As a result of policy initiatives in the mid-1980s, the Department for
Education and Employment has been encouraging the development of nati
onal occupational standards and National and Scottish Vocational Quali
fications (N/SVQs) in all occupational sectors within the UK. For the
health and social care sector, these developments give rise to a numbe
r of issues and concerns. Using Health Promotion as an example of an a
rea of professional practice within health and social care, this paper
explores the relationship between academic assessment and the assessm
ent of National and Scottish Vocational Qualifications; the relationsh
ip between the academic and the National and Scottish Vocational Quali
fication model of credit accumulation and transfer; and the relationsh
ip between qualification, licence to practice and competence in practi
ce. Subsequently, it examines the development of the reflective profes
sional practitioner and the relationship between 'competence' and noti
ons of 'excellence' and 'expertise' in professional practice. Finally,
it considers the role of knowledge and understanding in professional
practice and the role of academic institutions in the development of a
professional practitioner.