Level 4


The Level 4 NVQ in Health and Social Care (Adult & Children and Young People) is designed to reflect the work of candidates who undertake Health and Social Care activities at Level 4 working with service users/carers. The aim of this qualification is to recognise the skills and competences of candidates in the workplace.

The aim of this qualification is to recognize your skills and competences in the workplace. The qualification is about the management and delivery of physical, emotional or enabling care to clients/service users. The candidate will be managing and delivering care in support of others, and will be accountable in the area of practice. Candidates will be working without direct supervision or on their own, such as in a client’s/service users own home. Candidates will have autonomy, and will be required to make decisions within boundaries and limits agreed with their team.

This NVQ will allow for progression to and from OCR’s existing portfolio of Health and Social Care qualifications and will complement other vocational qualifications.

Qualifications are suitable for People who deliver and manage health and social care services.

Entry requirements

There are no formal entry requirements for this qualification

Qualification structures

To achieve this qualification, candidates must achieve 8 units made up of 4 Core units and 4 Optional units (including the choice of the specialist unit/route). Candidates can also undertake additional units, although these are not required to complete the qualification.

Assessment and grading

Like all NVQs, this qualification is competence-based. This means that it is linked to a person’s ability to competently perform a range of tasks connected with their work.

To achieve this qualification, candidates must achieve 8 units made up of 4 Core units (including the choice of specialist route) and 4 Optional units.

Candidates can also undertake additional units, although these are not required to complete the qualification.

Adult Core Units

41 Use and develop methods and systems to communicate record and report
42 Contribute to the development and maintenance of healthy and safe practices in the working environment
43 Take responsibility for the continuing professional development of self and others
45 Develop practices which promote choice, well-being and protection of all individuals

Adult Specific Optional units

410 Advocate with, and on behalf of, individuals, families, carers, groups and communities
411 Manage a service which meets the best possible outcomes for the individual
412 Ensure individuals and groups are supported appropriately when experiencing significant life events and transitions
Children and Young People Core Units
41 Use and develop methods and systems to communicate record and report
42 Contribute to the development and maintenance of healthy and safe practices in the working environment
43 Take responsibility for the continuing professional development of self and others
44 Develop practice which promotes the involvement, well-being and protection of children and young people
Children and Young People Specific Optional Units
46 Independently represent and advocate with, and on behalf of, children and young people
47 Help parents and carers to acquire and use skills to protect and take care of children and young people
48 Demonstrate a style of leadership that ensures an organisational culture of open and participatory management and practice
49 Develop and maintain an environment which safeguards and protects children and young people

Generic Optional Units

413 Manage requests for health and care services
414 Assess individual needs and preferences
415 Produce, evaluate and amend service delivery plans to meet individual needs and preferences
416 Develop, implement and review care plans with individuals
417 Assess individuals’ mental health and related needs
418 Work with individuals with mental health needs to negotiate and agree plans for addressing those needs
419 Provide advice and information to those who enquire about mental health needs and related services
420 Promote leisure opportunities and activities for individuals
421 Promote employment, training and education opportunities for individuals
422 Promote housing opportunities for individuals
423 Assist individuals at formal hearings
424 Supervise methadone consumption
425 Support people who are providing homes for individuals and/or children and young people
426 Empower families, carers and others to support individuals
427 Assess the needs of carers and families
428 Develop, implement and review programmes of support for carers and families
429 Work with groups to promote individual growth, development and independence
430 Support the protection of individuals, key people and others
431 Support individuals where abuse has been disclosed
432 Enable families to address issues with individuals’ behaviour
433 Develop joint working agreements and practices and review their effectiveness
434 Maintain and manage records and reports
435 Manage the development and direction of the provision
436 Promote and manage a quality provision
437 Promote your organisation and its services to stakeholders
438 Develop and disseminate information and advice about substance use, health and social well-being
439 Contribute to the development of organisational policy and practice
440 Support effective governance
441 Invite tenders and award contracts
442 Monitor and evaluate the quality, outcomes and cost-effectiveness of substance misuse services
443 Procure services for individuals
444 Contribute to the selection, recruitment and retention of staff to develop a quality service
445 Recruit and place volunteers
446 Manage a dispersed workforce to meet the needs and preferences of individuals at home
447 Represent the agency in courts and formal hearings
448 Provide and obtain information at courts and formal hearings
449 Represent one’s own agency at other agencies’ meetings
450 Develop risk management plans to support individual’s independence and daily living within their home
451 Lead teams to support a quality provision

Additional Unit

452 Contribute to the development, maintenance and evaluation of systems to promote the rights, responsibilities, equality and diversity of individuals