Antimicrobial Resistance and Infections - e-Learning for Healthcare
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Coronavirus (SARS-CoV-2/COVID19)

Coronaviruses are a large family of viruses with some causing less-severe disease, such as the common cold, and others causing more severe disease such as Middle East respiratory syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS) coronaviruses.

Further information and evidence can be found on the government’s COVID-19: infection prevention and control (IPC) page

About the Antimicrobial Resistance and Infections programme

The Antimicrobial Resistance (AMR) and Infections programme has been designed to support health and care staff – both clinical and non-clinical – in a variety of settings to understand the threats posed by antimicrobial resistance, and the ways they can help to tackle this major health issue. This programme has been developed by Health Education England (HEE) in collaboration with Public Health England (PHE), NHS England and NHS Improvement, Care Quality Commission and National Institute for Health and Care Excellence.

Antibiotic (antimicrobial) resistance poses a major threat to everyday life and modern day medicine where lives could be lost as a result of antibiotics not working as they should. All health and care staff, as well as the public, have a very important role in preserving the power of antibiotics and in controlling and preventing the spread of infections. Amongst the approaches to reduce this threat includes adequate infection prevention and control practices, good antimicrobial stewardship and the use of diagnostics.

Visit HEE  website for more information on our  AMR work.

AMR toolkit

HEE has produced an AMR toolkit , making available credible and helpful resources relating to antimicrobial resistance, as well as learning about the management of infective states, infection prevention and control and antimicrobial stewardship.

ACP Toolkit


Introduction to Antimicrobial Resistance

This free e-learning session, ‘Introduction to Antimicrobial Resistance’, supports health and care staff to understand the threats posed by antimicrobial resistance and the ways they can help to tackle it.

The aims of these resources are to help health and care staff:

  • Discuss why there is such a concern about misuse of antibiotics and antimicrobial resistance.
  • List the key risks for development of antimicrobial resistance.
  • Identify their role in tackling antimicrobial resistance.

It provides an overview for clinical and non-clinical staff. It will also be of benefit to all health and care staff, including those non-clinical staff working for independent contractors within the NHS, as well as volunteers across health and care settings and service provision.

Antibiotic Review kit – (ARK)

ARK is an antimicrobial stewardship initiative that aims to safely reduce antibiotic use in hospitals by helping staff stop unnecessary antibiotic treatments. This protects patients from drug side-effects like Clostridium difficile and antibiotic resistant infections.

This e-learning was developed in partnership with British Society of Antimicrobial Chemotherapy (BSAC) and covers the rationale for the Antibiotic Review Kit, presents the ARK Decision Aid and also includes some brief scenarios, with reflection questions to consolidate learning.

Antimicrobial Stewardship for Community Pharmacy staff

How Community Pharmacies Can Keep Antibiotics Working

This free e-learning session addresses the impact of antimicrobial resistance and the hugely important role community pharmacy staff can play in it.

This e-learning will help community pharmacy staff:

  • Understand the connection between antibiotic use and antibiotic resistance
  • Identify their role in optimising antibiotic use in the general population who visit their pharmacy
  • Use the Antibiotic Checklist to personalise patient advice when dispensing antibiotics
  • Improve their self-care/safety-netting advice using the Treat Antibiotics Responsibly, Guidance, Education, Tools (TARGET) Treating Your Infection leaflets
  • Be aware of the global impact of antibiotic resistance

It is appropriate and relevant for the whole community pharmacy team.
This has been developed by Public Health England in partnership with British Society of Antimicrobial Chemotherapy (BSAC), Royal Pharmaceutical Society, University of Leeds, University of Nottingham. Graphic design provided by The Letter G.

Case studies

Antimicrobial Stewardship for Pharmacy Staff – Case Studies

The Royal Pharmaceutical Society supported key pharmacists within NHS Trusts and Sustainability and Transformation Partnerships (STPs) to develop the skills and behaviours to become effective antimicrobial clinicians, leaders and mentors via a pilot training programme in London and the south east of England.

You can view the individual case studies from the training here.

Action on AMR – Case studies

Action on AMR  focussed on equipping teams with QI skills to deliver their improvement work and share successful initiatives, rather than demonstrating a significant reduction in Gram-negative bloodstream infections (GNBSI) rates in the region. It is hoped that infection rates will be reduced in future as the teams progress their improvement work using the skills and knowledge gained.

Antimicrobial Stewardship (AMS) change – Case studies

The University of Manchester – AMS change project developed a cohort of “AMS CHANGErs”: experts in behaviour change related to AMS, with the capability, opportunity and motivation to drive change in health professional practices related to AMS.
The following report  – AMS Change: Practical training to apply behavioural science to antimicrobial stewardship , outlines the development and training that has been created. It can support the development of AMS Change projects in local areas.



