This is not the latest approved version of this apprenticeship. View the latest version

This apprenticeship is in revision

This revised version (V1.1) of this standard and EPA plan has been approved and is available for information only at present until the funding band has been agreed.

Key information

  1. Status: Standard in development
  2. Ticked Proposal approved
    Ticked Occupational standard approved
    Ticked End-point assessment plan approved
    Unticked Funding approved
  3. Reference: ST0829
  4. Level: 5
  5. Typical duration to gateway: 24 months
  6. Typical EPA period: 3 months
  7. Route: Health and science
  8. Integration: None
  9. Date updated: 07/04/2025
  10. Lars code: 505
  11. EQA provider: Ofqual
  12. Review: this apprenticeship will be reviewed in accordance with our change request policy.

Details of the occupational standard

Occupation summary

This occupation is found in hospitals, outpatient clinics, community health centres hospices, NHS, and the private and voluntary sector.

The broad purpose of the occupation is to provide therapeutic play interventions to support children from birth to young adulthood in healthcare settings, throughout their healthcare journey. Play is at the centre of a child’s life and is accepted as vital to healthy growth, development, and a natural part of childhood. Play strategies are used to support babies, children and young people to understand their medical conditions and treatments and to adopt lifestyle 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 transition to adult services or end of life.

The health play specialist 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 Society of Health Play Specialists (SoHPS) demonstrating continuous professional development, practising within the scope of the Professional Standards.

In their daily work, an employee in this occupation interacts with medical professionals such as consultants, doctors, nurses and allied health professionals, educational professionals, socials workers, schools, families, carers and other agencies to creative supportive environments for children and young people during their healthcare journeys.

An employee in this occupation will be responsible for the normalising, rehabilitation and therapeutic play techniques to prepare the child for medical, surgical and invasive interventions and procedures, seeking to promote informed consent. By using play as a therapeutic approach, it helps to reduce stress and fear associated with medical experiences, ultimately promoting better health outcomes and emotional resilience. 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 health play specialist works collaboratively with other professionals at all times and especially when a life limiting diagnosis is made, through to end of life care.   

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

Entry requirements

Entry requirements will be determined by the employer and the provider, and typically require a level 3 qualification in childcare, education or a relevant field.

Occupation duties

Duty KSBs

Duty 1 Practise safely and effectively within the scope of practice and within the legal and ethical boundaries of the profession.

K1 K2 K3 K4 K5 K7 K8 K24 K39 K40 K43

S1 S2 S3 S4 S5 S6 S8 S9

B1 B2 B3 B4 B5

Duty 2 Look after own health and wellbeing, seeking appropriate support where necessary.

K7 K9

S8 S10

B1 B2 B3 B4 B5

Duty 3 Practise as an autonomous professional, exercising professional judgement.

K1 K8 K11 K12 K13 K14 K15 K18 K19 K25 K30 K32 K33 K34 K35 K36 K38

S1 S9 S12 S13 S14 S15 S16 S19 S20 S26 S30 S32 S33 S34 S35 S36 S38

B1 B2 B3 B4 B5

Duty 4 Practise in a non-discriminatory and inclusive manner recognising the impact of culture, equality and diversity.

K7 K12 K13 K14 K15 K18 K19 K25 K30 K32 K33 K34 K35 K36 K39 K40

S8 S13 S14 S15 S16 S19 S20 S26 S30 S32 S33 S34 S35 S36

B1 B2 B3 B4 B5

Duty 5 Communicate effectively, maintaining confidentiality and records appropriately.

K16 K17 K20 K22 K23 K24 K26 K27 K28

S17 S18 S21 S23 S24 S25 S27 S28

B1 B2 B3 B4 B5

Duty 6 Work with others.

K16 K17 K20 K21 K22 K23 K24 K29 K42

S17 S18 S21 S22 S23 S24 S25 S29

B1 B2 B3 B4 B5

Duty 7 Reflect on, review and assure the quality of own practice.

