Health play specialist

This apprenticeship is in the process of being revised or adjusted. In the meantime, the version below remains approved for delivery. Further details of this and other apprenticeships being revised or adjusted are available in the revisions and adjustments status report.

Overview of the role

Providing therapeutic play interventions for sick infants, children and young people, service users, carers and families of all ages, throughout their healthcare journey.

Details of standard

Occupation summary

This occupation is found in Hospital, Community, Hospices, NHS, Private and Voluntary Sector. The broad purpose of the occupation is Health Play Specialists (HPS) provide therapeutic play interventions for sick infants, children and young people, service users, carers and families of all ages, throughout their healthcare journey. Play strategies are used to support children and young people in the understanding of their medical conditions and treatments, to adopt life styles changes that are required to manage long term conditions. Play is the tool used to gain informed consent from children and young people and to continue this work as the child and young person’s condition improves, deteriorates, their cognition develops, to transitional to adult services or end of life.

The purpose of play and recreational provision within a healthcare environment is to facilitate access to normalising play in an appropriate and safe environment where developmental norms and goals can be achieved and maintained. Without the provision of skilled play interventions, opportunities for normal growth and development can be limited, leading to restriction or regression in development.

The HPS is a key member of the multi-professional team supporting diagnosis and treatment plans, assessing, developing and implementing complex communication plans with children and families. Communication can be verbal, written, non-verbal or technology assisted and delivered often through play and recreational techniques.

The HPS will assess, observe, play, evaluate and report the relationships in families, skills and behaviours of children and provide professional reports for the safeguarding process. They may be required to provide evidence in the family court. A non-judgement approach is required as children are admitted to hospitals at a time of family crisis which has resulted in an injury or significant neglect to the infant child or young person.

An essential requirement of this role is professional annual re-registration with the Health Care Play Specialist Education Trust (HPSET) demonstrating continuous professional development, practising within the scope of the Professional Code of Conduct and Professional Occupational Standards.. In their daily work, an employee in this occupation interacts with Health Play Specialists interact on a daily basis with:

Consultants
Doctors
Nurses
Theatre Nurses and Operating Department Technicians
Physiotherapists
Occupational Therapists
Educational Psychologists
Medical Professionals
Educational Professionals
Safeguarding Teams
Social Workers
Children Centres
Speech and Language Therapist
Dietician
Charities
Schools
Chaplaincy
Service users
Carers and families
and other AHP.

An employee in this occupation will be responsible for providing therapeutic play techniques to prepare the child for medical, surgical and invasive interventions and procedures, seeking to promote informed consent. Distraction and alternative focus activities provide autonomy through choice and control, augmenting the child’s coping strategies prior to and during procedures. Post procedural play supports children to make sense of health procedures and regimes. The HPS works collaboratively with other professionals at all times and especially when a life limiting diagnosis is made; through to end of life care.

Examples of common work activities include:

Carrying out continuous assessments and observations of a child’s developmental level in order to inform planning and short and long term interventions
The HPS uses their expertise to assess, plan, implement and evaluate play strategies putting the needs of children and young people and service users first
The HPS works with the infant and child to address differentials in child development lost or missed as a result of a medical condition for example graduate neonatal infants, long term ventilated children, complex long term conditions
The HPS will agree with the child, young people and family, any specific interventions to ensure the child’s views are understood and to act as an advocate for the child
To adapt play activities and share skills and knowledge with families on new ways of playing as a result of trauma or restrictions on individual’s access to play
The HPS will be responsible for the management of budgets, including resources and staff. There will be management of play assistants and mentoring of newly qualified practitioners and students. Specific HPSET training and registration requirements must be met to be able to mentor play specialist students on the higher apprenticeship. Sharing of knowledge and skills is a key requirements of the role with other health professionals and students from all disciplines and families
Close working relationships are required with professionals working in agencies outside of the healthcare environment to enable to child to be fully incorporated back into their education and social environments
Counselling skills including active listening and a non-judgemental approach
Children’s psychology differs from that of adults and changes as they grow and develop. Children experience a different range of diseases and disorders to those commonly seen in adults, including mental health conditions. This includes a higher proportion of rare, often complex congenital and inherited disorders
HPS’s are trained to work with children from birth to young adults throughout their health care journey. Play is at the centre of a healthy child’s life. Throughout their health care journey play and recreation are important tools to help the child or young person to make sense of this situation
The HPS have the ability to provide a safe therapeutic and healing environment for babies, infants, children, young people and families
The HPS provide appropriate therapeutic play and recreational activities recognising that normal development is at risk from delay or regression as a result of the impact of the health care journey
The HPS recognises that without the provision of supervised play environment play opportunities can be limited leading to restriction or regression in normal development in all age groups
Your scope of practice is the areas of work in which you have the knowledge, skills and experience to practise lawfully, safely and effectively, in a way that protects the public and yourself from any danger
Through the interactions with children, families and carers they will record and share with those that need to know their observations relating to neglect and/or other forms of safeguarding concerns.

