Ensuring that healthcare assistants are competent to perform tasks delegated to them is essential. The Newcastle upon Tyne Hospitals NHS Foundation Trust has developed a workbook that addresses competencies in continence (catheter care), nutrition and pressure ulcer prevention. The workbook aims to accompany clinical-based learning and help HCAs progress through the NHS Knowledge and Skills Framework. This article outlines issues around competence, and the three clinical areas covered in the workbook.

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