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Improving care for children and young people living with excess weight

Posted on: June 19th, 2023 by Kieron Bradshaw No Comments

A suite of universal elearning resources is now available to support professionals working with children and young people living with obesity. The foundation level training can help upskill clinicians working within Complications from Excess Weight (CEW) clinics and enables a standardised approach to service provision across the country.

The online training covers the causes of childhood obesity, the relationship between obesity and mental health, the physical and social complications of obesity, and provides an overview of evidence-based lifestyle changes to form part of a childhood weight management intervention.

Crucially, the training also highlights the importance of non-stigmatising communication and designing compassionate services, to help reduce weight-related bias and stigma. It also highlights solutions that use a family-based, person-centred, behavioural change approach, supporting the modelling of behaviours from parents or carers and the rest of the family.

The high prevalence of childhood obesity is a global public health priority. The National Child Measurement Programme (NCMP) in England estimated that in 2020/1, 22.2% of reception children, and 37.7% of Year 6 children, were either obese or overweight. Evidence indicates that the risk of anxiety, depression and developing an eating disorder is higher among children and young people living with obesity; and excessive weight also has complications on physical and social factors, such as bullying and social isolation.

The Complications from Excess Weight elearning programme has been created by NHS England in partnership with the British Dietetic Association. It comprises 5 sessions:

  1. Introduction to identification of complications associated with excessive weight in children and young people (C&YP).
  2. An introduction to understanding different levels of overweight in children and young people living with complications associated with excess weight
  3. Connection between severe obesity and mental health
  4. Interventions for Childhood Weight Management
  5. Prevalence of childhood obesity, influence of social factors including poverty and appropriate safeguarding

The training is aimed primarily at multidisciplinary teams working in Complications from Excess Weight (CEW) services, and staff working with children and young people across health and care.

To find out more and to access the training, please visit the Complications from Excess Weight in Children and Young People elearning programme page.

New NHS elearning programme supports improved patient access to general practice

Posted on: June 15th, 2023 by Louise Garrahan No Comments

NHS England’s elearning for healthcare and London regional team have worked with Londonwide LMCs, the EQUIP team, and system partners to develop a 2-hour elearning programme to improve understanding of how general practice can adapt local access systems to provide the best experience to patients and staff within available resources.

Freely available to all NHS and general practice staff, the elearning consists of 5 20-minute sessions, based on the London General Practice Access Guide and Manual.

It will be a helpful resource when considering local responses to the recent delivery plan for recovering access to primary care. The programme is aimed at the whole general practice team, including clinical and non-clinical staff, and outlines latest research, best practice, case studies, tips and practical quality improvement projects that have led to improvements in services and patient experience.

General practices, service planners, commissioners and wider primary care staff are encouraged to embed this elearning in local staff learning systems, and support staff undertake this learning. CPD Accreditation has been sought from the Royal College of General Practitioners.

For further information and to access the programme, please visit the General Practice Access webpage.

Healthy eating session now added to All Our Health

Posted on: June 13th, 2023 by Louise Garrahan No Comments

An elearning session on healthy eating has now been added to the All Our Health programme.

Developed by NHS England elearning for healthcare and the Office for Health Improvement and Disparities, the resource is aimed at the general population and healthcare professionals whose role includes supporting people to achieve a healthy balanced diet.

The session has been developed in response to evidence that most people in the UK do not meet government dietary recommendations. The most recent UK National Diet and Nutrition Survey (NDNS) data shows that population intakes of saturated fat, sugar, and salt are above the government recommendations and, on average, adults eat up to 300 more calories than the daily recommended amount required for a healthy body weight.

As a result, and to help the nation improve their diet, the Healthy Eating session aims to support colleagues in:

  • understanding specific activities and interventions that can prevent poor dietary health
  • thinking about the resources and services available in their area that can help people meet government dietary recommendations
  • being aware of where vitamin supplements are recommended at a population level

The elearning also features helpful tools and resources such as the UK’s national food model, the Eatwell Guide and the Healthier Families app.

