Accessibility statement for Public Health England Screening - elearning for healthcare

Accessibility statement for Public Health England Screening

Accessibility statement for Public Health England Screening

This accessibility statement applies only to the Public Health England (PHE) Screening elearning courses on Health Education England’s elearning for healthcare website:

How accessible are PHE Screening courses?

PHE Screening’s five most popular courses are fully accessible.

A button on the front page of each elearning session/unit leads to the accessible elearning course for the five most popular courses (before 23 September 2020), and all new courses created after 23 September 2020.

Analysis of all PHE Screening elearning courses and units revealed that some courses are much more popular than others.  While it is possible to count usage in different ways, we concluded that the five courses below account for close to 70% of all use.

Those courses are:

NHS Cervical Screening Programme

  • primary HPV screening elearning course for sample takers
  • cervical sample taker update training

NHS Newborn Blood Spot (NBS) Screening Programme

  • newborn blood spot card

NHS Antenatal and Newborn Screening Programmes: cross-programme learning

  • training module

Newborn and infant physical examination (by October 2020)

  • training module

Given the usage data, and as a result of detailed advice from external accessibility experts, PHE Screening has developed fully accessible versions of these courses.

The accessible version is written in HTML.  That means that you should be able to:

  • enlarge text to facilitate legibility
  • navigate using a keyboard
  • listen to most of the content using free screen readers (including Windows Narrator and Chrome Vox)
  • interact and navigate the page using a screen reader

All other PHE Screening courses are not yet fully accessible.  However, we update or change our courses usually every three years, or less.  As we do so we create a fully accessible parallel course.  Over time, all our elearning courses will be accessible.

The PHE Screening elearning courses that are not fully accessible are:

NHS Abdominal Aortic Aneurysm (AAA) Screening Programme

  • training module

NHS Abdominal Aortic Aneurysm (AAA) Screening Programme

  • AAA Clinical Skills Trainer elearning
  • AAA Screening technician elearning

NHS Breast Screening Programme (BSP)

  • duty of candour (DoC) and disclosure of audit (DoA)

NHS Cervical Screening Programme

  • sample taker training: the interim assessment
  • primary HPV screening elearning course for colposcopists

NHS Diabetic Eye Screening

  • training module

NHS Fetal Anomaly Screening Programme (FASP)

  • screening for Down`s, Edwards` and Patau`s syndromes
  • fetal cardiac elearning
  • first trimester screening resource for sonographers
  • 18+0 to 20+6 week fetal anomaly ultrasound scan
  • non-invasive prenatal testing

NHS Newborn Blood Spot (NBS) Screening Programme

  • newborn blood spot conditions
  • newborn blood spot sample

NHS Newborn Hearing Screening Programme (NHSP)

  • all training modules

NHS Sickle Cell and Thalassaemia (SCT) Screening Programme

  • SCT laboratory modules
  • sickle cell and thalassaemia Screening elearning module


All the videos throughout that are part courses are fully accessible with closed caption subtitles.

Feedback and contact information

If you need further information on accessibility of PHE Screening elearning courses or have any comments, you can contact the PHE Screening Helpdesk on 020 3682 0890 or by using our online form.

We will consider your request and get back to you in 5 days.

Reporting accessibility problems with PHE elearning

We are always looking to improve the accessibility of our elearning courses.  If you find any problems or think we are not meeting accessibility requirements, contact the PHE Screening Helpdesk on 020 3682 0890 or by using our online form.

Enforcement procedure

The Equality and Human Rights Commission (EHRC) is responsible for enforcing the Public Sector Bodies (Websites and Mobile Applications) (No. 2) Accessibility Regulations 2018 (the ‘accessibility regulations’). If you are unhappy with how we respond to your complaint, contact the Equality Advisory and Support Service (EASS).

Compliance status

PHE Screening elearning courses are partially compliant with the Web Content Accessibility Guidelines version 2.1 AA standard, because some PHE elearning courses are not compliant as they do not have an accessible HTML section.

Non-accessible content

The content listed below is non-accessible for the following reasons.

  • some e-leaning courses that do not work properly with screen readers

Non-compliance with the accessibility regulations

In the accessible versions of the courses, all images have alternative text descriptions.  For the courses without accessible version, images do not have a text alternative, so people using a screen reader cannot access the information. This fails WCAG 2.1 success criterion 1.1.1 (non-text content).

When we publish new content we will make sure our use of images meets accessibility standards.

Disproportionate burden

PHE Screening decided that the correct balance of the burden of cost, staff time, and compliance was to make fully compliant the elearning courses that cover the great majority of users immediately, and over time make the rest fully compliant.  Every three years at a maximum, we review, replace or devise new our elearning courses (unless a guidance change requires an earlier change).

Navigation and accessing information

There is no way to skip the repeated content in the page header (for example, a ‘skip to main content’ option).

Content developed using third-party software has been made as accessible as possible. The creation of accessible navigation and the access of information can however be limited by the tools available within the software.

Content developed in HTML is easily navigable with assistive technology such as screen readers, enabling end-users to interact and access information rapidly via the keyboard.

It is not always possible to change the device orientation from horizontal to vertical without making it more difficult to view the content.

It is not possible for users to change text size without some of the content overlapping.

Interactive tools and transactions

We have assessed the cost of fixing the problems with navigation and accessing information, and with interactive tools and transactions. We believe that doing so now would be a disproportionate burden within the meaning of the accessibility regulations. We will make another assessment when the supplier contract is up for renewal, likely to be in [rough timing].

Content that is not within the scope of the accessibility regulations

PDFs and other documents

The accessibility regulations do not require us to fix PDFs or other documents published before 23 September 2018 if they are not essential to providing our services.  All essential information is provided within the accessible version of courses.  We do not plan to fix supportive non-essential material.

Any new PDFs or Word documents we publish will meet accessibility standards.

Live video

We do not currently have any live video in any of our elearning courses.

What we are doing to improve accessibility

PHE Screening decided that the correct balance of the burden of cost, staff time, and compliance was to make fully compliant the elearning courses that cover the great majority of users by 23 September 2020, and over time as we review the other elearning courses to make all our courses accessible.

Preparation of this accessibility statement

This statement was prepared on 22 September 2020.  It was last reviewed on 22 September 2020.

During development the accessible versions of elearning courses are fully tested by PHE and Health Education England before they are live.  This is the process we use for all our elearning content.