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Your Complete Guide to Starting a Career as a Certified Nursing Assistant in the UK

Are you interested in a career that combines compassion, skill, and a meaningful impact on others’ lives? Becoming a Nursing Assistant offers all this and more.

DJ

David Jones

Published January 30, 2025

Become a Nursing Assistant
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Becoming a Certified Nursing Assistant (CNA) in the UK can be a highly rewarding career choice, offering a fulfilling and stable role in the healthcare sector. 

The demand for CNAs is increasing, driven by a growing need for healthcare professionals in hospitals, clinics, and home care settings across the UK. According to the Office for National Statistics, the number of CNAs employed in the UK has risen significantly over the past decade, with over 180,000 CNAs currently working in various healthcare settings.

This guide provides everything you need to know to start your journey, including key responsibilities, required skills, career prospects, and a detailed step-by-step pathway to certification with.

Who is a Nursing Assistant?

A nursing assistant works directly with patients, supporting registered nurses and medical teams by providing essential care, monitoring patient conditions, and assisting with daily activities. 

Often referred to as healthcare assistants, they play a key role in delivering patient-centered care, making the nursing assistant role essential in hospitals, clinics, and home care settings across the UK. 

Key Responsibilities of a Nursing Assistant

Nursing assistants help maintain a seamless healthcare environment.

As a CNA, your daily tasks may include:

  • Helping patients with basic living activities: This includes tasks such as eating a meal, using the restroom, bathing, and walking around.
  • Ensuring patients maintain a tidy environment: Keeping the patient’s room clean and organized.
  • Documenting the health status of each patient: Recording vital signs, medical procedures, and any changes in the patient’s condition.
  • Helping patients keep their doctor’s appointments: Assisting with scheduling and reminding patients about upcoming appointments.
  • Checking vital signs: Monitoring blood pressure, pulse, temperature, and heart rate.
  • Ensuring patients receive an appropriate diet: Taking into account dietary restrictions, food allergies, and preferences.
  • Recording any changes in the behaviour or condition of a patient: Communicating these changes to the nurse or doctor in charge.
  • Assisting with medical procedures and setting up medical equipment: Preparing equipment for procedures and assisting during them when necessary.
  • Answering a patient’s call for help: Providing immediate assistance as needed.

These responsibilities contribute significantly to patient care quality, allowing registered nurses to focus on advanced clinical tasks. Explore the extensive role of healthcare assistants and their pathways on the Government’s Careers in Nursing page.

Qualities of a Successful Nursing Assistant

The role of a nursing assistant demands more than technical skills; personal qualities play a crucial role in patient care. Essential qualities include:

    • Empathy and Compassion: Vital for building patient trust and providing high-quality care.
    • Attention to Detail: Necessary for recognising even subtle changes in patient conditions.
    • Emotional Resilience: Important for handling stressful situations, including critical patient care.
    • Effective Communication: Essential for clear interactions with patients, their families, and medical staff.

Salary Prospects for Nursing Assistants in the UK

According to the National Careers Service, nursing assistants in the UK earn around £15,540 annually, with the potential for growth as they gain experience. Many hospitals and care facilities also offer flexible shifts, allowing assistants to balance personal and professional responsibilities. 

For example, a study reports that the average annual salary for a nursing assistant in the UK is £16,791.10, ranging from £11.00 to £29,200. Salaries can vary significantly depending on region, experience, and additional qualifications. For instance, nursing assistants in London can earn up to £24,164.55 annually, while those in Scotland may earn around £16,593.31.

Those who choose specialised roles or pursue further qualifications can see substantial increases in earning potential. Learn more about average salaries and potential growth paths for healthcare assistants on the National Careers Service profile for Healthcare Assistants.

Steps to Become a Certified Nursing Assistant in the UK

➡️ Step 1: Evaluate Your Personal Qualities and Suitability

Before starting your journey as a nursing assistant, it’s crucial to assess your personal qualities and career motivations. Reflect on whether you have the compassion, patience, and attention to detail that the role demands. 

Nursing assistants work closely with patients and medical staff, requiring excellent communication skills and a genuine drive to help others. Assess whether you enjoy connecting with people and can handle the emotional and physical challenges of healthcare work.

Building connections within healthcare settings, such as hospitals, clinics, or through professional events, allows aspiring nursing assistants to gain insights into job openings, industry expectations, and insider advice on the application process. By actively engaging in healthcare networks—whether through LinkedIn groups, healthcare seminars, or volunteering—aspiring nursing assistants not only learn from seasoned professionals but may also receive job referrals or recommendations, which are invaluable in a competitive job market.

