February 2021 - elearning for healthcare
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Archive for February, 2021

TEL News February 2021

Posted on: February 26th, 2021 by Hannah Denness No Comments

February’s edition of TEL News includes an update of the Speciality Training Gaps Project and details of the Access to IT project. There is also information about updates to paramedic and MindEd elearning resources linked to COVID-19.

Select the following link to access our full publication of TEL News.

SCRIPT – supporting safer prescribing practices by ambulance services

Posted on: February 22nd, 2021 by Rachel Gowland No Comments

The SCRIPT elearning programme for ambulance services consists of 58 modules in 8 categories, covering a range of topics relating to prescribing and medicines safety in the primary and secondary care setting, during and beyond the ongoing pandemic.

Modules include:

  • Advanced prescribing
  • Clinical governance
  • Managing the risks of prescribing
  • Prescribing in medical emergencies
  • Prescribing in special circumstances
  • Principles of medicines management
  • Principles of prescribing
  • Therapeutic groups

Each module takes approximately 60 minutes to complete. All course materials have been authored by a team of expert healthcare professionals, and are regularly reviewed and updated.

What are the benefits in using the SCRIPT elearning programmes?

  • Safer prescribing
    SCRIPT enhances knowledge and confidence in prescribing correctly, improving patient safety, therapeutics and medicines management.
  • Professional development
    Certificates are made available on completion of a module, which can be used for online learning portfolios as evidence of continuing professional development.
  • Flexible learning
    SCRIPT is easily accessible and intuitive to use, allowing users to complete modules at their convenience and refer back to modules at any time during their training.
  • SCRIPT elearning is free to those with a NHS.uk or NHS.net address.

 

How do I access the elearning?

You can learn more about the SCRIPT elearning programmes by visiting the SCRIPT website.

Stakeholder Briefing – Issue 30

Posted on: February 18th, 2021 by Rachel Gowland No Comments

Key Messages and links to 17th February 2021

Welcome to Health Education England’s stakeholder bulletin.

In this bulletin we will provide:

  • Messages from our Chief Executive’s Office
  • COVID-19 latest updates
  • Overview of HEE education and training news

Weekly messages from HEE:

Read recent messages from Dr Navina Evans, Chief Executive, HEE.

350 Careers. One NHS. Your Future – The impact of COVID

HSJ: NHS leaders ‘making fewer excuses’ for poor diversity says national workforce chief

HEE COVID-19 LATEST UPDATES:

We have created a COVID-19 update webpage for October 2020 onwards. It will provide guidance and information from HEE, which applies to all students and trainees. This webpage also includes HEE COVID-19 Surge Guidance.

We are supporting all professions to rapidly grow to meet the needs of patients by:

Update for doctors, dentists, and public health trainees

In a series of regular updates Dr Gary Wares (Postgraduate Dean) provides the latest information during Covid-19.

Allied Health Professional student bank employment

For student AHPs seeking more information following the letter from Suzanne Rastrick OBE (10 Feb 21), we advise you seek approval from your university or education provider before signing up for bank hours to ensure this will not disrupt your learning, which remains your priority

For any queries about signing up for additional employment (opportunities, payment, when, where and how) please direct these to your NHS organisation. All of these optional, additional hours are provided through local bank arrangements.

The NHS BME Network looking for BAME volunteers to participate in focus groups

The NHS BME Network is looking for Black and Minority Ethnic volunteers who are employed in the NHS or Social Care in ‘lower paid roles’ (jobs that pay £10 per hour or less (£10.85 in London) to participate in a focus group session with the Equality and Human Rights Commission (EHRC). The network, which is independent, is open to all Black and Minority Ethnic (BME) people, including staff, patients, service users and carers and you can find out more on its website.

The EHRC inquiry into racial inequality in health and social care workplaces will consider how BME health and social care workers’ treatment during the pandemic has been influenced by their:

  • Race
  • Employment status
  • Immigration status
  • Working conditions

If you are willing to participate please email nhsbmenetworkuk@gmail.com.

