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Stakeholder Briefing – Issue 44

Posted on: October 5th, 2021 by Rachel Gowland No Comments

Key Messages and links to 01 October 2021

Welcome to Health Education England’s regular stakeholder bulletin. In this bulletin we will provide:

  • Latest messages from our Chief Executive
  • COVID-19 latest updates
  • Overview of HEE education and training news

Weekly messages from HEE

Read recent messages from Dr Navina Evans, Chief Executive, HEE:

I am incredibly proud of my colleagues in HEE for their work during a uniquely difficult year

As Navina approaches her first anniversary as Chief Executive at Health Education England (HEE), she reflects on what we and the wider NHS have faced due to the impact of COVID-19 on services, our people, and of course patients. HEE’s people played their role by helping over 40,000 students and trainees offer their services to the front line. We have worked in partnership with NHS England and NHS Improvement, the Department of Health and Social Care, HEIs, employers and professional regulators to support the system when it needed it most. We also provided global education through our HEE eLearning for Healthcare COVID-19 programme, free of charge, with over 4.5million session launches across the world. Read Navina’s blog in full here.

Re-appointment for HEE Chair and board members

Sir David Behan, chair of HEE and his non-executive colleagues on the board, Dr Liz Mear and Professor Andrew George, have been appointed for another term by the Department of Health and Social Care. They will continue in their roles until 2024. To read the full announcement visit Gov.uk

HEE COVID-19 latest updates

We have created a COVID-19 update webpage that provides guidance and information from HEE, which applies to all students and trainees. This webpage also includes HEE COVID-19 surge guidance.

To keep up to date with plans for medical training recovery, visit HEE COVID-19 webpages.

If we want doctors tomorrow, we must continue to train and support them today

In Prof Sheona MacLeod’s latest training recovery update, she recognises the impact the waves of the pandemic have had on the education and  training of healthcare learners including postgraduate doctors in training – and why HEE has  refreshed the guidance on managing the training workforce. This reaffirms the need to retain learners on programmes and maintain training wherever possible and it has updated processes for decisions about deployment into service. Read Sheona’s full update here.

New Respiratory Surge in Children programme now available

Health Education England, supported by NHS England and NHS Improvement Paediatric Critical Care Operational Delivery Networks and the Paediatric Critical Care Society, has launched a new programme for all NHS healthcare staff who care for unwell children in preparation for the anticipated surge in respiratory infections in 2021-22.

The Respiratory Surge in Children programme is a digital repository of training resources for self-directed learning, as well as for trainers and educators, to support the cross-skilling of the workforce to increase capacity and enhance capability in response to the expected and experienced increase in prevalence of respiratory illnesses in children.

The programme presents e-learning as a mix of short videos, narrated presentations, PDFs and links to blogs and webinars – all designed to let the leaner access the content they need, in an educational form that suits them. The team continues to seek additional content, and feedback, on the work so far to co-create a programme that meets the needs of the workforce. You can get in touch to discuss specific needs, provide feedback, or share resources by emailing LTLC@hee.nhs.uk.

We are supporting all professions to rapidly grow to meet the needs of patients:

Nursing

HEE welcomes NMC recommendations for education reform

HEE has welcomed the news from the Nursing and Midwifery Council (NMC) that it is making recommendations to modernise pre-registration education programme standards which will be discussed at the next board meeting on 29 September. Read the full statement from HEE’s Chief Nurse, Mark Radford.

Midwifery

Explore genomics in midwifery

Genomics is fundamental to midwifery practice. It allows midwives to predict and prepare for situations in pregnancy to better protect and care for the parent and child. To help midwives recognise the significance of genomics in their practice, the Genomics Education Programme (GEP) has created a new resource in the Genomics in Healthcare series: Genomics in Midwifery. The webpage brings together tips and tools to support midwives at any point of their career and at any stage of their genomics learning journey.

The resource brings together a variety of learning opportunities, including an introductory animation highlighting the importance of genomics in midwifery practice, a pregnancy touchpoint walkthrough with good practice tips and a case study that explores why early information about family history can have such a big impact on care. View the resource on our website.

Dental

New plans for dental training reform in England to tackle inequalities in patient oral health

HEE has published an ambitious four-year plan to develop a workforce more able to address oral health inequalities across the population by reforming dental education and training. The Advancing Dental Care (ADC) Review report concludes a three-year review to identify and develop a future dental education and training infrastructure that produces a skilled multi-professional oral health workforce, which can support patient and population needs within the NHS. Read the full story here.

