Delegating healthcare to care staff: how does it work?

Oonagh Smyth, CEO of Skills for Care, along with Deborah Sturdy, chief nurse for adult social care, and Melanie Weatherley, director of Walnut Care, discuss what the delegation of healthcare activities means, how it works, and who it can help

The Guiding principles for delegated healthcare were published in May 2023, in a fitting collaboration between Skills for Care, the Department of Health and Social Care (DHSC), and sector partners.

The new voluntary principles support the person-centred nature — and the safety and effectiveness of — delegated healthcare activities which have been happening in social care already for many years. They are designed to be adapted locally to complement existing best practice and local protocols.

A delegated healthcare activity is an activity which a regulated healthcare professional, such as a nurse, nursing associate, occupational therapist, or speech and language therapist, delegates to a care worker or personal assistant. This could include administering insulin to someone with diabetes or carrying out simple wound care.

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