity for external quality assurance (EQA) purposes
• appoint independent, competent, and suitably qualified assessors in line with the requirements of this EPA plan
• appoint administrators, invigilators and any other roles where required to facilitate the EPA
• deliver induction, initial and on-going training for all their independent assessors and any other roles involved in the delivery or grading of the EPA as specified within this EPA plan. This should include how to record the rationale and evidence for grading decisions where required
• conduct standardisation with all their independent assessors before allowing them to deliver an EPA, when the EPA is updated, and at least once a year
• conduct moderation of all their independent assessors’ decisions once EPAs have started
• monitor the performance of all their independent assessors and provide re- training where necessary
• develop and provide assessment recording documentation to ensure a clear and auditable process is in place for providing assessment decisions and feedback to all relevant stakeholders
• use language in the development and delivery of the EPA that is appropriate to the level of the apprenticeship
• arrange for the EPA to take place in a timely manner, in consultation with the employer
• provide information, advice, and guidance documentation to enable apprentices, employers and training providers to prepare for the EPA
• confirm the gateway requirements have been met before they start the EPA for an apprentice
• host and facilitate the EPA or make suitable alternative arrangements
• maintain the security of the EPA including, but not limited to, verifying the identity of the apprentice, invigilation and security of materials
• where the EPA plan permits assessment away from the workplace, ensure that the apprentice has access to the required resources and liaise with the employer to agree this if necessary
• confirm overall grade awarded
• arrange the certification of the apprenticeship
• maintain and apply a policy for conducting appeals

• be independent, with no conflict of interest with the apprentice, their employer or training provider, specifically, they must not receive a personal benefit or detriment from the result of the assessment
• have, maintain and be able to evidence up-to- date knowledge and expertise of the occupation
• have the competence to assess the EPA and meet the requirements of the IQA section of this EPA plan
• understand the apprenticeship’s occupational standard and EPA plan
• attend induction and standardisation events before they conduct an EPA for the first time, when the EPA is updated, and at least once a year
• use language in the delivery of the EPA that is appropriate to the level of the apprenticeship
• work with other personnel, including additional assessors where used, in the preparation and delivery of assessment methods
• conduct the EPA to assess the apprentice against the KSBs and in line with the EPA plan
• make final grading decisions in line with this EPA plan
• record and report assessment outcome decisions
• comply with the IQA requirements of the EPAO
• comply with external quality assurance (EQA) requirements

• conform to the requirements of the apprenticeship provider and assessment register
• ensure procedures are in place to mitigate against any conflict of interest
• work with the employer and support the apprentice during the off-the-job training to provide the opportunities to develop the KSBs as outlined in the occupational standard
• deliver training to the apprentice as outlined in their apprenticeship agreement
• monitor the apprentice’s progress during any training provider led on-programme learning
• ensure the apprentice is prepared for the EPA
• advise the employer, upon request, on the apprentice’s readiness for EPA
• ensure that all supporting evidence required at the gateway is submitted in line with this EPA plan
• remain independent from the delivery of the EPA

Core: The legislation, policies, standards, local ways of working and codes of conduct that apply to own role.

Core: The scope of practice, limitations of own competence, including limitations of own role in relation to medication and who to ask for support.

Core: The principles of ‘person-centred care and support’, including principles of equality, diversity and inclusion, active participation, consent and choice.

Core: The principles of a ‘duty of care’ and ‘safeguarding’, the signs of abuse and ways to reduce the risk of abuse.

Core: National and local definitions of health and well-being and priorities for promoting public health and reducing inequalities.

Core: The availability of services to support individuals with lifestyle choices and how to make a referral if required.

Core: The signs and symptoms that an individual’s health and wellbeing is changing, including the role of prescribed medication.

Core: The signs and symptoms that an individual is in pain, distress or discomfort.

Core: The principles of hydration, nutrition and food safety.

Core: Communication techniques to maximise understanding including for individuals with specific communication needs or wishes.

Core: The meaning of ‘capacity’, the differences between mental illness, dementia and learning disability and the impact of these conditions on an individual’s needs.

Core: The principles of infection prevention and control and the importance of good personal hygiene, hand hygiene and correct use of personal protective equipment (PPE).

Core: Local systems and processes to manage the supply, storage, use and safe disposal of stocks and supplies.

Core: The principles of safe moving and assisting individuals and moving and handling equipment.

Core: The meaning of ‘risk’ in the workplace, ways to raise concerns and own responsibilities in relation to incidents, errors and near misses.

Core: Techniques and principles to safely perform basic life support.

Core: The common causes of conflict and how to respond to them in the workplace.

Core: The importance of continuing personal and professional development.

Core: The local arrangements for appraisal of performance in the workplace.

Core: The principles of reflective practice.

Core: Ways to record and store information securely, including the safe use of technology.

Core: The principles of confidentiality, duty of confidence and disclosure.

Core: The principles of ‘quality improvement’ and ways to measure quality in the workplace.

Core: The principles of investigatory techniques, research and evidence-based practice, and how to access existing evidence and use it to validate and improve practice

Core: The principles of critical thinking and methods of critical appraisal.

Core: The principles and styles of leadership in relation to own role and place of work.

Core: The relationship and differences between leadership, management, supervision and mentoring.

Core: The physiological states, their normal ranges and the correct tools or equipment to use to measure them.

Options 1 and 5: Adult nursing support and children and young people support: The activities of daily living and ways to support individuals to develop and maintain their independence in carrying out these activities.

