Health and Social Care

WorldSkills Occupational Standards (WSOS)

Occupation description and WSOS

The name of the skill competition is

Description of the associated work role(s) or occupation(s)

A Health and Social Care Practitioner offers a range of support to individual clients and their family and has a continuing responsibility to work professionally and interactively with the client in order to ensure their holistic care needs are met. Whilst the health and social care practitioner may work directly for the client they are normally employed by an organization within the Health and Social Care sector. Health and social care is closely associated with the medical and nursing profession.

Health is defined as a state of complete physical, mental, social wellbeing and not merely the absence of disease or infirmity. Thus a Health and Social Care Practioner participates actively in providing physical, mental, and social wellbeing to the patient and family and promoting health and preventing disease by supporting, caring, and aiding in recovery rehabilitation, in collaboration with the medical and nursing teams. The practioner's work extends into diverse work environments such as the hospitals, homes of clients, community day care, and residential care or nursing homes. The care is deliverd using scientific principles such as assessing, planning, delivering, and evaluating the outcomes of care.

Work organization and self-management, communication and interpersonal skills, problem solving, innovation and creativity, the ability to understand, empathize and work with clients to improve the quality of their life, are the universal attributes of the outstanding practitioner.

The practitioner may work in a team or alone or in both from time to time. Whatever the structure of the work, the trained and experienced practitioner takes on a high level of personal responsibility and autonomy. From accurately assessing the needs of clients through to building client relationships and delivering exceptional care for clients in a range of circumstances, every interaction matters and mistakes could have a serious, life threatening impact.

With the increasing international mobility of people the health and social care practitioner faces rapidly expanding opportunities and challenges. For the talented Health and Social Care Practioner there are many international opportunities; however, these carry with them the need to understand and work within diverse cultures and systems/regulations and undergo additional on-going training. The diversity of skills associated with health and social care is continually expanding and likely to expand further.

The WorldSkills Occupational Standards (WSOS)

General notes on the WSOS

The WSOS specifies the knowledge, understanding, skills, and capabilities that underpin international best practice in technical and vocational performance. These are both specific to an occupational role and also transversal. Together they should reflect a shared global understanding of what the associated work role(s) or occupation(s) represent for industry and business (www.worldskills.org/WSOS).

The skill competition is intended to reflect international best practice as described by the WSOS, to the extent that it can. The Standard is therefore a guide to the required training and preparation for the skill competition.

In the skill competition the assessment of knowledge and understanding will take place through the assessment of performance. There will only be separate tests of knowledge and understanding where there is an overwhelming reason for these.

The Standard is divided into distinct sections with headings and reference numbers added.

Each section is assigned a percentage of the total marks to indicate its relative importance within the Standards. This is often referred to as the “weighting”. The sum of all the percentage marks is 100. The weightings determine the distribution of marks within the Marking Scheme.

Through the Test Project, the Marking Scheme will assess only those skills and capabilities that are set out in the WorldSkills Occupational Standards. They will reflect the Standards as comprehensively as possible within the constraints of the skill competition.

The Marking Scheme will follow the allocation of marks within the Standards to the extent practically possible. A variation of up to five percent is allowed, if this does not distort the weightings assigned by the Standards.

