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What is the Oliver McGowan Mandatory Training, and who needs it?

The legal requirement, Tier 1 and Tier 2, the Code of Practice, and how services can go beyond the minimum.

By The Autism Kit teamUpdated Sep 27, 2026 · 1 min read
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The short answer

The Oliver McGowan Mandatory Training on Learning Disability and Autism is the government's preferred training for health and social care staff in England. Since 1 July 2022, CQC-registered providers must ensure staff receive training on learning disability and autism appropriate to their role. Tier 1 is for general awareness; Tier 2 is for staff who may provide care and support. A Code of Practice sets the standards.

Key takeaways
  • Required for CQC-registered health and social care providers since 1 July 2022.
  • Tier 1: general awareness. Tier 2: for staff who may provide care and support.
  • A Code of Practice sets the standards for content and delivery.
  • Visual supports are a simple way to put training into practice.

What is the requirement?

The Health and Care Act 2022 introduced a requirement for CQC-registered providers to ensure their staff receive training on learning disability and autism, appropriate to their role.2 The Oliver McGowan Mandatory Training is the government's preferred and recommended training for this.1

What are Tier 1 and Tier 2?

Oliver McGowan training tiers
TierWho it's for
Tier 1Staff who need general awareness of the support autistic people or people with a learning disability may need
Tier 2Staff who may need to provide care and support for autistic people or people with a learning disability

What does the Code of Practice do?

The Code of Practice sets out the standards training should meet, in content and delivery, and supports providers to meet the legal requirement. CQC uses it when assessing whether providers have met the requirement.2

How can services go further for autistic children?

Try
  • Visual appointment schedules: what will happen, in order
  • Quiet waiting options
  • Asking families what helps before the visit
  • Clear, short language and extra time
Skip
  • Surprises during procedures
  • Crowded, noisy waiting areas without alternatives

What can we do next?

0 of 3 done

Common questions

Tier 1 is for staff who need general awareness of the support autistic people or people with a learning disability may need. Tier 2 is for staff who may need to provide care and support.

Sources

  1. NHS England Workforce, Training and Education: The Oliver McGowan Mandatory Training on Learning Disability and Autism. hee.nhs.uk
  2. Care Quality Commission: Mandatory training requirement on learning disability and autism. cqc.org.uk

This guide shares general information and our team's perspective, based on the sources above. Rules and services differ by country, region and school, so always check your local guidance and your organisation's policies. How we write our guides.

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