Respiratory Surge in Children - elearning for healthcare
Menu Access our elearning programmes on the elfh Hub Hub Register / Log in >
This programme is in partnership with...
  • Health Education England_New logo 2021
  • NHSI-partner
  • Paediatric Critical Care Society
  • London Transformation and Learning Collaborative

About the Respiratory Surge in Children programme

The Respiratory Surge in Children resources are aimed at healthcare staff working in the various settings where a child will present with respiratory illness. Within the programme, the term ‘child’ is used to represent infant, child and young person.

The programme resources have been divided across 7 domain folders (see below) and, in most instances, have been further categorised according to the care level that they relate to:

  • Primary and community care out of hospital
  • Ward based / Level 1 care: basic critical care
  • Level 2 care: intermediate critical care / HDU – we recommend you also look at the ward based / Level 1 resources to ensure you are familiar with all content covered
  • Level 3 care: advanced critical care – we recommend you also look at the ward based / Level 1 and Level 2 resources to ensure you are familiar with all content covered

To support different learner needs and contexts, the programme hosts a range of resources that vary in terms of content type, for example, text, video, audio, and duration to complete, which can be found in the resource title name. You can find out more about the different ways to navigate through the programme in the ‘How to use the Respiratory Surge in Children programme’ section below.

The development of the London Transformation and Learning Collaborative (LTLC) Respiratory Surge in Children programme ended in March 2022, but this programme page and associated pages will remain live on elearning for healthcare (elfh) for the foreseeable future. Please contact the LTLC team for any further information or questions about the programme (ltlc@hee.nhs.uk). Keep in touch with the team on Twitter and LinkedIn using the hashtag #NHSLTLC.

  • Aim

    The Respiratory Surge in Children programme aims to support the cross-skilling of the national NHS workforce to manage:

    • existing demand in children
    • potential future spikes in paediatric demand as a result of respiratory syncytial virus (RSV) and other respiratory illnesses in children
    • longer-term increasing paediatric acuity and demand in children
  • Objectives
    • provide engaging and informative content through a digital modular education programme
    • promote widespread accessibility and inclusivity through multi-channel delivery
    • accommodate different skill requirements across all care settings (home, primary and community care and hospital care) through carefully curated content
    • optimise workforce and training innovations
    • summarise roles and essential skills required for the NHS workforce to function in a surge model in paediatric care settings through a national digital skills passport
  • Approach

    The programme is led by users with both the healthcare systems and future learners actively involved in every stage, from development to delivery. We are working with the Paediatric Critical Care Society (PCCS) and the Paediatric Critcal Care Operational Delivery Networks (ODNs) to ensure we are responsive to different needs across the nation.

    Respiratory Surge in Children programme approach

    Our aim will be achieved through 4 key phases, supported by robust governance and assurance:

    1. Understand
      – care standards and competency frameworks (for example, RCPCH, RCN / NMC)
    2. Develop
      – co-development of an interprofessional skills matrix that summarises key skills required for different levels of care, with mapped educational resources
      – curation of existing educational resources for learners, trainers and systems onto this elfh microsite, for different levels of care and settings where children are cared for
      – co-design of a national digital skills passport
    3. Deliver
      – dissemination of educational resources and digital skills passport at a national level
    4. Refine
      – implementation of a feedback mechanism, to enable continued refinement
  • Alignment to standards and competencies for care for children

    Paediatric standards for levels of care and competencies have been aligned to:

    The content is matched against Royal College of Paediatrics and Child Health (RCPCH), Royal College of Nursing (RCN) and Nursing and Midwifery Council (NMC) professional competencies to aid presentation for revalidation and appraisal.

How to use the Respiratory Surge in Children programme:

Evaluation Survey QR code

Step 1: use the searchable interprofessional skills matrix to find and access relevant resources

Step 2: complete your learning at your own pace

Step 3: tell your colleagues about the programme with this downloadable poster (PDF, 382KB)

Step 4: feedback and tell us what you think of the programme by completing this short evaluation survey

  • How to access

    The Respiratory Surge in Children programme houses free, open access resources.

    In order to access the Respiratory Surge in Children 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 Respiratory Surge in Children 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.

    View >

    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 Respiratory Surge in Children programme, please contact elfh directly.

