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Pathway

Healthcare Support Services

The content of this Pathway has been agreed by HEIW in collaboration with Healthcare Sector Employers. This is the only Healthcare Support Services Apprenticeship Pathway in the Healthcare sector approved for use in Wales that is eligible for Medr funding.

ISSUE DATE: 01/05/2025 ACW Framework No.: FR05024v3

Learning Programme Content

The Learning Programme provision shall comprise of three mandatory elements:

  • Qualifications,
  • Essential Skills
  • On/off the job training

The total minimum credit value required for the Level 2 Pathway Healthcare Support Services

is 28 credits.

The total minimum credit value required for the Level 3 Pathway Healthcare Support Services

is 37 credits.

Entry requirements

Employers from the Health Sector using this framework offer a broad range of skills training through the individual pathways, and welcome applicants from a wide range of diverse backgrounds and anticipate that they will have a wide range of experience, achievements and qualifications. The selection process by employers (or in partnership with learning providers) may include initial assessment where applicants will be asked if they have any qualifications or experience that can be accredited against the requirements of the apprenticeship. Apprentices will need to be able to comply with the Pre-Employment Checks of the employing organisation. 

There are no specific qualifications required for entry to this apprenticeship framework. Apprentices should:

  • Demonstrate the values of the employer organisation
  • Show enthusiasm for working in the health sector
  • Have basic literacy, numeracy and communication skills on which the apprenticeship will build
  • Have a suitable level of physical fitness to perform some aspects of the job roles (e.g. assisting in moving and handling inanimate objects)
  • Be willing to undergo Disclosure and Barring Service checks
  • Be flexible as there may be a requirement to work rotas

Individual health sector employers may have additional employment entry requirements.

Level 2

Applicants to this Apprenticeship will be from different age groups, with differing backgrounds and experience. As a guide, applicants may enter via a range of routes including from:

• Work (current role)

• Work experience 

• School 

• College 

• Training and/or experience which may include a portfolio showing what they have done

Applicants may have already achieved a range of qualifications eg:

• Essential Skills Wales 

• Welsh Baccalaureate 

• Welsh Baccalaureate with Principal Learning 

• foundation learning at level 1 

• Other level 1 qualifications 

• GCSEs in related subjects 

Personal Attributes 

Employers look for health sector apprentices who demonstrate the values and behaviors of the employing organisation and who:

• Are well organised and conscientious 

• Can work in a team 

• Are keen and motivated to work their chosen healthcare environment 

• Are willing to undertake a course of training both on-the-job and off-the-job and apply this learning in the workplace 

• Have basic literacy, numeracy and communication skills upon which the apprenticeship will build 

• Are willing to undergo an Occupational Health Check, if the role requires. 

• Are willing to undergo Disclosure and Barring Service checks, if the role requires (e.g. this may be needed in roles where the apprentices may come into contact with children, young people or vulnerable adults) 

• Can be flexible as there may be a requirement to work shifts

Individual Healthcare sector employers may have additional employment entry requirements e.g. ability to travel between different locations depending on where services are delivered.

Level 3

Entry requirements are the same as Level 3, but also include:

Applicants may have already achieved a range of qualifications eg: 

• Essential Skills Wales 

• Level 2 Apprenticeship 

• GCSEs 

• GCE A Levels 

• Welsh Baccalaureate 

• Welsh Baccalaureate with Principal Learning 

• Other relevant level 3 qualifications e.g. BTEC, T Levels 

Personal Attributes 

Employers look for health sector apprentices who demonstrate the values and behaviors of the employing organisation and who:

• Are well organised and conscientious 

• Can work in a team 

• Are keen and motivated to work their chosen healthcare environment 

• Are willing to undertake a course of training both on-the-job and off-the-job and apply this learning in the workplace 

• Have basic literacy, numeracy and communication skills upon which the apprenticeship will build 

• Are willing to undergo an Occupational Health Check, if the role requires. 

• Are willing to undergo Disclosure and Barring Service checks, if the role requires (e.g. this may be needed in roles where the apprentices may come into contact with children, young people or vulnerable adults) 

• Can be flexible as there may be a requirement to work shifts

Individual Healthcare sector employers may have additional employment entry requirements e.g. ability to travel between different locations depending on where services are delivered.

