Recruitment from abroad. Fewer than 10 sponsored work visas were granted for this job from July 2025 to June 2026. Home Office
Who does it
ONS · Annual Population Survey · April 2025 to March 2026
29%aged 55 or over
36%hold a degree
78%women
Age of records clerks and assistants
Age profile of records clerks and assistants
11%!
22%
18%
21%
24%
5.3%!
16–2425–3435–4445–5455–6465+
!Small sample: treat with cautionShow as table
16–24
11% (small sample)
25–34
22%
35–44
18%
45–54
21%
55–64
24%
65+
5.3% (small sample)
Highest qualification
Highest qualification held by records clerks and assistants
Degree or equivalent36%
Higher education below degree6.8%
A levels or equivalent26%
GCSEs or equivalent20%
Other qualifications!4.7%
No qualifications!3.1%
!Small sample: treat with cautionShow as table
Degree or equivalent
36%
Higher education below degree
6.8%
A levels or equivalent
26%
GCSEs or equivalent
20%
Other qualifications
4.7% (small sample)
No qualifications
3.1% (small sample)
Main employers: hospital activities (22%), regulation of the activities of providing health care, education, cultural services and other social services, excluding social security (14%), general public administration activities (4.2%), other human health activities (4.1%).
How to get in
Hold a degree
36%
as their highest qualification
Apprenticeships
None
none leads directly into this work
Routes in
Health records clerk
You can get into this job through:
College
You could take a college course to learn some of the skills and knowledge needed in this job.
Courses include:
business administration
International Computer Driving Licence (ICDL) Certificate in IT User Skills (previously ECDL)
T Level in Management and Administration
Entry requirements
Entry requirements for these courses vary.
4 or 5 GCSEs at grades 9 to 4 (A* to C), or equivalent, including English and maths for a T Level
Apprenticeship
You could apply to do an apprenticeship with a GP practice, hospital or commercial healthcare company. Options include:
Retail Service, Supply and Administration Level 2 Foundation Apprenticeship
Business Administrator Level 3 Advanced Apprenticeship
Clinical Coder Level 3 Advanced Apprenticeship
Entry requirements
You'll usually need:
no specific qualifications or experience to apply for a foundation apprenticeship
some GCSEs, usually including English and maths, or equivalent, for an intermediate apprenticeship
5 GCSEs at grades 9 to 4 (A* to C), or equivalent, including English and maths, for an advanced apprenticeship
More about this route+
Foundation apprenticeship
You can apply for a foundation apprenticeship if you're aged 16 to 21.
If you're aged 22 to 24, you can apply if you:
have an education, health and care (EHC) plan
are in care or have been in care
are in prison or have been in prison
Apply directly
You can apply directly for jobs. Employers may ask for GCSEs, such as English and maths, at grades 9 to 4 (A* to C).
It will also help if you have experience in office work, including typing documents and working on spreadsheets.
Customer service skills can also be helpful.
What you’ll need
pass enhanced background checks
Registration and professional bodies
Professional and industry bodies
You can find professional development and training opportunities if you join an organisation like the:
Institute of Health Records and Information Management
British Society of Medical Secretaries and Administrators (BSMSA)
Association of Medical Secretaries, Practice Managers, Administrators and Receptionists (AMSPAR)
Further information
You can find out more about how to become a health records clerk from Health Careers.
Routes in are from the National Careers Service job profile for health records clerk. Contains public sector information from the National Careers Service licensed under the Open Government Licence v3.0.
Indexer
You can get into this job through:
University
You could study for a degree at university to give yourself a strong foundation to build upon. Relevant subjects include:
English
information management
library studies
data asset management
publishing
Other subjects may also be acceptable to employers.
If you want to work in a specialist area, for example science or law, you'll usually need a degree or postgraduate qualification in that field to gain the in-depth subject knowledge required for indexing.
Entry requirements
You'll usually need:
2 to 3 A levels, or equivalent, for a degree
a degree in any subject for a postgraduate course
Apprenticeship
You may be able to apply to do an apprenticeship, such as:
Information and Archive Services Level 3 Advanced Apprenticeship
Publishing Professional Level 4 Higher Apprenticeship
This could help you find a trainee position with an organisation. Once working, you could take further training in indexing.
Entry requirements
You'll usually need:
5 GCSEs at grades 9 to 4 (A* to C), or equivalent, including English and maths, for an advanced apprenticeship
4 or 5 GCSEs at grades 9 to 4 (A* to C) and A levels, or equivalent, for a higher or degree apprenticeship
Other ways in
Apply directly
You can apply directly for jobs. Many indexers have a higher education qualification like a degree, although this is not always essential.
Often, indexers start this work as a second career, using the experience and in-depth knowledge they've built up from their main area of work.
A background in publishing, data management or editorial work can be useful.
Other routes
You can do a training course with the Society of Indexers by distance learning. This is a combination of online tutorials, assignments and assessments and includes:
indexing terminology
cross-referencing
indexing books, periodicals and websites
computerised search systems
When you've successfully completed the course you'll be awarded accredited indexer status, which is recognised by employers as a first stage towards becoming a professional indexer.
Registration and professional bodies
Career tips
The Society of Indexers runs short workshops, which give an overview of indexing together with practical exercises. These are useful for anyone who may be thinking of taking up indexing as a career.
They also offer workshops on being a freelance indexer and establishing an indexing business.
Further information
You can find out more about indexing as a career from the Society of Indexers.
Routes in are from the National Careers Service job profile for indexer. Contains public sector information from the National Careers Service licensed under the Open Government Licence v3.0.
The work
ONS · ESCO · O*NET
Typical tasks
examines and sorts incoming material
classifies, files, archives and locates documents and other records
copies or duplicates documents or other records
performs specialised clerical tasks in connection with conveyancing, litigation and the maintenance of medical records
Skills
handle financial transactions
trace financial transactions
maintain records of financial transactions
perform clerical duties
communicate with customers
obtain financial information
offer financial services
provide financial product information
use office systems
communicate with banking professionals
handle paperwork
perform office routine activities
present reports
write work-related reports
Knowledge
banking activities
electronic communication
office software
accounting techniques
customer service
fraud detection
tax legislation
accounting department processes
Suits people who like
Organising and following procedures
Leading and persuading
Outlook
DfE · Skills Imperative 2035
Broader groupThese projections are for administrative occupations, a group of 20 jobs that includes records clerks and assistants.
Change in jobs, 2020 to 2035↓ 12%about 381,000 fewer jobs
Workers needed by 20351 millionincluding people replacing those who retire or leave
Contains public sector information licensed under the Open Government Licence v3.0. Source: Office for National Statistics licensed under the Open Government Licence v3.0. Occupations in demand and the Employer Skills Survey: Department for Education and Skills England. Immigration system statistics: Home Office. Contains public sector information from the National Careers Service licensed under the Open Government Licence v3.0.
This service uses the ESCO classification of the European Commission.
This service includes information from the O*NET 31.0 Database by the U.S. Department of Labor, Employment and Training Administration (USDOL/ETA). Used under the CC BY 4.0 license. O*NET® is a trademark of USDOL/ETA. This service has modified all or some of this information. USDOL/ETA has not approved, endorsed, or tested these modifications. CC BY 4.0 licence.
jobfacts is independent. It is not part of, affiliated with or endorsed by the Office for National Statistics, the Department for Education, Skills England, the National Careers Service, the Home Office, the European Commission or the U.S. Department of Labor.