Options 1, 2 and 5: Adult nursing support, maternity support and children and young people support: The structure and function of the skin and underlying tissues and factors that lead to tissues being compromised.

Options 1 and 5: Adult nursing support and children and young people support: The principles of wound management and the equipment and materials that are used to treat wounds.

Options 1, 2 and 5: Adult nursing support, maternity support and children and young people support: Methods for taking and testing specimens.

Options 1 and 5: Adult nursing support and children and young people support: The end-of-life phase and the factors which impact care during the end of life phase.

Options 1, 2, 5 and 6: Adult nursing support, maternity support, children and young people support and allied health professional therapy support: Local systems for discharge and transfer and the availability of services and agencies offered by the wider health and social care system.

Options 1, 2, 4 and 5: Adult nursing support, maternity support, mental health support and children and young people support: The signs and symptoms that indicate an individual’s physical or mental health and wellbeing are deteriorating.

Option 1: Adult nursing support: How to support adults to take responsibility for their own health and wellbeing.

Option 2: Maternity support: Strategies to engage women and carers in feeding, bathing, parenting and self-care such as antenatal and postnatal exercise.

Option 2: Maternity support: Local and national antenatal and newborn screening services and immunisation programmes.

Option 2: Maternity support: Local systems and protocols to maintain the maternity environment including procedures to maintain the supply of resources, instruments and equipment.

Option 2: Maternity support: The purpose of a urethral catheter and the importance of regular monitoring.

Option 2: Maternity support: Local security procedures for women and babies including systems for woman and baby identification.

Option 2: Maternity support: The routine checks and observations undertaken for a healthy baby such as cord care, eye care, oral hygiene, stools and signs of neo-natal jaundice.

Option 2: Maternity support: The nutritional and hygiene needs of babies, the benefits of different feeding methods and the importance of skin-to-skin contact in bonding.

Option 2: Maternity support: The principles of supporting families at difficult times, bereavement and loss and the availability of other support services.

Option 2: Maternity support: The scope of their own role in an emergency situation during pregnancy, labour, birth or the postnatal period.

Option 3: Theatre support: Local systems and protocols for completing pre- and post-operative checklists.

Option 3: Theatre support: The principles of asepsis and maintenance of the sterile field in relation to the provision of surgical instrumentation and medical devices to the surgical team.

Option 3: Theatre support: Local systems and protocols for team briefing, patient sign in, timeout, sign out and debriefing.

Option 3: Theatre support: The effects of pre-medication, sedation and anaesthesia on individuals.

Option 3: Theatre support: The purpose for recording an individual’s body fluid and factors that affect input, output and wound drainage.

Option 3: Theatre support: Techniques used in the peri- operative environment to position individuals and specialist equipment for before, during and after surgery.

Option 3: Theatre support: The types, purpose and function of surgical instruments and supplementary items used in theatre such as the cost implications of items used and the impact on the commissioning of surgical procedures.

Option 3: Theatre support: The importance of identification, measurement, accounting for and recording swabs, sharps, instruments or other disposable items used and the actions to take if one is missing.

Option 3: Theatre support: Types and uses of containers for transport, procedures for labelling, handling, dispatching recording and reporting for clinical specimens and blood products.

Option 4: Mental health support: The nature of mental health and well-being and the main forms of mental ill health according to the psychiatric International Classification of Diseases and Diagnostic and Statistical Manual of Mental Disorders (DSM/ICD) classification system.

Option 4: Mental health support: The main interventions in mental health and well-being and the benefits of early intervention.

Option 4: Mental health support: The needs of individuals with mental ill health and those supporting them at key stages and through times of change or transition.

Option 4: Mental health support: Techniques used to build, monitor and sustain therapeutic relationships with individuals, carers and their families.

Option 4: Mental health support: The factors that facilitate an individual’s recovery experience.

Option 4: Mental health support: The impact of the individual’s mental ill-health on their life, family, friendships and active participation in society.

Option 4: Mental health support: Risk factors of harm to self or others, a range of triggers and consideration of the impact of the environment.

Option 4: Mental health support: Prevention and risk reduction strategies which involve the individual and others, such as suicide mitigation, behaviours which challenge, substance misuse and self-neglect and reduction of restrictive practices.

Option 4: Mental health support: The importance of own mental health and wellbeing when working in mental health services.

Option 5: Children and young people support: Principles and techniques to engage children and young people in therapeutic play.

Option 5: Children and young people support: The main life transitions for children and young people and the importance of involving the child or young person in their own care in line with legal policy and service frameworks for children and young people.

Option 5: Children and young people support: The importance of family-centered care and the role of the public health agenda in promoting and protecting the health and wellbeing of children and young people, to include looked-after children and young carers.

Option 5: Children and young people support: The expected physical, cognitive, language, emotional, social and developmental milestones, the tools and equipment to measure and assess them and how to adapt practice to meet additional needs.

Option 6: Allied health professional therapy support: The care planning process and therapeutic strategies used within own role to promote and enable independence, self-management, social integration, recovery and skills for everyday life.

Option 6: Allied health professional therapy support: Local systems for undertaking clinical risk assessments and management plans relevant to own work setting.

Option 6: Allied health professional therapy support: The potential impact of mental and physical capacity, health condition, learning disability or overall wellbeing on therapeutic or clinical interventions.

Option 6: Allied health professional therapy support: Strategies and approaches to rehabilitate or maximise an individual’s function.

Option 6: Allied health professional therapy support: Strategies and tools available to engage individuals or communities in group sessions.

Option 6: Allied health professional therapy support: Activities and resources available within the community and the means to access them.