Mental health

Mental health crisis learning guides

Crisis Tools is relevant to anyone who may find themselves supporting a young person in crisis including parents, carers and professionals. Access the unique, co-produced learning guides to increase knowledge and confidence for anyone supporting young people in a mental health crisis at crisistools.org.uk.

The Crisis Tools website features a resource-sharing hub and bite-sized learning guides aimed at improving your knowledge and understanding of young people’s experiences when getting help in a crisis. Co-designed and delivered by young people with lived experience, these unique learning guides will cover key themes including attitudes, communication, practical strategies and complexities when delivering care remotely.

Healthy Teen Minds young advisor Jo, has shared how to have compassionate and supportive mental health crisis conversations with them.

Workforce and education initiatives

Independent evaluation of the Global Digital Exemplar programme

An independent evaluation of the Global Digital Exemplar (GDE) programme has been published by Edinburgh University.

The evaluation report indicates that the GDE programme achieved what it set out to do, namely stimulating digitally enabled transformation and the sharing of knowledge between participating provider organisations and programme managers. These were the twin goals of the programme.

An executive summary of the report is available on the NHSX website. You can also read a blog post by NHSX Director of Frontline Digitisation Dermot Ryan on how the findings of the report align with ongoing support for frontline digitisation.

Virtual and Hybrid Learning Faculty launch 

HEE’s Technology Enhanced Learning (HEE TEL) team is expanding the Virtual Instructor Led Learning (VILL) project which aims to support the health and care education community to increase their confidence and capability as they transition to designing, developing and delivering learning and education virtually and in a hybrid way.

As part of the project to support educators and the education community, HEE TEL has developed a Virtual and Hybrid Learning Faculty (VHLF). The faculty is a place for educators, and those involved within the health and care education community, to access useful on-demand resources, guides, elearning and technical support when designing, developing and delivering virtual and hybrid learning. It will showcase best practice principles, learning opportunities and offer advice on how to get involved in the community, giving educators the opportunity to support colleagues and find out the latest news.  The faculty is now live on the Learning Hub, a digital platform enabling the health and care workforce to contribute and share a wide variety of learning resources.

NHSX would like your feedback

NHSX would like your feedback on how you think they are doing to digitally transform the NHS and social care. They’d like to hear from those working in health technology and digital services across the NHS and social care, or leaders or managers in clinical and non-clinical roles. The research is conducted independently and fully anonymous, it’s open until 8 October 2021.

elearning for Healthcare

Keep up to date with all the latest additions to the eLfH platform here. 

FURTHER INFORMATION

By following @NHS_HealthEdEng you can keep up to date with new information and resources as they are published. Most importantly are the notifications of webinars being broadcast during the week.

Right now, making sure we are communicating properly is obviously incredibly important. If there’s any information you think is missing on HEE’s webpages, please let us know by submitting your question to the HEE Q&A helpdesk.

Foundation elearning programme update October 2021

Posted on: October 5th, 2021 by Hannah Denness No Comments

The most important skill that a Doctor in Training can develop is to know the limits of their competence. When should you call for help?

Available in elearning for healthcare’s Foundation Programme (2021 curriculum) – these sessions cover areas in your curriculum on; FPC 1: Clinical Assessment, FPC 2: Clinical Prioritisation, FPC 3: Holistic Planning, FPC 4: Communication and Care, FPC 5: Continuity of Care, FPC 6: Sharing the Vision, FPC 9: Quality Improvement and FPC 12: Continuing Professional Development:

You can sign on to the elearning with your login supplied by elearning for healthcare at any time during your foundation training.

Horus and Turas have deep links to elearning for healthcare sessions from the Foundation curriculum and therefore accessible to all trainees, making it quicker and easy to access the appropriate session linked to the curriculum.

 

New sessions released in the Ophthalmology elearning programme

Posted on: September 30th, 2021 by Rachel Gowland No Comments

Eye-Site is an elearning resource for ophthalmologists and is delivered by the Royal College of Ophthalmologists (RCOphth) in partnership with Health Education England elearning for healthcare (HEE elfh).

The elearning programme is intended to complement and support existing teaching initiatives rather than replace them. Eye-Site includes interactive knowledge sessions, for use independently, or by blending elearning content with local, regional or national delivery of skills-focused courses.

Content is mapped to the Royal College of Ophthalmologists’ curriculum for postgraduate training in Ophthalmology.

What does the elearning programme include?

