Pre-requisites Evidence of
Level 2 English and Maths

Level 5 regulated qualification, Foundation Degree, delivered by an institution approved by the Nursing and Midwifery Council to provide pre-registration nursing

Completion of required number of hours on programme.


Co-requisites N/A
Admissions requirements All pre-requisites met
Disqualified combinations N/A

1. Observation in Practice, minimum 60 minutes.
The apprentice will be observed in providing nursing care to an individual, a succession of individuals or a group of individuals.

2. Professional Discussion, 90 minutes in total.
Through professional discussion the apprentice will relate two unseen scenarios to their practice

Assessment and learning outcomes are defined in the Nursing Associate at Level 5 Apprenticeship Assessment Plan (2017) as follows:

Observation in practice and professional discussion
The end-point assessment comprises of two elements; an observation of practice and a professional discussion. The observation of practice must be undertaken prior to the professional discussion

Observation in practice
Apprentices will be observed in the workplace and demonstrate skills, knowledge and behaviours within the following 4 domains demonstrating the following knowledge, skills and behaviours (those in bold must be demonstrated) –

1 - Person-centred approaches to care
• Deliver holistic, person centred nursing care
• Engage actively with individuals, their families and/or carers by establishing their needs, wishes, preferences and choices and incorporate these into care planning
• Ensure the rights of individuals are upheld and facilitate the resolution of any conflict arising
• Act independently and in partnership with others to ensure that the rights of individuals are not overlooked or compromised; and resolve conflict in situations where there may be refusal of care by individuals or their family

2 - Delivering nursing care
• Deliver planned interventions under direction of Registered Nurse without direct supervision delivering care, at times, independently in line with an agreed and defined plan of care
• Support healthcare professionals to assess, plan, deliver and evaluate care
• Recognise and act upon, in a timely manner, early signs and/or deterioration using appropriate physiological or psychological assessments and observations
• Safely administer medication
• Safely use invasive and non-invasive procedures, medical devices, and therapeutic, technological and pharmacological interventions
• Work safely and learn from the assessment and evaluation of health and safety related incidents
• Raise health risks for discussion with individuals and undertake brief interventions (including key messages for
• major lifestyle risk factors) and assess evidence of effective interventions

3 - Communication and interpersonal skills
• Communicate effectively and improve communication using a range of strategies with regard to person-centred care, duty of care, candour, equality and diversity to reduce conflict and complaints
• Handle information and data in line with national and local policies and legislation

4 - Duty of care, candour, equality and diversity
• Safeguard and protect vulnerable adults and children
• Manage tensions and conflicts between an individual’s rights and a duty of care
• Demonstrate the ability to treat all individuals, carers and colleagues with dignity and respect for their diversity, beliefs, culture, needs, values, privacy and preferences
• Demonstrate respect, kindness, openness, compassion and empathy for all individuals, carers and colleagues within the workplace and wider organisation

Assessed by Independent Assessment Organisation
Ungraded above a pass


Professional Discussion
The use of two scenarios with professional discussion will assess the apprentice’s skills, knowledge and behaviours in regard to the following domains:
• Professional values and parameters of practice
• Person-centred approaches to care
• Delivering nursing care
• Communication and inter-personal skills
• Team-working and leadership
• Duty of care, candour, equality and diversity
• Supporting learning and assessment in practice
• Research, development and innovation
See appendix 1

Assessed by Independent Assessment Organisation
Graded - Pass/Merit


PLEASE NOTE ALTERNATIVE ASSESSMENTS FOR TERM 2 2020/21 DUE TO COVID-19 AS FOLLOWS:

Observation in Practice (60 minutes) + Professional Discussion (90 minutes)
One pass or fail element

Include references to:
- Apprenticeship Standard – Nursing Associate available at
- https://www.instituteforapprenticeships.org/apprenticeship-standards/nursing-associate/

- Assessment Plan for the Apprenticeship Standard – Nursing Associate available at
- www.instituteforapprenticeships.org/media/4333/ap0508-_nursing_associate_-assessment-plan-final_-16-november-2017.pdf
Available at: https://www.instituteforapprenticeships.org/apprenticeship-standards/