Typical job titles include:

Activity co-ordinator Healthcare play specialists Learning disability health support specialist Nursery nurse (special care baby unit) Play leader Play specialist Registered community play specialist Registered hospital play specialist Therapeutic co-ordinator Youth support co-ordinator

Occupation duties

Duty	KSBs
Duty 1 Organise, initiate and supervise play facilities, appropriate to the age, ability, medical condition and background of the child/young person ensuring all children have access to play and recreation.	K1 K3 K5 K6 K7 K8 K10 K12 K13 K14 S1 S2 S3 S6 S7 S9 S10 S11 S13 S14 S15 S17 S20 S21 S23 S24 S25 S26 S28 S29 B1 B3
Duty 2 To use play and recreation as a tool to communicate, build a rapport and engage with children and young people throughout their healthcare journey	K1 K3 K5 K6 K7 K8 K10 K12 K13 K14 K15 K17 K19 S1 S2 S3 S4 S5 S6 S7 S9 S10 S11 S12 S13 S14 S15 S16 S17 S18 S19 S20 S21 S22 B1 B3
Duty 3 To plan, implement and evaluate individual therapeutic play interventions to include preparation for invasive and non-invasive procedures, distraction therapy and post procedural play.	K1 K2 K3 K4 K5 K6 K7 K8 K10 K12 K13 K14 K15 K16 K17 K19 S1 S2 S3 S4 S5 S6 S7 S9 S10 S11 S13 S14 S15 S16 S17 S18 S19 S20 S21 S22 S28 S29 B1 B2 B3
Duty 4 Work with other professional teams to prepare children and young people prior to admission, and for specific procedures and to familiarise them with the environment, including pre-operative assessment during their healthcare journey.	K1 K2 K3 K4 K5 K6 K7 K8 K9 K10 K11 K12 K13 K14 K15 K16 K17 K18 S1 S2 S3 S4 B1 B2 B3
Duty 5 To advocate patient centred care by communicating for the child/young person and family as part of the multi-professional team (internal and external), to facilitate their wishes and expectations.	K1 K2 K3 K4 K5 K6 K7 K8 K10 K12 K13 K14 K15 K16 K17 K18 K19 S1 S2 S3 S4 S5 S6 S7 S8 S9 S11 S12 S13 S14 S15 S20 S21 S22 S23 S24 S25 S26 S28 S29 S30 S31 B1 B2 B3
Duty 6 Form a supportive professional relationships with family members and carers, enable them to participate in play/recreation and assisting the developing needs of their child/young person during their healthcare journey.	K1 K2 K3 K4 K5 K6 K7 K8 K9 K10 K11 K12 K13 K14 K15 K16 K17 K18 K19 S1 S2 S3 S5 S6 S7 S8 S9 S10 S11 S12 S13 S14 S15 S16 S17 S18 S19 S20 S21 S22 S23 S24 S25 S26 S28 S29 B1 B2 B3
Duty 7 Devise and be accountable for the assessment, planning, delivery and evaluation of individual play/recreational sessions using relevant play documentation.	K1 K2 K3 K4 K5 K6 K7 K8 K10 K11 K13 K14 K15 K16 K17 K19 S1 S2 S3 S4 S5 S6 S7 S9 S10 S12 S13 S14 S15 S16 S17 S18 S20 S21 S23 B1 B2 B3
Duty 8 Through play interventions provide emotional/psychosocial interventions for children/young people and their families facing life changing circumstances.	K1 K2 K3 K4 K5 K6 K7 K8 K9 K10 K11 K12 K13 K14 K15 K16 K17 K18 K19 S1 S2 S3 S4 S5 S6 S7 S8 S9 S10 S11 S12 S13 S14 S16 S17 S18 S19 S20 S22 S23 S24 S25 S26 S27 S28 S30 S31 B1 B2 B3