Apprentices who wish to accredit any prior learning must select options within the Pathway which will equip them with new skills and learning.

Initial Assessment

Training providers and employers will use initial assessment to ensure that applicants have a fair opportunity to demonstrate their ability and to tailor learning programmes to meet individual needs, recognising prior qualifications and experience.

Apprenticeship pathway learning programme(s)

Level 2: Foundation Apprenticeship in Health (Healthcare Support Services)

Level 2: Foundation Apprenticeship in Health (Healthcare Support Services) Qualifications

Participants must achieve one of the following combined qualifications below.

Level 2 Diploma in Facilities Services for Healthcare in Wales
Awarding Body Qualification No. Credit Value Total Qualification Time Combined / Competence / Knowledge Qualification Assessment Lanaguage(s)
Agored Cymru C00/1231/0 38 380 Combined English-Welsh
Level 2 Extended Certificate in Facilities Services for Healthcare in Wales
Awarding Body Qualification No. Credit Value Total Qualification Time Combined / Competence / Knowledge Qualification Assessment Lanaguage(s)
Agored Cymru C00/1230/9 28 280 Combined English-Welsh
Level 2 Diploma in Primary Care Administration and Reception
Awarding Body Qualification No. Credit Value Total Qualification Time Combined / Competence / Knowledge Qualification Assessment Lanaguage(s)
Agored Cymru C00/4189/3 37 370 Combined English-Welsh
Level 2 Diploma in Estates Services in a Healthcare Setting
Awarding Body Qualification No. Credit Value Total Qualification Time Combined / Competence / Knowledge Qualification Assessment Lanaguage(s)
Agored Cymru C00/5113/1 40 400 Combined English-Welsh

Please see Annex 1 for the relationship between the competence and knowledge units within the combined qualifications.

Essential Skills Wales (ESW)

Level 2: Foundation Apprenticeship in Health (Healthcare Support Services) Level Minimum Credit Value
Communication 1 6
Application of number 1 6
Digital literacy 1 6

Essential Skills Wales qualifications assessment languages are English-Welsh.

For information on other qualifications which are acceptable for recognised prior learning please refer to  Proxies for Level 2 and Level 3  

On/Off the Job training

Pathway Minimum On the Job Training Hours Minimum Off the Job Training Hours
Level 2: Foundation Apprenticeship in Health (Healthcare Support Services) 150 179
On/Off the Job Qualification details (Minimum Credit & Hours)

On-the-job learning will comprise either the:

Agored Cymru Level 2 Diploma in Facilities Services for Healthcare in Wales 

OR:

Agored Cymru Level 2 Extended Certificate in Facilities Services for Healthcare in 

Wales

OR:

Agored Cymru Level 2 Diploma in Primary Care Administration and Reception

OR:

Agored Cymru Level 2 Diploma in Estates Services in a Healthcare Setting

Evidence to support the application for an apprenticeship completion certificate for on-the-job training will include a copy of the qualification certificate for one of the above qualifications detailing the units completed.

Off-the-job learning will comprise:

Level 1 Essential Communication Skills

Level 1 Essential Application of Number Skills Level 1 Essential Digital Literacy Skills

Off-the-job training undertaken before the apprentice started their apprenticeship may count towards the off-the-job training required for the apprenticeship if it was undertaken in relation to an accredited qualification contained in the framework for which a completion certificate is to be applied for.

Evidence to support the application for an apprenticeship completion certificate for off-the-job training will include a copy of the qualification certificate for each of the above qualifications detailing the units completed.

It is expected that:

  • On-the-job and off-the-job training hours are both planned, reviewed and evaluated jointly between the apprentice and a tutor, or teacher, their workplace supervisor or manager and, where relevant, the apprentice’s coach or mentor.
  • On-the-job and off-the-job training support via either a tutor, teacher, mentor or manager is made available when required by the apprentice.

