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Health Education England funded Programme: Breaking Down the Barriers

Posted on: October 18th, 2017 by Andy Dowden No Comments

Making Child and Adolescents Learning Disabilities awareness a priority across GP practices

Current situation

In 2011, Public Health England (PHE) reported that 286,000 child and young people under 18 years old in England have a Learning Disability (LD). Children and adolescents with learning disabilities, are six times more likely to have a diagnosable mental health condition than those without (Emerson & Hatton 2007) and are more likely to experience mental health difficulties such as anxiety or low moods. One of the main barriers in identifying and diagnosing physical and mental health problems in children with LD is communication failure.

The challenge

Identifying the needs of children and young people with learning disabilities within primary care settings is integral to the effective and efficient assessment, management and delivery of care. The challenge was to upskill the primary care staff in this area. The package which constitutes one of the key resources of the Breaking Down the Barriers (BDtB) training package includes a combination of different training and communication techniques which could be sustainably used.

Addressing the problem

Dr Bini ThomasUCLPartners was commissioned by Health Education England, north, central and east London (NCEL) to conduct a needs assessment in 2014 across GP practices and primary care settings. We discovered a clear need and keen desire from GP practice staff to increase mental and physical health awareness, knowledge and basic skills in the management of children and adolescents with learning disabilities. UCLPartners has facilitated the co-creation, in partnership with North East London NHS Foundation Trust (NELFT), of free learning disabilities awareness training resources for use across GP practices, primary care multidisciplinary staff. Resources have been developed as flexible taught modules, delivered in bite-sizes through a mixture of presentations, practical exercises, videos tutorials, case studies, scenarios, quizzes and discussions. Dr Bini Thomas (right, top), DR Kala ShanmuganandaConsultant Psychiatrist in Learning Disabilities, Simulation Lead & Dr Kala Shanmugananda (right, bottom), Consultant Community Paediatrician, both from NELFT, have been actively leading the way in delivering training sessions across the north-east London geographical region to promote and increase awareness in this area. Their exceptional and interactive training approach has had a lasting impact on all participants who have attended their sessions.

How NELFT’s approach is supporting management learning disabilities services across GP practices

NELFT’s innovative approach focuses on proactively enabling GPs to identify and manage children and young people with intellectual disabilities presenting with complex health concerns including mental health effectively. This involves having allocated LD nurses working with GP clusters as a main point of contact. NELFT has also led the way in managing transitions for children and young people with complex mental and physical health needs by ensuring awareness training is a key priority. They also have a clear transition pathway, a designated professional for signposting and working in collaboration with the client and their families.

The key targets:

• Creating awareness among GPs and practice staff regarding mental health in children and young people with learning disabilities to improve the management of care, outcomes and patient experience

• Facilitate the delivery of initial “Train the trainer” sessions to increase training delivery capacity and competency across settings to ensure sustainability and transformation and thereby having an impact on physical and mental health outcomes and better experience for children and adolescents with learning disabilities.

Seeing results

Constantinos PetridesConstantinos Petrides, Paediatric Registrar attended one of the BDtB child and adolescents learning disabilities “Train the Trainer” sessions this year and says this is an excellent and much needed course, pitched at the right level, suitable for health and social care professionals. He found the session provided him with invaluable knowledge and incredible insight into the experiences of professionals (nurses, psychologists, practice managers, GPs and parents) in the assessment and management of children and adolescents with LD across primary care settings.

Measuring impact of training across NCEL primary care staff

The Director of Medical Education at NELFT, Dr Mohan Bhat, has also received excellent feedback from staff who have attended this training and have found materials adaptable to local needs.

To facilitate capability building, sustainability and maintain training delivery across GP practices, BDtB has facilitated the provision and delivery of a number of “Train the Trainer” sessions. We have also developed a certified trainer list for localities to draw on. This will help attendees to attend refresher sessions to maintain their knowledge, confidence and practical skills.

Highlighted in the table below, findings and results following the initial roll-out of child and adolescent mental health and learning disabilities training across primary care shows a tremendous impact. We’ve found this is encouraging more GPs and practice managers to make provisions to ensure BDtB training is part of their core curriculum.

Ronke Adejolu, Programme Manager at UCLPartners, said “Breaking Down the Barriers awareness training is an excellent example of partnership working can help invest in and develop the capability and capacity of the NHS primary care workforce.”

For certified trainers to support further delivery of training across GP practice and GP VTS programme in the NCEL geographical region is available here. Access and download training resources here. For more information, please visit bit.ly/UCLPBreakingBarriers Or contact Ellen.Nelson@uclpartners.com.


Changes to Genomics Education Programme online learning

Posted on: September 18th, 2017 by Andy Dowden No Comments

New online programme set to enhance traditional learning, support existing teaching methods and provide a valuable reference point for a wide audience

Three of the Genomics Education Programme (GEP) courses; 100,000 Genomes Project: Preparing for the Consent Conversation, Introduction to Bioinformatics and Sample Processing & DNA Extraction are now available through the e-Learning for Healthcare (e-LfH) and eIntegrity platforms.

