Course overview
The City & Guilds Level 3 Diploma in Healthcare Support (Qualification 4346-31) is designed for healthcare assistants, clinical support workers, support workers, senior carers and people working in healthcare-support environments. It builds senior frontline competence and provides a stronger foundation for team-leading responsibilities.
- 83 credits (63 mandatory + 20 optional)
- 491 guided learning hours
- 830 total qualification time
- Ofqual 610/2259/7
- Age 16+
Who's It For?
Designed for healthcare assistants, clinical support workers, support workers, senior carers and people working in healthcare-support environments. Suitable for learners aged 16 and over.
Job outcomes
- Senior Healthcare Support Worker
- Senior Care or Support Worker
- Senior Residential Support Worker
- Shift Leader or Care Coordinator
- Aspiring Team Leader
What you'll learn
- Person-centred healthcare support and professional practice
- Safeguarding, communication, confidentiality and duty of care
- Workplace competence evidenced through an assessed portfolio and observation of practice
- Confidence to support patients with a wider range of needs
- A stronger foundation for senior support and team-leading responsibilities
Study method
- In-class
- Online
- Blended
- Virtual
Locations
- England
- London
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Duration study load
Learners can choose to complete in 6, 9 or 12 months:
- 6-month route (intensive): approximately 138 hours of study per month — for learners with strong workplace evidence opportunities.
- 9-month route (balanced pace): approximately 92 hours of study per month.
- 12-month route (steady pace): approximately 69 hours of study per month — suited to those working full-time shifts.
Total qualification time is 830 hours, with 491 guided learning hours.
Delivery
Theory is delivered remotely and studied around your shifts. Assessment is occupational: competence is evidenced in your own workplace, so access to an appropriate healthcare or adult-care setting is required throughout. The course uses a blended learning approach combining remote theory delivery with workplace-based evidence and assessment.
- Dedicated tutor and assessor: One named tutor and assessor from enrolment to certification who plans your assessment schedule, reviews evidence and provides individual feedback.
- Workplace observation: Direct observation of real practice is the primary evidence for competence units, supported by professional discussion, reflective accounts, witness testimony and work products.
- Consistent support: Scheduled reviews, live group sessions, written learning materials and responsive contact between sessions.
Entry requirements
You must be working or on placement in a healthcare-support setting. City & Guilds sets no formal entry qualifications and there is no minimum age above 16, but competence units are assessed by direct observation of real practice, so workplace access is essential throughout.
Pathways
The Level 3 Diploma builds senior frontline competence. The Level 4 develops lead-practitioner and supervisory capability. Progression to a management role normally requires the Level 5 Diploma in Leadership and Management for Adult Care.
A care manager may apply to become a CQC Registered Manager, but registration is not automatic. CQC assesses qualifications, skills, competence, experience and fitness to manage regulated activities.
Progression, employment, promotion, CQC registration and service ownership are not guaranteed.
Course features
- Flexible completion routes: 6, 9 or 12 months
- One dedicated named tutor and assessor throughout
- Workplace-based competence assessment — no written exam
- Approximately 150 optional units available across adult nursing, mental health, maternity, theatre support and therapy-support specialisms
- Employment support (CV, applications, interview preparation) during and after completion
- City & Guilds registration and certification included in the fee
- All learning materials included
- Remote theory delivery — study around your shifts
Professional recognition
This is a City & Guilds qualification delivered through a City & Guilds Approved Centre (LAJ Academy Limited). It is regulated by Ofqual (Ofqual reference: 610/2259/7). Learners receive City & Guilds registration and certification.
Please note: Approval to deliver this qualification is currently pending, with a decision anticipated in August 2026. Places taken before that decision are registrations of interest.
Assessment
Assessment is by a portfolio of evidence, graded pass or fail. There is no written exam.
- Direct observation of practice is the primary evidence method.
- Supported by professional discussion, reflective accounts, witness testimony and work products.
Additional information
Approval status — please read: LAJ Academy Limited is a City & Guilds Approved Centre. Approval to deliver this qualification is currently pending, with a qualification approval decision anticipated in August 2026. Places taken before that decision are registrations of interest. What happens to any deposit paid if approval is not granted is set out in the learner agreement before payment.
Learner protection: Registered learners are covered by City & Guilds registration, quality-assurance, complaints, appeals and centre-closure arrangements. City & Guilds assigns a unique learner number at registration. External quality assurance is carried out by City & Guilds, which samples learner evidence, assessor decisions and IQA records. New centres are verified before first certificate claims.
Raising a concern:
- Contact LAJ Academy in writing with your name, qualification code, concern and desired outcome.
- Follow the LAJ Academy complaints or assessment-appeals procedure and keep correspondence.
- If unresolved, escalate to City & Guilds including your enrolment number, date of birth, centre details and correspondence.
Subjects
The qualification comprises 83 credits: 63 mandatory credits and 20 optional credits. Learners follow a personalised unit completion plan agreed with their tutor and assessor at induction, adjusted to their role, shift pattern and available workplace evidence opportunities.
The illustrative plans below show how units may be sequenced across 6, 9 or 12 months. Optional unit selections (marked *) are illustrative only; your selection is agreed with your tutor to match your role.
Develops reflective practice and continuing professional development. Learners will evaluate their knowledge and performance, use feedback, identify learning needs, agree a personal development plan and demonstrate how learning has improved their professional practice.
