The barriers that must be removed for degree apprenticeships to meet NHS workforce targets

The recent notion that level 7 apprenticeships will be ineligible for support from the apprenticeship levy has caused consternation amongst training providers, especially in healthcare.

Training providers and employers are urgently seeking clarity on the government’s position – the current “announcement without action” leaves stakeholders unclear about next steps and further risks the reputation and role of apprenticeships in skills development.

The development of advanced roles in health or shortened routes to registerable qualifications significantly relies on level 7 apprenticeships. The NHS Long Term Workforce Plan is full of examples of how advanced and new roles are needed now and in the future.

Once again, decisions are being made by the Department for Education without consulting or collaborating with the Department of Health and Social Care, which means that questions are left unanswered. It is not the first time that training providers and University Alliance have called for joined up thinking and, unfortunately, it certainly won’t be the last.

Expansion of opportunity

Health apprenticeships at the University of Derby started small with level 5 provision about ten years ago (subsequently expanding to levels 6 and 7) – we could not have foreseen the enormous expansion of opportunity both in health and other industries that would follow.

I am proud to say that “I was there” when the nurse degree apprenticeship standard was approved in 2017 – the culmination of two years’ collaboration between the Nursing and Midwifery Council, government, Skills for Health, employers and training providers.

There were challenges, but we made it, and it opened the door to transformation in how healthcare professionals are educated.

A bumpy road

But the journey remains bumpy, and apprenticeships seem to be experiencing a particular period of turbulence. New research conducted by the University of Derby on behalf of University Alliance demonstrates the need for change in how the levy is utilised, the importance of partnership working, and the support that those involved with apprenticeship delivery need in order to secure successful outcomes.

While the NHS Long Term Workforce Plan of 2023 is itself being refreshed, we can be confident that apprenticeships will continue to have a significant part to play in workforce development. However, our new research has shown how and where employers and training providers need support to make this happen.

Employers told us how expensive they find it to support apprenticeships, with apprentice salaries, backfill and organisational infrastructure contributing to the financial burden. We know that apprentices need significant support through their learning journey, taking time and investment from employers.

To make apprenticeships truly successful, the support required is over and above that normally expected in healthcare programmes, yet apprenticeships are specifically excluded from the NHS Healthcare Education and Training tariff. This feels like a double whammy – no support from the tariff and no flexibility in how the levy could be utilised differently, meaning that the responsibility remains with the employer to resource.

Equally, training providers reported the additional activities and responsibilities associated with the delivery of apprenticeships. The University of Derby has recently successfully completed its inspection by Ofsted. The week of the inspection required input from teams across the University, but the enduring responsibilities of compliance and record keeping make this a continuous activity for a skilled and specialist team.

The Education and Skills Funding Agency then came hot on the tails of Ofsted – while this is not unexpected, it has again required teams from across the University working long hours to be audit ready. These inspections have served as a reminder of the regulatory burden placed on training providers, especially in healthcare.

A matter of commitment

Today marks the start of National Apprenticeship Week. At the University of Derby, we are hosting a week of activities and events, encouraging aspirant apprentices and a range of employers to come and find out more about what apprenticeships can do for them. It is heartening to hear that the number of young people coming to the campus this year has more than doubled since last year’s event.

Finally, the word is beginning to spread about apprenticeships, and we find school leavers are increasingly well informed about their post-16 and post-18 options.

The week’s events will be ably supported by our employer partners and apprentices, truly reflecting the partnerships that have developed over the years. These partnerships take a significant amount of investment on all sides – anyone in the vocational education and training world will know that strong partnerships take time and effort to build and maintain. But even the briefest of conversations with apprentices will tell you that it is all worth it. Their confidence, passion and knowledge (their skills and behaviours too) shine through. In a city like Derby, the awareness of the positive difference you are making not only to the apprentice, but also to their family and friends, is never far from your thoughts.

It is difficult to know how the advent of Skills England will impact the pace and scale of reform, but the present inertia may set the country back – and it certainly will if a blanket approach to level 7 apprenticeship funding is adopted, and lack of join-up between DfE and DHSC remains the status quo.

National Apprenticeship Week 2025 has the potential to be a force for good – and should be the week that all stakeholders commit to making a difference.