As genomic medicine moves beyond specialist clinics and into mainstream patient care, the GEP courses have been made available through these e-learning platforms to create a comprehensive online genomics education and training hub available for healthcare professionals both nationally and internationally.

Access to online courses

All NHS staff and GEP partners (including university partners) will continue to access the courses free of charge via the e-Learning for Healthcare (e-LfH) hub. Non-NHS staff can also continue to temporarily access the courses free of charge through e-LfH, however there will be a small charge after the temporary period ends and users must register with eIntegrity to continue to access the courses.

Over the coming months more GEP courses will be migrated onto the genomics education and training hub to meet the growing demand. All other tools and resources will continue to be available on the Genomics Education Programme website.

To access the resources please visit: https://www.e-lfh.org.uk/programmes/genomics-education-programme/

Programme launched to reduce the stigma that patients with alcohol problems face

Posted on: September 15th, 2017 by Andy Dowden No Comments

Health Education England e-Learning for Healthcare (HEE e-LfH) has worked with the Health Innovation Network South London, the South London and Maudsley NHS Foundation Trust and King’s College London to develop an e-learning programme for NHS healthcare professionals that aims to reduce the stigma encountered by patients with alcohol problems.

A powerful new film complements the e-learning package to reduce the stigma that patients with alcohol problems face.

Using emotional and thought-provoking real stories voiced by patients alongside a practical package of training materials including facilitator’s notes, the e-learning programme is a valuable resource for frontline professionals.

Having a better understanding of alcohol dependency may help healthcare professionals to improve longer-term outcomes for patients with alcohol dependency.

This e-learning programme will be of interest to health and social care staff who come in to contact with patients with alcohol problems, whether that is in hospital, primary care or community settings.

Sometimes people with alcohol problems can be stereotyped, and judged to be less worthy of excellent treatment and care. Such stigma can be a barrier to help-seeking. It also impacts on treatment outcomes and diminishes patients’ feelings of empowerment.

Frontline health and social care staff regularly come into contact with patients with alcohol problems. While a small group of healthcare professionals are specifically trained in addictions or alcohol, many frontline staff will have received little or no specialist training in this area. The new national NHS Commissioning for Quality and Innovation (CQUINs) payments framework for 2017-19 incentivises certain secondary healthcare clinicians to enquire about patients’ alcohol use, leading to possible brief intervention or referral to appropriate care.

The e-learning programme includes a mix of resources including a thought-provoking film reflecting on some service user experiences, facilitator’s notes for group or face to face delivery of the training (recommended) and also a shorter online version for individuals keen to learn about this, who do not have access to the group training.

To access the free Alcohol Stigma e-learning programme and to view the film please click https://www.e-lfh.org.uk/programmes/alcohol-stigma/

Updated Alcohol Identification and Brief Advice e-learning programme

Posted on: March 16th, 2017 by Alex Drinkall No Comments

Health Education England e-Learning for Healthcare (HEE e-LfH) has worked with Public Health England (PHE) to update the Alcohol Identification and Brief Advice (Alcohol IBA) e-learning programme which helps professionals deliver simple advice to individuals whose drinking might impact their health.

The Alcohol IBA courses are available for delivery in four settings:

* Primary Care
* Community Pharmacy
* Hospitals
* Dental Teams.

The e-learning resources teach learners how to use World Health Organisation validated tools to identify patients’ levels of health risk from alcohol and how to intervene appropriately with those who could benefit from reducing their alcohol consumption.

Use of IBA is recognised as a contributor to Making Every Contact Count (MECC) and is a feature in the NHS Health Check, CQUIN programmes and efficiency savings programmes.

The overall goal of the Alcohol IBA e-learning programme is to enable the learner to effectively engage with non-dependent alcohol misusing patients, who may not realise they may be taking risks with their health.

Each of the courses aimed at primary care, community pharmacy and hospital settings is split into four e-learning sessions:

  1. Alcohol Facts
  2. Introducing IBA and Identifying Risky Behaviour
  3. Practising IBA and delivering brief advice
  4. Assessment

The course aimed at dental teams consists of four sessions:

  1. Facts about Alcohol
  2. Identification and Brief Alcohol Advice (IBA) for Dental Teams
  3. Practising AUDIT-C
  4. Assessment

The Alcohol IBA e-learning resources are available for free to all NHS staff as well as being available via OpenAthens and via PHE’s Alcohol Learning Resources website. For more information and to access the e-learning sessions click here.

Reminder about e-PAIN e-learning for all NHS staff

Posted on: February 7th, 2017 by Alex Drinkall No Comments

The e-learning programme “e-PAIN” from Health Education England e-Learning for Healthcare (HEE e-LfH) is the place to start for anyone working in the NHS who wishes to better understand and manage pain.

e-PAIN is a multidisciplinary programme based on the International Association for the Study of Pain’s recommended multidisciplinary curriculum for healthcare professionals learning about pain management. Registration to the programme is free to all NHS staff members.

e-PAIN uniquely distills the knowledge of a range of professionals into 11 modules made up of interactive sessions to meet the needs of a multidisciplinary audience. The modules cover knowledge ranging from managing acute pain well, through to learning in depth about common pain conditions and moves on to cover how to manage pain in specialist areas, including pain in cancer or pain in childhood. e-PAIN is current, up to date and presented in an interactive way to make both basic and specialist knowledge accessible.