Explores duty of care, duty of candour and professional accountability. Learners will understand how duty of care supports safe practice, manage conflicts between individual rights and safety, respond to concerns and follow appropriate complaints procedures.
Develops communication skills for working with individuals, families and professionals. Learners will adapt communication to individual needs, overcome barriers, manage sensitive conversations, maintain confidentiality and understand when advocacy or specialist communication support may be required.
Explores equality, diversity, inclusion, consent and discrimination within healthcare. Learners will respect individual cultures, values and preferences, promote equal access to services, work inclusively and challenge discriminatory practices appropriately.
Covers different forms of abuse, neglect and exploitation and the signs that may indicate harm. Learners will understand safeguarding responsibilities, respond to disclosures, report concerns, preserve evidence and follow whistleblowing and local safeguarding procedures.
Develops knowledge and practice relating to infection prevention and control. Learners will understand how infections spread, assess infection risks and apply hand hygiene, personal protective equipment, standard precautions and safe working practices.
Covers maintaining a clean and safe healthcare environment. Learners will select appropriate cleaning and decontamination methods, use cleaning equipment safely and segregate, handle, store and dispose of healthcare waste in accordance with workplace procedures.
Explores health and safety legislation, employer and employee responsibilities, risk assessment and safe systems of work. Learners will respond to hazards and emergencies and promote the physical and emotional wellbeing of themselves and others.
Develops person-centred approaches that protect dignity, choice, consent and independence. Learners will involve individuals in decisions, support active participation, use care plans appropriately and balance positive risk-taking with their duty of care
Develops the skills required to observe and monitor an individual’s health. Learners will recognise changes, undertake agreed observations, maintain accurate records and promptly report findings or concerns to the appropriate healthcare professional.
Explores the relationship between lifestyle, health and wellbeing. Learners will communicate health-promotion messages, identify barriers to healthier choices, respect individual decisions and signpost people to reliable information, advice and support services.
Develops the ability to contribute to quality and service improvement. Learners will identify areas for improvement, gather feedback, discuss proposed changes, participate in implementation and help colleagues and service users adjust to change.
Develops competence in preparing for, undertaking, recording and reporting physiological measurements. These may include temperature, pulse, respiration, blood pressure, oxygen saturation, height, weight and BMI. Learners will obtain consent and escalate abnormal results.
Covers recognising and responding to signs of pain, distress and discomfort. Learners will use appropriate pain-assessment tools, assist with agreed comfort measures, monitor their effectiveness and report unresolved pain or changes in the individual’s condition.
Explores the importance of maintaining high standards in healthcare. Learners will monitor the quality of their own work, support colleagues, respond to feedback, identify areas for improvement and contribute to safe and effective services.
Introduces the principal forms, signs and effects of mental ill health. Learners will explore stigma, discrimination, social exclusion, barriers to accessing services, the impact on families and indicators that an individual’s mental health may be deteriorating.
Explores professional responsibilities, accountability and boundaries within the Senior Healthcare Support Worker role. Learners will follow agreed ways of working, maintain effective professional relationships, work collaboratively and understand when to seek advice or refer matters to others.
Develops the knowledge and practical competence required to move and position individuals safely. Learners will follow care plans and risk assessments, obtain consent, select appropriate equipment, use safe handling techniques and report changes or concerns.
Covers maintaining healthy skin and preventing pressure damage. Learners will understand risk factors, use pressure-area assessment tools, follow agreed care plans, use pressure-relieving equipment safely and recognise and report signs of skin deterioration.
Develops the knowledge and skills required to provide compassionate, person-centred end-of-life care. Learners will support comfort, dignity, communication, cultural and spiritual preferences, symptom management and the emotional needs of families and significant others.
Develops competence in assisting with medication under the direction of an authorised healthcare professional. Learners will obtain consent, confirm identity, check medication instructions, follow infection-control procedures, observe effects and complete accurate records.
Develops the knowledge and practical competence required to undertake venepuncture safely. Learners will prepare equipment and the individual, obtain consent, collect samples using infection-control procedures, manage possible complications and label, store and transport specimens correctly.
About LAJ Academy
LAJ Academy Limited is a UK-registered private training provider and a City & Guilds Approved Centre, delivering Health and Social Care programmes for people building a career in the care sector — whether you are entering your first care role, progressing towards a senior carer or team leader, or returning after a break.We teach through blended learning: self-paced online modules you can study around shift patterns on any device, combined with live tutor-led sessions and assessment in your own workplace. Every learner is assigned a dedicated tutor and assessor who stays with them from enrolment to certification — planning their assessment schedule, carrying out direct workplace observation of practice, giving individual feedback, and keeping them on track. You are never left to work through material alone.The curriculum covers person-centred care, dignity and independence, safeguarding, duty of care and professional boundaries, equality and inclusion, communication in care settings, health, safety and infection prevention, consent and mental capacity, supporting individuals with dementia, learning disabilities and long-term conditions, information handling, and the standards underpinning CQC inspection. Progression pathways extend into care planning, supervision and leading a care team, with Level 3 and Level 4 provision launching from August 2026.Support does not stop at the qualification. We help learners with employment throughout and after their course — CV and application support, interview preparation, and guidance on finding and securing roles in the care sector — so the certificate translates into an actual job or promotion.LAJ Academy was founded by Dr Jonathan Ajah (MBBS, MPH, MSc, MWACS, MAcadMed, FHEA, MRCS), a practising clinician and medical educator, and that clinical grounding shapes everything we write.