We are ensuring core HEE work to support our NHS colleagues continues:

Topol cohort two launched this month

Wednesday 3 February 2020 saw the launch of cohort two of the Topol Digital Fellowship. This cohort consist of 35 clinicians from across the NHS in a wide variety or professions and specialties. It also includes five fellows who are sponsored by the British Association of Dermatologists in a new partnership that will hopefully be the start of a sustainable funding model for the fellowship. Cohort two will be delivered in collaboration with FutureGov through a series of workshops, lunch and learn sessions and an online community for support and soft touch coaching. In addition to this there will be a machine learning online course with the University of Manchester and access to a series of Topol Alumni masterclasses that will be available to the current cohort and all previous alumni.

Q&A webinar for potential applicants to the Scientist Training Programme

The National School of Healthcare Science hosted a webinar on Thursday 28 January 2021 that gave potential applicants to the Scientist Training Programme the opportunity to ask questions about applications, how the programme works and careers after qualifying as a clinical healthcare scientist. Staff from the school included Professor Berne Ferry (Head of School), Andrew Williams (Head of Admissions) and Jane Lynch and Namir Al Hasso (STP Training Programme Directors).

New resources showcase global radiologist programme

A new animation and set of case studies highlighting the Global Radiologist programme which aims to attract and recruit radiologists from overseas for trusts in England was launched at the end of January by HEE. The resources set out how the process around becoming a global radiologist or a host organisation for the radiologist works and outline the benefits of the programme. The programme enables radiologists to support NHS radiology departments whilst learning specialist skills, as part of a three-year earn, learn and return scheme.

Assuming responsibility for Healthcare Education and Training Tariff

The Department of Health and Social Care (DHSC) has requested HEE assume responsibility for the development and implementation of the Healthcare Education and Training Tariff payment mechanism from April 2021. In total, the tariff system paid £2bn to placement providers in the 2019/20 financial year (placement tariff and postgraduate salary support). Historically the development of proposed changes to the tariffs (including price changes, extensions to scope etc.) has been undertaken annually by DHSC, who confirm any changes as part of their annual tariff guidance document.

The new Education Funding Function will be responsible for the work as part of wider Funding policy development. For any initial discussions about HEE’s new responsibilities, any issues around the current tariffs, including guidance queries and operational issues, or for further information on tariffs and their coverage please contact educationfunding@hee.nhs.uk.

Consultation for draft standards for the foot health workforce

This consultation for draft standards for the foot health workforce seeks the views of stakeholders on a draft set of standards for the foot health practitioner and podiatry support workforce developed by HEE. The consultation opened on 23 November and will run until 15 February 2021.

New tri-partite agreement for undergraduate medical funding

From April 2021, HEE will be introducing an Undergraduate Medical Education Tri-Partite Agreement (UGME TPA) as a schedule of the new NHS Education Contract. The TPA will provide a consistent, nationwide framework for managing the financial arrangements for providing undergraduate medical education between Medical Schools, NHS placement providers (secondary care and GP) and HEE. It will also align to governance structures that HEE has already introduced comprising of Regional and Local Medical School Liaison Committees. For more information about this work, please contact Diane Hart, Senior Education Commissioner Undergraduate Medicine and Dental, at diane.hart@hee.nhs.uk.

We are making sure all professions have the training they need to make a difference:

Interim Foundation Pharmacist Programme update – Preparing for the GPhC registration assessment

The Interim Foundation Pharmacist Programme continues to help learners to develop their practice and prepare for the delayed registration assessment.

The programme team has developed a series of resources to help learners get ‘exam ready’. These resources aim to focus your revision by helping learners to create a good study plan and provide practical solutions to manage their nerves. Video sessions are available via the Learning Hub and can also be listened to as a podcast. Login to the Learning Hub and type ‘IFPP’ in the search bar.

Learners will also find a new section on our website, called ‘Getting ready for the GPhC registration assessment’. This is intended to help them find the right information quickly and signpost them to sources of help, including the new resources highlighted above.

We encourage all provisionally registered pharmacists to sign up for the programme to benefit from all the support available. The closing deadline has been extended until 10th May 2021 and you can find out more on the IFPP website.

Those working in community pharmacy, primary care and Health in Justice can further benefit by joining the Foundation Pharmacist Pathway 2020/21. Cohort 2 opened last month, and you can find out more on the CPPE website.

FURTHER INFORMATION

By following @NHS_HealthEdEng you can keep up to date with new information and resources as they are published. Most importantly are the notifications of webinars being broadcast during the week.

Right now, making sure we are communicating properly is obviously incredibly important. If there’s any information you think is missing on HEE’s webpages, please let us know by submitting your question to the HEE Q&A helpdesk.