WorldSkills Occupational Standards

Section		Relative importance (%)
1	Work organization, management and sustainable practice	5
	The individual needs to know and understand: Health, safety, environmental and hygiene legislation, obligations, regulations, and documentation Infection hazards for clients The purpose of a uniform/personal protective clothing The purpose, safe use, care, and storage of materials Regulations regarding the safety and security of medication Techniques of time management The principles of ergonomics The significance of sustainability and environmentally friendly work practices The importance of working together with other practitioners or/and other persons The importance of sustainability (e.g., using resources economically) The value of managing own continuing professional development The principles for good teamwork and organization.
	The individual shall be able to: Follow health, safety, and hygiene standards, rules, and regulations Take appropriate hygiene precautions for infection prevention Identify and use the appropriate uniform/personal protective clothing including safe footwear Select, use effectively/efficiently, and store materials safely Maintain safe and secure storage of medication in accordance with regulations Plan, schedule, and re-prioritize work as the need arises and for the sustainable use of own resources (e.g., time, strength) Ensure safe and ergonomic working practices Discard waste ecologically Use materials economically to enhance sustainability Work together in an efficient way with other practitioners, individuals and groups Keep up to date with new practices and regulations e.g. safe moving and health and safety
2	Communication and interpersonal skills	25
	The individual needs to know and understand: The importance of establishing and maintaining client confidence Rules and regulations for confidentiality and privacy related to the delivery of care Coaching styles and techniques to support client recovery, growth, development and health education Negotiation methods within the scope of health promotion Techniques for resolving misunderstandings and conflicts Techniques and ways to communicate with clients who have disabilities in communication, e.g. dementia and hearing problems The importance of accurately recording information Professional interaction between practitioner and client and practitioner with other health personnel The roles, competences, and requirements of colleagues and professionals involved in the care of the client The importance of building and maintaining productive working relationships.
	The individual shall be able to: Work sensitively with clients Maintain excellent professional conduct, including regard for appearance Have open and closed communication with clients in an appropriate style, establishing rapport Respect clients as individuals with autonomy and rights to accept or refuse care Show a positive attitude towards the client and support his/her resources Act honestly with clients Show interest in the biography of each patient and use the knowledge with care to find good solutions with the client Respect and acknowledge each client’s culture, spiritual beliefs and needs, and support them in maintaining spiritual practises Use evidence based therapeutic communication methods in the delivery of care, including active listening, questioning techniques, nonverbal and paraverbal communication, and interpretation of non-verbal signals Use coaching techniques and other appropriate educational techniques to enable clients to learn new “life skills” Communicate in a professional way with clients who have disabilities in communication and understanding Manage professional and effective communications with clients’ families appropriately, ensuring the needs of the clients are central Negotiate with colleagues, medical professionals, clients, and their families to ensure the right type and level of care is provided and clients’ autonomy and needs are met Ensure consistently effective verbal and written communications with colleagues Record client information/records in the appropriate format, e.g. patient’s record Discuss and represent individual client cases in professional settings.
3	Problem solving, innovation, and creativity	15
	The individual needs to know and understand: The common types of situations which can occur within health and social care work The difference between symptoms and causes of problems Why individuals may be not willing to discuss problems e.g., client and family members, and techniques for addressing The value of ‘working with’ clients and respecting their wishes in resolving problems The importance of observing clients closely and consistently to identify any concerns they may not be aware of Techniques for developing creative solutions to improve the quality of life of clients and their happiness e.g., providing support and aids for a client to remain in their own home The connection between biography, lifestyle and acceptance of change, to contextualise their clients' options Latest trends and developments in health and social care to ensure clients are provided with best possible support.
	The individual shall be able to: Value the individual, take a strong interest and gain a deep understanding of their personality and biography Gain the confidence of clients to discuss their problem(s) Recognize problems swiftly and follow a self-managed process for resolving Determine the root cause(s) of clients’ problem(s) and resistance through careful and structured discussion/questioning/observation Pro-actively re-prioritize clients’ problem(s) as situations demand Recognize the boundaries of own expertise/authority in dealing with clients’ problem(s) and refer to colleagues and professionals as appropriate Create, develop, and negotiate ‘new safe ways of working or living’ to improve the daily life of clients and their happiness, e.g., use of aids to support mobility Recognize opportunities and pro-actively contribute ideas to improve client care, e.g., through a new way to use a client’s environment effectively, and through discussions with the client at the right time.
4	Assessing needs and planning client care	10
	The individual needs to know and understand: Principles of growth and development across the lifespan The range of illnesses and the relevant treatments Health, social care, and rehabilitation of clients holistically across the lifespan in a variety of daily life situations Ethics and law with respect to rights, discrimination, and abuse Techniques for working with clients and their families to accurately determine the care needs of the client The role of nutrition and special diets Techniques to assess the resources, capabilities and habits of the patient and the family Financial implications e.g., budgetary constraints.