Option 6: Allied health professional therapy support: Local systems for sourcing, ordering and fitting therapeutic equipment and resources and the criteria for provision.

Option 6: Allied health professional therapy support: The purpose and function of the therapeutic equipment and resources available, including its limitations and contra-indications.

Option 6: Allied health professional therapy support: Strategies and tools available to engage individuals in learning how to use therapeutic equipment and resources.

Option 6: Allied health professional therapy support: Protocols for checking, reporting and adapting therapeutic equipment and resources.

Option 7: Diagnostic imaging support: The procedures and protocols for undertaking quality checks on equipment, the procedures and protocols for working safely in the imaging environment.

Option 7: Diagnostic imaging support: An awareness of ionising and non-ionising radiation and how these are safely applied to imaging examinations across a patient pathway.

Option 7: Diagnostic imaging support: The correct clothing, hygiene, fluid, nutrition protocols, safety equipment requirements relevant to the imaging procedure and the condition of the individual, including the correct use of pre- and post- procedural checklists.

Option 7: Diagnostic imaging support: Techniques and equipment used to position individuals in line with the safety requirements of the procedure, the physical and mental condition of the individual and how this may impact on the imaging procedure.

Option 7: Diagnostic imaging support: The regulations procedures and protocols for the safe preparation and administration of medicines and contrast agents.

Option 7: Diagnostic imaging support: Roles and responsibilities in the safe supply, management and administration of medicines, the range of procedures where these are used and the risks and mitigations of side effects, adverse response or non-compliance.

Option 7: Diagnostic imaging support: The risks and contra- indications of cannulation and the equipment and techniques used to cannulate/remove cannulas.

Option 7: Diagnostic imaging support: The risks and mitigations of side effects, adverse responses or non-compliance associate with imaging procedure, the correct use of post-procedural checklists and the protocols and procedures for onward care relevant to the imaging procedure undertaken.

Option 7: Diagnostic imaging support: The principles of asepsis and maintenance of the sterile field or clean area in relation to imaging equipment and materials.

Option 7: Diagnostic imaging support: The structure and function of the human body in health, disease and trauma, as well as common pathologies and mechanisms of disease and trauma, in relation to imaging examinations.

Option 7: Diagnostic imaging support: The importance of recognising the signs and symptoms that indicate a deterioration in the health and wellbeing of self and others, including mental health.

Option 7: Diagnostic imaging support: Local systems and protocols for team briefing, patient sign in, timeout, sign out and debriefing.

Option 7: Diagnostic imaging support: Local systems for undertaking clinical risk assessments and management plans relevant to own work setting.

Option 7: Diagnostic imaging support: The potential impact of mental and physical capacity, health condition, learning disability or overall wellbeing on therapeutic or clinical interventions.

Core: Work in line with legislation, policies, standards, local ways of working and codes of conduct that apply to own role.

Core: Work within the scope of practice, the limits of own knowledge and skills, escalating and reporting to others when needed.

Core: Work as part of a multi-disciplinary team to provide safe and non-discriminatory person-centered care and support with individuals’ established consent.

Core: Implement a duty of care, recognising and responding to safeguarding and protection concerns and acting in the best interest of individuals to ensure they do not come to harm.

Core: Support individuals to make informed and positive lifestyle choices.

Core: Actively seek out and act on opportunities to support individuals to maximise their health, well-being and positive lifestyle choices.

Core: Recognise and respond to changes in an individual’s health and wellbeing.

Core: Recognise and respond to the signs and symptoms that an individual is in pain, distress or discomfort to maximise comfort and well-being.

Core: Promote and monitor access to fluids and nutrition in line with an individual’s care plan.

Core: Communicate with individuals, their families, carers and others in the workplace using techniques designed to facilitate understanding.

Core: Recognise and respond to limitations in an individual’s mental capacity.

Core: Maintain a safe and healthy working environment, using infection prevention and control techniques including hand washing, sanitisation, disinfection and personal protective equipment (PPE).

Core: Maintain the safe supply, storage, use and disposal of supplies and equipment.

Core: Move and handle equipment or other items safely and assist individuals.

Core: Take appropriate action in response to concerns, risks, incidents or errors and near misses arising in the workplace.

Core: Perform basic life support techniques.

Core: Recognise and respond to potential conflict, challenging behaviour or an escalating situation.

Core: Undertake own training and development activities and contribute to the training and development of others.

Core: Participate in appraisal to support professional development.

Core: Reflect on and develop your own practice.

Core: Record and store information related to individuals securely, including the safe use of technology.

Core: Report and share information related to individuals securely and in line with local and national policies, maintaining confidentiality, duty of confidence and disclosure.

Core: Participate in and support others with quality improvement activities in the workplace.

Core: Use investigatory techniques to source evidence to validate and improve the delivery of care and support within own scope of practice.

Core: Critically appraise sources of information and apply to practice.

Core: Provide leadership and act as a role model for others within the scope of own role.

Core: Contribute to mentoring and supervision of others in the workplace within the scope of own role.

Core: Undertake physiological measurements, selecting and using the correct tools or equipment.

Options 1 and 5: Adult nursing support and children and young people support: Support individuals with activities of daily living to develop and maintain their independence in line with their desired outcomes and plan of care.

Options 1, 2 and 5: Adult nursing support, maternity support and children and young people support: Assist with tissue viability risk assessments and manage pressure areas.

Options 1 and 5: Adult nursing support and children and young people support: Assist with wound care in line with the care plan.