Any e-PAIN module can be completed stand alone and a downloadable certificate is available upon completion of each module. Most sessions take on average 30 minutes to complete and each module has on average five sessions.

e-PAIN is a collaboration between the Faculty of Pain Medicine, the British Pain Society and HEE e-LfH.

For further information, please visit: http://www.fpm.ac.uk/faculty-of-pain-medicine/e-pain

For more information about e-LfH please click here.

e-derm - learning resources for healthcare professionals

Posted on: January 31st, 2017 by Alex Drinkall No Comments

Health Education England e-Learning for Healthcare has worked with the British Association of Dermatologists to develop three new sessions as part of its e-learning programme looking at the diagnosis and management of dermatological disorders.

The new sessions cover: Introduction to psychosocial management in dermatology; Psychosocial assessment in dermatology practice; and Psychological interventions for dermatology patients.

The e-learning resource, aimed at healthcare professionals working with patients with skin conditions and other members of the NHS workforce, is based on the Joint Royal Colleges of Physicians Training Board curriculum in dermatology.

The programme includes more than 160 sessions, which cover topics including management of melanoma, acne, and psoriasis.

NHS clinicians and students can access the free learning resources. Please click here.

Learning resources promoting integration of physical and mental health launched

Posted on: January 23rd, 2017 by Alex Drinkall No Comments

Health Education England has worked with UCLPartners and NHS mental and physical health experts to develop a suite of educational material for use across primary and secondary NHS health settings.

“Breaking Down the Barriers” aims to support education across the NHS workforce by providing the training materials to enhance existing skills, increase knowledge for early recognition, assessment, management and signposting of mental and physical health needs of patients.

A key aim of this work is to facilitate and encourage collaborative working and the sharing of resources and training delivery arrangement between NHS Trusts. The education and training materials cover the following areas:

* Mental Health awareness in emergency and urgent care settings
* Physical Health awareness in mental health settings
* Child and Adolescent mental health awareness training for GP practices in primary care
* Child and Adolescent learning disabilities awareness training for GP practices in primary care

The resources are a combination of classroom training, videos, simulation training, presentations, case based scenarios, case studies, tutorials and quizzes.

Breaking Down the Barriers awareness training packages and associated materials are available as a free downloadable resource from HEE e-Learning for Healthcare for use across primary and secondary care settings.

To access the resources please click here.

e-Learning launched on clinical pharmacology

Posted on: January 13th, 2017 by Alex Drinkall No Comments

Health Education England e-Learning for Healthcare has worked with the British Pharmacological Society to develop an e-learning programme based on the principles of clinical pharmacology that underpin safe and effective prescribing.

Prescribe” provides e-learning materials to help healthcare students to develop a firm grounding in the principles of clinical pharmacology and use of medicines more generally. The e-learning resource contains both interactive learning sessions and information designed to support students in achieving the relevant knowledge and skills outcomes.

The e-learning programme is intended to complement existing teaching initiatives and is made available free of charge to students registered with UK universities and NHS-affiliated organisations.

Prescribe is based on the learning outcomes set out in Outcomes for Graduates (originally published in Tomorrow’s Doctors 2009). These reflect earlier proposals made by the Safe Prescribing Working Group, convened by the Medical Schools Council in 2007, and are set out in greater detail within the British Pharmacological Society’s curriculum for medical students.

These competencies include the ability to:

* establish an accurate drug history
* plan appropriate therapy for common indications
* write a safe and legal prescription
* appraise critically the prescribing of others
* calculate appropriate doses
* provide patients with appropriate information
* access reliable information about medicines
* detect and report adverse drug reactions.

Prescribe will also provide material that is relevant to UK final year medical students preparing to sit the Prescribing Safety Assessment and is also aligned to many of the competencies highlighted in the recently published Prescribing Competency Framework.

To access the e-learning click here.

National Care Certificate e-learning programme

Posted on: January 3rd, 2017 by admin No Comments

As part of the continuing drive to implement the Care Certificate nationwide, Health Education England e-Learning for Healthcare (HEE e-LfH) is developing an e-learning programme. This is being supported by a steering group with membership from HEE’s local offices and content is being developed and reviewed by subject matter experts.

The programme will provide a suite of learning to support the underpinning knowledge for the Care Certificate. It will utilise the work completed in the existing online workbook which was developed by HEE, Skills for Care and Skills for Health, with health and social care staff across the country.

Part of the programme has been piloted by Care Certificate assessors and students across the country and feedback from this will help shape the final programme, which will be available in March 2017.

Access to the Care Certificate e-learning programme will be free of charge for health and social care staff. All learning will be available within a single, structured, accessible programme and all activity will be recorded within the user’s account as evidence of completion.

For more information please contact Victoria Winlow, Assistant Programme Manager, HEE e-LfH by email.

e-LfH is a Health Education England Programme in partnership with the NHS and Professional Bodies