K6 K10 K21 K31 K32 K37

S7 S11 S22 S32 S37

B1 B2 B3 B4 B5

Duty 8 Draw on appropriate knowledge and skills to inform practice and apply the key concepts of the knowledge base relevant to the profession.

K10 K12 K13 K14 K15 K18 K21 K25 K29 K33 K34 K35 K41

S11 S13 S14 S15 S16 S19 S22 S26 S29 S31 S33 S34 S35

B1 B2 B3 B4 B5

Duty 9 Establish and maintain a safe practice environment.

K5 K7 K8 K22 K23 K35 K43

S4 S5 S6 S8 S9 S23 S24 S35

B1 B2 B3 B4 B5

KSBs

Knowledge

K1: Standards of personal and professional conduct, possible conflicts of care and how to report breaches of professional standards. Back to Duty

K2: Limits of your practice. Back to Duty

K3: Lone working, personal and others’ safety, employer’s policies and the need to maintain the safety of service-users. Back to Duty

K4: Responsibilities to escalate and disclose information through the appropriate channels in regards to safeguarding and Prevent. Back to Duty

K5: Employers’ guidelines on reporting risks, incidents and escalation process. Back to Duty

K6: Registration requirements, continuous reflection and improvement to practice. Back to Duty

K7: National legislation, local policies, workplace procedures, advice, and guidance including relating to culture, equality, diversity, and inclusion. Back to Duty

K8: Professional duty of care and steps to reduce the risk of harm to service-users, carers, and colleagues. Back to Duty

K9: The importance of maintaining own health and wellbeing. Back to Duty

K10: Importance of ongoing professional development and training, professional registration and incorporating changes to own role. Back to Duty

K11: The nature and severity of a problem in professional situations. Back to Duty

K12: Developmental needs of the service-user and how to use normalising interventions, preparation, distraction, and post procedural play techniques by initiating, continuing, modifying and ceasing play. Back to Duty

K13: Play techniques and use of resources to improve the service users experience and wellbeing. Back to Duty

K14: Coping strategies in order to minimise service-user's distress and anxiety during clinical procedures. Back to Duty

K15: The importance of choice and control through service-user centred care that support positive outcomes. Back to Duty

K16: Partnership and team working approaches to ensure that clinical procedures are planned and managed. Back to Duty

K17: How sharing information, interventions and accurate records contributes to the management and the care provided for a service-user. Back to Duty

K18: Play interactions that enable a child and their family to understand their condition and learn the sensory and factual information they need to prepare for any treatment or procedure or to make any necessary lifestyle changes. Back to Duty

K19: The importance of gaining consent before providing care and support to service-users to maintain their own health and well-being. Back to Duty

K20: How to make and receive referrals in line with organisational policy. Back to Duty

K21: The importance of participation in training, mentorship, coaching and supervision in order to support service users, health professionals, colleagues, students, and apprentices. Back to Duty

K22: How to provide support and guidance to ensure that safe practice can be monitored and maintained when working with junior staff. Back to Duty

K23: How to supervise and delegate to others ensuring the knowledge, skills and experience required to work safely and effectively. Back to Duty

K24: The purpose of supporting the multidisciplinary team and other professionals to understand the needs and preferences of service-user's and how play and health services impact their care. Back to Duty

K25: Needs of different service-users and how to adapt practice or make reasonable adjustments to promote inclusive service provision. Back to Duty

K26: Ways to use, record and store data and information related to service-users securely and in line with General Data Protection Regulation (GDPR) requirements and local and national policies, including the safe use of digital technology. Back to Duty

K27: Different communication skills and strategies to maximise understanding for service-users and to facilitate assessment and engagement of those with protected characteristics. Back to Duty

K28: Communication support systems which can assist the service-user and how interpersonal skills can encourage active participation. Back to Duty

K29: The importance and impact of team and partnership working to service delivery in and across different sectors and the value of sharing skills knowledge and expertise. Back to Duty

K30: The value of enabling and engaging service-users in planning and evaluating therapeutic play techniques to support treatments and interventions to meet their needs and goals. Back to Duty

