Examination in examples of The Netherlands and Finland.The outcomes: - train (teach) the trainer (teacher) program for education and examination based on a new quality assurance system in education and examination. System will be created for the social and health care professions. But it can be used also for all EVCET profession education courses and for lifelong learning in all our countries.- management guidance document including quality standards, criteria and a timing circle for planning, implementation, evaluation and upgrading for our education and examination in health care professions.- Frameworks of Quality Assurance for Education and Examination.Project partners P3 and P5 have just gone to a new- competence based education model but the EQF is not applied fully as in other VET institutions most of the partner countries.There is no quality assurance system not for education nor for examination in the organizations P0, P3, P4 and P5.At the same time P0 is a practice base for P5 and there is only a formal cooperation between organizations. This situation makes difficult to evaluate the outcomes of practice for both school and hospitals. Most of the VET students in P5 are working already in hospitals and the hospitals feel the need to know the criteria for education and examination to to follow them up in practice and mentor work. Lot of different institutions in Estonia are offering the training for care workers and it would be useful to expand and disseminate the outcomes of the project to assure the quality of the education on this field.The knowledge, experience and training comes from two trustworthy partners from The Netherlands and Finland.Koning Willem I College received the ISO certification ISO 9001:2008 in June 2009. The quality of the examination is evaluated internally and externally bij de Ministery of Education. Axxell is a vocational secondary education provider offering 27 vocational upper secondary qualifications in 9 municipalities in Finland since 1.8.2008.The impact envisaged is to facilitate management, teachers and trainers with content related to the Quality Assurance System and at the end also the knowledge and skills is extended through competence based learning and examination and finally the effectiveness and quality for education and examination in all kind of VET courses and professional work in health care professions.