AMR Public Awareness

This short animation is aimed at the public and has been produced in partnership with PHE, intended to be used by health and social care staff in a variety of settings with the aim of helping prescribers respond appropriately to patients requesting antibiotics without medical need. The creation of the animation was influenced by the work of the Wellcome Trust in understanding how the public responds to information about antimicrobial resistance.

AMR GP and Primary Care Awareness

Also developed is an introductory film entitled a guide for GPs on antimicrobial resistance aimed at GPs and primary care staff to provide an introduction into the risks associated with the over-use of antibiotics, and to encourage appropriate dispersion of the animation above. It supports a range of educational materials for GPs and other primary care prescribers called the TARGET toolkit.

Urinary Tract Infection Management in the Elderly

Surveillance shows that previous urinary tract (bladder) infections, urinary catheterisation, hospitalisation, being prescribed antibiotics in the previous month and old age are key risk factors for these infections in the out of hospital setting. This short film aims to support health and care workers looking after older adults with suspected urinary tract infections (UTIs) and introduces resources that can be used to diagnose, manage and prevent UTIs in the out of hospital setting. In particular Public Health England’s (PHE) diagnostic flowchart and a patient leaflet to facilitate the management of suspected UTIs in the older frail population.
‘To Dip Or Not To Dip’ has a network of health and social care professionals who are improving the management of UTI in older people in care settings throughout the UK. To join this community email

Blood Culture Pathway Awareness

We collaborated with NHS England and NHS Improvement to produce two animated videos to improve antimicrobial stewardship by raising awareness and promoting an optimal blood culture pathway as set out by Public Health England. 

The first animation is a general overview, designed to raise awareness of the issues and will explain the background of AMR, the importance of an optimal blood culture pathway in AMS, and some of the factors to consider in the pre-analytical, analytical and post-analytical phases.

The second animation is a step-by-step guide of good practice in taking a blood culture sample in the pre-analytical phase.

Improving the blood culture pathway

Blood culture pathway: Taking a blood culture

UTI learning resources

Further materials


  • Keep Antibiotics Working

  • e-Bug

  • Antibiotic Guardian

  • FutureLearn

Further materials

Antibiotic Guardian, a campaign led by PHE, urges members of the public and healthcare professionals to take action in helping to slow antibiotic resistance and ensure our antibiotics work now and in the future. To become an Antibiotic Guardian, people choose one pledge about how they can personally prevent infections and make better use of antibiotics and help protect these vital medicines.

A free health education resource, e-Bug, is also available for health and social care staff  to reduce antibiotic resistance by helping children and young people understand infections and antibiotic use. It’s a valuable resource not only because it’s free to access, but it’s also available in 22 languages, being used in 26 countries worldwide.

Clinical staff who have an active interest and prior experience in the prevention, diagnosis and management of infectious disease should consider taking the free interactive six-week online course on Antimicrobial Stewardship by the British Society for Antimicrobial Chemotherapy, University of Dundee and FutureLearn. For more information, please visit FutureLearn.

Further information

For more information on HEE’s work on antimicrobial resistance, please visit our website.

Health Education England Project team

  • Antonio-De-Gregorio

    Antonio De Gregorio

    Programme Coordinator – Antimicrobial Resistance and Sepsis, Health Education England, Population Health and Prevention Team
  • Mohamed Sadak

    Mohamed Sadak

    Clinical Lead and Programme Manager, Antimicrobial Resistance and Sepsis, Health Education England, Population Health and Prevention Team
  • Janet Flint

    Janet Flint

    Programme Lead, Health Education England, Population Health and Prevention Team
  • Dr Sanjiv Ahluwalia

    Dr Sanjiv Ahluwalia

    Postgraduate Dean, Health Education England, North Central and East London
  • Alan Ryan

    National Programmes Director, Health Education England

e-Learning team

  • Diane Ashiru Oredope

    Lead Pharmacist, Health Care Associated Infections & AMR Division, Public Health England Content author - Reducing Antimicrobial Resistance: An Introduction
  • Clair Guy

    Clair Guy

    Programme Manager, HEE e-Learning for Healthcare
  • Tracy Watkins

    Tracy Watkins

    Learning Designer, HEE e-Learning for Healthcare
  • Rashmi Chavda

    Rashmi Chavda

    Graphic Designer, HEE e-Learning for Healthcare
  • e-LfH-staff-Alex-Drinkall-learning-profile

    Alex Drinkall

    Communications and Stakeholder Lead, HEE e-Learning for Healthcare

Antimicrobial Stewardship for Community Pharmacy Staff Project Team

  • Cliodna McNulty

    Cliodna McNulty

    Head of Primary Care and Interventions Unit, Public Health England
  • Rosie Allison

    Rosie Allison

    Project Manager, Public Health England
  • Diane Ashiru-Oredope

    Lead Pharmacist, Health Care Associated Infections & AMR Division, Public Health England Content author - Reducing Antimicrobial Resistance: An Introduction
  • Philip Howard

