Standardizing carer competency levels


The Carer Skills Passport needs to be based on a system of universally recognized and accepted levels of carer skill in order to be transferable across different care settings.

The Carer Skills Passport team is developing a classification of Carer Competency in order to do this.

We had 51 responses to the second round of our Delphi survey including trained nurses, care skills trainers, allied health professionals, commissioners and managers.  Professionals worked in the full variety of settings including hospital, clinic, the patient's own home, schools and hospices.  These responses have been used to refine our classification of Carer Competency.

The results of the second round of our Delphi survey will be published on the website shortly




Trainee care provider



  • Has completed basic training

  • Taught specific caring task(s) within the context of care to be provided

  • Is able to complete the caring task(s) under direct supervision

  • May require additional guidance to ensure care is person-centered  

  • Heavily dependent on application of basic teaching to complete task: limited ability to recognise or adapt to different circumstances

1a Has completed initial theoretical training/ observation

1b Has completed initial practical training and is able to undertake the task under direct supervision


Trained care provider

  • Has completed initial training 
  • Has been assessed as competent to practice without direct supervision
  • Demonstrates acceptable performance
  • Recognises own competencies and limitations
  • Beginning to learn from experience and use experience to guide practice


Experienced care provider

  • Assessed as competent to practice
  • Has accrued significant experience with the same child or young person in a variety of different situations or with different children or young people 
  • Uses experience to anticipate, recognise and adapt to different circumstances


Proficient care provider


  • Trained nurse, allied health professional or doctor
  • Has knowledge and understanding of theory underpinning clinical practice
  • Uses additional in depth knowledge and understanding to improve decision making
  • Knows from experience what to expect in certain situations  and how to modify care plans accordingly
  • Can recognize when the expected normal picture does not materialise and identify appropriate actions to be taken


Expert care provider

  • As for level 4 care provider plus:
  • Significant background of experience
  • Performance is now fluid, flexible, and highly-proficient
  • Demonstrates an intuitive grasp of clinical situations, using skilled analysis for novel situations and when behaviours are not occurring as expected
  • Able to provide guidance to others, supporting troubleshooting and teaching
  • Able to explain and simplify complex knowledge and skills to others in easily understandable terms
  • Uses evidence and knowledge to develop and update policies and guidelines in line with current best practice
  • Eligible to train to become a Carer Skills Passport Instructor, Specialist Advisor or other Carer Skills Passport Faculty role

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