The most recent update to the Ophthalmology elearning programme is the addition of Eye-Site 19 module on Oculoplastics. The module includes:

  • Ptosis: Assessment and surgical approaches
  • Eyelid lesions and tumours
  • Evisceration, enucleation and exenteration
  • Periocular trauma
  • Lacrimal disorders: The watery eye

The Oculoplastics module is suitable for all ophthalmologists and may be particularly useful for registrars starting an oculoplastics rotation, or oculoplastics fellows wishing to check their core knowledge.

Existing modules in the Ophthalmology elearning programme includes:

  • Eye-Site 0 – Ophthalmology Curriculum
  • Eye-Site 1 – Microsurgical Skills
  • Eye-Site 2 – Laser
  • Eye-Site 3 – Refraction
  • Eye-Site 4 – Clinical Assessment (Basic Assessment Course) Community Ophthalmology
  • Eye-Site 5 – Community Ophthalmology
  • Eye-Site 6 – Glaucoma
  • Eye-Site 7 – Cornea
  • Eye-Site 8 – Strabismus Surgery
  • Eye-Site 9 – Acute Presentations
  • Eye-Site 10 – DSEK
  • Eye-Site 12 – Neurophysiology
  • Eye-Site 13 – Advanced Phacoemulsification
  • Eye-Site 14 – Intermediate Phacoemulsification
  • Eye-Site 15 – Ultrasonography
  • Eye-Site 17 – Retinopathy of Prematurity
  • Eye-Site 18 – Neuro-ophthalmology

Further modules are being developed to support ophthalmologists at different stages in their roles and in different specialities.

Accessing the elearning

For more information about the Ophthalmology elearning programme, please visit the programme page.

Heart Failure and Heart Valve Disease elearning available

Posted on: September 29th, 2021 by Rachel Gowland No Comments

Health Education England elearning for healthcare (HEE elfh) and NHS England and NHS Improvement developed 4 new sessions in their Heart Failure and Heart Valve Disease elearning programme; aimed at clinicians across primary care and community settings, such as GPs.

The new elearning sessions focus on heart valve disease and include:

  • Introduction
  • Diagnosis and Management in Primary Care
  • Treatment and Follow Up
  • Endocarditis

Professor Stephen Powis, National Medical Director at NHS England and NHS Improvement commented, “The NHS Long Term Plan committed to earlier diagnosis and better support for people with heart failure and heart valve disease. Improving clinical understanding of these conditions will be a vital part of delivering this, and I would encourage clinicians to make use of these valuable elearning resources”.

Existing sessions in this elearning programme include:

  • An Introduction to Heart Failure and Valve Disease
  • How to Diagnose Heart Failure and Key Issues in an Echo Report
  • How to Optimise Management of Heart Failure in Primary Care

Each session takes approximately 20 minutes to complete and there are assessments on key learning points. Learners may download a certificate on completion of each session, to demonstrate continuing professional development.

Keep checking the programme page for the launch of 3 sessions which are currently in development:

  • Cardiac Rehabilitation and Prevention
  • Secondary Care Management of Heart Failure
  • End of Life Care

We anticipate that these sessions will be available from October 2021.

Accessing the elearning

You can access the elearning via the Heart Failure and Heart Valve Disease programme page.

The Heart Failure and Heart Valve Disease elearning programme is also available to the health and care workforce via AICC and the Electronic Staff Record (ESR).

Your feedback is important to us, please take 5 minutes to complete the evaluation survey and let us know your thoughts about the elearning programme. You can access the survey within the resource, or via a link to the survey.

 

New Respiratory Surge in Children programme now available

Posted on: September 29th, 2021 by Hannah Denness No Comments

Health Education England, supported by NHS England and NHS Improvement Paediatric Critical Care Operational Delivery Networks and the Paediatric Critical Care Society, has launched a new programme for all NHS healthcare staff who care for unwell children in preparation for the anticipated surge in respiratory infections in 2021-22.

The Respiratory Surge in Children programme is a digital repository of training resources for self-directed learning, as well as for trainers and educators, to support the cross-skilling of the workforce to increase capacity and enhance capability in response to the expected and experienced increase in prevalence of respiratory illnesses in children.

Launched in draft form earlier this year, the programme continues to develop with the aim of providing content that is appropriate for various settings where a child will present with respiratory illness, including home, primary and community care, and across the acute hospital environment.

The programme presents elearning as a mix of short videos, narrated presentations, PDFs and links to blogs and webinars – all designed to let the learner access the content they need, in an educational form that suits them.

The Respiratory Surge in Children programme, which is hosted by HEE’s elearning for healthcare, is underpinned by an interprofessional skills matrix mapped to professional standards and frameworks. It is available free of charge to the health and care workforce.

