BTEC Level 3 Nationals in
Health and Social Care Practical Evidence
Portfolio
Pearson BTEC Level 3 National Diploma in Health and Social Care
Learner name Kofi Ansah-Kesson
Name of learner’s
centre
Centre reference
number
Phone number of
learner’s centre
Name of placement
organisation
Address of
placement
organisation
Work placement
supervisor name
,and job title
Phone number of
work placement
supervisor
,Contents
Introduction to the Practical Evidence Portfolio............................................................................1
The importance of the Practical Evidence Portfolio......................................................................................1
How to complete the forms...............................................................................................................................4
Maintaining confidentiality................................................................................................................................7
The Care Certificate Standards.........................................................................................................................7
1: Practical Evidence Portfolio forms............................................................................................... 8
Form HSC AG 1 – Record of hours in placement............................................................................................8
Form HSC AG 2 – Work Experience Placement Induction Form................................................................11
Form HSC AG 3 – Work Experience Placement Plan....................................................................................13
Form HSC AG 3 – Work Experience Placement Plan....................................................................................14
Form HSC AG 4 Part 1 – Learner Self-assessment of Work Skills..............................................................40
Form HSC AG 4 Part 2 – Work placement supervisor and teacher sign off.............................................73
Form HSC AG 5 – Reflective Practice Log.......................................................................................................77
Form HSC AG 5 Part 1 – Reflections on Work Tasks....................................................................................78
Form HSC AG 5 Part 2 – Learner Professional Development Plan............................................................87
1 Looking back on work experience placement...........................................................................................88
2 Looking forward: personal and professional development plan...........................................................90
Form HSC AG 6 – Teacher observational visit report..................................................................................99
Form HSC AG 7 – Work placement supervisor interim/final* observational report (*delete as
appropriate).....................................................................................................................................................103
APPENDIXES..................................................................................................................................... 107
Appendix 2: Practical Evidence Portfolio Pro Formas................................................................116
Witness statement..........................................................................................................................................118
Witness statement..........................................................................................................................................119
General risk assessment form......................................................................................................................120
Reflective account...........................................................................................................................................123
Action plan.......................................................................................................................................................124
Legislation and policies..................................................................................................................................125
Nutrition for health and social care.............................................................................................................128
Equality, diversity and rights in health and social care.............................................................................129
Setting observation form...............................................................................................................................132
, INTRODUCTION TO THE PRACTICAL EVIDENCE PORTFOLIO
Introduction to the Practical Evidence Portfolio
This Practical Evidence Portfolio is a tool for you to use to record evidence of how you
have improved your skills and developed your health and social care practice for Unit
6: Work Experience in Health and Social Care.
The Practical Evidence Portfolio is designed to help you show that you have
demonstrated good practice. It will help you focus your attention on how important
reflective practice and continuing professional development is to your health and
social care qualification.
This document contains all the information and forms that you need to be able to
evidence your progress throughout your period of study.
The importance of the Practical Evidence Portfolio
By undertaking work placement(s), you will develop effective and informed practice.
The Practical Evidence Portfolio should reflect your experiences and the activities
carried out during your hours of work placement. You should include examples that
demonstrate how you have engaged in continuous professional development and
reflective practice, developing your skills, practical competence and subject
knowledge.
Teachers and work placement supervisors should be fully satisfied that you have met
the relevant assessment criteria before approving this in the progress reports.
To achieve Unit 6: Work Experience in Health and Social Care, your teachers will support
you in collecting the appropriate evidence for your Practical Evidence Portfolio.
Pearson BTEC Level 3 National Extended Diplomas in Health and Social Care and
Health and Social Care (Health Studies) – mandatory placement of at least
100 hours.
Unit 6: Work Experience in Health and Social Care is a mandatory unit in this
qualification.
You can carry out your hours in one or more work experience placement settings.