Duty 9 Educate and demonstrate value, importance and benefits of specialised and therapeutic play to healthcare professionals/students.	K1 K2 K3 K4 K5 K6 K7 K8 K9 K10 K11 K12 K13 K14 K15 K16 K17 K18 K19 S1 S2 S3 S4 S5 S6 S7 S8 S9 S10 S11 S12 S13 S14 S15 S16 S17 S18 S19 S20 S22 S29 S30 B1 B2 B3
Duty 10 Provides highly specialised recommendations regarding the holistic care and play interventions to other professional teams, families and carers.	K1 K2 K3 K4 K5 K6 K7 K8 K9 K10 K11 K12 K13 K14 K15 K16 K17 K18 K19 S1 S2 S3 S4 S5 S6 S7 S8 S9 S10 S11 S12 S13 S14 S15 S16 S17 S18 S19 S20 S21 S22 S23 S24 S25 S26 S27 S29 S30 S31 B1 B2 B3
Duty 11 Uphold the Code of Professional Conduct and Standards of Proficiency meeting requirements for continuing professional registration.	K1 K2 K3 K4 K5 K6 K7 K8 K9 K10 K11 K12 K13 K14 K15 K16 K17 K18 K19 S1 S2 S3 S4 S5 S7 S8 S9 S10 S11 S12 S13 S14 S15 S16 S17 S18 S19 S20 S21 S22 S23 S24 S25 S26 S27 S28 S29 S30 B1 B2 B3
Duty 12 Ensure that the play/recreation environment is risk assessed and actioned therefore maintaining a safe and appropriate environment.	K1 K2 K3 K5 K7 K8 K10 K12 K17 K18 K19 S1 S2 S3 S11 S17 S18 S20 S23 S24 S25 S26 S27 S31 B2
Duty 13 Through observation recognise and act on the signs and symptoms of potential safeguarding (e.g. abuse) in line with local policy. Analyse, interpret and evaluate the relevant information, concepts and ideas.	K1 K2 K3 K4 K5 K6 K7 K8 K9 K13 K14 K15 K16 K17 K18 S1 S2 S3 S4 S7 S8 S9 S10 S11 S12 S14 S15 S16 S18 S19 S20 S21 S22 S23 S24 S25 S26 S29 S30 B1 B2 B3
Duty 14 Be able to practise as an autonomous professional, exercising own professional judgement.	K1 K2 K3 K4 K5 K6 K7 K8 K9 K10 K11 K12 K13 K14 K15 K16 K17 K18 K19 S1 S2 S3 S4 S5 S8 S9 S10 S11 S12 S13 S14 S15 S16 S17 S18 S20 S21 S22 S23 S24 S25 S26 S27 S28 S30 S31 B1 B2 B3
Duty 15 Be able to practise within the legal and ethical boundaries of their profession.	K1 K2 K3 K4 K5 K7 K8 K9 K10 K11 K12 K13 K14 K15 K16 K17 K18 K19 S1 S2 S3 S4 S5 S6 S7 S8 S9 S10 S11 S12 S13 S14 S15 S16 S19 S20 S21 S22 S23 S24 S25 S27 S30 B1 B2 B3

KSBs

Knowledge

K1: The Code of professional conduct and standards of practice and behaviour for registered health play specialist (HPSET, 2019), and how to fulfil all registration requirements Back to Duty

K2: The professional responsibility to adopt a healthy lifestyle to maintain the level of personal fitness and well-being required to meet people’s needs for mental and physical care through play Back to Duty

K3: The relevant legal, regulatory and governance requirements, policies, and ethical frameworks, including any mandatory reporting duties, to all areas of practice Back to Duty

K4: The meaning of resilience and emotional intelligence, and their influence on an individual’s ability to provide play Back to Duty

K5: The established principles for working with sick children, young people and their families Back to Duty

K6: The Child development theory and research related to specialised play and recreation Back to Duty

K7: The best practice in health play, based on current theoretical, legal and local policies Back to Duty