➡️ Step 2: Enrol in a Foundation Healthcare Course

Starting with a healthcare foundation course can provide the essential skills needed for further training. Many universities and colleges in the UK offer three-year undergraduate programmes in healthcare, including Level 1 nursing courses. Completing one of these programmes will set a strong foundation for your career and make you eligible for advanced certifications.

➡️ Step 3: Complete the Level 3 Diploma in Nursing Assistance

Once you have your foundation, it’s time to enrol in the Level 3 Diploma in Nursing Assistant with Apex Learning. This diploma is designed to provide the core skills and knowledge required for nursing assistants, with a curriculum covering patient care, healthcare ethics, and professional communication. The programme is online, allowing you to study at your convenience. Upon completing this diploma, you’ll receive a certificate, opening doors for employment in healthcare settings. Plus, Apex Learning offers 24/7 support to help you throughout the course.

➡️ Step 4: Gain Practical Experience with an Internship

Practical experience is invaluable in healthcare. Apply for internships in hospitals, care homes, or clinics to practise the skills you’ve learned in real-life settings. These internships often come with a stipend, which may vary by institution and region. The hands-on experience you gain will make you a confident, capable nursing assistant and strengthen your CV.

To craft a compelling Nursing Assistant CV, begin with a concise Professional Summary highlighting your passion for patient care, relevant experience, and qualifications, such as Basic Life Support (BLS). Use a Core Skills section to feature keywords like “patient care,” “health monitoring,” and “infection control” for Applicant Tracking Systems (ATS). 

Detail your Work Experience with bullet points focused on patient care duties and measurable achievements. Include a Certifications section for relevant credentials (e.g., nursing diplomas or BLS certification), and list Education with emphasis on healthcare studies. Finally, keep References available on request to round out your CV.

➡️ Step 5: Register as a Certified Nursing Assistant

Registration as a nursing assistant involves multiple stages. Here’s a breakdown of each step:

      • Stage 1: Self-Assessment
        You’ll complete an online assessment to verify your personal and health suitability. If you’re an international applicant, ensure you meet English language requirements. Documentation will be required for this stage to progress.
      • Stage 2: Computer-Based Test (CBT)
        This test assesses your nursing knowledge through multiple-choice questions, administered in a UK testing centre. You’ll have three chances to pass the CBT, with each attempt spaced 10 days apart.
      • Stage 3: Application Review
        Submit your documents for review. If your application is approved, you’ll move on to the next stage.
      • Stage 4: OSCE Exam
        The Objective Structured Clinical Examination (OSCE) evaluates your practical skills in patient care through clinical scenarios. You must pass six skill stations during the OSCE, and this test is administered in the UK. Only three attempts are allowed before needing to restart the process.
      • Stage 5: ID Verification
        Bring all original documents to the UK to verify your identity at the OSCE. If any documents are missing, schedule a follow-up appointment for verification.
      • Stage 6: Final Registration
        After passing your OSCE and ID check, you’ll submit a final declaration and registration fee. Once processed, you’ll receive your official registration number, marking your status as a certified nursing assistant.

Explore Additional Health and Social Care Courses

If you want to explore further, browse the full range of Health and Social Care courses at Apex Learning. Make your dream a reality and join a career that truly matters.

Additionally, consider supplementing your knowledge with the Care Certificate Preparation Course, covering the 15 essential standards required by healthcare support staff in the UK. This course ensures you meet national healthcare standards, boosting your confidence and competence in patient care.

Career Prospects and Future Growth for Nursing Assistants

With experience, nursing assistants can explore numerous career paths:

      • Specialised Care Roles: Healthcare assistants often move into specialised fields like mental health, paediatric care, or elderly care.
      • Further Qualifications: Continuing education, like obtaining a registered nurse (RN) qualification, can open up roles in nursing management, clinical nursing, or healthcare administration.

Learn more about career progression in healthcare on the National Careers Service Healthcare Careers page.

Take the First Step Today

Becoming a certified nursing assistant is a journey toward a rewarding and fulfilling career in healthcare. With its high demand, competitive salaries, and opportunities for career advancement, this role offers a stable and impactful career path. If you’re passionate about helping others and want a role where you’ll make a daily impact, it’s time to begin your journey towards a career filled with purpose, compassion, and growth in the healthcare sector.

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