What to Expect in the First 90 Days as a Health Care Assistant in the UK

Starting your new role as an international Health Care Assistant (HCA) in the UK is an exciting journey, but it also comes with its fair share of challenges and learning curves. Whether you’ve moved from overseas on a visa sponsorship or joined via a healthcare recruitment agency, your first 90 days are crucial for settling in, building confidence, and laying the groundwork for your future career in UK healthcare.

In this article, we’ll walk you through what to expect, what to prepare for, and how to thrive during your first three months as an HCA in the UK.

Week 1–2: Orientation and Adjustment

Workplace Induction

You’ll receive a formal induction introducing you to the care home, hospital, or community healthcare setting.
This includes health and safety training, infection control, fire safety, manual handling, and an overview of your duties.

Settling into the UK

You’ll likely still adjust to UK culture, weather, transport, and accents.
Tasks like setting up a UK bank account, getting a National Insurance Number, and understanding your work rota might take up your free time.

Meet Your Team

Take time to introduce yourself to colleagues and understand the team dynamics.
Don’t be afraid to ask questions—most UK healthcare teams are used to working with international staff and are happy to support you.

Week 3–6: Skill Building and Confidence Boost

On-the-Job Training

You’ll start shadowing experienced HCAs and gradually take on more responsibilities like:
- Personal care
- Feeding and mobility assistance
- Monitoring patient conditions
You may also receive Care Certificate training if required by your employer.

Communication Practice

Effective communication with patients and colleagues is key. Practice using professional English, and ask for clarification if you don’t understand something.

Start Documentation

Learn to document care accurately and comply with UK care standards (e.g., CQC regulations).

Week 7–12: Independence and Integration

Working More Independently

By now, you’ll be trusted to carry out most HCA duties independently, though support will always be available.

Building Relationships

You’ll begin forming stronger bonds with residents, patients, and staff.
Cultural competence is important—respect differences and show empathy.

Performance Review

Some employers conduct a probation review at the 3-month mark.
Be ready to reflect on your progress, discuss any issues, and identify opportunities for further training or development.

Common Challenges to Be Prepared For

Homesickness – Stay connected with loved ones, join local support groups, or talk to your HR department.
Cultural differences – Be open-minded and observant. The NHS and care sector are diverse, so you’re not alone.
Workload pressure – Time management and team collaboration are key to coping with busy shifts.

Tips to Succeed in Your First 90 Days

Be punctual and professional
Ask for feedback regularly
Keep a personal journal of what you’re learning
Don’t be afraid to ask questions
Be kind to yourself—adjusting takes time

Conclusion

The first 90 days as an international HCA in the UK are all about adaptation, learning, and growth. With the right mindset and support, you’ll not only survive but thrive in your new role. Remember, thousands of international HCAs have walked this path—and many have gone on to build rewarding, long-term careers in UK healthcare.

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Victoria Ojetunde

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