K31: Evidence-based practice, audit procedures, systematic practice evaluation and continuous improvement. Back to Duty

K32: Information gathering to evaluate the effectiveness of interventions. Back to Duty

K33: Theoretical concepts underpinning play, therapeutic play and the development of service-user. Back to Duty

K34: Processes to devise, implement and review developmental and individual therapeutic play plans for the service-user. Back to Duty

K35: Normalising, developmental and therapeutic play activities within safe environments for service-users. Back to Duty

K36: Physical, psychological, social, cultural, and environmental needs, challenges and perspectives of service-users. Back to Duty

K37: The importance of continuous self-reflection, seeking and responding to support and feedback to develop professional knowledge and skills. Back to Duty

K38: Quality control, quality assurance and the role of audit and review in quality management and outcome measures. Back to Duty

K39: Socio-cultural diversity of the community and the specific local context of practice, and work-related policies and services that can impact on individual needs within a diverse society. Back to Duty

K40: The impact of economic inequality, poverty, and exclusion on and the ability to access services. Back to Duty

K41: Potential new and emerging areas of practice in play. Back to Duty

K42: Leadership theories and styles, and the impact these can have on service-users and the organisation. Back to Duty

K43: Current and developing sustainable principles and techniques. Back to Duty

Skills

S1: Maintain standards of personal and professional conduct, avoid possible conflicts of care and report breaches of professional standards. Back to Duty

S2: Work within the remit of your professional boundaries, inform appropriate practitioners if the care or treatment is not within the scope of your professional boundaries or expertise. Back to Duty

S3: Refer and delegate to appropriate practitioners wherever you find yourself unable to maintain objectivity and professional boundaries. Back to Duty

S4: Comply with lone working policies considering your own personal and others' safety. Back to Duty

S5: Adhere to safeguarding and prevent policies following procedures to escalate and disclosure of information, through the appropriate channels. Back to Duty

S6: Adhere to employers’ guidelines on reporting risks, incidents and escalation process. Back to Duty

S7: Reflection and improvement to practice to enable registration. Back to Duty

S8: Adhere to up to date national legislation, local policies, workplace procedures, advice, and guidance, supporting the rights of service users, colleagues and visitors, including relating to culture, equality, diversity, and inclusion. Back to Duty

S9: Exercise a professional duty of care ensuring no act or omission is detrimental to the condition or safety of service-users in your care or their families, carers and colleagues, to deal with concerns. Back to Duty

S10: Maintain own health and wellbeing, seeking advice and changing practise to reduce possible risks. Back to Duty

S11: Take personal responsibility for ongoing professional development and training opportunities and professional registration. Back to Duty

S12: Assess professional situations, determining the nature and severity of a problem acting within your professional scope of practice. Back to Duty

S13: Use normalising interventions, preparation, distraction, and post procedural play techniques by initiating, continuing, modifying, and ceasing play, based on the developmental needs of all service-users, to build on their abilities and enhance their experience. Back to Duty

S14: Apply play techniques selecting appropriate play resources to improve the service user's needs, experience and wellbeing. Back to Duty

S15: Apply coping strategies in order to minimise service-user's distress and anxiety during clinical procedures. Back to Duty

S16: Facilitate choice and control through service-user centred care, using play-based techniques that support positive outcomes. Back to Duty

S17: Work in partnership and with other professions as part of a team to ensure that clinical procedures are planned and managed. Back to Duty

S18: Share information, interventions and accurate records agreeing goals and priorities with other identified professionals to contribute to the management and the care provided for a service user. Back to Duty

S19: Guide a child and their family to understand their condition and learn the sensory and factual information they need to prepare for any treatment or procedure or to make any necessary lifestyle changes through play interactions. Back to Duty

S20: Encourage and help service-users to maintain their own health and well-being, and support them so they can make informed decisions ensuring patient consent is gained. Back to Duty

S21: Make and receive referrals in line with organisation’s referral policy. Back to Duty