  • On-the-job and off-the-job training hours are delivered through one or more of the following methods: individual and group teaching; e-learning; distance learning; coaching; mentoring; feedback & assessment; collaborative/networked learning with peers; guided study.

On/Off the Job Essential Skills details (Minimum Credit & Hours)

On/Off the Job Essential Skills details (Minimum Credit & Hours)
  • 6 credits/45 GLH Level 1 Essential Communication Skills
  • 6 credits/45 GLH Level 1 Essential Application of Number Skills
  • 6 credits/45 GLH Level 1 Essential Digital Literacy Skills

Level 3: Apprenticeship in Health (Healthcare Management)

Level 3: Apprenticeship in Health (Healthcare Management) Qualifications

Participants must achieve the following combined qualification below.

Level 3 Diploma in Healthcare Management
Awarding Body Qualification No. Credit Value Total Qualification Time Combined / Competence / Knowledge Qualification Assessment Lanaguage(s)
Agored Cymru C00/4159/7 37 370 Combined English-Welsh

Please see Annex 2 for the relationship between the competence and knowledge units within the combined qualification.

Essential Skills Wales (ESW)

Level 3: Apprenticeship in Health (Healthcare Management) Level Minimum Credit Value
Communication 2 6
Application of number 2 6
Digital literacy 2 6

Essential Skills Wales qualifications assessment languages are English-Welsh.

For information on other qualifications which are acceptable for recognised prior learning please refer to  Proxies for Level 2 and Level 3 

On/Off the Job training

Pathway Minimum On the Job Training Hours Minimum Off the Job Training Hours
Level 3: Apprenticeship in Health (Healthcare Management) 172 173
On/Off the Job Qualification details (Minimum Credit & Hours)

On-the-job learning will comprise:

Agored Cymru Level 3 Diploma in Healthcare Management

Evidence to support the application for an apprenticeship completion certificate for on-the-job training will include a copy of the qualification certificate for the above qualification detailing the units completed.

Off-the-job learning will comprise:

Level 2 Essential Communication Skills

Level 2 Essential Application of number Skills

Level 2 Essential Digital Literacy Skills

Off-the-job training undertaken before the apprentice started their apprenticeship may count towards the off-the-job training required for the apprenticeship if it was undertaken in relation to an accredited qualification contained in the framework for which a completion certificate is to be applied for.

Evidence to support the application for an apprenticeship completion certificate for off-the-job training will include a copy of the qualification certificate for each of the above qualifications detailing the units completed.

It is expected that:

  • On-the-job and off-the-job training hours are both planned, reviewed and evaluated jointly between the apprentice and a tutor, or teacher, their workplace supervisor or manager and, where relevant, the apprentice’s coach or mentor.
    • On-the-job and off-the-job training support via either a tutor, teacher, mentor or manager is made available when required by the apprentice.
    • On-the-job and off-the-job training hours are delivered through one or more of the following methods: individual and group teaching; e-learning; distance learning; coaching; mentoring; feedback & assessment; collaborative/networked learning with peers; guided study.

On/Off the Job Essential Skills details (Minimum Credit & Hours)
  • 6 credits/45 GLH Level 2 Essential Communication Skills
  • 6 credits/45 GLH Level 2 Essential Application of Number Skills
  • 6 credits/45 GLH Level 2 Essential Digital Literacy Skills

Other additional requirements

Apprentices are required to: 

• Be willing to undergo Disclosure and Barring Service checks, as applicable to the role (this is needed as apprentices may come into contact with children, young people or vulnerable adults) 

• Be flexible as there may be a requirement to work shifts 

• Comply with the pre-employment checks of the employing organisation

Job roles

Job roles for pathways within this framework are dependent upon the qualification taken. Example job roles for each pathway can be found in the table below. 

Level 2 Facilities pathwayPortering and Mailroom, Housekeeping and Cleaning, Catering, Laundry, Security, Waste Control
Level 2 Primary Care Administration and Reception pathwayFrontline reception or administrative role in a primary care setting – patient facing, back-office or telephone call handling roles
Level 2 Diploma in Estates Services in a Healthcare SettingBuilding Works, Ground Maintenance,
Level 3 Healthcare ManagementManagement and leadership within a healthcare setting

Progression

Progression following completion of an Apprenticeship is not automatic but will be dependent on promotion opportunities and employer policy on accessing study/training.

