Standards › Standard 2E › Policies
Policy · WRK-POL-002 · Version 1.0 · Approved by the ASF Expert Committee
Supports: 2E.2
At a glance
- Every workforce member has a training plan and access to the courses required for their role.
- The training matrix (WRK-REG-001) lists the required training for each role.
- Time for training is protected in the rota and is not refused without a recorded reason.
- Learning is recorded and linked to competency gaps.
- Stop and get help straight away if: a staff member has been refused the required training for their role with no recorded reason.
1. Purpose
To make sure every workforce member can keep their knowledge and skills up to date, and that the organisation pays for and protects that learning [EC].
2. Scope
| Applies to | All workforce members |
| Locations | All services of the facility |
| When | Continuously, with an annual plan for each role |
| Does not apply to | Personal study not linked to the role |
3. Definitions
| Term | Meaning |
|---|---|
| Required training | Training that the role must have to practise safely |
| Training matrix | A register of required and completed training for each role |
4. Background
Access to education is what keeps competence current between annual assessments. It also supports retention, which is measured under 2E.7.
5. Responsibilities
| Role | Responsibility | Competence |
|---|---|---|
| Chief executive | Approves the annual training budget | Executive |
| Human resources lead | Maintains the training matrix and the course list | HR administration |
| Line manager | Agrees each person’s training plan and releases staff to attend | Management |
| Staff member | Attends agreed training and records completion | Own role |
6. Materials and equipment
| Item | Requirement | Condition |
|---|---|---|
| Training matrix register (WRK-REG-001) | Current | Updated each quarter |
| Course catalogue (e-learning and face to face) | Current | Checked each year |
7. Safety
- Required training that affects patient safety is never deferred for service convenience without a documented risk decision.
8. Before you start
- Confirm the required training for each role in the matrix.
9. Procedure
Step 1. Set the required training.
- For each role, list the training it must have and how often.
- Enter it in WRK-REG-001.
Key point: A role without a list cannot be checked.
Step 2. Agree the plan.
- At each annual assessment, agree the training the person will do in the next 12 months.
Key point: The plan links to the gaps found in 2E.1.
Step 3. Protect the time.
- Include training days in the rota.
- If a manager must refuse, record the reason and the new date.
Key point: A refusal with no reason is treated as a failure of this policy.
Step 4. Record completion.
- Enter completions in WRK-REG-001 within 10 working days.
Key point: Unrecorded training did not happen for audit purposes.
10. Decision points
- If required training cannot be given in time, the service manager decides on temporary supervision and records the decision with a date for completion.
11. Special situations
| Situation | Action |
|---|---|
| New role | Required training is completed in the first 3 months, or before independent practice if sooner. |
12. Escalation
- Required training not completed within 3 months of its due date is reported to the clinical director.
13. Monitoring
| Measure | Target | Frequency | Owner | If not met |
|---|---|---|---|---|
| Staff with all required training current | At least 70% | Quarterly | Human resources lead | Escalate to clinical director |
| Training refusals with a recorded reason | 100% | Quarterly | Line managers | Review with the manager |
14. Records
| Record | Kept in | Retention |
|---|---|---|
| WRK-REG-001 Training matrix register | Human resources files | Employment plus the period set by the facility’s records policy years |
15. Training
- Line managers are briefed on this policy when they start in post.
16. Related documents
| ID | Title | Use |
|---|---|---|
| WRK-REG-001 | Training matrix register | Record this policy requires |
| WRK-POL-001 | Ongoing competency evaluation policy | Gaps feed into training |
17. Evidence
| Reference | Note |
|---|---|
| E-006 | ASF Policy Framework v1.2. Adapted. |
| E-009 | ASF Expert Committee consensus. |
18. Change history
| Version | Date | What changed | Approval |
|---|---|---|---|
| 1.0 | the date of approval | First version | set Expert Committee approval |
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References
- Accréditation Sans Frontières (2026). ASF Policy Framework v1.2. (E-006)
- Accréditation Sans Frontières (2026). ASF Expert Committee consensus on Standard 1. (E-009)