Options 1, 2 and 5: Adult nursing support, maternity support and children and young people support: Obtain and test specimens in line with the care plan.

Options 1, and 5: Adult nursing support and children and young people support: Provide care and support for individuals and their family during the end-of-life phase.

Options 1, 2, 5 and 6: Adult nursing support, maternity support, children and young people support and allied health professional therapy support: Contribute to signposting to relevant agencies and, discharge or transfer of individuals between services, in line with their care plan.

Options 1, 2, 4 and 5: Adult nursing support, maternity support, mental health support and children and young people support: Recognise and respond to deteriorations in physical health, mental health and wellbeing.

Option 1: Adult nursing support: Support adults to take responsibility for their own health and wellbeing and for managing their own condition.

Option 2: Maternity support: Assist the midwife with teaching, feeding and hygiene needs of babies-parenting skills and antenatal and postnatal exercise.

Option 2: Maternity support: Assist health care professionals with antenatal and newborn screening and provide information to parents about immunisation activities.

Option 2: Maternity support: Provide support to the maternity team by maintaining the supply of resources, instruments and equipment.

Option 2: Maternity support: Support personal care such as providing care for women with urethral catheters.

Option 2: Maternity support: Identify the baby and provide wristband or label in line with local security procedures.

Option 2: Maternity support: Care for the physical needs of babies by undertaking routine healthy baby observations and reporting any abnormalities.

Option 2: Maternity support: Support parents and carers to meet the developmental, nutritional and hygiene needs of babies.

Option 2: Maternity support: Work in partnership with families and other support services to support individuals in difficult circumstances, bereavement and loss.

Option 2: Maternity support: Provide support to the midwife and others in the multi-disciplinary team in an emergency situation during pregnancy, labour, birth or the postnatal period.

Option 3: Theatre support: Complete pre- and post-operative checklists.

Option 3: Theatre support: Support the surgical team to maintain the sterile field.

Option 3: Theatre support: Participate in team briefing, patient sign in, timeout, sign out and debriefing.

Option 3: Theatre support: Support and monitor the pre- medicated, sedated and unconscious individual.

Option 3: Theatre support: Measure and record an individual’s body fluid balance.

Option 3: Theatre support: Move, position and transport individuals and specialist equipment before, during and after surgery.

Option 3: Theatre support: Prepare the clinical environment and provide surgical instrumentation and supplementary items for the surgical team.

Option 3: Theatre support: Carry out counts for swabs, sharps, instruments and disposable items and take action if something is missing.

Option 3: Theatre support: Assist in receiving, handling and dispatching clinical specimens or blood products.

Option 4: Mental health support: Use strategies and tools to promote mental wellbeing and to support individuals with mental ill health.

Option 4: Mental health support: Observe, record and report changes and barriers, using proactive approaches to manage behaviour which challenges.

Option 4: Mental health support: Take an active approach in supporting individuals to manage their condition.

Option 4: Mental health support: Build, monitor and sustain therapeutic relationships with individuals, carers and their families.

Option 4: Mental health support: Promote a recovery-based approach that enables the individual to manage their condition.

Option 4: Mental health support: Enable and empower individuals to actively participate in society and recognise the impact of mental health on them and others.

Option 4: Mental health support: Identify situations of risk to yourself or others and take action including seeking support.

Option 4: Mental health support: Involve the individual, carers and family members in risk management processes.

Optoon 4: Mental health support: Review and promote your own mental health and wellbeing.

Option 5: Children and young people support: Support the development of children and young people through therapeutic play and learning.

Option 5: Children and young people support: Support children and young people through transitions by enabling shared or independent decision making.

Option 5: Children and young people support: Support parents, families and carers to meet the needs of children and young people.

Option 5: Children and young people support: Support children and young people before, during or after diagnostic, clinical or therapeutic procedures.

Option 6: Allied health professional therapy support: Provide therapeutic support in line with care plans to encourage independence, self-management and skills for everyday life.

Option 6: Allied health professional therapy support: Assist with undertaking clinical risk assessments and management plans.

Option 6: Allied health professional therapy support: Recognise the impact of mental or physical capacity, health condition, learning disability or overall wellbeing on the therapeutic or clinical task or intervention and when to adapt.

Option 6: Allied health professional therapy support: Enable individuals to meet optimum potential.

Option 6: Allied health professional therapy support: Facilitate group sessions to support health and well-being of individuals or communities.

Option 6: Allied health professional therapy support: Support people to engage in the community and access activities or resources in line with their treatment goals.

Option 6: Allied health professional therapy support: Identify, order or fit therapeutic equipment and resources in line with the individual’s care plan.

Option 6: Allied health professional therapy support: Use equipment and resources therapeutically in a safe way in line with local policy and procedure.

Option 6: Allied health professional therapy support: Demonstrate and teach the safe and appropriate use of therapeutic equipment and resources.

Option 6: Allied health professional therapy support: Complete safety checks for therapeutic equipment and resources, following protocols to report issues or make adaptations if appropriate.

Option 7: Diagnostic imaging support: Assist and support the multi-disciplinary team in the safe and effective operation and maintenance of the imaging environment.

Option 7: Diagnostic imaging support: Support the multi- disciplinary team in the safe flow of individuals through the imaging environment, recognising and complying with current legislation and best practice.

Option 7: Diagnostic imaging support: Prepare individuals for imaging procedures, including those that maybe pre- medicated, sedated or unconscious.

Option 7: Diagnostic imaging support: Support and position individuals during imaging procedures, including those that maybe pre-medicated, sedated or unconscious.