    More information

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

  • Add this programme to your phone home screen for quick access

    You can add this programme page on your phone by accessing your browser settings or share settings and selecting “Add to Home Screen”. Please note steps vary between devices. On an iPhone tap the “share” icon  and then “Add to home screen”.

Searchable index for Respiratory Surge in Children resources

Searchable Index for Respiratory Surge in Children Resources

The searchable index has been developed by mapping the Respiratory Surge programme’s educational content to learning objectives and skills, by domain and by level of paediatric care.

Its searchable functionality allows users to quickly find and access relevant content on the programme by:

  • keywords, resource titles and topics
  • staff group
  • care setting
  • learning objective
  • learning duration
  • content type (for example, text, video, audio)
Users also have the ability to create and share custom lists.

Access the searchable index for Respiratory Surge in Children Resources

  • Add the searchable index to your phone home screen for quick access

    You can add the searchable index web app to your phone home screen by opening it on your phone, accessing browser settings/share settings and selecting “Add to Home Screen”. Please note steps vary between devices and browsers. On an iPhone tap the “share” icon  and then “Add to home screen”.

Rapid access resource lists

These PDF lists have been designed as quick introductions to the content in the Respiratory Surge in Children programme. Each list is designed to take no longer than 2 hours to complete and some also have additional “extension learning” should you feel you want to push yourself further.

Overarching resources

This section houses resources that span multiple domains and/or provide context on the respiratory surge in children and includes:

  • national guidance
  • webinars
  • toolkits
  • infection prevention control (IPC)
  • managing the surge

Take me to the Respiratory Surge in Children programme

  • Searchable equipment tool and pulse oximetry resources

    Searchable equipment Support Resource

    This mobile-friendly web app allows the user to rapidly access quick guides, manuals and training videos for most of the equipment used to support children with severe respiratory illnesses and in critical care units (paediatric and adults). You can search by equipment purpose, make and model to find specific guides that are all free and open access. It can be added to your mobile device home screen as an app, just follow the instructions when you open it.

    Please note, while these are the most accessible guides available, some may not be from manufacturers, and all should be viewed in the context of local trust or site practice.

    Pulse oximetry resources

    This section also contains paediatric pulse oximetry resources that have been produced to guide the use of pulse oximetry equipment procured by NHS England to support assessment of children in primary care. Resources include an equipment user guide, 2 videos, a QR code for rapid mobile user guide access, and manufacturer contact details for technical troubleshooting. If you have any technical questions regarding the Masimo Rad-GTM with Temperature, please email: NHSRADG@masimo.com. For any urgent enquiries, please call: 01256 473 684.

Learning domains

The majority of the programme content has been categorised across 7 domains. Within each domain folder you will find resources for different levels of care and different resource types and durations.

Take me to the Respiratory Surge in Children programme

  • If you are looking for specific resources based on a keyword, format, duration or learning objective, check out our Searchable Index
  • If you are looking for quick introductions to the programme content, check out our rapid access resource lists
  • If you want an overview of all the resources and how they map to each domain, level of care and learning objectives, check out the interprofessional skills matrix

AHP specific resources

This domain contains resources specific to physiotherapists and pharmacists who may be involved in caring for babies and children with bronchiolitis in the community, on a ward or an intensive care unit. These professional groups should also access the wider resource catalogue. Likewise, many clinicians working across paediatrics will benefit from viewing/accessing these AHP resources.

Take me to the Physiotherapy specific resources

Take me to the Pharmacy specific resources

Educator resources

This domain provides resources for educators and trainers to use in the local workplace. These include:

  • competency documents
  • clinical guidelines
  • slide decks

The resources cover a wide variety of topics relating to the Respiratory Surge in Children programme. Feel free to use them as they are or to inform and inspire your own resources. Please note: it is good practice and polite to retain the acknowledgements of the original authors who have shared these with us, so please do so.

Take me to the Respiratory Surge in Children programme

We are still collating and creating resources and would appreciate you sharing any relevant resources; feedback on the resources already available is also most welcome (please see the ‘Share your resources and feedback section’ below).

