Nursing Associate

Nursing Associates are a new registered support role within the nursing team. They bridge the gap between healthcare support workers and registered nurses to deliver hands-on person- centred care to patients. Nursing associates work with people of all ages in a variety of settings in health and social care. The role was introduced in response to the Shape of Caring Review 2015, to help build the capacity of the nursing workforce and the delivery of high-quality care. It is a vital part of the wider health and care team and aims to support the career progression of healthcare assistants, enable nurses to focus on more complex clinical work and increase the supply of nurses by providing a progression route into graduate-level nursing.
What can a Nursing Associate do?

  • Nursing Associates are trained to deliver care across all age ranges, and across all four fields of nursing (adult, child, mental health and learning disability). They gain experience in a variety of clinical contexts and develop knowledge of physical health, mental health and illness prevention.
  • Their skills and responsibilities vary depending on the area of practice
  • Once trained they can undertake delegated tasks such as wound care, suture removal, health checks, dementia reviews, vaccinations. They can be trained to perform cervical screening and support with managing long term conditions. They can supervise and train junior members of the team
  • For further info please look at the ARRS booklet here

Many experienced Healthcare Support Workers working in general practice are keen to embark on Nursing Associate Training.
What are the next steps?

  • Discuss your career development with your line manager
  • Look at the ARRS booklet HERE for further info
  • To begin your apprenticeship as a nursing associate, you need to be employed for a minimum of 30 hours per week - See our Apprenticeships page for more info on apprenticeships
  • Ensure you meet the entry requirements for the programme (See HCA section of the website for more details):
  1. Have completed the Care certificate
  2. Have Mathematics and English GCSEs grade 9 to 4 (A to C) or Functional Skills Level 2 or
  3. L3/L2 Qualifications e.g. ‘A’Levels; Advanced Apprenticeship: NVQ: CQF etc (each HEI has their own entry levels)
  • Contact the Surrey Training Hub on for advice on meeting the entry requirements, or to discuss funding options.


  • The TNA will need to have an identified, named Practice Assessor (Registered Nurse) and Practice Supervisor (Registered Nurse/Registered HCP) who will work with them at all times. However, it is everybody’s responsibility to create a positive learning environment for a trainee.
  • There are three types of supervision; direct, indirect and remote. The trainees’ level of supervision will depend on their competence.
  • The Surrey Training Hub can support your Practice Nurses to become Practice Assessors and Supervisors

If completing the programme though the apprenticeship route you are paid a salary and training costs/university fees are covered by the apprenticeship levy.


The Nursing Associate Foundation Degree is awarded by a Nursing and Midwifery Council (NMC) approved provider. Our most frequently used HEI’s are:

University Of Brighton
The Open University
Buckinghamshire New Univeristy
Kingston University
University of West London

Key Points:

  • Educational fees will be paid in full through use of apprenticeship levy funding. Please contact Surrey Training Hub if you would like support with this.
  • Current HEE funding paid directly to the practice is £4,000 per year, per candidate, to provide appropriate support and supervision
  • If the TNA is employed through the PCN, funding can be claimed through ARRS funding which covers salary costs. The updated GP contract deal provided a legal entitlement to 100% reimbursement under the ARRS
  • Trainee Nursing Associate posts are reimbursed up to a maximum annual amount of £25,671 per FTE (£26,000 by 23023/24)

If you do not have a Healthcare Support Worker wishing to undertake the training, there is an opportunity for you to support a Trainee Nursing Associate on a 2-year fixed term contract, for the duration of their training and would hope the registered Nurse Associate could remain in employment in your practice.


  • Registered Nursing associates are accountable practitioners under the Nursing Midwifery council (NMC) but who work under the guidance of other qualified healthcare professionals, generally a registered nurse. They are part of the nursing team and are integral to the local GP practice team.
  • Surrey Training Hub offers ongoing training and development opportunities.
  • Nursing Associates can also join the Royal College of Nursing (RCN) as members. The RCN runs training events and conferences to help support ongoing training and development
  • Once qualified as a registered nursing associate there are also opportunities for you to further progress your career and step up onto the Nurse Degree programme.

For more information on the role of Nurse Associate please Click here