February 2024
Blog | Bridging the gap: a new approach to nursing apprentices
By Marina Kendrick and Suzanne Smith
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In May 2017 Nursing apprenticeships were introduced with higher degree-level apprenticeships in both Nursing and Allied Health introduced in the following years. The use of the Levy tax to support apprenticeship delivery opened a new stream of opportunities for employers working within the NHS, private and independent sectors within healthcare.
It enabled employers not only to recruit and train new staff, but also to develop current, highly-skilled, long-term employee by providing them with opportunities to gain a professional registered qualification, where previously the commitment to study and time out of employment would have impacted the employee’s financial situation.
But how can apprenticeship programmes surmount some of the other challenges of delivering a skilled healthcare workforce?
Some of the more nuanced challenges of delivering apprenticeships are around the added costs of apprenticeships, such as the backfilling of the nurse apprentice whilst they are at their place of study. There is also the challenge of managing suitable, well-supported placement opportunities as required by the Nursing and Midwifery Council (NMC) and the Health and Care Professions Council (HCPC), depending on whether the apprentice is working towards becoming a Nursing Associate or a Registered Nurse – two distinct roles with different training routes and responsibilities.

The first cohort of Nursing Associate apprentices in 2022.
There are huge opportunities for HEIs to work in collaboration with employer partners to provide tailored education programmes which match or exceed the needs of the student, learner and employer. Apprenticeships offer a delivery model where the employer can appropriately support the needs of the qualification and also the needs of their patients by using the work-based model of an apprenticeship.
The planning for new and emerging apprenticeships should be strategic, based on the NHS Long Term Workforce projections, with employer partnership working at its heart. It is this collaborative approach that we have seen at University College Birmingham grow healthcare registered degrees and apprenticeships, without compromising on quality.
Across the country, there is scope for higher education institutions (HEIs) to work with employers on offering unique and specialist placement opportunities, enhancing the learning experience of their apprentices. In Birmingham, these include Cygnet Health Care, an independent mental health and learning disability provider, Health in Justice (Practice Plus group, providing healthcare within the prison environment), and University Hospitals Birmingham and specialist NHS care providers, such as Royal Orthopaedic Hospital, and the Birmingham community hub working to support GP surgeries to develop their staff.
The bespoke blended delivery model supports the national provision, enabling apprentices from across England to enjoy a university experience whilst studying remotely. By utilising this delivery model as part of the HEI’s nursing offer, national placement partnership can enable the support of placement opportunities in mental health, adult, children and learning settings as part of the NMC requirements.
The tangible challenges of a shortage of nurses, in the context of wider challenges in the sector addressing the difficulties of a post-pandemic work, do mean that quick fixes and overnight miracles are not a reality. The combination of offering employer-focused and immersive learning experiences to both local and national employers, and a route to enhancing their workforce development that goes beyond the traditional academic settings of entry go a long way towards addressing the gap. For those exploring healthcare careers without going to university, there are now more accessible pathways than ever.
Find out more about apprenticeships at University College Birmingham, or learn about our Nursing Associate FdSc course and other programmes within our Department of Health.
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