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Information for HCAs APs and TNAs 2

Information for HCAs, APs and TNAs

The RCN supports mandatory regulation of HCAs and APs

The RCN supports learning and development for HCAs, APs and TNAs and provides representation wherever nursing takes place.

RCN work on regulation

The RCN has published various policy papers setting out its position on regulation. You can use these to find more information on the perceived benefits of regulating HCAs.

See: Registered Nurses and Health Care Support Workers: A summary of RCN policy positions.

UK codes, standards and country specific information


In England the Care Certificate was implemented from 1 April 2015. Employers are expected to help new support workers achieve the standards in the certificate within around 12 weeks of starting employment. For more information visit the Health Education England website.

You may find the following links useful:

Northern Ireland

In Northern Ireland, health and social care services are integrated. The Northern Ireland Social Care Council regulates all social care assistants, including care assistants working in nursing homes. Visit the Northern Ireland Social Care Council website for more information.

In Northern Ireland, the RCN continues to lobby in favour of HCAs being appropriately regulated, alongside their registered nurse colleagues, by the Nursing and Midwifery Council. We oppose the regulation of HCAs by the Northern Ireland Social Care Council.


NHS Education for Scotland has developed the health care support workers toolkit. This includes the Scottish government's mandatory induction standards for health care support workers, a code of conduct for support workers and a code of practice for employers in Scotland. 

There are separate sets of codes relating to conduct and practice in the independent sector. For more information please visit the Scottish Social Services Council website.


In Wales a code of practice for NHS Wales employers and a code of conduct for health care support workers has been available since 2011. In 2016 an NHS Wales Skills and Career Development framework Developing Excellence in Healthcare was introduced for all support workers.

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100 top tips

100 Top Tips from HCSWs, HCAs, APs and other nursing support workers.

Accountability and delegation


RCN membership

If you provide health or social care under the guidance and supervision of a registered nurse, midwife or health visitor and are not on a professional register you could be eligible to join the RCN.

Join the RCN