Asthma (Children and young people) - elearning for healthcare
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This programme is in partnership with...
  • NHS England partnership logo
  • The George Coller Memorial Fund
  • Beat Asthma
  • Rotherham Respiratory

About the National Bundle of Care for Children and Young People with Asthma programme

NHS England and NHS Improvement’s ambition is to reduce avoidable harm to children and young people with asthma and improve their quality of life. This will be achieved by taking a whole system approach to asthma management that includes addressing environmental triggers, a comprehensive education programme, promoting personalised care, effective preventative medicine, and improved accuracy of diagnosis.

NHS England and Improvement have been working with key stakeholders, including young people and their families, to develop a National Bundle of Care for Children and Young People with Asthma to support local systems with the management of asthma care. The programme sets out the blueprint of evidence-based interventions to help children, young people, families, and carers, to control and reduce the risk of asthma attacks and to prevent avoidable harm. The bundle outlines key standards in the care of CYP with asthma throughout every stage of the patient pathway.

A key element to ensure children and young people with asthma receive high standards of asthma care, is relevant training for professionals. One of the outputs of the training, education and competencies national working group has been the development of a capability framework.

The National Capability Framework for the care of children and young people with asthma

This framework has been developed to allow individuals, employers, and integrated care systems to be aware of the skills and knowledge that are required to ensure they can safely care for a child and young person with asthma. The framework is aimed at both health and non-healthcare professionals across all aspects of a child’s life, including childcare providers, education providers, uniformed services, sports coaches, social services and health care workers.

The framework was developed by NHS England and NHS Improvement in collaboration with key stakeholders including CYP and their families, national experts and arm’s length bodies such as Royal Colleges, professional bodies and Health Education England. Current national guidelines and recommendations were incorporated including the British Thoracic Society/Scottish Intercollegiate Guideline Network (BTS/SIGN) national asthma guidelines, Global Initiative for Asthma (GINA), the NICE asthma guidelines, the National Review of Asthma Deaths (NRAD) report, National Asthma and COPD Audit Programme (NACAP) and the Healthcare Safety Investigation Branch (HSIB) investigation into childhood asthma report and recommendations.

The framework divides different roles into 5 ‘tiers’. A tier describes the level of care a person may be expected to deliver to a child or young person with asthma. The more involved the care, the higher the level of tier.

The tiers are not profession specific, but rather describe the minimum required knowledge and skills any individual must possess to safely carry out their role in caring for a child or young person with asthma. Individuals should look at their own role and choose the tier most appropriate to the care they deliver.

National Capabilities framework


It is assumed that for healthcare professionals undertaking the training they will already have appropriate training and skills relevant in the care of children and young people. These courses are to provide additional training specifically relating to asthma and should sit alongside appropriate frameworks of training, supervision and mentoring as required.

Use the drop down boxes to find an accredited course to help support you achieve the capabilities you need:

Suggested template for developing a portfolio of evidence

This portfolio template can be adapted for local use. The purpose of the portfolio is to demonstrate that a health care professional is capable to deliver the skills and the Learning Outcomes of each of the 10 capabilities at tiers 4 or 5.

The portfolio should be reviewed through an agreed Integrated Care System led process to certify the individual has achieved the required level of capability to deliver that tier of CYP asthma care. This process may involve review by the local asthma network, or a nominated ICS asthma lead.

Click here to see the template.

Meet the team 2022

  • Viv Marsh

    Viv Marsh

    Queen’s Nurse, RGN, RSCN, SCPHN, Independent Prescriber
  • Katie Puplett

    Children and Young People’s Senior Policy Manager, NHS England and NHS Improvement
  • Jennifer Townsend

    Jennifer Townsend

    National Clinical Lead CYP Asthma, NHS England and Improvement
  • Emma Nye

    Emma Nye

    Programme Manager, HEE elearning for healthcare
  • Paul Tingle

    Senior Project Manager, HEE elearning for healthcare
  • Alex Cleary

    Alex Cleary

    Learning Designer, HEE elearning for healthcare
  • Louise Garrahan

    Louise Garrahan

    Communications and Stakeholder Officer, HEE elearning for healthcare, Technology Enhanced Learning
  • Dr. Oliver Anglin

    Clinical Director for CYP Transformation - NHSE (London)

Original sponsor: East of England Clinical Networks

How to Access

In order to access the Asthma programme, you will need an elfh account. If you do not have one, then you can register by selecting the Register button below.

Register >

To view the Asthma programme, select the View button below. If you already have an account with elfh, 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 – ESR

The Asthma 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.

Not an NHS organisation?

If you are not an NHS health or care organisation and therefore do not qualify for free access elfh 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 Asthma programme, please contact elfh 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 elfh directly to express interest.

More information

Please select the following link for more information on how to use the elfh Hub.


If you have feedback on the programme please contact

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