For more information and to access the resource, please visit the Healthy Eating session within the All Our Health programme.

All Our Health features sessions on a wide range of public health issues including obesity, mental health and wellbeing, dementia, and alcohol. Each bitesize session helps health and care professionals prevent ill health and promote wellbeing as part of their everyday practice.

NHS England launches first conflict management training in children’s healthcare

Posted on: May 24th, 2023 by Kieron Bradshaw No Comments

Staff working at all levels in children’s healthcare can for the first time access an online toolkit for recognising, managing and de-escalating conflict between families and healthcare professionals.

Conflict is upsetting and time-consuming for everyone involved and can also affect the care and treatment of a child. The new Understanding and Managing Conflict in Children’s Healthcare elearning foundation course will support staff to enhance their skills and confidence in managing these challenging situations.

Created by NHS England in partnership with the Medical Mediation Foundation (MMF), the content has been developed with the support and expertise of health professionals and parents and carers, who have had direct experience of conflict in children’s healthcare. It is underpinned by peer-reviewed research from children’s healthcare settings.

Launching the new training course, Fiona Lynch, CNO Senior Nurse Fellow at NHS England said:

 “Unresolved conflict is upsetting and we know that without appropriate and timely management, it can be both a barrier to great care and can impact on the wellbeing of staff and families. This fantastic new resource covers the overarching principles of managing conflict and supports healthcare providers to recognise and intervene early to manage the situation themselves.”

In an introduction to the course, Professor Simon Kenny, National Clinical Director for Children and Young People at NHS England said:

“I’m really delighted to introduce this course and I hope that you find it useful. We know that the evidence shows that this reduces the level of conflict, and that means that we can have a better relationship with our parents, give better support to the children that we look after, and also from a professional level, go to work without having that dreadful feeling that you’re going to be having a battle all day.”

The interactive training course includes a research-based pathway developed to help recognise the triggers and warning signs of conflict and how it escalates. It features interviews with parents and health professionals, short discussions with the course facilitators designed to enhance learning, demonstrations by actors of key skills for de-escalating conflict, and provides a range of perspectives and additional skills to help navigate these complex situations.

The online course comprises 3 modules covering the causes and impact of conflict, the conflict pathway, and the skills and strategies to manage and de-escalate conflict. Each module can be completed at the learner’s own pace, saving work as they go, and all learners will receive a certificate once they’ve completed all three modules.

Discussing the training, Kate Pye, Deputy Director for Children and Young People’s Nursing at NHS England, said:

“As a children’s nurse and previous head of nursing, I know the significant impact conflict can have on patient care, parents, and our NHS colleagues, so I’m delighted to introduce this course on recognising and managing conflict within children’s healthcare, which is available to all staff within the NHS. This is a comprehensive course which will provide you with some key tools and strategies to support you in recognising, managing, de-escalating, and hopefully preventing conflict. I hope you enjoy it and find it valuable.”

Sarah Barclay, Founder and Director of MMF said:

 “We have seen the impact that conflict can have on health professionals and families. However, many staff working in children’s healthcare have little or no training in recognising and managing it. We are really excited to launch this new training programme with NHS England. It will help staff working at all levels in children’s healthcare to understand the triggers, warning signs and stages of conflict escalation, and give them tools and resources to approach these challenging situations with compassion and confidence .”

Accessing the training

To find out more and to access the training, please visit the Understanding and Managing Conflict in Children’s Healthcare programme page.

About MMF

Established in 2010 as a not-for-profit organisation for understanding and managing conflict in children’s healthcare, the Medical Mediation Foundation (MMF) has trained more than eight thousand health professionals across the NHS and internationally.

