Respiratory Surge in Children - elearning for healthcare
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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.

  • 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.

Programme updates

National Webinar

This 40 minute webinar, recorded on 17 November 2021, provides an overview of the key updates to the Respiratory Surge in Children programme since its launch in September 2021. It includes a showcase of new resources, plans for the skills matrix and an audience Q&A. You can also download the slides as a PDF (8,750KB).

  • Current updates in progress

    Completed in update December 2021:

    • renamed ‘High-Flow Oxygen Therapy’ domain to ‘Respiratory Support’ and updated resources – from nasal cannula to LTV via High flow/High velocity oxygen therapy, CPAP and tracheostomies
    • improved searchable index search functionality to enhance relevance of resource results
    • more Rapid Access Resource Lists launched for quick, guided access to resources
    • simulation training video for physiotherapists
    • CPAP competencies added to educator resources

    Current updates in progress / ongoing work includes:

    • refinement of existing resources
    • development of pharmacy specific resources
    • additional educator resources

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, 338KB)

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
  • duration
  • content types (for example, text, video, audio)

Access the searchable index for Respiratory Surge in Children Resources

  • Future updates

    This tool is currently under active development and additional functionalities will be added in the coming weeks to allow users to filter by:

    • learning objective
    • care level

    Users will also have the ability to save and sort their filtered lists.

    If you have any suggestions or feedback about the skills matrix, please email: LTLC@hee.nhs.uk.

  • 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. Additional lists are in development. If you have suggestions for further rapid access resource lists, or have created ones of your own you would like to share with others, please contact the team on LTLC@hee.nhs.uk.

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

Staff group specific resources

This domain contains staff group specific resources. This currently includes resources for:

  • physiotherapists
  • pharmacists

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

  • Physiotherapy specific resources

    These resources are designed specifically for physiotherapists deploying to support children with respiratory illness from the ward to paediatric intensive care unit (PICU). Additional resources should be accessed from the generic domains and folders.

    Take me to the Physiotherapy specific resources

  • Pharmacy specific resources

    These resources are designed specifically for pharmacists deploying to support children with respiratory illness from the ward to PICU. Additional resources should be accessed from the generic domains and folders.

    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 is under active revision, and we are working on ways to highlight the mapping of resources to each learning objective in a format that will be more user friendly, so please regularly check this document for the latest version. Please use the blank worksheets in the skills matrix download to note and feedback suggested amendments to existing learning outcomes or additional content you feel should be included. Email these suggestions to: LTLC@hee.nhs.uk.

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.

 

 

 

 

  • 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 resources and feedback

Your feedback will help us to better understand and address the needs and demands of the NHS workforce during the respiratory surge. Please complete our short evaluation survey. This should take around 5 to 10 minutes to complete, with the option to provide further feedback at the end.

  • 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.

  • Other comments, feedback and resource suggestions

    If you have any paediatric educational resources that would benefit other colleagues accessing the programme, please email LTLC@hee.nhs.uk. Author recognition will be given.

    We also welcome any additional comments or feedback to improve the programme.

About the London Transformation and Learning Collaborative

The London Transformation and Learning Collaborative (LTLC) is a Health Education England and NHS England & 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 & Implementation Lead
    • Kathy Brennan, Governance & Implementation Lead
    • Libby Thomas, Education Lead
    • Ella Nuttall, National Skills Passport Strategy & Implementation Lead
    • Kulwant Sindhar, PMO Lead
    • Chloe Black, Multiprofessional Content Curation & Design
    • Francesca Wright, Multiprofessional Content Curation & Design
    • Jennifer Broadbent, Multiprofessional Content Curation & Design
    • Joanne Broadhurst, Multiprofessional Content Curation & Design
    • Laura Lowndes, Multiprofessional Content Curation & Design
    • Pooja Bharucha, Multiprofessional Content Curation & Design
    • Timothy Hunt, Digital Content Creation & 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