Description of the TDDI Competency Passport

The Treatment of Disease, Disorder or Injury (TDDI) Competency Passport is a comprehensive workforce competency framework designed to assess, record and evidence the knowledge, practical skills and professional competence of employees undertaking delegated healthcare activities within a CQC-regulated service. The passport forms part of the organisation's clinical governance framework and provides a consistent approach to training verification, competency assessment, supervision, authorisation and ongoing review of staff undertaking clinical and health-related interventions.

The competency passport supports safe delegation of healthcare tasks by ensuring that employees have successfully completed the required training, demonstrated practical competence through observation and assessment, and understand the limits of their role, accountability and escalation responsibilities. Each competency assessment includes theoretical knowledge evaluation, practical skills assessment, scenario-based competency testing, direct observation of practice and formal authorisation by an appropriately trained assessor, Registered Manager, Clinical Lead or Delegating Healthcare Professional, where applicable.

The passport contains a suite of competency assessment records covering delegated clinical interventions including oxygen therapy, wound care, catheter care, PEG feeding, medication administration and blood glucose monitoring. Each competency framework has been developed to ensure staff can deliver safe, effective, person-centred care while recognising deterioration, responding appropriately to clinical concerns and maintaining accurate records in accordance with individual care plans and organisational policies.

The competency passport provides a clear audit trail of staff competence and authorisation and enables the organisation to demonstrate effective oversight of delegated healthcare activities. It supports workforce development, quality assurance, risk management and safe service delivery by ensuring employees are appropriately trained, assessed and regularly reassessed to maintain competence. Competencies should be reviewed annually, following any clinical incident, change in care requirements, extended absence from practice or where concerns regarding competence have been identified.

This document supports compliance with the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014, including Regulation 12: Safe Care and Treatment, Regulation 17: Good Governance and Regulation 18: Staffing, as well as relevant delegated healthcare guidance, NICE guidance, professional standards and the organisation's TDDI Clinical Governance Framework.