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The author of this chapter identifies the origins of competence-based assessment as behaviourist and positivist, and asserts that this background is inappropriate for the higher order beliefs, attitudes and values fundamental to modern work environments. He suggests that in order to capture the range and complexity of modern work environments, it will be important to adopt an holistic approach to assessment and accreditation, placing the worker as a reflective practitioner. He further suggests that this will help to focus on the different roles and tasks that characterise a multi-skilled workforce.