It's very strange that an NVQ level 3 is such an important piece of paper these days. My husband has been a bricklayer for 30 years but he now needs an NVQ level 3 to get a card (called a CSCS experianced workers card) so that he can work on large building sites. At first he was very angry because he thought he would have to pay to go on a college course, but he has since found out that he can have an OSAT (on site assessment)which will give him an NVQ level 3 equivalent. It is such a shame that there is not a similar scheme for people working in healthcare. It's crazy though isn't it if you have an NVQ level 3 in anything it does not mean that you are any good at it does it? Being in a job for years without getting sacked is better proof that you can do the job. Good luck to the people who you wrote about