Antimicrobial Resistance and Infections - e-Learning for Healthcare
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This programme is in partnership with...
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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.

Although evidence is still emerging, we do not know the routes of transmission of COVID-19; however, other coronaviruses are mainly transmitted by large respiratory droplets and direct or indirect contact with infected secretions. In addition to respiratory secretions, other coronaviruses have been detected in blood, faeces and urine. Under certain circumstances, airborne transmission of other coronaviruses is thought to have occurred via unprotected exposure to aerosols of respiratory secretions and sometimes faecal material.

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 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/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.

This programme consists of an e-learning session, entitled ‘Reducing Antimicrobial Resistance: An Introduction’ aimed at all health and care staff, and a myriad of resources to support awareness and the education of clinical staff on antimicrobial resistance in different care settings.

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


Reducing Antimicrobial Resistance: An Introduction

This free e-learning session, ‘Reducing Antimicrobial Resistance: An Introduction’, 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.

Antimicrobial Stewardship for Pharmacy Staff – Case Studies

The Royal Pharmaceutical Society supported key pharmacists within NHS Trusts/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.


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.

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.

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

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 Future Learn. For more information, please visit Future Learn.

Further information

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

Health Education England Project team

  • Antonio De Gregorio

    Programme Coordinator, National Programmes, Antimicrobial Resistance and Sepsis
  • Mohamed Sadak

    Mohamed Sadak

    Clinical Lead and Programme Manager, National Programmes, Antimicrobial Resistance and Sepsis
  • Janet Flint

    Janet Flint

    Programme Lead, National Programmes, Population Health and Prevention
  • Dr Sanjiv Ahluwalia

    Dr Sanjiv Ahluwalia

    Postgraduate Dean, North Central and East London
  • Alan Ryan

    Director, National Programmes, Health Education England

e-Learning team

  • Diane Ashiru Oredope

    Lead Pharmacist, Health Care Associated Infections & AMR Division, Public Health England
  • e-LfH-staff-Neha-Baj-learning-profile

    Neha Baj

    Content Development Lead, HEE e-Learning for Healthcare
  • Clair Guy

    Clair Guy

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

    Tracy Watkins

    Instructional Designer, HEE e-Learning for Healthcare
  • e-LfH staff - Rashmi Chavda

    Rashmi Chavda

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

    Alex Drinkall

    Stakeholder Manager, 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
  • 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 RPS – Antimicrobial Stewardship pharmacy staff – Case studies
  • Beth Ward

    Beth Ward

    BPharm MSc MFRPSII MRPharmS Head of Education Royal Pharmaceutical Society Out of hospitals management of UTIs in elderly patients
  • Annie Joseph

    Annie Joseph

    Clinical Microbiologist - Nottingham University Hospitals

How to access

In order to access any e-LfH 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 >

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.

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

Access for 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.

Available to all

The Antimicrobial Resistance and Infections e-learning programme is available to access using the Open access session. If you access the content using this link, you will not have to log in but your activity will not be tracked and you will not be able to generate a record of completion.

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