K8: How discriminatory behaviour is exhibited Back to Duty

K9: The principles and processes for making reasonable adjustments Back to Duty

K10: The principles of research and how research findings are used to inform evidence-based practice Back to Duty

K11: The principles of health and safety legislation and regulations and maintain safe work and care environments by undertaking risk assessments as per organisational policy Back to Duty

K12: The importance of early years and childhood experiences and the possible impact on life choices, mental, physical and behavioural health and well-being Back to Duty

K13: The contribution of social influences, health literacy, individual circumstances, behaviours and lifestyle choices to mental, physical and behavioural health outcomes Back to Duty

K14: How and when to escalate to the appropriate professional for expert help and advice Back to Duty

K15: Where and how to seek guidance and support from others to ensure that the best interests of those receiving play are upheld, know and understand strategies to develop resilience in self and know how to seek support to help deal with uncertain situations Back to Duty

K16: Own role and the roles of all other staff at different levels of experience and seniority Back to Duty

K17: The roles of the different providers of health and care Back to Duty

K18: The principles of human factors and environmental factors when working in teams Back to Duty

K19: The influence of policy and political drivers that impact health and care provision Back to Duty

Skills

S1: Act in accordance with the Code: Professional standards of practice and behaviour for registered health play specialist (HPSET, 2019), and fulfil all registration requirements Back to Duty

S2: Keep complete, clear, accurate and timely records Back to Duty

S3: Recognise and report any factors that may adversely impact safe and effective play provision Back to Duty

S4: Take responsibility for continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills Back to Duty

S5: Safely demonstrate evidence-based practice in all skills and procedures required for entry to the register: (HPSET, 2019) Back to Duty

S6: Act as an ambassador for their profession and promote public confidence in health play services Back to Duty

S7: Knows a range of communication skills and strategies and how and when to apply the method most suitable to the situation Back to Duty

S8: Recognise signs of vulnerability in self or colleagues and the action required to minimise risks to health Back to Duty

S9: Develop, manage and maintain appropriate relationships with people, their families, carers and colleagues Back to Duty

S10: Provide, promote, and where appropriate advocate for, non-discriminatory, person-centred and sensitive play at all times, reflecting on people’s values and beliefs, diverse backgrounds, cultural characteristics, language requirements, needs and preferences, taking account of any need for adjustments Back to Duty

S11: Report any situations, behaviours or errors that could result in poor outcomes Back to Duty

S12: Challenge or report discriminatory behaviour Back to Duty

S13: Promote behaviours and provide information to support children, young people and their families to make informed choices to improve their mental, physical, behavioural health and wellbeing through play strategies Back to Duty

S14: Apply knowledge, communication and relationship management skills required to provide children, young people, families and carers with accurate information that meets their needs before, during and after a range of play interventions Back to Duty

S15: Recognise when capacity has changed and how a person’s capacity affects their ability to make decisions about their own care and to give or withhold consent Back to Duty

S16: Recognise people at risk of abuse, self-harm and/or suicidal ideation and the situations that may put them and others at risk Back to Duty

S17: Monitor the effectiveness of play in partnership with children young people, families and carers, documenting progress and reporting outcomes Back to Duty

S18: Take personal responsibility to ensure that relevant information is shared according to local policy and appropriate immediate action is taken to provide adequate safeguarding and that concerns are escalated Back to Duty

S19: Work in partnership with other professionals, to encourage shared decision making, in order to support individuals Back to Duty

S20: Meet children and young people’s needs for safety, dignity, privacy, comfort and play Back to Duty

S21: Support people with commonly encountered symptoms including anxiety, confusion, discomfort and pain Back to Duty

S22: Work collaboratively and in partnership with professionals from different agencies in interdisciplinary teams Back to Duty

S23: Maintain safe work and play environments Back to Duty

S24: Act in line with local and national organisational frameworks, legislation and regulations to report risks, and implement actions as instructed, following up and escalating as required Back to Duty

S25: Accurately undertake risk assessments, using contemporary assessment tools as per organisation policy and procedures Back to Duty

S26: Respond to and escalate potential hazards that may affect the safety of Child, young people and adults Back to Duty

S27: Participate in data collection to support audit activity, and contribute to the implementation of quality improvement strategies Back to Duty

