Training standards for healthcare support workers
Mid Staffs Inquiry · Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry · Issued 6 February 2013 · Addressed to: Department of Health and Social Care
Government responseDepartment of Health and Social Care: Accepted (Nov 2013)
DeliveryDHSC and NHS England say in progress (Feb 2026)Department of Health and Social Care says in progress (Feb 2015)
Recommendation, verbatim from the inquiry
●Inquiry recommendation
There should be a common set of national standards for the education and training of healthcare support workers.
Mid Staffs Inquiry, Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry · 6 Feb 2013 Source PDF →
Published evidence summary
AI-generated evidence summary
In commentary provided in September 2024, the Department of Health and Social Care and NHS England stated that the Care Quality Commission continues to support and expect the Care Certificate to be used across health and social care (DHSC and NHS England, Feb 2026). In May 2024, the Thirlwall Inquiry legal team found that the Care Certificate had been introduced in April 2015 to establish fundamental skills, values, and behaviours for new healthcare assistants and social care support workers, replacing earlier minimum training standards (The Thirlwall Inquiry legal team, May 2024).
AI-generated summary of the record on this page, checked by a second model and automatic checks, 26 Sep 2026.
About this summary
Report-level response context
Government response
●Department of Health and Social Care · Accepted · 19 Nov 2013
Accepted.
The National Minimum Training Standards for healthcare support workers were published in March 2013. The Cavendish Review has also made a number of recommendations to improve the national standards on education and training, including a ‘Certificate of Fundamental Care.’
An amendment to the Care Bill was tabled updating the provisions in the Health and Social Care Act 2008 that would enable regulations to specify a body that would set training standards in respect of healthcare assistants and social care support workers. This issue was debated at Report Stage by the House of Lords on 21 October. In that debate, in advance of the formal Response to the Cavendish Review, Government asked Health Education England to lead work with the Skills Councils, other delivery partners and health and care providers to develop a ‘Care Certificate.’
Delivery
●DHSC and NHS England say in progress · 27 Feb 2026
The Thirlwall Inquiry has noted action taken in response to this recommendation following the conclusion of the Mid-Staffordshire Inquiry 2013.
Please also see our response to recommendation 210 above.
The CQC continues to support and expects to see the Care Certificate being used by providers across Health and Social Care.
●Department of Health and Social Care says in progress · 11 Feb 2015
The Care Certificate sets out the fundamental skills, values and behaviours that healthcare assistants and social care support workers will need to demonstrate in order to provide safe, effective and compassionate care. This will provide a consistent and effective means for health and care providers to satisfy Care Quality Commission requirements that their care support workforce have the right qualifications, skills and experience. It will replace both the National Minimum Training Standards and the Common Induction Standards. Following the successful completion of pilots, the Care Certificate remains on track to be introduced for new healthcare assistants and social care support workers from 1 April 2015. From 2016 all NHS-funded student nurses in England will attain the Care Certificate within their first year of study, if they have not already achieved it. A wide range of employers and staff were engaged with the testing of the Care Certificate, the majority concluding that no radical revisions were necessary. Analysis of feedback received indicated that the draft proposals for the Care Certificate were suitable in terms of content and process
Health Education England has developed a draft set of standards in conjunction with Skills for Health, Skills for Care and other delivery partners. They were piloted across a number of health and social care providers during summer 2014. The Care Certificate is on track to be introduced for new healthcare assistants and social care support workers from 1 April 2015.
What other bodies have found
●Thirlwall Inquiry legal team · 15 May 2024
This recommendation was accepted by the Government.
The National Minimum Training Standards for healthcare support workers were published in March 2013. The Care Certificate was introduced for new healthcare assistance and social care support workers from 1 April 2015, setting out the fundamental skills, values and behaviours that healthcare assistance and social care support workers would need to demonstrate. It replaced both the National minimum Training Standards and the Common Indication Standards, with all NHS-funded student nurses in England to attain the Care Certificate within their first year of study.
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