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T Level Health 2026: Moving from NCFE to Pearson and What It Means for Simulation and Assessment

The move from NCFE to Pearson marks a major shift in T Level Health, with more emphasis on practical assessment, simulated environments and recorded evidence.
27 May 2026 by
T Level Health 2026: Moving from NCFE to Pearson and What It Means for Simulation and Assessment
Simulaids Ltd, Ryan Young


The new specifications for T-Level in Healthhave been published and as anticipated, there are a number of significant changes to how the qualification will be structured, assessed, and delivered from September 2026.

Whether you are already delivering T-Level in Health or preparing to launch the programme, understanding what has changed is critical. It affects curriculum delivery, resource planning, and how well prepared your students will be for their careers in healthcare.

Here's what you need to know.

What Has Changed

1. There is now an explicit requirement for a simulated healthcare environment across all occupational specialisms. 

2. Standardised patient assessments are now mandatory across all six specialisms: Supporting Healthcare, Adult Nursing, Midwifery, Mental Health, Children/Young People, and Therapy Teams.

3. Role-play with standardised patients is now a distinct, core assessment component.

4. Assessment evidence must be recorded. Assessments must be 'videoed role play', 'audio recorded professional discussion', and submitted as 'electronic written evidence'.

5. Students must compile a portfolio of evidence throughout their course, with practical assessments serving as key touchpoints for evidence collection.

6. Practical assessment is now required across all six occupational specialisms, multiplying the demand for simulation scenarios and environments.

What This Means for Your Institution

Simulation has moved from a teaching tool to a specification requirement. The T-Level Health Qualification Overview explicitly mandates simulated healthcare environments, standardised patient assessments across all six specialisms, videoed and audio-recorded assessment evidence, and integrated portfolio of evidence systems. This is a specification requirement that institutions must meet to deliver T Level in Health in compliance with new Pearson's standards.

If your institution is delivering any of the six occupational specialisms, you must have a simulated healthcare environment to meet specification requirements. Teaching delivery will require more curriculum time allocated to practical skills and simulation-based learning across all specialisms. You need to integrate assessment infrastructure such as recording equipment, digital evidence management systems, and portfolio platforms into  your assessment process. The underlying message is, students trained on realistic simulations perform better in assessments and are better prepared for clinical placements.

Building Your Simulation-Ready T-Level in Health Programme

A healthcare simulation suite is an immersive training environment designed to replicate real hospital wards, clinical settings, and care environments. These suites enable students to develop practical, hands-on experience in a safe and controlled setting.

The new T-Level in Health qualification places increased emphasis on practical skills, person-centred care, and exposure to realistic clinical scenarios. From taking patient observations and practising clinical procedures to developing communication, safeguarding, and wider patient care skills, students must be able to apply their learning in a hands-on environment. Simulation suites provide the immersive, real-world settings needed to support this, helping students build confidence, competence, and readiness for their future careers in healthcare.

Every institution delivers healthcare training differently, which is why your simulation suite should be tailored to your curriculum, available space, and learning objectives. A comprehensive suite typically includes:

​​          Realistic bed spaces: Hospital beds, profiling beds, and care home setups that replicate real ​                     clinical environments

           Patient simulators: AI-powered communication manikins and skills and care simulators that ​                   cover adult, elderly, paediatric, bariatric, and maternity scenarios

           Clinical skills trainers: Blood pressure arms, catheterisation trainers, and task-specific equipment             that support hands-on procedure practice

           Essential room equipment: Hoists, handwashing kits, PPE dispensers, waste bins, and                               monitoring equipment that students will encounter in real healthcare settings

You can explore simulation suite solutions, specialist simulators, and clinical skills trainers to see what's available to support your provision.

The One-Stop Shop Approach

Building a compliant, effective simulation suite is complex. Many institutions find themselves juggling multiple vendors: equipment suppliers, software companies, scenario writers, installation teams, and training consultants. Each touchpoint adds complexity, increases procurement time, and creates integration gaps.

Rather than coordinating across multiple suppliers, Simulaids removes that burden. We work with your institution from initial consultation through to delivery, installation, and ongoing support. We handle everything: understanding your curriculum and space requirements, designing a bespoke solution tailored to your specific needs, sourcing and integrating equipment and manikins that work seamlessly together, managing professional installation, providing comprehensive staff training, and delivering ongoing technical support throughout the programme.

This integrated approach eliminates the hassle of managing multiple vendors and procurement processes, ensuring everything is aligned. Your equipment, your scenarios, your assessment infrastructure, your staff capabilities all work together. It removes the risk of compatibility issues or gaps between components, ensuring you are ready for your first cohort under the new specification.

Ready to build your T Level in Health simulation provision?

Explore our comprehensive T-Level simulation solutions or get in touch to discuss your institution's specific needs.