S28: Prioritise and manage own workload, and recognise where elements of care can safely be delegated to other colleagues, carers and family members Back to Duty

S29: Support, supervise and act as a role model to health play specialist students and members of other professional teams and those new to care roles, review the quality of the play they provide, promoting reflection and providing constructive feedback Back to Duty

S30: Contribute to team reflection activities to promote improvements in practice and services Back to Duty

S31: Access, input, and apply information and data using a range of methods including digital technologies, and share appropriately within interdisciplinary team Back to Duty

Behaviours

B1: Treat people with dignity, respecting individual's diversity, beliefs, culture, needs, values, privacy and preferences Back to Duty

B2: Show respect and empathy for those you work with, have the courage to challenge areas of concern and work to evidence based best practice Back to Duty

B3: Be adaptable, reliable and consistent, show discretion, resilience and self-awareness Back to Duty

Qualifications

English and Maths

Apprentices without level 2 English and maths will need to achieve this level prior to taking the End-Point Assessment. For those with an education, health and care plan or a legacy statement, the apprenticeship’s English and maths minimum requirement is Entry Level 3. A British Sign Language (BSL) qualification is an alternative to the English qualification for those whose primary language is BSL.

Other mandatory qualifications

High Level Qualification
Foundation Degree in Healthcare Play Specialism Level: 5

High Level Qualification

Foundation Degree in Healthcare Play Specialism

Level: 5

Professional recognition

This standard aligns with the following professional recognition:

HPSET for egistered HPS

Additional details

Regulated standard

This is a regulated occupation.

Regulator body:

Health Play Specialist Education Trust (HPSET)

Training Provider must be approved by regulator body

EPAO does not require approval by regulator body

Occupational Level:

Duration (months):

Review

this apprenticeship will be reviewed in accordance with our change request policy.

End-point assessment (EPA plan)

Rigorous robust and independent assessment undertaken by an apprentice at the end of training to test that the apprentice can perform in the occupation they have been trained in and can demonstrate the duties, and knowledge, skills and behaviours (KSBs) set out in the occupational standard

End-point assessment organisation (EPAO)

An organisation approved to deliver end-point assessment for a particular apprenticeship standard. EPAOs must be on the register of end-point assessment organisations

Holistic or synoptic

Assessment of an apprentice’s knowledge, skills and behaviours in an integrated way i.e. assessing several KSBs at the same time

Knowledge, skills and behaviours (KSB)

What is needed to competently undertake the duties required for an occupational standard

Valid

Referred to in relation to assessment methods; fit for purpose

Change request policy

Most changes to an apprenticeship are made as a result of a holistic review of it. We prioritise the need for such reviews based on a range of factors. These include:

the time since the apprenticeship was developed or last reviewed (taking account of its typical duration)
the existence of any known problems with it (e.g. lower than expected starts, low achievement rate, high withdrawal rate, any issues with the availability of training or end-point assessment provision)
whether the apprenticeship is currently subject to a dispensation
the relative significance of the apprenticeship based on how many users it has

The availability of an employer group to support a review and its potential impact on any related technical education product also inform the timing of a review.

Details of apprenticeships that are currently being revised or adjusted are available in our revisions and adjustments status report.

Status: Approved for delivery (available for starts)

Level: 5

Reference: ST0829

Version: 1.0

Date updated: 25/03/2021

Approved for delivery: 30 September 2019

Route: Health and science

Typical duration to gateway: 24 months (this does not include EPA period)

Maximum funding: £13000

Regulated standard:
This is a regulated occupation
Regulator body:Health Play Specialist Education Trust (HPSET)
Training Provider must be approved by regulator body

LARS Code: 505

EQA Provider: Ofqual

Health play specialist assessment plan

File size: 283.2 KB

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Employers involved in creating the standard: Birmingham Women’s and Children’s Hospital, Leicester NHS Trust, The Childrens Trust, Evelina Guys and St Thomas NHS Foundation Trust, Alderhey Hospital, University College Hospitals London, Manchester Children’s hospital, NHS Lothian, Imperial College NHS Trust London, The Portland Hospital, Leeds City College, Nescot College, Health Care Play Specialist Education Trust (HPSET)

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Version log

Version	Change detail	Earliest start date	Latest start date
1.0	Approved for delivery	30/09/2019	Not set

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