New sessions added to e-Learning Anaesthesia

Posted on: February 12th, 2021 by Louise Garrahan No Comments

Health Education England elearning for healthcare (HEE elfh) has worked in partnership with The Royal College of Anaesthetists to add new sessions to its long-established Anaesthesia elearning programme.

The Introduction to Critical Care module comprises 130 sessions and has been extensively revised and updated to match the standard of the UK postgraduate anaesthesia examinations. These revised sessions can act as a guide to anyone redeployed into the intensive care environment during the COVID-19 pandemic. The sessions added include:

  • Handover and the ward round
  • Physiotherapy and rehabilitation
  • Management of the patient with HIV
  • Nasogastric
  • Catheter insertion

Written and edited by anaesthetists, elearning Anaesthesia (e-LA) covers the knowledge and key concepts that underpin the anaesthetic curriculum and will help trainees prepare for the Fellowship of the Royal College of Anaesthetists exam.

Alongside the sessions, learners can also access an extensive e-library of articles and interactive multiple-choice questions to support continued professional development in anaesthesia.
elearning Anaesthesia was first established in 2007 and is one of HEE elfh’s longest running programmes. It also features modules on a range of other topics including basic science, obstetrics, pain management and pharmacology.

To access the new sessions and explore the whole programme, select the elearning Anaesthesia programme page.

New session added to Suicide and Self-harm Prevention module

Posted on: February 11th, 2021 by Louise Garrahan No Comments

Health Education England elearning for healthcare has added a new elearning session to its adult Suicide and Self-harm Prevention module within the MindEd programme.

In the session – Postvention Support for Staff and Organisational Response – learners will gain an understanding of the impact of bereavement by suicide on family, colleagues and friends, including during the COVID-19 pandemic, by following the story of two people affected by a suicide. The session explains how effective and timely support after a suspected death by suicide can reduce the distress experienced by people affected, and how colleagues can support those affected by suicide on their return to work.

The Suicide and Self-harm Prevention module, which is free to access, offers guidance and advice to anyone who is directly involved with caring for or in contact with those who have suicidal ideas, with or without self-harm, or those who self-harm, with or without current suicidal ideas. This could include health and care professionals, parents, carers and teachers.

It is designed to support learners with knowledge-oriented sessions to help identify the dos and don’ts in these difficult situations – such as remaining calm and compassionate when reacting to self-harm or suicide attempts – and skills building sessions which equip them with the skills to act.

The latest session complements 3 existing sessions on self-harm, making an assessment and therapeutic consultation competencies.

A further 2 sessions on assessment and formulation and structured care and intervention including safety planning will be available soon.

For more information and to access the session, visit the Postvention Support for Staff and Organisational Response session.

There are 2 existing modules also on suicide and self-harm to help teachers and others working with children and young people available on the MindEd Suicide and Self-harm Prevention programme page.

MindEd is a free educational resource for mental health support. The variety of free resources aims to provide adults, across professions and organisations and including parents and carers, with the knowledge to support wellbeing, the understanding to identify young and older people at risk of a mental health condition and the confidence to act on their concern and, if needed, signpost to services that can help.
For more information about MindEd visit: https://www.minded.org.uk/.

Paediatric modules for paramedics

Posted on: February 10th, 2021 by Rachel Gowland No Comments

Health Education England elearning for healthcare (HEE elfh) worked with the College of Paramedics to produce nine modules on paediatric care for paramedics.

During the COVID-19 pandemic and beyond, paramedics may find the modules useful when caring for children in different scenarios, whether they are experienced paramedics, students or assistant practitioners.

The paediatrics for paramedics’ modules includes:

  • Introduction to paediatrics for paramedics
  • Applying safeguarding in practice
  • Childhood rashes
  • Diabetes in children
  • Poisons and toxidrome
  • The child with fever
  • The limping child
  • The child with respiratory distress
  • The vomiting child

Within each module, interactive sessions can be accessed on a variety of mobile devices and last approximately 20 minutes.

To register for this elearning module or for more information, please visit the paramedics programme page.

COVID-19 vaccination e-learning updates.

Posted on: February 5th, 2021 by Alex Drinkall No Comments
Since the COVID-19 vaccination programme went live, the content of the different sessions which make up this programme has been updated and amended as more information about the vaccines and the vaccine programme has become available. For those who have already completed this elearning programme, these updates are detailed below, starting with the most recent.