The team continues to seek additional content, and feedback, on the work so far to co-create a programme that meets the needs of the workforce. You can get in touch to discuss specific needs, provide feedback, or share resources by emailing LTLC@hee.nhs.uk.

Evaluation of online resources to support staff being redeployed during the pandemic

Posted on: September 28th, 2021 by Hannah Denness No Comments

The London Transformation and Learning Collaborative (LTLC) has worked in partnership with Health Education England elearning for healthcare (HEE elfh) to develop a range of resources to support staff being redeployed into critical care during the pandemic.

The LTLC Adult Critical Care programme was a new way to deliver education across a wide range of professionals and NHS Trusts and the team is keen to collect users’ feedback.

Learners are invited to evaluate the programme by completing this brief online survey. The questionnaire should take 5 – 10 minutes.

New sessions added to e-Learning Anaesthesia

Posted on: September 27th, 2021 by Louise Garrahan No Comments

Health Education England elearning for healthcare (HEE elfh) has worked in partnership with The Royal College of Anaesthetists to add new sessions to its Pharmacology module within the anaesthesia elearning programme.

The new sessions are aimed at trainee anaesthetists and are aligned to the anaesthetic curriculum. They include:

  • Partial Agonists and Inverse Agonists
  • Simple analgesia: Aspirin and paracetamol
  • The Cardiovascular System and Sites for Drug Effects
  • Drugs used in Ischaemic heart disease
  • Drugs used in the treatment of acute asthma
  • Antiemetic drugs

77 existing sessions within the module have been extensively revised and updated to match the standard of the UK postgraduate anaesthesia examinations.

Written and edited by anaesthetists, e-Learning Anaesthesia (e-LA) covers the knowledge and key concepts that underpin the anaesthetic curriculum and will help trainees prepare for the Fellowship of the Royal College of Anaesthetists exam.

Alongside the sessions, learners can also access an extensive e-library of articles and interactive multiple choice questions to support continued professional development in anaesthesia.

e-Learning Anaesthesia was first established in 2007 and is one of HEE elfh’s longest running and most successful programmes. It also features modules on a range of other topics including basic science, obstetrics, pain management and intensive care.

To access the new sessions and explore the whole programme, please visit the e-Learning Anaesthesia programme page.

New Educator Training Resources programme now available

Posted on: September 24th, 2021 by Leanne Hargreaves No Comments

Health Education England’s elearning for healthcare (HEE elfh) have worked with Health Education England’s London and South East Professional Development team to update and restructure the Educator Training Resources (ETR) programme.

The ETR sessions are now available in a new structure and the sessions and pathways have been categorised differently to improve the user experience and ensure that users are accessing learning most relevant to them. As part of this update, the retired Educator Hub content has also been merged into the new programme.

The elearning sessions cover a wide range of topics and are structured under the 5 courses below:

For more information and to access the new programme, visit the Educator Training Resources programme page.

Updates made to the COVID-19 vaccination elearning programme

Posted on: September 24th, 2021 by Alex Drinkall No Comments

Since the COVID-19 vaccination programme went live, the content of the different sessions which make up this programme has been updated and amended as more information about the vaccines and the vaccine programme has become available.

For those who have already completed this elearning programme, these updates are detailed below, starting with the most recent.

23 September 2021

All sessions updated to include

  • revisions following republication of the Green Book COVID-19 Chapter (16.9.21 version): notably changes to management of potential contraindications
  • recommendations for booster doses
  • recommendations for 3rd primary dose for those immunosuppressed at the time of their first or second vaccine
  • vaccination recommendations for all 12 to 17 year olds

5 August 2021

All sessions updated to include

  • revisions following republication of the Green Book COVID-19 Chapter
  • Guillain-Barré syndrome
  • vaccination recommendations for 12 to 17 year olds

Core session updated to include consent for children and young people

Pfizer BioNTech vaccine session revised to detail transition from use of this vaccine under Regulation 174 to use under Conditional Marketing Authorisation

8 July 2021

Pfizer BioNTech, AstraZeneca and Moderna vaccine sessions all updated to include

  • the latest vaccine effectiveness data
  • reference to JCVI interim advice about a booster vaccination programme
  • myocarditis and pericarditis reports following the Pfizer BioNTech and Moderna vaccines
  • capillary leak syndrome reports following AstraZeneca vaccine
  • revised advice on co-administration and giving COVID-19 vaccine when other vaccines have recently been given
  • advice about mixed vaccine schedules
  • JCVI advice about the recommended interval of 8 to 12 weeks between vaccine doses
  • more information about vaccine induced thrombosis and thrombocytopenia syndrome following AstraZeneca vaccine added and updated contraindications and precautions for this vaccine
  • some minor wording changes to all sessions following recent updates to the Green Book COVID-19 chapter and new web­­links added

