Domestic services staff

Domestic services staff in the NHS keep hospitals, health centres, offices and other areas clean and hygienic.

This page has information on the role of domestic services staff in the NHS, including entry requirements and skills needed. 

Working life

Domestics services staff work in clinical and non-clinical areas. They have a very important role in making sure that all areas are clean and safe places where staff can care for patients.

domestic with trolley

Domestic services staff work at different levels, including domestic services assistant, supervisor and manager.

As a domestic services assistant (or domestic assistant) you will carry out the cleaning. This could include:

You'll do with routine cleaning which needs to be done on a daily or weekly basis as well as emergencies such as spills. You may also carry out regular, planned deep cleaning on a monthly or annual basis.

If you work as a domestic services supervisor, you'll oversee the work of a team of domestic assistants. You will allocate work to make sure all the cleaning is carried out where and when it is needed. You also make sure staff are available for routine cleaning as well as unexpected emergency situations.

As a domestic services manager, you are responsible for planning and organising the cleaning operations for a hospital or department. You will have other management tasks such as:

Who will I work with?

Cleaners and domestic services assistants are likely to have a lot of contact with patients, depending on where they work. Supervisors and team leaders may have some contact with patients. Managers may have little or no patient contact.

Entry requirements

There are no set entry requirements for domestic services assistants. Employers expect a good standard of numeracy and literacy. They may ask for GCSEs in English and maths. Employers may also ask for relevant qualifications such as an NVQ in hotel services or health care. They may also ask for relevant experience

Employers may ask for some experience of hotel work or healthcare which could be from paid or voluntary work.

Domestic services supervisors have usually worked as cleaners or domestic assistants. This may be with the NHS or elsewhere. Employers usually ask for relevant qualifications in cleaning and/or team leadership.

Domestic services managers may:

Skills needed

Domestic services assistants need to:

They also need

Training and development

When you start work as a domestic assistant, you will be given the training you need. This includes health and safety and manual handing as well as an introduction to the department. You will be encouraged to work towards a qualification, such as an NVQ in cleaning or one of the qualifications offered by the British Institute of Cleaning Science (BICSc).

Employers may ask staff to take courses in particular topics such as dealing with hazardous waste or infection control.

Domestic services supervisors and managers may be expected to take qualifications in management.

With experience and qualifications, domestic services staff can apply to become members of the British Institute of Cleaning Science (BICSc).

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