HCA Training has been closely associated with National Vocational Standards, which provides a reliable standard plus assessment guidelines. HCA training came about as there was a 20% reduction in workforce due to Project 2000 and withdraw of student nurses from service to an academic standing. In some areas , wages and salaries were examined with particular observation of enhanced payments. However this was 20 years ago and the dynamics of staffing a ward or community have radically changed ie the skill mix. It is also a concern that HCAs are assessing trainee HCA with a watering down of skill, attitude and knowledge. The HCA is a trained individual but only in what they have been trained to do. The SRN now the RN has a broad general educated and trained perspective BUT there are not enough within the skill mix; things will get worse.
There can only be one true villain, of course the loathed David Cameron the only contender. His whole cabinet could easily make up the rest of the pantomime cast , plus aided and abetted by Members of the opposition.