Level 2

Progression routes into the apprenticeship

See Entry requirements

Progression from the Apprenticeship

Learners may progress from this framework onto further qualifications specific to their work context. A wide range of qualifications are available for use within the health sector. These may include further pathways within this framework (e.g. Level 3 Diploma in healthcare Management or Medical Secretary) or through the use of other apprenticeship frameworks (e.g. Cleaning and Environment Support).

Progression should not just be seen as vertical. In some instances, progressing into another role at the same level may be just as rewarding as it offers the opportunity to develop new skills and knowledge.

Many healthcare apprentices complete their apprenticeships and continue to work in roles relating to the units, they have selected within their competence qualification (e.g. Domestic Assistant, Porter, Catering Assistant, etc).

Others may wish to move into a clinical role and may select to undertake a clinical qualification or apprenticeship (e.g. Level 2 or 3 in Clinical Healthcare Support).

Further detailed information and advice on careers within the health sector can be found at  http://www.wales.nhs.uk/

Level 3

Progression routes into the Apprenticeship

See Entry requirements

Progression from the Apprenticeship

Learners may progress from this pathway onto a Level 4 Apprenticeship or progress onto further qualifications specific to their work context. A wide range of qualifications are available for use within the health sector. These may include further qualifications, a range of higher education qualifications or other work-related education and training to support Continuing Professional Development. There are additional management frameworks available at higher levels.

Progression should not just be seen as vertical. In some instances, progressing into another role at the same level may be just as rewarding as it offers the opportunity to develop new skills and knowledge. 

Many Apprentices will complete their apprenticeships and continue to work in the roles with delegated responsibilities assigned to them by the Practitioners they work alongside. This may include training and supervision of other team members. 

Further detailed information and advice on careers within the health sector can be found at  http://www.wales.nhs.uk/

Equality and diversity

It is important that apprenticeship Pathways are inclusive and can demonstrate an active approach to identifying and removing barriers to entry and progression. Pathways should advance equality of opportunity between persons who share protected characteristics and those persons who do not as identified in the Equality Act 2010. 

The protected characteristics identified in the Equality Act are age, disability, gender re-assignment, race, religion or belief, sex, sexual orientation, pregnancy and maternity. Marriage and civil partnership is also included although only in respect of the requirement to eliminate discrimination in employment. 

Training providers and employers MUST also comply with the other duty under the Equality Act 2010 to ensure that applicants are not discriminated against in terms of entry to the industry based upon those nine protected characteristics.

Employment responsibilities and rights

Employment Responsibilities and Rights (ERR) is no longer compulsory. But it is recommended that all apprentices (especially the 16 years -18-year group) receive a full company induction programme.

Responsibilities

It is the responsibility of the Training Provider and Employer to ensure that the requirements of this pathway are delivered in accordance with the Welsh Government/Medr Apprenticeships Guidance.

Further information may be obtained from: Medr

Annex 1 - Level 2: Healthcare Support Services

Relationship between competence and knowledge qualifications

Agored Cymru Level2 Diploma in Facilities Services for Healthcare in Wales

Agored Cymru Level2 Extended Certificate in Facilities Services for Healthcare in Wales

Unit Title

credit

value

credits for

competency

credits for

knowledge

Mandatory Units

Manual Handling: Inanimate Loads

1

1

0

Communication andCustomer Service for Health CareSupport Workers

2

1

1

Dignity at Work

1

0

1

Equality, Diversity and Inclusion

1

0

1

Introduction to Continued Professional Development within the NHS Wales

2

0

2

Introduction to Infection Prevention and Control

2

0

2

Introduction to Waste Management

2

1

0

Personal Health and Wellbeing in the Workplace

3

0

3

Using Electronic Devices to Record andSubmit Information

2

1

1

Introduction to Professional Behaviour

2

0

2

Total

18

4

13


 

More Information can be obtained from:


 