Option 7: Diagnostic imaging support: Support practitioners with the preparation and administration of medicines and contrast agents within the scope of own role.

Option 7: Diagnostic Imaging Support: Administer medicines supplied by a registered practitioner within the scope of own role.

Option 7: Diagnostic imaging support: Insert, flush and remove cannulas in line with local protocols and within the scope of own role.

Option 7: Diagnostic imaging support: Provide after care for individuals following imaging procedures.

Option 7: Diagnostic imaging support: Assist practitioners in setting up and maintaining aseptic or clean area in the imaging environment.

Option 7: Diagnostic imaging support: Support the multi- disciplinary team in the safe delivery of an imaging service.

Option 7: Diagnostic imaging support: Review and promote the health and wellbeing of self and others, including mental health.

Option 7: Diagnostic imaging support: Participate in team briefing, patient sign in, timeout, sign out and debriefing.

Option 7: Diagnostic imaging support: Assist with undertaking clinical risk assessments and management plans.

Option 7: Diagnostic imaging support: Recognise the impact of mental or physical capacity, health condition, learning disability or overall wellbeing on the therapeutic or clinical task or intervention and when to adapt.

Core: Treat people with dignity.

Core: Show respect and empathy.

Core: Be adaptable, reliable and consistent.

Working to protocol

Core: The scope of practice, limitations of own competence, including limitations of own role in relation to medication and who to ask for support. (K2)

Core: The principles of ‘person-centred care and support’, including principles of equality, diversity and inclusion, active participation, consent and choice. (K3)

Core: The principles of a ‘duty of care’ and ‘safeguarding’, the signs of abuse and ways to reduce the risk of abuse. (K4)

Core: Work within the scope of practice, the limits of own knowledge and skills, escalating and reporting to others when needed. (S2)

Core: Work as part of a multi-disciplinary team to provide safe and non- discriminatory person-centered care and support with individuals’ established consent. (S3)

Core: Implement a duty of care, recognising and responding to safeguarding and protection concerns and acting in the best interest of individuals to ensure they do not come to harm. (S4)

Supporting individuals

Core: The signs and symptoms that an individual is in pain, distress or discomfort. (K8)

Core: The principles of hydration, nutrition and food safety. (K9)

Core: The physiological states, their normal ranges and the correct tools or equipment to use to measure them. (K28)

Core: Recognise and respond to the signs and symptoms that an individual is in pain, distress or discomfort to maximise comfort and well-being. (S8)

Core: Promote and monitor access to fluids and nutrition in line with an individual’s care plan. (S9)

Core: Undertake physiological measurements, selecting and using the correct tools or equipment. (S28)

Communication

Core: The meaning of ‘capacity’, the differences between mental illness, dementia and learning disability and the impact of these conditions on an individual’s needs. (K11)

Core: Ways to record and store information securely, including the safe use of technology. (K21)

Core: The principles of confidentiality, duty of confidence and disclosure. (K22)

Core: Recognise and respond to limitations in an individual’s mental capacity. (S11)

Core: Record and store information related to individuals securely, including the safe use of technology. (S21)

Core: Report and share information related to individuals securely and in line with local and national policies, maintaining confidentiality, duty of confidence and disclosure. (S22)

Health and safety

Core: Local systems and processes to manage the supply, storage, use and safe disposal of stocks and supplies. (K13)

Core: The principles of safe moving and assisting individuals and moving and handling equipment. (K14)

Core: Maintain the safe supply, storage, use and disposal of supplies and equipment. (S13)

Core: Move and handle equipment or other items safely and assist individuals. (S14)

Delegated nursing care and support for adults

Options 1, 2 and 5: Adult nursing support, maternity support and children and young people support: The structure and function of the skin and underlying tissues and factors that lead to tissues being compromised. (K30)

Options 1 and 5: Adult nursing support and children and young people support: The principles of wound management and the equipment and materials that are used to treat wounds. (K31)

Options 1, 2 and 5: Adult nursing support, maternity support and children and young people support: Methods for taking and testing specimens. (K32)

Options 1, 2 and 5: Adult nursing support, maternity support and children and young people support: Assist with tissue viability risk assessments and manage pressure areas. (S30)

Options 1 and 5: Adult nursing support and children and young people support: Assist with wound care in line with the care plan (S31)

Options 1, 2 and 5: Adult nursing support, maternity support and children and young people support: Obtain and test specimens in line with the care plan. (S32)

Delegated maternity care and support for women, babies and their families

Options 1, 2 and 5: Adult nursing support, maternity support and children and young
people support: Methods for taking and testing specimens. (K32)

Option 2: Maternity support: Strategies to engage women and carers in feeding, bathing, parenting and self-care such as antenatal and postnatal exercise. (K37)

Option 2: Maternity support: Local and national antenatal and newborn screening services and immunisation programmes. (K38)

Option 2: Maternity support: Local systems and protocols to maintain the maternity environment including procedures to maintain the supply of resources, instruments and equipment. (K39)

Option 2: Maternity support: The routine checks and observations undertaken for a healthy baby such as cord care, eye care, oral hygiene, stools and signs of neo-natal jaundice. (K42)

Option 2: Maternity support: Assist the
midwife with teaching, feeding and hygiene needs of babies-parenting
skills and antenatal and postnatal exercise. (S37)

Option 2: Maternity support: Assist health care professionals with antenatal and newborn screening and provide information to parents about immunisation activities. (S38)

Option 2: Maternity support: Provide support to the maternity team by maintaining the supply of resources, instruments and equipment. (S39)

