HEE Guidance regarding students on practice placements and surge capacity - 20 January 2022

Please check no other guideance has come out since 20 Jaunary 2022


Organisations will have students learning alongside their substantive workforce while on
practice placements and they can provide a valuable contribution to clinical care while achieving
their learning outcomes. Students include trainee nursing associates, RN apprentices and
student nurses undertaking a full-time degree study.
Organisations may be opening additional inpatient facilities over the winter and will be
considering the appropriate placement of students. Such temporary additional clinical capacity
will not have been approved by the education provider as a practice placement.
For all students, the NMC-approved education provider, in partnership with the placement
providers, is responsible for the practice placements and will audit the clinical learning
environment to ensure the regulatory requirements are met. This will take place prior to
students being placed in any additional inpatient facilities, and at regular intervals thereafter.
The following should be considered, in partnership with the education provider, when making
decisions regarding allocation of learners to additional inpatient facilities:
• All students must be appropriately supported and supervised at all times and in
accordance with NMC Standards for Student Supervision and Assessment (2018) and
placed within teams on a supernumerary basis
• The placement must provide the ability for the student to meet their learning objectives
within the clinical environment
• Nightingale Hubs are to be used in instances of extreme pressure and if these are
opened, students should not be placed in the hubs, but they can make a valuable
contribution within teams in wards, departments and services within the organisation
• Areas not approved by the education providers for placements but where learning
outcomes can be met with appropriate supervision may, with prior agreement and proper
approval with the education providers, be considered as placements
All apprentices are employees of an organisation throughout their training period, and most are
undertaking their apprenticeship on a part time basis. This means that for part of the working
week they will be in a student capacity and usually have part of the week where they are
working within their substantive support worker role.
• While undertaking learning as an apprentice the guidance above should be applied
• When the individual is working as a support worker the employer may exercise discretion
as to their deployment as they would for any support worker, i.e., ensuring they have the
appropriate skills, competency and supervision if deployed away from their usual base.
It is recognised that placement providers have positive relationships with their local education
providers and where there may be questions or concerns regarding placements. These can
usually be resolved through these links. Additionally, each education provider will have a
contact with the NMC and are able to escalate any questions or concerns they may have