Practical Evidence Portfolio – Pearson BTEC Level 3 National Foundation Diploma, Diploma and 1
Extended Diploma in Health and Social Care – Issue 3 – November 2019 © Pearson Education Limited 2019
Health and Social Care Practical Evidence
Portfolio
Pearson BTEC Level 3 National Diploma in Health and Social Care
Learner name Kofi Ansah-Kesson
Name of learner’s
centre
Centre reference
number
Phone number of
learner’s centre
Name of placement
organisation
Address of
placement
organisation
Work placement
supervisor name
,and job title
Phone number of
work placement
supervisor
,Contents
Introduction to the Practical Evidence Portfolio............................................................................1
The importance of the Practical Evidence Portfolio......................................................................................1
How to complete the forms...............................................................................................................................4
Maintaining confidentiality................................................................................................................................7
The Care Certificate Standards.........................................................................................................................7
1: Practical Evidence Portfolio forms............................................................................................... 8
Form HSC AG 1 – Record of hours in placement............................................................................................8
Form HSC AG 2 – Work Experience Placement Induction Form................................................................11
Form HSC AG 3 – Work Experience Placement Plan....................................................................................13
Form HSC AG 3 – Work Experience Placement Plan....................................................................................14
Form HSC AG 4 Part 1 – Learner Self-assessment of Work Skills..............................................................40
Form HSC AG 4 Part 2 – Work placement supervisor and teacher sign off.............................................73
Form HSC AG 5 – Reflective Practice Log.......................................................................................................77
Form HSC AG 5 Part 1 – Reflections on Work Tasks....................................................................................78
Form HSC AG 5 Part 2 – Learner Professional Development Plan............................................................87
1 Looking back on work experience placement...........................................................................................88
2 Looking forward: personal and professional development plan...........................................................90
Form HSC AG 6 – Teacher observational visit report..................................................................................99
Form HSC AG 7 – Work placement supervisor interim/final* observational report (*delete as
appropriate).....................................................................................................................................................103
APPENDIXES..................................................................................................................................... 107
Appendix 2: Practical Evidence Portfolio Pro Formas................................................................116
Witness statement..........................................................................................................................................118
Witness statement..........................................................................................................................................119
General risk assessment form......................................................................................................................120
Reflective account...........................................................................................................................................123
Action plan.......................................................................................................................................................124
Legislation and policies..................................................................................................................................125
Nutrition for health and social care.............................................................................................................128
Equality, diversity and rights in health and social care.............................................................................129
Setting observation form...............................................................................................................................132
, INTRODUCTION TO THE PRACTICAL EVIDENCE PORTFOLIO
Introduction to the Practical Evidence Portfolio
This Practical Evidence Portfolio is a tool for you to use to record evidence of how you
have improved your skills and developed your health and social care practice for Unit
6: Work Experience in Health and Social Care.
The Practical Evidence Portfolio is designed to help you show that you have
demonstrated good practice. It will help you focus your attention on how important
reflective practice and continuing professional development is to your health and
social care qualification.
This document contains all the information and forms that you need to be able to
evidence your progress throughout your period of study.
The importance of the Practical Evidence Portfolio
By undertaking work placement(s), you will develop effective and informed practice.
The Practical Evidence Portfolio should reflect your experiences and the activities
carried out during your hours of work placement. You should include examples that
demonstrate how you have engaged in continuous professional development and
reflective practice, developing your skills, practical competence and subject
knowledge.
Teachers and work placement supervisors should be fully satisfied that you have met
the relevant assessment criteria before approving this in the progress reports.
To achieve Unit 6: Work Experience in Health and Social Care, your teachers will support
you in collecting the appropriate evidence for your Practical Evidence Portfolio.
Pearson BTEC Level 3 National Extended Diplomas in Health and Social Care and
Health and Social Care (Health Studies) – mandatory placement of at least
100 hours.
Unit 6: Work Experience in Health and Social Care is a mandatory unit in this
qualification.
You can carry out your hours in one or more work experience placement settings.
Practical Evidence Portfolio – Pearson BTEC Level 3 National Foundation Diploma, Diploma and 1
Extended Diploma in Health and Social Care – Issue 3 – November 2019 © Pearson Education Limited 2019