Its peer-reviewed conflict management framework provides health professionals with a structured pathway designed to help them understand and manage conflict promptly and maintain constructive and collaborative relationships with families and patients. It offers face to face and virtual training, conflict coaching and mediation.

Effective teamwork across the health and care system: Foundation update (May 2023)

Posted on: May 15th, 2023 by Kieron Bradshaw No Comments

Welcome to your May 2023 update from the Foundation elearning programme.

Effective teamwork will play a significant role throughout your career, and this includes crossing traditional boundaries to collaborate with teams across the health and care system. The following sessions cover working with teams across primary, secondary and social care boundaries and include key topic areas such as referrals, effective handover and patient safety.

Sessions:

The sessions cover key areas in your curriculum on:

FPC 2: Clinical Prioritisation

FPC 3: Holistic Planning

FPC 4: Communication and Care

FPC 5: Continuity of Care

FPC 6: Sharing the Vision

The Foundation elearning programme has been developed specifically for Foundation doctors by the Academy of Medical Royal Colleges in partnership with NHS England elearning for healthcare (NHSE elfh), and is approved by the UK Foundation Programme (UKFPO).

The Foundation programme has a range of other sessions that might help you. Please log in to the programme page to view more.

You can sign on to the elearning with your login supplied by elearning for healthcare at any time during your foundation training: https://www.elfh.org.uk/programmes/foundation-programme/

HORUS and TURAS have deep links to elearning for healthcare sessions from the Foundation Curriculum and are therefore accessible to all trainees, making it quicker and easier to access the appropriate session linked to the curriculum.

Improving children’s lives by managing procedure induced anxiety

Posted on: May 12th, 2023 by Kieron Bradshaw No Comments

Procedure induced anxiety affects the majority of children on their journey through the healthcare system and can have long-term consequences on their mental health and wellbeing. This anxiety may be generated by any medical intervention, from the simplest and transient, to the most complex, spanning most of a person’s childhood.

We are excited to share details of a new elearning programme that provides a comprehensive account of research evidence to illustrate the prevalence and consequences of this condition.

Introducing the training, Dr Richard Martin, Consultant Anaesthetist and Clinical Lead for Procedure Induced Anxiety at Great Ormond Street Hospital, said:

“This outstanding and comprehensive course offers an understanding of the significance of anxiety, how it impacts on a child’s mental health and wellbeing, how to minimise and potentially avoid causing trauma, and how to help children manage anxiety whilst in our care. The course represents what I have always believed should be a core competency in training for anyone caring for children.

“It has been written by an incredible team of experienced professionals working within this super specialty, and practicing across many of the major paediatric centres in the UK. Its publication represents a watershed in the management of children receiving medical care and interventions.”

Until now, there has been little training available around this important area of care, and despite extensive research in this field, few have embraced the lessons that this imparts.  This new training has been created by the Royal College of Anaesthetists in partnership with the Association of Paediatric Anaesthetists of Great Britain and Ireland, NHS England elearning for healthcare, and Cambridge University Press.

It offers the reader an in-depth understanding of anxiety management strategies, allowing them to integrate these into their practice, with a view to reducing both anxiety and the consequent psychological morbidity experienced by children undergoing medical interventions.

Dr Richard Martin added: “For longer than any practitioner has been alive, trainees have been inappropriately taught that frightened and anxious children recover quickly from any emotional trauma they sustain, that they quickly forget about upsetting and painful experiences, and that these have no immediate, intermediate or long-term consequences. As a result, many children fail to receive the consideration and care we should strive to deliver, and they and their families should know to expect.

“So it is with these observations that we offer this course to you, and hope to address this area of need.”