FEAD DfES ● Ty Afon Bedwas Rd ● Bedwas

Cf838WT


 


 

Optional Units

Community Food and Nutrition Skills

3

1

2

Community Food and Nutrition Skills

1

0.5

0.5

Arrange andRecord Meetings for Healthcare Service in Wales

3

2

1

Cleaning Residential Accommodation for the NHS Wales

2

1

1

Co-ordination of Stock andStorage for the NHS Wales

2

2

0

Data Information Management using Specialist Software for NHS Services in Wales

3

2

1

Maintain the Protection and Arrangements of Departmental Recordsfor Healthcare Services in

Wales

3

2

1

Patient Moneyand Valuables Management in a Healthcare Setting in Wales

1

1

0

Produce Documents for use in Healthcare Services in Wales

2

1

1

Store and Retrieve Information for Healthcare Services in Wales

2

1

1

Using OfficeEquipment for Healthcare Services in Wales

2

1

1

Conveyance of Passengers (without Specialist Needs or Requirements) for the NHS Wales Service

3

2

1

Driving Inanimate, Non-Specialist, Non-Time Critical Goods for theNHS Wales Service

5

4

1

Moving andTransporting of Linenwithin the NHSin Wales

2

1

1

Moving and Transporting of Medical Gas Cylinders withinthe NHS in Wales

1

1

0

Receiving, Storing and Preparing for Distribution of Goods in Logistic Operations for the NHS in

Wales

6

5

1

Driving Inanimate, Specialist, Non-Time Critical Goods for the NHSWales Service

1

1

0

Using Electrically Powered Equipment in Cleaning Dutiesfor the NHS in Wales

2

2

0

Driving Inanimate, Specialist, Time Critical Goods for the NHS WalesService

1

1

0

Finishing Laundrywithin the NHS in Wales Service

3

1

2

Collection and delivery of blood components - Welsh BloodService

2

1

1

Food Allergen Awareness

1

0

1

Safe Use and Cleaning of Electrical Equipment within the NHS in WalesService

2

1

1

Standard Operating Procedure for BlastChilling for NHS Wales Service

1

1

0

Using Electrically Powered Equipment in Laundry Dutiesfor the NHS in Wales

2

2

0

General Cleaning and Waste (Including Food Waste, Clinical Waste and Confidential Waste) Management for the NHS Wales

9

7

2

Sorting andWashing Laundry within theNHS in Wales

6

5

1


 

Safe Operating Systems for Roll Cages and Pallets withinthe NHS in Wales

1

1

0

Specialist Cleaning and Decontamination (including Vehicles) for the NHS Wales

6

5

1

Performing Security Operations to Dealwith Incidents BasedSituations for the NHS in Wales

5

4

1

Mail Room Operations for the NHS in Wales

6

5

1

Control of Waste for the NHS Wales Service

5

4

1

Moving and Transporting Individuals Internally within a Healthcare Environment

2

1

1

Introduction to Healthcare Support Worker Administration

1

0

1

Performing Security Operations to Deal with Car Parking Situations for the NHSin Wales

1

1

0

Performing Security Operations to Deal with Criminal Activity Situations for the NHSin Wales

1

1

0

Performing Security Operations to Deal with Violent and Aggressive Situations for the NHS in Wales

1

1

0

Level 2 Primary Care Administration and Reception
Unit titleLevelCreditCredit for CompetenceCredit for Knowledge
Provide Reception ServicesTwo321
Supporting and Managing PatientsTwo211
Care Navigation in Primary CareTwo211
Communicating with PatientsTwo321
Employment Rights and ResponsibilitiesTwo202
Maintaining Quality Standards in General PracticeTwo202
Understanding Welsh Language Provision in Non-Clinical Primary CareTwo211
Working with Carers in Primary CareTwo211
Primary Care Digital Communication SystemsTwo431
Understanding SafeguardingTwo101
23
Decision-MakingTwo110
Principles of Managing Information and Producing DocumentsTwo303
Disability AwarenessTwo101
ChaperoningTwo211
Develop Working Relationships with ColleaguesTwo321
Resilience and Stress ManagementTwo202
The Management of Repeat PrescriptionsTwo202
The Principles of Infection Prevention and ControlTwo303
Study Skills for HCSW: Reflective PracticeTwo211
Study Skills for HCSW: Report WritingTwo220
Environmental Sustainability in the NHSTwo211
Mental Health and WellbeingTwo202
Support Individuals with Cognitive ImpairmentTwo321
Supporting Individuals with Learning DisabilitiesTwo321
Maintain and Deal with PaymentsTwo431
Apprenticeship credit allocation totals26 credits32 credits

