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Care Planning and Record Keeping

Limited Time Offer! CPD Accredited | Free ID Card & Assessment Included | 10 CPD Points | Audio Visual Training

Academy for Health & Fitness


£12 inc VAT
Study method
Online, self-paced
2 hours
Access to content
365 days
No formal qualification
10 CPD hours / points
Additional info
  • Exam(s) / assessment(s) is included in price
  • Tutor is available to students

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In the care profession, record-keeping is not just necessary. It is absolutely essential to ensure effective care administration. A well-recorded care plan can be the determinant in a life-or-death situation. Thus, this course can benefit you by building up your record-keeping skills to ensure proper care management.

A well-kept record of the care plan ensures that the patients are treated to their comfort. It contains the patient’s unique list of diagnoses and the best treatment plan according to the patient's individual needs. Besides, in some emergency cases, a good care record plan can save someone’s life as well.

Moreover, as a care professional, poor record keeping can result in legal actions being taken against you, resulting in severe consequences. Thus, it is highly recommended to acquire good record-keeping and care-planning skills.

Our Care Planning and Record Keeping course provides well-researched and comprehensive guidelines to ensure your better understanding of all the topics discussed. This course can really help you to get ahead of the curve in your professional life and open up various career-developing opportunities.

Learning Outcome

After finishing this course, you should be able to:

  • Have a clear understanding of the care planning process
  • Acquire the necessary skills required for care planning
  • Apply the steps of concept care mapping
  • Learn how to implement and evaluate the care plan
  • Gain the knowledge of maintaining medical records
  • Be aware of the importance of confidentiality in record keeping

Why Prefer Us?

  • Opportunity to earn a certificate accredited by CPDQS.
  • Get a free student ID card!(£10 postal charge will be applicable for international delivery)
  • Innovative and Engaging Content.
  • Free Assessments
  • 24/7 Tutor Support.


10 CPD hours / points
Accredited by CPD Quality Standards

Course media


*** Course Curriculum ***

Module 01: Introduction to the Care Planning Process

  • What Is Care Planning?
  • What Is a Care Plan?
  • Levels of Responsibility and a Philosophy of Care
  • Models and Theories of Health and Social Care

Module 02: Planning Care with the Individual in Need

  • A Brief Look at Care Planning
  • What Is Planning?
  • The Multidisciplinary Team
  • Prioritising and Managing Needs
  • Putting the “P” in Planning
  • Client Involvement
  • Evidence-Based Practice
  • The Skills of Planning Care

Module 03: Concept Care Mapping

  • What Are Concept Care Maps?
  • Documentation
  • Medication Administration
  • Advantages of Concept Mapping
  • Creating a Concept Map
  • Using Your Concept Map

Module 04: Implementing and Evaluating the Care Plan

  • The Skills of a Care Coordinator
  • Indicators of Good Quality Care
  • Record-Keeping
  • What Is Evaluation?
  • Duty of Care

Module 05: Maintaining Medical Records

  • What Is a Medical Record?
  • The Value of Medical Records
  • Principles of Good Record Keeping
  • Storage of Medical Records
  • Case Notes
  • Master Index
  • Medical Record Library
  • Medical Record Procedures for Departments
  • Retention and Destruction of Records

Module 06: Care Planning Policy in the UK

  • The Role of the World Health Organisation
  • Quality in Health and Social Care
  • Factors When Considering Local Needs
  • Strategic Management of Resources

Module 07: Confidentiality and Record-Keeping

  • What Is Confidentiality?
  • Confidentiality: Attorneys and Legislation
  • When Can You Break Confidentiality?

Module 08: Safeguarding Children, Young People and Their Families

  • Introduction
  • Recognition of Child Abuse and Neglect
  • Policies and Procedures
  • Assessment
  • Roles and Responsibilities

Assessment Process

Once you have completed all the modules in this course, you can assess your skills and knowledge with an optional assignment.

Certificate of Completion

The learners have to complete the assessment of this Care Planning and Record Keeping course to achieve the CPDQS accredited certificate.

  • Digital Certificate: £10
  • Hard Copy Certificate: £29 (Inside UK)
  • Hard Copy Certificate: £39 (for international students).

Who is this course for?

  • NHS medical, nursing and care staff
  • Agency nurses and care workers
  • Healthcare assistants
  • Support workers
  • Community service workers


You will not need any prior background or expertise to enrol in this course.

Career path

  • Health Records Clerk
  • Care Worker
  • Critical Care Technologist
  • Care Escort
  • Emergency Care Assistant

The average salary for a Health Records Clerk can be £18,546- £24,882 per annum for anyone residing in the United Kingdom.

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What does study method mean?

Study method describes the format in which the course will be delivered. At Reed Courses, courses are delivered in a number of ways, including online courses, where the course content can be accessed online remotely, and classroom courses, where courses are delivered in person at a classroom venue.

What are CPD hours/points?

CPD stands for Continuing Professional Development. If you work in certain professions or for certain companies, your employer may require you to complete a number of CPD hours or points, per year. You can find a range of CPD courses on Reed Courses, many of which can be completed online.

What is a ‘regulated qualification’?

A regulated qualification is delivered by a learning institution which is regulated by a government body. In England, the government body which regulates courses is Ofqual. Ofqual regulated qualifications sit on the Regulated Qualifications Framework (RQF), which can help students understand how different qualifications in different fields compare to each other. The framework also helps students to understand what qualifications they need to progress towards a higher learning goal, such as a university degree or equivalent higher education award.

What is an ‘endorsed’ course?

An endorsed course is a skills based course which has been checked over and approved by an independent awarding body. Endorsed courses are not regulated so do not result in a qualification - however, the student can usually purchase a certificate showing the awarding body’s logo if they wish. Certain awarding bodies - such as Quality Licence Scheme and TQUK - have developed endorsement schemes as a way to help students select the best skills based courses for them.