  • Interprofessional skills matrix

    Graphic representing the Skills Matrix documentThe skills matrix has been developed to map key educational content to the skills they address, by domain (for example, recognition, management and escalation: care of the sick child), level of paediatric care (primary and community care/out of hospital, ward based/Level 1, Level 2 or Level 3), and is appropriate to all professions.

    Download the London Transformation and Learning Collaborative (Microsoft Excel, 162KB)

    The skills matrix has informed the programme resources which can be readily accessed through the searchable index. The matrix was revised in March 2022, and maps all the educational resources to their relevant learning objective(s). This downloadable document is designed to help learners and the educators to identify content to match their knowledge/resource gaps.

Paediatric Digital Skills Passports

The LTLC paediatric digital skills passports are endorsed by the Paediatric Critical Care Society (PCCS) and have been developed:

  • to support staff to understand, document and acquire new skills to support the safe delivery of critical care (levels 1, 2 and 3) to children in a surge model of care
  • for managerial staff overseeing these surge model roles to have visibility of their team members’ skillsets and capability

Resources from the Respiratory Surge in Children programme have been mapped to the passports’ skill domains to support self-directed learning.

Launch webinar

This 50-minute webinar, recorded on 19 January 2022, provides an overview to the paediatric digital skills passports, including:

  • approach to development (00:00 – 07:35)
  • demonstration of how to use the passports (07:35 – 20:25)
  • passport implementation and support (20:25 – 27:35)
  • Respiratory Surge in Children e-learning programme (27:35 – 32:45)
  • next steps (32:45 – 37:05)
  • moderated Q&A (37:05 – 48:00)
  • 4 passport types

    The paediatric digital skills passports can be accessed via mobile, tablet and desktop and have been created for:

    • adult critical care nurse – caring for children (under 12 years old)
    • adult critical care nurse – caring for adolescents (over 12 years old)
    • stabilisation of children (under 12 years old)
    • registered children’s nurse without recent experience and/or formal training in paediatric critical care (PCC)

Share your feedback

Your feedback will help us to better understand this modality of delivering education to match the needs and demands of the NHS workforce. Please complete our short evaluation survey. This should take around 5 minutes to complete.

  • How your feedback will be used

    This is an anonymous questionnaire and all responses will be stored securely by Health Education England (HEE). We are not collecting personal data, and this questionnaire is not linked to your elfh profile so you will not be able to be identified. By submitting the evaluation form, you are consenting to HEE elfh using your feedback to inform the development of its elearning programmes.

About the London Transformation and Learning Collaborative

The London Transformation and Learning Collaborative (LTLC) is a Health Education England and NHS England and Improvement initiative that was established in summer 2020 to support the cross-skilling of the London NHS workforce in response to the Coronavirus pandemic and to prepare for any future surges in demand.

Since then, the LTLC has been responsible for the rapid and responsive co-development of a number of National cross-skilling programmes that aim to increase the capacity and capability of the workforce in response to urgent needs and demands of the healthcare system through the curation and development of free, open-access, interprofessional educational resources.

  • Other LTLC programmes
  • Meet the team
    • Julie Combes, Programme Lead
    • Lydia Lofton, Governance and Implementation Lead
    • Kathy Brennan, Governance and Implementation Lead
    • Libby Thomas, Education Lead
    • Ella Nuttall, National Skills Passport Strategy and Implementation Lead
    • Kulwant Sindhar, PMO Lead
    • Chloe Black, Multiprofessional Content Curation and Design
    • Francesca Wright, Multiprofessional Content Curation and Design
    • Jennifer Broadbent, Multiprofessional Content Curation and Design
    • Joanne Broadhurst, Multiprofessional Content Curation and Design
    • Laura Lowndes, Multiprofessional Content Curation and Design
    • Pooja Bharucha, Multiprofessional Content Curation and Design
    • Stacey Bedford, Paediatric Digital Skills Passport Clinical Lead
    • Timothy Hunt, Digital Content Creation and Configuration Lead
    • Tania Shetty, Project Manager
    • Jennifer Yeboah, PMO Support Officer
    • Christine Strickett, PMO Support Officer
    • Frankie O’Brien, elfh Project Manager
    • Bob Smith, elfh Platform Delivery Lead
    • Hannah Denness, elfh Communications Officer
elfh is a Health Education England programme in partnership with the NHS and professional bodies