Option 2: Maternity support: Care for the physical needs of babies by undertaking routine healthy baby observations and reporting any abnormalities. (S42)

Delegated peri- operative care and support for individuals

Option 3: Theatre support: The principles of asepsis and maintenance of the sterile field in relation to the provision of surgical instrumentation and medical devices to the surgical team. (K47)

Option 3: Theatre support: The effects of pre-medication, sedation and anesthesia on individuals. (K49)

Option 3: Theatre support: Techniques used in the peri- operative environment to position individuals and specialist equipment for before, during and after surgery. (K51)

Option 3: Theatre support: The importance of identification, measurement, accounting for and recording swabs, sharps, instruments or other disposable items used and the actions to take if one is missing. (K53)

Option 3: Theatre support: Support the surgical team to maintain the sterile field. (S47)

Option 3: Theatre support: Support and monitor the pre- medicated, sedated and unconscious individual. (S49)

Option 3: Theatre support: Move, position and transport individuals and specialist equipment before, during and after surgery. (S51)

Option 3: Theatre support: Carry out counts for swabs, sharps, instruments and disposable items and take action if something is missing. (S53)

Delegated therapeutic techniques and interventions for individuals to promote mental health recovery

Option 4: Mental health support: The needs of individuals with mental ill health and those supporting them at key stages and through times of change or transition. (K57)

Option 4: Mental health support: Techniques used to build, monitor and sustain therapeutic relationships with individuals, carers and their families. (K58)

Option 4: Mental health support: The factors that facilitate an individual’s recovery experience. (K59)

Option 4: Mental health support: Observe, record and report changes and barriers, using proactive approaches to manage behaviour which challenges. (S56)

Option 4: Mental health support: Take an active approach in supporting individuals to manage their condition. (S57)

Option 4: Mental health support: Build, monitor and sustain therapeutic relationships with individuals, carers and their families. (S58)

Option 4: Mental health support: Promote a recovery- based approach that enables the individual to manage their condition. (S59)

Delegated clinical and therapeutic activities for children, young people and their families

Options 1, 2 and 5: Adult nursing support, maternity support and children and young people support: The structure and function of the skin and underlying tissues and factors that lead to tissues being compromised. (K30)

Options 1 and 5: Adult nursing support and children and young people support: The principles of wound management and the equipment and materials that are used to treat wounds. (K31)

Options 1, 2 and 5: Adult nursing support, maternity support and children and young people support: Methods for taking and testing specimens. (K32)

Option 5: Children and young people support: Principles and techniques to engage children and young people in therapeutic play. (K64)

Option 5: Children and young people support: The importance of family-centered care and the role of the public health agenda in promoting and protecting the health and wellbeing of children and young people, to include looked-after children and young carers. (K66)

Option 5: Children and young people support: The expected physical, cognitive, language, emotional, social and developmental milestones, the tools and equipment to measure and assess them and how to adapt practice to meet additional needs. (K67)

Options 1, 2 and 5: Adult nursing support, maternity support and children and young people support: Assist with tissue viability risk assessments and manage pressure areas. (S30)

Options 1 and 5: Adult nursing support and children and young people support: Assist with wound care in line with the care plan. (S31)

Options 1, 2 and 5: Adult nursing support, maternity support and children and young people support: Obtain and test specimens in line with the care plan. (S32)

 Delegated therapeutic activities to support individuals in meeting their optimum potential

Option 6: Allied health professional therapy support: Local systems for undertaking clinical risk assessments and management plans relevant to own work setting. (K69)

Option 6: Allied health professional therapy support: Strategies and approaches to rehabilitate or maximise an individual’s function. (K71)

Option 6: Allied health professional therapy support: Local systems for sourcing, ordering and fitting therapeutic equipment and resources and the criteria for provision. (K74)

Option 6: Allied health professional therapy support: The purpose and function of the therapeutic equipment and resources available, including its limitations and contra- indications. (K75)

Option 6: Allied health professional therapy support: Protocols for checking, reporting and adapting therapeutic equipment and resources. (K77)

Option 6: Allied health professional therapy support: Assist with undertaking clinical risk assessments and management plans. (S69)

Option 6: Allied health professional therapy support: Enable individuals to meet optimum potential. (S71)

Option 6: Allied health professional therapy support: Identify, order or fit therapeutic equipment and resources in line with the individual’s care plan. (S74)

Option 6: Allied health professional therapy support: Use equipment and resources therapeutically in a safe way in line with local policy and procedure. (S75)

Option 6: Allied health professional therapy support: Complete safety checks for therapeutic equipment and resources, following protocols to report issues or make adaptations if appropriate. (S77)

Delegated clinical activities to support service users and their carers before, during and after diagnostic imaging and or intervention

Option 7: Diagnostic imaging support: The correct clothing, hygiene, fluid, nutrition protocols, safety equipment requirements relevant to the imaging procedure and the condition of the individual, including the correct use of pre- and post- procedural checklists. (K80)

Option 7: Diagnostic imaging support: Techniques and equipment used to position individuals in line with the safety requirements of the procedure, the physical and mental condition of the individual and how this may impact on the imaging procedure. (K81)

Option 7: Diagnostic imaging support: The risks and mitigations of side effects, adverse responses or non- compliance associate with imaging procedure, the correct use of post-procedural checklists and the protocols and procedures for onward care relevant to the imaging procedure undertaken. (K85)

Option 7: Diagnostic imaging support: The principles of asepsis and maintenance of the sterile field or clean area in relation to imaging equipment and materials. (K86)

