City and Guilds Level 4 Diploma in Health and Social Care

Features and Benefits

  1. Classroom’ based workshop delivery
  2. Suitable for learners in a supervisory role
  3. This qualification is recognised by the Care Quality Commission and Care Council
  4. Improves career prospects and efficiency
  5. Choice of pathways to suit your role (e.g. working with those with learning disabilities, dementia or children and young people)


The Level 4 Diploma in Health and Social Care is a wide-ranging programme covering the skills and knowledge needed to care for others in a broad range of health or social care settings.

It is flexible to suit all fields of health and social care. You can choose a pathway that suits your role – for example, working with people with a learning disability, people with dementia or children and young people.

This is the main qualification required by the Quality Care Commission in England and the Care Councils in Wales and Northern Ireland.

This qualification acts as a progression route for learners in a supervisory role directly supporting their manager e.g. Deputy/Assistant Manager or Team Leader positions. It is also aimed at learners who have achieved a Level 3 Diploma or Advanced Apprenticeship in Health and Social Care and, as a direct result, have acquired additional responsibilities that will support them to meet the requirements of this qualification successfully.

Roles and responsibilities of learners wanting to undertake the Level 4 Diploma should include the delivery of physical, emotional or enabling care to individuals working in adult health and social care in the private, public or voluntary sectors. Learners will be able to demonstrate how they carry out the assessment of individual’s needs through the care planning and reviewing process and carry out individual and environmental risk assessments.

They will be supporting the staff team through supervision to work in agreed ways using a person centred approach with individuals. Learners should also be working with multidisciplinary teams and making referrals and demonstrate how they implement record keeping and monitoring practices in line with the CQC Fundamental Standards.


The Level 4 Health and Social Care Diploma will provide the skills and knowledge needed to care for others in a broad range of health or social care settings.


These are the recognised qualifications for care workers and senior care workers in health and social care.

Lead adult care workers may work in residential or nursing homes, domiciliary care, day centres or some clinical healthcare settings. As well as covering lead adult care workers this standard also covers lead personal assistants who can work at this senior level but they may only work directly for one individual who needs support and/or care services, usually within their own home. To take the Level 4 qualification you must be working in a care setting already.

Entry Requirements

Candidates at this level should have a minimum 12 months experience of working in a supervisory or senior role in their chosen care sector e.g., residential, nursing, dementia, domiciliary, learning disability etc.

Candidates should have undertaken training, both statutory and non-statutory, and may have achieved a Level 3 qualification. Candidates will undertake an initial assessment and skills scan.

In order to undertake this qualification candidates must be working in a supervisory position i.e. as a team leader, senior or similar.

They must be involved in the following:

Care planning

  • Key work sessions with SUs
  • Attendance and participation in review meetings
  • Monitoring and reviewing care plans
  • Updating care plans

Staff meetings

  • Full participation


  • Storing and access
  • Updating
  • Monitoring

Health and Safety

  • Have responsibility for health and safety


This programme will improve career prospects, efficiency, effectiveness, profit, plan for promotion and plan for succession.

Qualification Structure

To achieve the Level 4 Diploma in Adult Care (England) learners must achieve a minimum of 70 credits overall. 36 credits must be achieved from the Mandatory Group, a minimum of 6 credits from Optional Group A and a minimum of 28 credits from Optional Group B.

At least 55 credits must be achieved at Level 4 or above.

Some units carry more credits than others and assessors will guide and support candidate choice.

Groups B and C follow diverse pathways, generic, dementia or Adults with Learning Disabilities.

The Level 4 Diploma in Health and Social Care is a 9 – 12 month training and assessment programme. A qualified and experienced tutor will teach and then observe candidates during their everyday work activities.

With their tutor’s guidance they will gain knowledge and understanding, build a portfolio of evidence to meet the National Occupational Standards and be assessed against the Standards.

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This programme can be tailored to meet the needs of organisations and individuals, by offering a choice of modules relevant to the role of the care worker. It has been designed to provide additional knowledge and understanding while also linking with the Diploma in Health and Social Care at Level 3. The application of knowledge gained is embedded during coaching at the candidate’s place of work. Suitably designed assessment may also generate support evidence of competence.


The majority of assessment will be work-based, using real experiences, written assessments and observations by a qualified assessor.

Modes of assessment include:

  • Direct observation
  • Oral questioning
  • Case studies
  • Assignments and projects


You can start the Diploma flexibly at any time during the year with an expectation that you will complete within 12 months of starting.


Delivered at employer’s venues to suit candidates’ work patterns.


Diploma £1895 + VAT. 5% discount if paid in full at time of booking
Interest free option: Deposit of £274 plus 8 monthly instalments of £250


This programme may be eligible for funding. Please check our funding page, or contact us for further details.

If you’d like more information on any of the qualifications featured, our friendly team would be happy to advise you. Simply call 020 8300 9292