29 January 2021

Pfizer BioNTech vaccine session:

AstraZeneca vaccine session:

  • Change to state multidose vial should be clearly labelled with the date and time of expiry rather than from when it was first punctured

Some minor wording changes in Core Knowledge, Pfizer BioNTech and AstraZeneca sessions in response to user feedback or nationally published guidance.

8 January 2021

  • Advice about obtaining an additional dose from COVID-19 Vaccine AstraZeneca vials added to AstraZeneca session
  • More information about recommended interval between first and second dose added to both AstraZeneca and Pfizer BioNTech sessions
  • More information added to section about information to provide to recipients following vaccination in both AstraZeneca and Pfizer BioNTech sessions.

20 January 2021

Core Knowledge session:

  • Section on Long COVID added,
  • Section on laboratory and pathology staff and social care staff eligibility for vaccination updated to be in line with Green Book COVID-19 chapter
  • Change to wording around immunosuppression to reflect change to Green Book COVID-19 chapter about this

Pfizer BioNTech vaccine session:

  • Waste disposal section updated in response to expert feedback
  • Addition of ordering via Foundry system by PCN designated sites in response to request to add this from Specialist Pharmacy Service (SPS)
  • Change to wording of description of appearance of Pfizer BioNTech vaccine prior to dilution following change about this in the Pfizer Reg174 HCP Information document
  • Addition of link and reference to the Pfizer BioNTech vaccine healthcare professional’s training and information materials (cvdvaccine.co.uk/)

AstraZeneca vaccine session:

  • Waste disposal section updated in response to expert feedback
  • Minor wording changes to “how does the vaccine work” in response to user feedback for clarity
  • Addition of ordering via Foundry system by PCN designated sites in response to request to add this from Specialist Pharmacy Service (SPS)
  • Addition of link and reference to the Pfizer BioNTech vaccine healthcare professional’s training and information materials (cvdvaccine.co.uk/)

31 December 2020

  • New knowledge and assessment sessions on the AstraZeneca COVID-19 vaccine added
  • Core Knowledge and Pfizer BioNTech vaccine sessions updated to include: revised advice from JCVI on pregnancy and breastfeeding, updated statement from JCVI about scheduling of vaccine doses (between 4 and 12 weeks),
  • Pfizer BioNTech session updated to include: advice on obtaining a 6th dose from a vial, and allergy precautions as stated in updated Green Book COVID-19 chapter and updated Information for Healthcare Professionals on Pfizer BioNTech COVID-19 vaccine document

December 2020

  • Core Knowledge session updated with advice about not giving COVID-19 vaccine to pregnant or breastfeeding women after the COVID-19 mRNA Vaccine BNT162b2 (Pfizer BioNTech) was authorised for use
  • New MHRA guidance added on not giving COVID-19 mRNA Vaccine BNT162b2 to those with a history of anaphylaxis to a vaccine, medicine or food or a previous dose of the vaccine and addition of 15 minute minimum observation period following vaccination
  • Some amendments to the COVID-19 mRNA Vaccine BNT162b2 session storage and reconstitution sections following republication of updated Information for Healthcare Professionals on Pfizer/BioNTech COVID-19 vaccine document

Stakeholder Briefing – Issue 29

Posted on: February 4th, 2021 by Hannah Denness No Comments

Key Messages and links to 3 February 2021

Welcome to Health Education England’s stakeholder bulletin.

In this bulletin we will provide:

  • Messages from our Chief Executive’s Office
  • COVID-19 latest updates
  • Overview of HEE education and training news

Weekly messages from HEE:

Read recent messages from Dr Navina Evans, Chief Executive, HEE.

My priority is our people – those working with us now and in the future

Coming together to weather the storm – the cultural impact of COVID

HEE COVID-19 LATEST UPDATES:

We have created a COVID-19 update webpage for October 2020 onwards. It will provide guidance and information from HEE, which applies to all students and trainees. This webpage also includes HEE COVID-19 Surge Guidance.

We are supporting all professions to rapidly grow to meet the needs of patients by:

Supporting trainees through the pandemic

Health Education England (HEE) is continuing to support the collective response to this pandemic. We are working to support the wider system in delivering vital services, but also need to fulfil our responsibility to look after our trainees and meet their educational and training needs to become the future specialist workforce.