    Philip Howard

    Consultant Antimicrobial Pharmacist, Leeds Teaching Hospitals NHS Trust President of the British Society for Antimicrobial Chemotherapy (BSAC) Visiting Professor, University of Leeds
  • Tracey Thornley

    Tracey Thornley

    Senior Manager Contract Framework and Outcomes, Boots UK Honorary Professor in Pharmacy Practice, University of Nottingham Member, Royal Pharmaceutical Society English Pharmacy Board
  • Sara Chapman

    Sara Chapman

    Information Designer, The Letter g Teaching Fellow, Department of Typography, University of Reading
  • Sue Walker

    Sue Walker

    Professor of Typography, University of Reading Principal Investigator, Information Design and Architecture in Persuasive Pharmacy Space (ISAPPS): combatting AMR

Antibiotic Review kit – (ARK)

  • Martin Llewelyn

    Dr Martin Llewelyn

    Professor Martin Llewelyn (BSc, FRCP, DTMH, PhD) Professor in Infectious Diseases, Royal Pharmaceutical Society – Content author, Antibiotic Review kit – (ARK)
  • Beth Ward

    Beth Ward

    BPharm MSc MFRPSII MRPharmS Head of Education, Royal Pharmaceutical Society Content author, Antimicrobial Stewardship for Pharmacy Staff
  • Annie Joseph

    Annie Joseph

    Clinical Microbiologist - Nottingham University Hospitals NHS Trust Content author, Out of hospitals management of UTIs in elderly patients
  • Professor Jo Hart

    Professor Jo Hart

    Content author, AMS Change: Practical training to apply behavioural science to antimicrobial stewardship
  • Dr Lucie Byrne-Davis

    Dr Lucie Byrne-Davis

    Content author, AMS Change: Practical training to apply behavioural science to antimicrobial stewardship
  • Jo Higgins

    Jo Higgins

    Content author, Action on AMR: Advancing Quality Action on Antimicrobial Resistance (AMR) Programme

How to access

Available to all

The Antimicrobial Resistance and Infections programme is freely available to access here.
Please note your progress and completion of sessions will not be recorded and you will not be able to generate a record of completion. If you require evidence of learning, please register and then log in to access this programme on the e-LfH Hub.

If you already have an account with e-LfH, then you can enrol on to the Antimicrobial Resistance and Infections programme by logging in to the e-LfH Hub, selecting My Account > Enrolment and selecting the programme. You can then access the programme immediately in the My e-Learning section.

In order to access the Antimicrobial Resistance and Infections programme, you will need an e-LfH account. If you do not have one, then you can register by selecting the Register button below.

Register >

To view the Antimicrobial Resistance and Infections programme, select the View button below. If you already have an account with e-LfH, you will also be able to login and enrol on the programme from the View button.

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NHS healthcare staff in England

The Antimicrobial Resistance and Infections  programme is also available to NHS healthcare staff via the Electronic Staff Record (ESR). Accessing this e-Learning via ESR means that your completions will transfer with you throughout your NHS career.

Further details are available here.

Not an NHS organisation?

If you are not an NHS health or care organisation and therefore do not qualify for free access e-LfH Hub, you may be able to access the service by creating an OpenAthens account.

To check whether or not you qualify for free access via OpenAthens, you can view the eligibility criteria and register on the ‘OpenAthens’ portal.

Registering large numbers of users

If you are a HR, IT or Practice Manager and would like to register and enrol large numbers of staff within your organisation for access onto the Antimicrobial Resistance and Infections programme, please contact e-LfH directly.

Organisations wishing to use their own LMS

For HR departments wanting to know more about gaining access to courses using an existing Learning Management System please contact e-LfH directly to express interest.

Access for care home or hospice staff

To register for the Antimicrobial Resistance and Infections programme, select the ‘Register’ button above. Select the option ‘I am a care home or hospice worker’ then enter your care home / hospice name or postcode and select it from the options available in the drop down list. Finally enter your care home / hospice registration code and select ‘Register’. You may need to see your employer to get this code.

If your employer does not have a code, then they need to contact the e-LfH Support Team. The Support Team can either give the employer the Registration Code or arrange a bulk upload of all staff.

Access for social care professionals

Access to e-LfH content is available to all social care professionals in England whose employers are registered with the Skills for Care National Minimum Data Set for Social Care (NMDS-SC). Every employer providing NMDS-SC workforce information to Skills for Care has been given a user registration code for their staff. This code enables you to self-register for access to the Antimicrobial Resistance and Infections programme. Please contact your employer for more details about the registration code. For information about registering your organisation with the NMDS-SC your employer should access or contact the Skills for Care Support Service on 0845 8730129.
If you have a registration code select the ‘register’ button above.

More information

Please select the following link for more information on how to use the e-LfH Hub.

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