	The individual shall be able to: Carefully assess the clients’ environments and situations to accurately determine care needs, while recognizing boundaries of own role Assess clients’ resources, capabilities and habits Assess the resources, capabilities and habits of families if necessary Identify clients’ nutritional status and requirements Plan how client-centred care will be delivered by professional criteria, and habits and needs of the client Secure required resources to facilitate client care plans Plan how to support client rehabilitation Obtain consent before the delivery of care Refer to medical professionals as appropriate.
5	Managing and delivering client care	35
	The individual needs to know and understand: The holistic needs of clients and the inclusion of resources and capabilities Patterns of client behaviour and what drives it Histories of clients’ situations (e.g., biography, medical history, management of disease) The importance of flexibility when working with different clients and their families Techniques for encouraging clients to learn ‘new’ skills and building confidence and independence Anatomy and pathology, illnesses and symptoms, and treatment according to clients' levels of education and understanding Standard normal values of health parameters (e.g. normal blood pressure) General topics of healthy lifestyles and how to promote them in a positive way The purpose and potential side effects of clients’ medication Potential safety hazards The risk factors for clients who are weak and unable to move much Techniques for promoting mobility and knowledge about the safe use of mobility devices The roles of related professionals, and the significance of knowing when to refer clients to colleagues and other medical professionals The circumstances when immediate medical assistance should be sought and the correct intervention for first aid according to their competences.
	The individual shall be able to: Promote and assist with physical, social, and psychological well-being, growth and development, caring and rehabilitation Respect clients and the law and ethics in the delivery of care Create a positive environment for clients and deliver safe care Assist with hygiene needs as required and respect clients’ need for privacy Include patients` resources and capabilities in the delivery of care Use culturally appropriate measures Perform medical tasks within the scope of practice e.g., first aid, wound care, and breathing exercises Monitor different health parameters e.g., blood pressure, pulse, temperature, blood sugar, pain, and weight and give information about them Take precautions for health risks which are common in clients who are sick, e.g., pressure ulcers, pneumonia, and deep vein thrombosis Consistently observe clients and quickly identify any new problems that need attention or medical referral, e.g. pressure ulcers, and heart problems Accurately judge when immediate medical attention or support may be required, and start with first aid measures Implement measures that promote clients’ independence within any limitations Recommend and administer appropriate measures to support nutritional well-being within the scope of practice and regulations, the habits and preferences of the patient Educate clients in the promotion of a healthy lifestyle, e.g., do exercise regularly, stop smoking, and healthy diet . Advise clients on common drug groups (e.g., how to take them) and their side effects within the scope of practice and regulations, e.g. antihypertensives, analgesics, antibiotics etc. Support clients in the administration and storage of their medication within the scope of practice and regulations and environmental situations of clients Plan and adapt schedules to ensure each client receives the time they need, ensuring individuals are not rushed Organize educational and rehabilitative activities to meet the needs of clients of different adult age groups Promote mobility by using the clients’ resources and respecting the clients’ needs using adequate mobilization techniques Use resources effectively and efficiently Promote quality of life by using specialized competencies of caring such as in palliative care, and rehabilitation.
6	Evaluating client care	10
	The individual needs to know and understand: The importance of reviewing care at regular intervals and gaining feedback from all parties including clients and families The expected level of clients' quality of life in relation to their circumstances The possibilities for the care to be changed/improved e.g. resources available Latest developments in products and services How to gain an outcome and assess it.
	The individual shall be able to: Gain understanding of clients’ perspectives through careful discussion with them Gain inputs from the clients’ families, colleagues, and related professionals Acknowledge what promotes client's wellbeing and quality of life while providing support based on client's needs and aligned to the professional standards Listen carefully and respond positively to any problems, endeavouring to develop solutions Judge the extent to which care plans are helping clients Agree any changes to care plans with clients, their families, colleagues, and related professionals Record the outcomes of evaluations Develop action plans, taking into consideration the available resources Report and record any concerns to the relevant parties Reflect on feedback and evaluate own working practices Change/adapt working practices following reflection, to improve
	Total	100

References for industry consultation

General notes

WorldSkills is committed to ensuring that the WorldSkills Occupational Standards fully reflect the dynamism of internationally recognized best practice in industry and business. To do this WorldSkills approaches a number of organizations across the world that can offer feedback on the draft Description of the Associated Role and WorldSkills Occupational Standards on a two-yearly cycle.

In parallel to this, WSI consults three international occupational classifications and databases:

ISCO-08: (http://www.ilo.org/public/english/bureau/stat/isco/isco08/)
ESCO: (https://ec.europa.eu/esco/portal/home )
O*NET OnLine (www.onetonline.org/)

References

This WSOS (Section 2) appears most closely to relate to Nursing Assistants:
https://www.onetonline.org/link/summary/31-1014.00

or Nursing Assistant: ‘
http://data.europa.eu/esco/occupation/87d0795a-d41f-47ee-979f-0ab7d73836e7

Adjacent occupations may also be explored through these links.

ILO 5321

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