Sessions within the eleaning programme cover:

  • Introduction – Anxiety
  • Non-verbal communication
  • Vocal and verbal communication
  • Enhanced communication strategies
  • Procedure-induced anxiety management for neurodivergent children
  • Parental anxiety
  • Premedication
  • Equipment and environment: anxiogenic stimuli
  • An Introduction to elective management and preparation
  • Psychology
  • Play
  • Technology

We would like to take this opportunity to thank The Royal College of Anaesthetists, The Association of Paediatric Anaesthetists of Great Britain and Ireland and Cambridge University Press for the opportunity to generate this material, and the incredible, dedicated and professional teams at NHS England elearning for healthcare (elfh) for creating the platform to do so.

Accessing the elearning

To find out more and to access the training, please visit the Management of Procedure Induced Anxiety in Children programme page.

Users will receive a certificate upon completion of the training, which can be added to their portfolio.

Supporting dental colleagues to lead on sustainable change

Posted on: May 11th, 2023 by Kieron Bradshaw No Comments

The whole dental team are respected voices and are ideally positioned to educate, advocate, model and lead sustainable change for the environment.

We are excited to announce that the Centre for Sustainable Healthcare has worked with NHS England elearning for healthcare to refresh our Environmental Sustainability in Dentistry sessions.

The module will support dental care professionals, including those working in primary and secondary care, to implement changes in practice, and to educate colleagues and patients on environmental sustainability.

Considering the environmental impact of our work can feel overwhelming at a time when there is so much uncertainty and stress levels are high. However, since human health and the environment are closely linked, healthcare providers must consider the environmental impact when providing care for patients. It’s hard now, but it will be even harder later.

All dental staff, from dentists and hygienists, to nurses, technicians and non-clinical colleagues, can lead change in reducing emissions – contributing to better oral health and reduced oral health inequalities for our communities.

Our refreshed elearning module supports colleagues to consider what steps you can take towards environmentally sustainable oral health and dental care. Comprising 3 sections that include practical examples of oral health and dental care initiatives with sustainable value, the refreshed elearning covers:

  • environmental sustainability in dentistry
  • what is happening in sustainable dentistry?
  • taking the next step.

Sustainable healthcare means delivering care in a way that maximises positive health outcomes whilst avoiding financial waste and harmful environmental and social impacts. By helping to prepare dental care professionals to implement changes in practice that reduce cost and pollution while improving dental health, this training can support colleagues to deliver high-quality care while minimising damage to the environment.

Accessing the elearning

The Environmental Sustainability in Dentistry module can be accessed on the elearning for healthcare hub.

To find out more about the wider Environmentally Sustainable Healthcare elearning programme, please visit the programme page on the elearning for healthcare hub.

New Care Certificate scenarios ensure training is inclusive of all healthcare professions

Posted on: May 10th, 2023 by Kieron Bradshaw No Comments

Support workers can now access scenarios set within inpatient rehabilitation and critical care workplaces, supporting them to apply the principles behind the Care Certificate.

The 2 new scenarios may be of particular interest to Allied Health Professionals (AHPs) and help to ensure that the Care Certificate elearning programme has context for all professions across the health and care system.

A short animation has also been published, explaining what the Care Certificate is, who it is for and why is it so important – watch it now to learn how the Care Certificate is used by health and care professionals across the country.

The Care Certificate is needed now as much as ever, providing a framework to ensure that all support workers have the same introductory skills, knowledge and behaviours to provide compassionate, safe and high-quality care in their workplace settings.

Each new scenario uses patient case studies and examples from the working environment to help colleagues apply the Care Certificate Standards within their work setting. The scenarios cover key aspects including preparing for a shift, handover meetings, and examples of clients and factors of their care to consider. Learners then experience supporting the clients through a particular session and updating their care plan or patient notes afterwards.

All scenarios within the Care Certificate elearning programme depict individual care settings to enhance workplace knowledge and to help assessors in the practice of assessing learners in their place of work. They are a great way of enhancing a person’s overall knowledge of the health and care system and are a valuable resource to all healthcare professions.

The interactive sessions also support colleagues to have conversations with their assessor around any observations and decisions made during the session.