 11 May 2021

AstraZeneca session updated to include

  • updated advice from the JCVI that an alternative to the AstraZeneca vaccine should be offered to healthy adults aged under 40 years, not only to healthy adults under 30 years as previously recommended in April

21 April 2021

All sessions updated to include

  • new JCVI advice on COVID-19 vaccination for pregnant women

AstraZeneca session more substantially updated to include

  • new advice about very rare blood clotting and unusual bleeding condition following vaccination with AstraZeneca vaccine and the subsequent new contraindications and precautions to this vaccine, including changes to age group recommendations

Some minor wording changes to all sessions following recent updates to the Green Book COVID-19 chapter and new web­­links and images added.

8 April 2021

New knowledge and assessment sessions for the Moderna COVID-19 vaccine added

16 February 2021

Core Knowledge, Pfizer BioNTech and AstraZeneca vaccine sessions all updated to include

  • advice on managing allergic history and allergies after first dose
  • updated information and clarification of advice on vaccination in pregnancy

as stated in revised Green Book COVID-19 chapter

29 January 2021

Pfizer BioNTech vaccine session:

AstraZeneca vaccine session:

  • Change to state multidose vial should be clearly labelled with the date and time of expiry rather than from when it was first punctured

Some minor wording changes in Core Knowledge, Pfizer BioNTech and AstraZeneca sessions in response to user feedback or nationally published guidance.

20 January 2021

Core Knowledge session:

  • Section on Long COVID added,
  • Section on laboratory and pathology staff and social care staff eligibility for vaccination updated to be in line with Green Book COVID-19 chapter
  • Change to wording around immunosuppression to reflect change to Green Book COVID-19 chapter about this

Pfizer BioNTech vaccine session:

  • Waste disposal section updated in response to expert feedback
  • Addition of ordering via Foundry system by PCN designated sites in response to request to add this from Specialist Pharmacy Service (SPS)
  • Change to wording of description of appearance of Pfizer BioNTech vaccine prior to dilution following change about this in the Pfizer Reg174 HCP Information document
  • Addition of link and reference to the Pfizer BioNTech vaccine healthcare professional’s training and information materials (cvdvaccine.co.uk/)

AstraZeneca vaccine session:

  • Waste disposal section updated in response to expert feedback
  • Minor wording changes to “how does the vaccine work” in response to user feedback for clarity
  • Addition of ordering via Foundry system by PCN designated sites in response to request to add this from Specialist Pharmacy Service (SPS)
  • Addition of link and reference to the Pfizer BioNTech vaccine healthcare professional’s training and information materials (cvdvaccine.co.uk/)

8 January 2021

  • Advice about obtaining an additional dose from COVID-19 Vaccine AstraZeneca vials added to AstraZeneca session
  • More information about recommended interval between first and second dose added to both AstraZeneca and Pfizer BioNTech sessions
  • More information added to section about information to provide to recipients following vaccination in both AstraZeneca and Pfizer BioNTech sessions.

31 December 2020

  • New knowledge and assessment sessions on the AstraZeneca COVID-19 vaccine added
  • Core Knowledge and Pfizer BioNTech vaccine sessions updated to include: revised advice from JCVI on pregnancy and breastfeeding, updated statement from JCVI about scheduling of vaccine doses (between 4 and 12 weeks),
  • Pfizer BioNTech session updated to include: advice on obtaining a 6th dose from a vial, and allergy precautions as stated in updated Green Book COVID-19 chapter and updated Information for Healthcare Professionals on Pfizer BioNTech COVID-19 vaccine document

December 2020

  • Core Knowledge session updated with advice about not giving COVID-19 vaccine to pregnant or breastfeeding women after the COVID-19 mRNA Vaccine BNT162b2 (Pfizer BioNTech) was authorised for use
  • New MHRA guidance added on not giving COVID-19 mRNA Vaccine BNT162b2 to those with a history of anaphylaxis to a vaccine, medicine or food or a previous dose of the vaccine and addition of 15 minute minimum observation period following vaccination
  • Some amendments to the COVID-19 mRNA Vaccine BNT162b2 session storage and reconstitution sections following republication of updated Information for Healthcare Professionals on Pfizer/BioNTech COVID-19 vaccine document
elfh is a NHS England programme in partnership with the NHS and professional bodies