We are all aware of the tremendous work done by doctors during the pandemic, many of them have had their training disrupted as they provide support to patients suffering from Covid and as routine services have been affected. HEE is working closely with medical royal colleges, the GMC, NHSE &I, hospitals and trainees themselves to ensure that we get training back on track as we come out of the pandemic.

View our latest update for medical and dental trainees from Professor Simon Gregory.

The impact of COVID-19 on the future of advanced and consultant practice

In May 2020, Health Education England (HEE) commissioned a two-week, crowdsourcing, online workshop to generate insight into the lived experiences of advanced and consultant practitioners during the COVID-19 pandemic. Key findings: Advanced Practitioners skills and abilities were recognised and trusted, they were used to their full capability and potential and were able to embrace the challenge of COVID-19. But more needed to be done to ensure their skills are recognised and unleashed across the board.

The Impact of COVID-19 on Students’ Survey

HEE’s RePAIR (Reducing Pre-registration Attrition and Improving Retention) team have published the results of a survey to capture the experience of pre-registration nurses, midwives and AHPs (Allied Health Professionals) during wave one of the pandemic. Read The Impact of COVID-19 on Students’ Survey – Key Findings

We are ensuring core HEE work to support our NHS colleagues continues:

Dental RCP webinar

A webinar was held on Wednesday 27 January on RCPs for dental trainees. The webinar included updates on foundation, core, specialty and wellbeing. The recording and Q&As can be found on our Dental Covid-19 webpage.

We are making sure all professions have the training they need to make a difference:

Learning resources to support the workforce in responding to the pandemic

The HEE elearning for healthcare Coronavirus elearning programme was launched in March 2020 and includes resources for all members of the health and care workforce.  To date it has seen over 4million session launches.

Three animations have recently been added to the Coronavirus programme.  The animations are designed to support care home staff in preventing future outbreaks of COVID-19 in care homes.   The videos are designed to be used by social care staff from a variety of backgrounds.  The videos contain clear simple messaging around PPE, the NHS Test and Trace processes and keeping safe while getting to and from work.

The animations can be accessed in the Resources for Health and Care Home Staff in Care Home Settings area of the programme.

Rapid training and education resources for critical care 

To support staff being redeployed into critical care during the pandemic, the London Transformation and Learning Collaborative (LTLC) has worked in partnership with HEE elfh to develop a range of resources to support staff.

This includes:

Follow the links above to access each resource and visit the LTLC page on the elfh website for further support.

The website includes key resources to help individuals, educators and systems prepare for and work during surges in capacity. In recognition of the time pressure staff are under, these are designed to be short bite-sized learning that can be read or watched in advance, on the move or on the ward. The resources are for all staff, regardless of profession, and can be undertaken as self-directed learning or delivered by educators or trainers.

Please share these resources with those who may find it helpful – whether that’s individuals who have been or may be redeployed and those supporting them.

The LTLC was established in 2020, aimed at increasing the capacity of the critical care workforce in London to help prepare for a second surge in COVID-19 cases in the capital. If you need to get in touch, email ltlc@hee.nhs.uk.

COVID-19 vaccination elearning resources

Health Education England elearning for healthcare has worked in partnership with Public Health England and NHS England and NHS Improvement to develop the COVID-19 Vaccination elearning programme.  The elearning programme is designed to provide the health and care workforce involved in the national COVID-19 vaccination programme with the knowledge they need to confidently promote high uptake of the vaccine and deliver the vaccine programme effectively.

The programme currently consists of a core knowledge session, the COVID-19 mRNA Vaccine BNT162b2 Pfizer-BioNTech session, the COVID-19 Vaccine AstraZeneca session and accompanying assessment sessions for each.  Additional sessions will be added as new vaccines are approved.

This elearning programme provides theoretical training.  Practical training in vaccine administration, and assessment and sign-off competency is also required before administering the COVID-19 vaccine.

To date there have been more than 1.6million session launches of the elfh COVID-19 vaccination programme with more than 43,000 nursing and midwifery professionals and over 34,000 medical and dental professionals already completed the elearning sessions.

For more information about the COVID-19 Vaccination programme, including details on how to access, visit the COVID-19 vaccination programme page.

