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It is difficult to overcome the division between vocational, professional and higher education. However, the National Health Service Training Division (NHSTD) in the United Kingdom (UK) has developed a set of national occupational standards for Information Management and Technology (IM&T) professionals in health care. The standards form a coherent and integrated framework for knowledge and its application and they have been used as a basis for developing a set of professional and academic awards for IM&T practitioners. This paper describes the technical-rational and the 'professional artistry' models of education and gives an overview of the innovative Professional Awards as based on the portfolio assessment framework, which allows a work-based approach and accreditation of prior learning.