Care Certificate Leads across England are encouraged to get involved in the Care Certificate through the Care Certificate Leads network. The network has facilitated the design and implementation of additional resources for the Care Certificate, including updated assessor guidance and the development of new Assessor Modules and linked Functional Skills/lifelong learning skills.

Accessing the training

The 2 new scenarios can be accessed within the Care Certificate elearning programme:

To find out more and to access the full Care Certificate elearning programme, please visit the programme page on the elearning for healthcare hub.

Learning disability nursing boosted by new professional development opportunities

Posted on: May 9th, 2023 by Kieron Bradshaw No Comments

All learning disability nurses have the opportunity to develop in key specialist areas following the launch of the Learning Disability Nursing CPD Award – an online training programme open to anybody with an interest in learning disability nursing.

As well as providing a programme to enable progression to various levels of practice and specialist roles, the training can be used to enhance core knowledge, and can help to decrease variances in practice between services. It also provides an opportunity for people from other nursing backgrounds to gain knowledge of the fundamental aspects of learning disability nursing.

This fantastic step forward is part of work to advance a dedicated career structure for learning disability nursing. The training provides a programme of continuing professional development and enhances the skillset of learning disability nurses working within specialist areas of community, inpatient, acute and primary care services.

Discussing the the training, David Harling, National Deputy Director for Learning Disability Nursing at NHS England, said:

“The launch of the new Learning Disability Nursing Continuing Professional Development Award signals an important marker in both the evolution and investment in our profession. For over 100 years learning disability nurses have been providing expert care to people with learning disabilities and their families, and the advent of this programme will enable them to further their knowledge and skills.

“The programme has been created by learning disability nurses working in a variety of specialist areas of care and we hope it will become one of requisite benchmarks supporting specific roles, be this within job descriptions or as part of the learning disability nursing career framework.”

Ellie Gordon, Senior Nurse; Autism, Learning Disability and Mental Health at NHS England, said:

“It has been a real pleasure to be part of this piece of work. Collaborating with learning disability nurses to progress from an ‘ask’ to a programme of continuing professional development that not only supports knowledge development, but also provides tools and resources to enhance nursing specific skills.

“When we first launched the All England plan for Learning disability nursing back in 2020, we had a clear vision that we not only needed to attract more people into learning disability nursing, but we also needed to develop those nurses who specialised in this area. We also knew that to develop such specialist nurses we would have to develop something that really spoke to nurses and nursing, and which showed how much we value and appreciate all that these great nurses do. I really feel that with this training we have started to do just that, and I look forward to continuing to work with learning disability nurses to develop and grow this great profession.”

The training supports the delivery of the All England Plan for Nursing Disability Nursing, and aims to support those thinking about a career in learning disability nursing, those training to become a learning disability nurse, and those currently working as a learning disability nurse.

It includes a range of topic areas relating to contemporary learning disability practice, including a foundation module which all learners must complete, followed by 3 specialist clinical pathways that can be chosen from:

  1. Learning disability nursing within specialist inpatient settings
  2. Learning disability nursing within community, forensic and intensive support
  3. Learning disability nursing within primary and acute care liaison

The programme forms a Qualification in Specialism (QiS) to provide a standardised pathway for nurses to develop in their specialist area, and is mapped to the Core Capabilities Framework for Supporting People with a Learning Disability.

The curriculum is also mapped to:

  • Nursing & Midwifery Council (NMC) Code of Conduct to support revalidation
  • NHS England Learning Disability Improvement Standards
  • NHS England Long Term Plan
  • HEE Competency Standards for Learning Disability and Autism

Providing the training online ensures ease of access and allows nurses to train at their own pace, fitting it around their busy working schedule.

Accessing the training

The first session of the training programme is now live, with the 3 specialist clinical pathways to follow soon. To find out more and to access the training, please visit the Learning Disability Nursing CPD Award programme page.

elfh is a NHS England programme in partnership with the NHS and professional bodies