Option 7: Diagnostic imaging support: Local systems for undertaking clinical risk assessments and management plans relevant to own work setting. (K90)

Option 7: Diagnostic imaging support: Prepare individuals for imaging procedures, including those that maybe pre-medicated, sedated or unconscious. (S80)

Option 7: Diagnostic imaging support: Support and position individuals during imaging procedures, including those that maybe pre- medicated, sedated or unconscious. (S81)

Option 7: Diagnostic imaging support: Provide after care for individuals following imaging procedures. (S85)

Option 7: Diagnostic imaging support: Assist practitioners in setting up and maintaining aseptic or clean area in the imaging environment. (S86)

Option 7: Diagnostic imaging support: Assist with undertaking clinical risk assessments and management plans. (S90)

Promote health and wellbeing

Core: The availability of services to support individuals with lifestyle choices and how to make a referral if required. (K6)

Core: Actively seek out and act on opportunities to support individuals to maximise their health, well-being and positive lifestyle choices. (S6)

Continuing professional development and reflective practice

Core: The local arrangements for appraisal of performance in the workplace. (K19)

Core: The principles of reflective practice. (K20)

Core: Participate in appraisal to support professional development. (S19)

Core: Reflect on and develop your own practice. (S20)

Risk management

Core: Techniques and principles to safely perform basic life support. (K16)

Core: The common causes of conflict and how to respond to them in the workplace. (K17)

Core: Perform basic life support techniques. (S16)

Core: Recognise and respond to potential conflict, challenging behaviour or an escalating situation. (S17)

Quality Improvement

Core: The principles of investigatory techniques, research and evidence-based practice, and how to access existing evidence and use it to validate and improve practice (K24)

Core: The principles of critical thinking and methods of critical appraisal. (K25)

Core: Use investigatory techniques to source evidence to validate and improve the delivery of care and support within own scope of practice. (S24)

Core: Critically appraise sources of information and apply to practice. (S25)

Teamwork, role modelling and leadership

Core: The relationship and differences between leadership, management, supervision and mentoring. (K27)

Core: Contribute to mentoring and supervision of others in the workplace within the scope of own role. (S27)

Delegated nursing care and support for adults

Options 1, 2, 5 and 6: Adult nursing support, maternity support, children and young people support and allied health professional therapy support: Local systems for discharge and transfer and the availability of services and agencies offered by the wider health and social care system. (K34)

Options 1, 2, 4 and 5: Adult nursing support, maternity support, mental health support and children and young people support: The signs and symptoms that indicate an individual’s physical or mental health and wellbeing are deteriorating. (K35)

Option 1: Adult nursing support: How to support adults to take responsibility for their own health and wellbeing. (K36)

Options 1, 2, 5 and 6: Adult nursing support, maternity support, children and young people support and allied health professional therapy support: Contribute to signposting to relevant agencies and, discharge or transfer of individuals between services, in line with their care plan. (S34)

Options 1, 2, 4 and 5: Adult nursing support, maternity support, mental health support and children and young people support: Recognise and respond to deteriorations in physical health, mental health and wellbeing. (S35)

Option 1: Adult nursing support: Support adults to take responsibility for their own health and wellbeing and for managing their own condition. (S36)

Delegated maternity care and support for women, babies and their families

Options 1, 2, 4 and 5: Adult nursing support, maternity support, mental health support and children and young people support: The signs and symptoms that indicate an individual’s physical or mental health and wellbeing are deteriorating. (K35)

Option 2: Maternity support: The purpose of a urethral catheter and the importance of regular monitoring. (K40)

Option 2: Maternity support: Local security procedures for women and babies including systems for woman and baby identification. (K41)

Option 2: Maternity support: The nutritional and hygiene needs of babies, the benefits of different feeding methods and the importance of skin to skin contact in bonding. (K43)

Option 2: Maternity support: The principles of supporting families at difficult times, bereavement and loss and the availability of other support services. (K44)

Option 2: Maternity support: The scope of their own role in an emergency situation during pregnancy, labour, birth or the postnatal period. (K45)

Options 1, 2, 4 and 5: Adult nursing support, maternity support, mental health support and children and young people support: Recognise and respond to deteriorations in physical health, mental health and wellbeing. (S35)

Option 2: Maternity support: Support personal care such as providing care for women with urethral catheters. (S40)

Option 2: Maternity support: Identify the baby and provide wristband or label in line with local security procedures. (S41)

Option 2: Maternity support: Support parents and carers to meet the developmental, nutritional and hygiene needs of babies. (S43)

Option 2: Maternity support: Work in partnership with families and other support services to support individuals in difficult circumstances, bereavement and loss. (S44)

Option 2: Maternity support: Provide support to the midwife and others in the multi-disciplinary team in an emergency situation during pregnancy, labour, birth or the postnatal period. (S45)

Delegated peri- operative care and support for individuals

Option 3: Theatre support: The purpose for recording an individual’s body fluid and factors that affect input, output and wound drainage. (K50)

Option 3: Theatre support: The types, purpose and function of surgical instruments and supplementary items used in theatre such as the cost implications of items used and the impact on the commissioning of surgical procedures. (K52)

Option 3: Theatre support: Types and uses of containers for transport, procedures for labelling, handling, dispatching recording and reporting for clinical specimens and blood products. (K54)

Option 3: Theatre support: Measure and record an individual’s body fluid balance. (S50)

Option 3: Theatre support: Prepare the clinical environment and provide surgical instrumentation and supplementary items for the surgical team. (S52)