S22: Participate in training, mentorship, coaching and supervision in order to support service users, health professionals, colleagues, students, and apprentices. Back to Duty

S23: Provide support and guidance to ensure that safe practice can be monitored and maintained when working with junior staff. Back to Duty

S24: Supervise and delegate to others ensuring the knowledge, skills and experience required to work safely and effectively. Back to Duty

S25: Raise awareness within the multidisciplinary team and other professionals of the needs, preferences and the impact of service-user's care through play and health services. Back to Duty

S26: Adapt practice or make reasonable adjustments to meet the needs of different service-users to take account of new developments, changing contexts and promote inclusive service provision. Back to Duty

S27: Use, record and store data and information related to service-users securely and in line with General Data Protection Regulation (GDPR) requirements and local and national policies, including the safe use of digital technology. Back to Duty

S28: Use and adapt communication skills and strategies to maximise understanding for service-users and to facilitate assessment and engagement of those with protected characteristics. Back to Duty

S29: Undertake work collaboratively with others as part of a professional team in and across different sectors sharing skills knowledge and expertise. Back to Duty

S30: Engage service-users in planning and evaluating therapeutic play techniques to support treatments and interventions to meet their needs and goals. Back to Duty

S31: Engage in evidence-based practice and participate in audit procedures evaluating systematic practice, working towards continual improvement. Back to Duty

S32: Gather information to assess service-users, use information to evaluate the effectiveness of interventions and revise plans as necessary. Back to Duty

S33: Apply the theoretical concepts underpinning play, therapeutic play and the development of service-user. Back to Duty

S34: Devise and implement developmental and individual therapeutic play plans for the service-user including specific and timely reviews. Back to Duty

S35: Conduct normalising, developmental and therapeutic play activities, support procedures, treatments, therapy, or other actions within safe environments for service-users. Back to Duty

S36: Identify and assess physical, psychological, social, cultural, and environmental needs and challenges of service-users. Back to Duty

S37: Identify the importance of self reflection, using research, apply reasoning, problem-solving skills and feedback, to inform own practice and improve areas of personal performance. Back to Duty

S38: Participate in quality assurance programs. Back to Duty

Behaviours

B1: Show respect, compassion, and uphold the rights, dignity, values, and autonomy of all individuals whilst maintaining high standards of care. Back to Duty

B2: Recognise that you are personally responsible for own actions and decisions. Back to Duty

B3: Adopt an empathetic approach and demonstrate discretion. Back to Duty

B4: Promotes equality, diversity and inclusion within the team, the wider organisation and service users. Back to Duty

B5: Be adaptable, reliable and consistent, resilient and self-aware. Back to Duty

Qualifications

English and Maths

English and maths qualifications must be completed in line with the apprenticeship funding rules.

Other mandatory qualifications

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Professional recognition

This standard aligns with the following professional recognition:

  • Society of Health Play Specialists (SoHPS) for Registered HPS
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Version log

Version Change detail Earliest start date Latest start date
Revised version awaiting implementation Not set Not set
1.0 Approved for delivery 30/09/2019 Not set
Employers involved in creating the standard: Alder Hey Children's Hospital, Basildon & Thurrock University Hospitals NHS Foundation Trust (L) (Health), Blackpool Teaching Hospitals NHS Foundation Trust, Blackpool Victoria Hospital, Cambridgeshire and Peterborough NHS Foundation Trust, County Durham and Darlington NHS Foundation Trust, Great Ormond Street Hospital for Children NHS Foundation Trust, Leeds Children's Hospital, Leeds City College, Manchester Children’s hospital, Nescot College, NHS Addenbrookes, Queens Medical Centre Nottingham, Society of Health Play Specialists, Solent University, University Centre Leeds, University College London Hospitals NHS Foundation Trust, University of West London

Crown copyright © 2025. You may re-use this information (not including logos) free of charge in any format or medium, under the terms of the Open Government Licence. Visit www.nationalarchives.gov.uk/doc/open-government-licence

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