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Person-centred, safe and effective delegation of healthcare activities to care workers can enable people to have more choice and control of when and how things happen, with an opportunity to provide a better experience of care.

A delegated healthcare activity is an activity that 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.


Guiding principles and supporting resources

Ƶ, the Department of Health and Social Care (DHSC) and partners have co-developed voluntary guiding principles to support person-centred, safe and effective delegation of healthcare activities.

Delegation to social care workers isn’t new and has been happening for several years. The principles are designed to be adapted locally to complement existing best practice and local protocols.


PDF - 11.79MB
The voluntary guiding principles include how to create the right conditions for delegation and highlight the importance of a person-centred approach and putting the person at the heart of decision-making.
PDF - 7.95MB
Download the printable easy read version of the delegated healthcare activities guiding principles.
PDF - 3.02MB
Download the screen accessible easy read version of the delegated healthcare activities guiding principles.

Overview of the guiding principles

This short animated video provides an overview of the guiding principles.

Duration 3 mins 30 secs



PowerPoint - 53.2 MB

This powerpoint presentation is designed to help introduce the principles and supporting resources within your own organisation and includes short video clips of Registered Managers talking about their experience of delegation.


Supporting resources

These supporting resources have been produced in partnership with the Department of Health and Social Care and Ƶ with thanks to the organisations involved in their development. 

Delegated healthcare activities sample policy

The National Care Forum worked with their members and Ƶ to develop this sample policy which aims to support social care providers to evidence their decision-making and governance when considering delegation.

They also developed supporting sample policy information on wound care, clinical observations and catheter care that you can insert in section two of the sample policy above.


PDF - 166KB

This decision tree is designed to support care providers with decision-making and key considerations for safe and effective delegation.

Delegated healthcare activities governance toolkit

This sample governance toolkit has been developed with the Lincolnshire Care Association and the Lincolnshire Integrated Care System based on experience working across a health and social care system. The templates below support the toolkit and are editable to adapt to your local system and organisation.


PDF - 241KB
This report shares the key findings from the Association of Directors of Adult Social Services (ADASS) sector engagement to support implementation of the guiding principles.

Hear from others

Rob Moriarty shares his story about delegation of healthcare activity to the personal assistants he employs.

Duration 4 mins 56 secs


Hear from some of the people involved in the Tameside Blended Roles project and their approach to closer collaboration between care providers and the local neighbourhood teams.

Duration 10 mins 46secs


St Martin’s Care in Northumberland are working together with the North East Ambulance Service and Ageing Well to train care workers in the use of the lifting cushions to improve non-injured fall outcomes. Hear their story so far. 

Duration 5 mins 35 secs


Lincolnshire Care Association and Lincolnshire ICB have been working together to develop safe operating procedures for a telehealth monitoring kit, a digital solution to improve outcomes for those accessing care and support in residential homes. Here’s their story filmed in Ashdene Care Ƶ, Sleaford. 

Melanie Weatherley MBE, Chair of Lincolnshire Care Association, has also  sharing her experience.

Duration 6 mins 6 secs


Delegated healthcare activity guides

We’ve developed two short guides to support decision making and provide information and guidance on delivering delegated healthcare activity. 

PDF - 374KB
This guide is aimed primarily at adult social care employers, managers and care workers working in care homes and other social care settings.
PDF - 390KB
This guide is for care workers who work in care homes and may be useful to care workers who work in other social care settings.


Research into social care workers undertaking healthcare activities

Ƶ commissioned research into what healthcare activity is being delegated, on what scale, and how it is perceived by those involved. This was used to inform the development of the guiding principles. 

PDF - 427KB
A 2022 research report exploring current practice in social care workers undertaking delegated healthcare activity.