In England, the role of a Certified Nursing Assistant (CNA) is not recognized as a specific job title, but there are similar job roles, such as Health Care Assistants (HCAs) or Nursing Associates. Here are the steps to become a HCA or Nursing Associate:

1. Obtain the necessary qualifications: Typically, to work as a HCA or Nursing Associate, you will need to have a minimum of GCSEs (or equivalent) in English and Math. Some employers may require a Level 2 or Level 3 diploma in health and social care or healthcare support.

2. Gain work experience: To gain relevant experience, you can consider volunteering or working as a healthcare assistant or in a similar role. You can also explore apprenticeships or work-based training programs.

3. Register with a regulatory body: In England, healthcare workers must be registered with the Nursing and Midwifery Council (NMC) to practice. You can apply for registration as a Nursing Associate or Health Care Support Worker.

4. Ongoing training and development: To remain registered with the NMC, you will need to engage in ongoing training and development to maintain your knowledge and skills.

Overall, becoming a Health Care Assistant or Nursing Associate in England requires a combination of education, work experience, registration with the NMC, and ongoing training and development.