Updates that have been made to the vaccination elearning programme content since they were launched will be available on the elfh website.

The Learning Hub – A guide to compassionate care and communication during the pandemic now available

The Learning Hub is a digital platform that provides easy access to a wide range of education and training resources for the health and care workforce. Organisations and users can contribute and share resources for those in health and care to access.

The guide, Talking to relatives – COVID-19 compassionate phone communication is now available on the Learning Hub and provides health and care professionals with a simple framework for communicating concepts including uncertain recovery as well as tips for compassionate conversations.

During the COVID-19 pandemic there has been, and continues to be, a need to support health and care staff with compassionate care and communication with each other, patients and their relatives.  The guide has been developed by Dr Antonia Field-Smith and Dr Louise Robinson from the Palliative Care Team, West Middlesex Hospital, Chelsea and Westminster NHS Foundation Trust.  As palliative medicine physicians, Drs Field-Smith and Robinson wanted to share a simple framework for health and care professionals and support those who may have been deployed to a setting this is unfamiliar to them and who may not be so experienced in these conversations.

It only takes a few minutes to contribute a resource to the Learning Hub. You can sign into the Learning Hub either using an elearning for healthcare username and password or NHS OpenAthens user account details or by creating an account on the Learning Hub and using those details. Select “Contribute a new resource” and populate the form with details including the resource title, type, description and author details.

For more information about the Learning Hub follow us on Twitter: @HEE_TEL and visit the Learning Hub website to read about our journey so far.

We are making sure all professions have the digital skills they need to make a difference:

Join us at HETT Reset

Kick-start the new year with complimentary CPD-certified elearning HETT Reset, (08-12 February 2021), a digital health and healthtech event designed for healthcare professionals, by healthcare professionals.

With healthcare organisations seeking to lock in the gains and progress made by the sudden and unprecedented transformation in the use of digital health services in response to COVID-19, it will cover topics critical to the successful adoption and integration of technology in all healthcare settings.

We are proud to be supporting HETT Reset and have some exciting sessions planned over the 5-day event including:

Health Education England: Shaping the workforce that Spearheads the NHS Digital Revolution, with Patrick Mitchell, Director of Innovation and Transformation, Chris Munsch, Senior Clinical Advisor, TEL Programme and Hatim Abdulhussein, Clinical Fellow AI and Robotics programme.

Other HEE speakers include James Freed – CIO, Sue Lacey Bryant National – Lead for NHS Library and Knowledge Services, Dr Neil Ralph – Head of Technology Enhanced Learning, Henrietta Mbeah-Bankas – Head of Blended Learning and Digital Literacy, Harpreet Sood – NED, and Mark Nicholas – Chief Social Worker, NHS Digital and Health Education England.

See the full agenda and register free on the HETT Reset website. 

FURTHER INFORMATION

By following @NHS_HealthEdEng you can keep up to date with new information and resources as they are published. Most importantly are the notifications of webinars being broadcast during the week.

Right now, making sure we are communicating properly is obviously incredibly important. If there’s any information you think is missing on HEE’s webpages, please let us know by submitting your question to the HEE Q&A helpdesk.

Rapid COVID-19 training and education resources for critical care

Posted on: February 2nd, 2021 by Alex Drinkall No Comments

To support staff being redeployed into critical care during the pandemic, the London Transformation and Learning Collaborative (LTLC) has worked in partnership with Health Education England elearning for healthcare (HEE elfh) to develop a range of resources to support staff.

This includes:

  • 360-degree virtual ICU bed space
  • Toolkit for rapid cross-skilling
  • Just-in-time training for deployed staff
  • Skills passports for registered support clinicians and non-registered support staff (currently London only)
  • Short films on moral injury, preparing for deployment and more

Follow the links above to access each resource and visit the LTLC page on the elfh website for further support.

The website includes key resources to help individuals, educators and systems prepare for and work during surges in capacity. In recognition of the time pressure staff are under, these are designed to be short bite-sized learning that can be read or watched in advance, on the move or on the ward. The resources are for all staff, regardless of profession, and can be undertaken as self-directed learning or delivered by educators or trainers.

The LTLC was established in 2020, aimed at increasing the capacity of the critical care workforce in London to help prepare for a second surge in COVID-19 cases in the capital. If you need to get in touch, email ltlc@hee.nhs.uk. 

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