End of Life Care - e-Learning for Healthcare
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About the End of Life Care programme

The e-learning programme End of Life Care for All (e-ELCA) aims to enhance the training and education of the health and social care workforce so that well-informed high quality care can be delivered by confident and competent staff and volunteers to support people wherever they happen to be.

e-ELCA sessions have been highlighted as a resource to help with implementation of the NICE Guidelines on improving care for people who are in their last days of life (Care of Dying Adults in the Last Days of Life).

There are over 160 highly interactive sessions which are grouped into nine modules:

  • Advance Care Planning
  • Assessment
  • Communications Skills
  • Symptom Management
  • Social Care
  • Bereavement
  • Spirituality
  • Integrating Learning
  • Specialist Content

Click the button below to view/download a document detailing all the sessions available.

Sessions available >

End of Life Care

Tools to support learning

There are a number of tools to help you make best use of the sessions:

  • Learning paths have been developed for specific staff groups and defined curricula (see below)
  • A training needs analysis and signposting to sessions which support learning to meet the requirements of the Priorities for Care of the Dying Person (see below)

For further details about accessing e-ELCA see the How to access section below.

Social care

The support and care that social care workers provide for people and their families in the last part of their lives is crucially important and a very frequent part of their role. Many of the e-ELCA sessions support social care workers in learning and teaching about end of life care. This includes social workers, managers and those social care workers who provide hands on care.

The e-ELCA Social Care module, comprising 6 sessions, specifically focuses on the social care role at the end of life. However many sessions not specifically labelled as social care in the other e-ELCA modules (for example, Advance Care Planning, Assessment etc.) are directly instructive and essential to those working in social care. Other sessions in e-ELCA may be of interest because the more we can understand of each other’s role, the better we can get at multi professional care delivery. Click the button below to view/download a learning path document which helps you to identify the e-ELCA sessions you might find helpful.

Learning path >

Care for a person and their family in the last days of life requires key knowledge and skills which have been outlined in the Priorities for Care of the Dying Person. A training needs analysis session has been designed to help you identify which sessions will support your learning to work with people and the families that are very close to death.

The e-ELCA sessions have also been mapped to support learning for the national level 2,3 and 5 End of Life Qualifications.

Sample sessions

  • Introduction to e-learning for End of Life Care

    This session is your guide on how to use this e-learning programme for End of Life Care (e-ELCA). It also explains why it was developed and how it can be used to support learning.

  • Relationship Between Palliative Care and End of Life Care

    This session will describe what is meant by the terms palliative care and end of life care, and what they have in common. Two case studies will be used to explain their relevance to patients with advanced progressive illnesses, and their families. The session will provide an overview of key components of palliative care and end of life care.

  • Recognising the Last Months and Days of Life and Verifying Death

    This session offers a framework for recognising patients who are at risk of deterioration and who may die soon (last months of life) and also recognising when death is imminent (last days). The priorities for care of the dying person are discussed and the communication with patients and families needed at these times is explored.

Priorities for Care of the Dying Person

The care of people that are dying and support for their families is something that almost all health and social care staff contribute to, consider of great importance in their role and can get great satisfaction from. However, there is a high level of concern that patients and their families are not being cared for with sufficient dignity, compassion or expertise and that there is much that can be improved in their experience in the last days of their life.

e-ELCA is a resource that can provide a great deal of support for the development of staff. It is however unlikely to be the only training element that staff will require.

A small number of sessions have been identified as ‘core’ and ‘additional’ for a range of staff groups, which focus specifically on care in the last few days and hours of life. Sessions in e-ELCA have also been mapped to the nine high-level learning objectives in the One Chance to Get it Right report developed by the Leadership Alliance for the Care of Dying People in 2014. Click the button below to view/download.

Priorities for Care of the Dying Person >

Assess your own training needs

A session which helps you assess your own training needs has also been developed. This will help you to identify your areas of strength and those you need to focus on. Click the button below to view/download.

Training Needs Analysis >

Core and additional e-ELCA sessions for specific staff groups have been defined. Please select from the following:

This video may help new users to e-ELCA, and educators, learn what may be useful to integrate into their teaching about the Priorities for Care of the Dying Person to support a blended learning approach.


Learning paths

Learning paths help to guide users in choosing sessions of most relevance to their learning. The learning path is a starting point and should be modified to suit your own needs and prior experience.

Please select from the following learning paths:

Executive group

  • Alan Ryan

    Director of National Programmes, HEE e-Learning for Healthcare
  • Patricia Howe

    Project Manager, HEE e-Learning for Healthcare,
  • Richard Kitchen

    Dr Richard Kitchen

    Association for Palliative Medicine (APM) Clinical Lead for e-ELCA
  • Andrew Davies

    Dr Andrew Davies

    President, Association for Palliative Medicine of Great Britain and Ireland

Project team

  • Richard Kitchen

    Dr Richard Kitchen

    Clinical Lead
  • Patricia Howe

    Project Manager, HEE e-Learning for Healthcare,

Project team (2009 to 2017)

  • Bee Wee

    Professor Bee Wee

    Clinical Lead (2009-2013)
  • Claire Henry

    Claire Henry

    National Programme Director, National End of Life Care Programme (2010-2013)
  • Christina Faull

    Professor Christina Faull

    Clinical Lead (2013-2017)
  • Profile picture of content editor Victoria Winlow

    Victoria Winlow

    Assistant Programme Manager, HEE e-Learning for Healthcare (2010-2017)
  • Glenis Freeman

    Glenis Freeman

    Independent Consultant (2010-2017)

Original module editors

Module Editor
Communication Skills

Esther Waterhouse and Andrew Thorns


Jayne Chidgey-Clark


Karen Henry


Margaret Holloway

Symptom Management

Martine Meyer

Integrating Learning

Martine Meyer, Andrew Thorns and Jo Wilson

Advance Care Planning

Shaun Kinghorn

Social Care

Tes Smith

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 End of Life Care 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.

How to license

In the event that you do not qualify for free access to the End of Life Care programme, you are able to license access through eIntegrity, a community-interest company established for this purpose.

For more information on the licensing options available for the End of Life Care programme, please visit the eIntegrity website.

Access for care home or hospice staff

To register for the End of Life Care programme, select the ‘Register’ button in the top right hand corner of the page. 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.

Detailed instructions on how to gain access are available here.

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 e-ELCA. 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 www.nmds-sc-online.org.uk or contact the Skills for Care Support Service on 0845 8730129.

If you have a registration code, you can register by clicking here.

NHS healthcare staff in England

The e-ELCA 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.

Free sessions

A number of e-ELCA e-learning sessions are available to access freely and without the need for registration via www.endoflifecareforall.comPlease note that your progress and completion of e-ELCA via this site will not be recorded.


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