Option 3: Theatre support: Assist in receiving, handling and dispatching clinical specimens or blood products. (S54)

Delegated therapeutic techniques and interventions for individuals to promote mental health recovery

Option 4: Mental health support: The impact of the individual’s mental ill- health on their life, family, friendships and active participation in society. (K60)

Option 4: Mental health support: Risk factors of harm to self or others, a range of triggers and consideration of the impact of the environment. (K61)

Option 4: Mental health support: Prevention and risk reduction strategies which involve the individual and others, such as suicide mitigation, behaviours which challenge, substance misuse and self-neglect and reduction of restrictive practices. (K62)

Option 4: Mental health support: The importance of own mental health and wellbeing when working in mental health services. (K63)

Option 4: Mental health support: Enable and empower individuals to actively participate in society and recognise the impact of mental health on them and others. (S60)

Option 4: Mental health support: Identify situations of risk to yourself or others and take action including seeking support. (S61)

Option 4: Mental health support: Involve the individual, carers and family members in risk management processes. (S62)

Option 4: Mental health support: Review and promote your own mental health and wellbeing. (S63)

Delegated clinical and therapeutic activities for children, young people and their families

Options 1, 2, 5 and 6: Adult nursing support, maternity support, children and young people support and allied health professional therapy support: Local systems for discharge and transfer and the availability of services and agencies offered by the wider health and social care system. (K34)

Options 1, 2, 4 and 5: Adult nursing support, maternity support, mental health support and children and young people support: The signs and symptoms that indicate an individual’s physical or mental health and wellbeing are deteriorating. (K35)

Option 5: Children and young people support: The main life transitions for children and young people and the importance of involving the child or young person in their own care in line with legal policy and service frameworks for children and young people. (K65)

Options 1, 2, 5 and 6: Adult nursing support, maternity support, children and young people support and allied health professional therapy support: Contribute to signposting to relevant agencies and, discharge or transfer of individuals between services, in line with their care plan. (S34)

Options 1, 2, 4 and 5: Adult nursing support, maternity support, mental health support and children and young people support: Recognise and respond to deteriorations in physical health, mental health and wellbeing. (S35)

Option 5: Children and young people support: Support children and young people through transitions by enabling shared or independent decision making. (S65)

Delegated therapeutic activities to support individuals in meeting their optimum potential

Option 6: Allied health professional therapy support: The potential impact of mental and physical capacity, health condition, learning disability or overall wellbeing on therapeutic or clinical interventions. (K70)

Option 6: Allied health professional therapy support: Strategies and tools available to engage individuals or communities in group sessions. (K72)

Option 6: Allied health professional therapy support: Activities and resources available within the community and the means to access them. (K73)

Option 6: Allied health professional therapy support: Strategies and tools available to engage individuals in learning how to use therapeutic equipment and resources. (K76)

Option 6: Allied health professional therapy support: Recognise the impact of mental or physical capacity, health condition, learning disability or overall wellbeing on the therapeutic or clinical task or intervention and when to adapt. (S70)

Option 6: Allied health professional therapy support: Facilitate group sessions to support health and well-being of individuals or communities. (S72)

Option 6: Allied health professional therapy support: Support people to engage in the community and access activities or resources in line with their treatment goals. (S73)

Option 6: Allied health professional therapy support: Demonstrate and teach the safe and appropriate use of therapeutic equipment and resources. (S76)

Delegated clinical activities to support service users and their carers before, during and after diagnostic imaging and/or intervention

Option 7: Diagnostic imaging support: The regulations procedures and protocols for the safe preparation and administration of medicines and contrast agents. (K82)

Option 7: Diagnostic imaging support: Roles and responsibilities in the safe supply, management and administration of medicines, the range of procedures where these are used and the risks and mitigations of side effects, adverse response or non- compliance. (K83)

Option 7: Diagnostic imaging support: The risks and contra- indications of cannulation and the equipment and techniques used to cannulate/remove cannulas. (K84)

Option 7: Diagnostic imaging support: The structure and function of the human body in health, disease and trauma, as well as common pathologies and mechanisms of disease and trauma, in relation to imaging examinations. (K87)

Option 7: Diagnostic imaging support: The importance of recognising the signs and symptoms that indicate a deterioration in the health and wellbeing of self and others, including mental health. (K88)

Option 7: Diagnostic imaging support: Local systems and protocols for team briefing, patient sign in, timeout, sign out and debriefing. (K89)

Option 7: Diagnostic imaging support: The potential impact of mental and physical capacity, health condition, learning disability or overall wellbeing on therapeutic or clinical interventions. (K91)

Option 7: Diagnostic imaging support: Support practitioners with the preparation and administration of medicines and contrast agents within the scope of own role. (S82)

Option 7: Diagnostic Imaging Support: Administer medicines supplied by a registered practitioner within the scope of own role. (S83)

Option 7: Diagnostic imaging support: Insert, flush and remove cannulas in line with local protocols and within the scope of own role. (S84)

Option 7: Diagnostic imaging support: Support the multi- disciplinary team in the safe delivery of an imaging service. (S87)

Option 7: Diagnostic imaging support: Review and promote the health and wellbeing of self and others, including mental health. (S88)

Option 7: Diagnostic imaging support: Participate in team briefing, patient sign in, timeout, sign out and debriefing. (S89)

Option 7: Diagnostic imaging support: Recognise the impact of mental or physical capacity, health condition, learning disability or overall wellbeing on the therapeutic or clinical task or intervention and when to adapt. (S91)