Agored Cymru Level2 Diploma in Estates Services in a Healthcare Setting

Unit Title

Level

credit Value

credits for knowledge

credits for competency

Mandatory Units

Introduction to Professional Behaviour

two

2

0

2

Develop Working Relationships with Colleagues

two

3

2

1

Communication Skills for the NHS Estates Setting

two

3

1

2

Promote Equality and Inclusion

two

2

1

1

Maintaining Quality Standards in the Health Sector

two

1

0

1

Resilience and Stress Management in the Workplace

two

2

0

2

Health Service Estates: Support for Infection Prevention and Control

two

6

4

2

Environmental Sustainability in the NHS

two

2

1

1

Interpret 2D Plans of Buildings

two

5

3

2

Promote and implement Health and Safety

two

3

2

1

Manual Handling

two

1

1

0

Total

15

15

Optional Units

Data Information Management using Specialist Software for NHS Services in Wales

two

3

2

1

Safe Use and Cleaning of Electrical Equipment within the NHS in Wales Service

two

2

1

1

Using Digital Devices to Record and Submit Information

two

2

1

1

Health Service Estates: Perform Statutory Safety Checks

three

3

1

2

Health Service Estates: Building Works- Routine Maintenance and Minor repairs

two

6

4

2

Health Service Estates: Engineering Works- Routine Maintenance and Minor repairs

two

6

4

2

Health Service Estates: Grounds’ maintenance

two

6

4

2

Interpret Technical drawings

three

8

6

2

Annex 2 - Level 3: Healthcare Management

An integrated qualification at Level 3, which combines competence and technical knowledge elements in which each element is separately assessed and in which each element carries at least ten credits on the CQCF.

Relationship between competence and knowledge qualifications

Agored Cymru Level3 Diploma in Healthcare Management

Unit Title

Total Credit

knowledge (credits)

Competency (credits)

Mandatory Units

Principles of Working in Healthcare Services

3

3

0

Supervision of Staff in Healthcare Organisations

5

4

1

Manage HumanResource Records in a Healthcare Organisation

3

1

2

Manage Individuals’ Performance in a Healthcare Setting

4

2

2

Deliver Training Through Demonstration andInstruction

3

1

2

Understanding WelshLanguage Provision in Healthcare

Organisations

2

2

0

Promote Equality, Diversity and Inclusion in the Workplace

3

2

1

Total

23

15

8

Optional Units


 

More Information can be obtained from:


 

FEAD DfES ● Ty Afon Bedwas Rd ● Bedwas

Cf838WT


 


 

Collaborate with otherDepartments in Organisations

3

1

2

Maintaining Quality Standards in the HealthSector

2

2

0

Service Improvement in the HealthSector

3

3

0

Implement Change

5

2

3

Encourage Innovation

4

0

4

Monitor the Qualityof Customer Service Interactions in

Healthcare Organisations

5

2

3

Manage a Budget

4

2

2

Manage Resources in a Healthcare Organisation

4

0

4

Administer the Recruitment and Selection Processwithin a Healthcare Setting

3

1

2

The Principles of Finance Administration for Supervisors/Team Leaders in Healthcare Settings

2

2

0

Resilience and StressManagement in the Workplace

2

2

0

Managing a Meeting

1

0.5

0.5

Manage Conflict withina Team

5

1

4

Manage an OfficeFacility

4

2

2


Document revisions

08 August 2025 - By Wayne Scoberg   added C00/5113/1 Level 2 Diploma in Estates Services in a Healthcare Setting and updated patjhway text following review