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Improving children’s lives by managing procedure induced anxiety

Posted on: May 12th, 2023 by Kieron Bradshaw No Comments

Procedure induced anxiety affects the majority of children on their journey through the healthcare system and can have long-term consequences on their mental health and wellbeing. This anxiety may be generated by any medical intervention, from the simplest and transient, to the most complex, spanning most of a person’s childhood.

We are excited to share details of a new elearning programme that provides a comprehensive account of research evidence to illustrate the prevalence and consequences of this condition.

Introducing the training, Dr Richard Martin, Consultant Anaesthetist and Clinical Lead for Procedure Induced Anxiety at Great Ormond Street Hospital, said:

“This outstanding and comprehensive course offers an understanding of the significance of anxiety, how it impacts on a child’s mental health and wellbeing, how to minimise and potentially avoid causing trauma, and how to help children manage anxiety whilst in our care. The course represents what I have always believed should be a core competency in training for anyone caring for children.

“It has been written by an incredible team of experienced professionals working within this super specialty, and practicing across many of the major paediatric centres in the UK. Its publication represents a watershed in the management of children receiving medical care and interventions.”

Until now, there has been little training available around this important area of care, and despite extensive research in this field, few have embraced the lessons that this imparts.  This new training has been created by the Royal College of Anaesthetists in partnership with the Association of Paediatric Anaesthetists of Great Britain and Ireland, NHS England elearning for healthcare, and Cambridge University Press.

It offers the reader an in-depth understanding of anxiety management strategies, allowing them to integrate these into their practice, with a view to reducing both anxiety and the consequent psychological morbidity experienced by children undergoing medical interventions.

Dr Richard Martin added: “For longer than any practitioner has been alive, trainees have been inappropriately taught that frightened and anxious children recover quickly from any emotional trauma they sustain, that they quickly forget about upsetting and painful experiences, and that these have no immediate, intermediate or long-term consequences. As a result, many children fail to receive the consideration and care we should strive to deliver, and they and their families should know to expect.

“So it is with these observations that we offer this course to you, and hope to address this area of need.”

Sessions within the eleaning programme cover:

  • Introduction – Anxiety
  • Non-verbal communication
  • Vocal and verbal communication
  • Enhanced communication strategies
  • Procedure-induced anxiety management for neurodivergent children
  • Parental anxiety
  • Premedication
  • Equipment and environment: anxiogenic stimuli
  • An Introduction to elective management and preparation
  • Psychology
  • Play
  • Technology

We would like to take this opportunity to thank The Royal College of Anaesthetists, The Association of Paediatric Anaesthetists of Great Britain and Ireland and Cambridge University Press for the opportunity to generate this material, and the incredible, dedicated and professional teams at NHS England elearning for healthcare (elfh) for creating the platform to do so.

Accessing the elearning

To find out more and to access the training, please visit the Management of Procedure Induced Anxiety in Children programme page.

Users will receive a certificate upon completion of the training, which can be added to their portfolio.

Supporting dental colleagues to lead on sustainable change

Posted on: May 11th, 2023 by Kieron Bradshaw No Comments

The whole dental team are respected voices and are ideally positioned to educate, advocate, model and lead sustainable change for the environment.

We are excited to announce that the Centre for Sustainable Healthcare has worked with NHS England elearning for healthcare to refresh our Environmental Sustainability in Dentistry sessions.

The module will support dental care professionals, including those working in primary and secondary care, to implement changes in practice, and to educate colleagues and patients on environmental sustainability.

Considering the environmental impact of our work can feel overwhelming at a time when there is so much uncertainty and stress levels are high. However, since human health and the environment are closely linked, healthcare providers must consider the environmental impact when providing care for patients. It’s hard now, but it will be even harder later.

All dental staff, from dentists and hygienists, to nurses, technicians and non-clinical colleagues, can lead change in reducing emissions – contributing to better oral health and reduced oral health inequalities for our communities.

Our refreshed elearning module supports colleagues to consider what steps you can take towards environmentally sustainable oral health and dental care. Comprising 3 sections that include practical examples of oral health and dental care initiatives with sustainable value, the refreshed elearning covers:

  • environmental sustainability in dentistry
  • what is happening in sustainable dentistry?
  • taking the next step.

Sustainable healthcare means delivering care in a way that maximises positive health outcomes whilst avoiding financial waste and harmful environmental and social impacts. By helping to prepare dental care professionals to implement changes in practice that reduce cost and pollution while improving dental health, this training can support colleagues to deliver high-quality care while minimising damage to the environment.

Accessing the elearning

The Environmental Sustainability in Dentistry module can be accessed on the elearning for healthcare hub.

To find out more about the wider Environmentally Sustainable Healthcare elearning programme, please visit the programme page on the elearning for healthcare hub.

New Care Certificate scenarios ensure training is inclusive of all healthcare professions

Posted on: May 10th, 2023 by Kieron Bradshaw No Comments

Support workers can now access scenarios set within inpatient rehabilitation and critical care workplaces, supporting them to apply the principles behind the Care Certificate.

The 2 new scenarios may be of particular interest to Allied Health Professionals (AHPs) and help to ensure that the Care Certificate elearning programme has context for all professions across the health and care system.

A short animation has also been published, explaining what the Care Certificate is, who it is for and why is it so important – watch it now to learn how the Care Certificate is used by health and care professionals across the country.

The Care Certificate is needed now as much as ever, providing a framework to ensure that all support workers have the same introductory skills, knowledge and behaviours to provide compassionate, safe and high-quality care in their workplace settings.

Each new scenario uses patient case studies and examples from the working environment to help colleagues apply the Care Certificate Standards within their work setting. The scenarios cover key aspects including preparing for a shift, handover meetings, and examples of clients and factors of their care to consider. Learners then experience supporting the clients through a particular session and updating their care plan or patient notes afterwards.

All scenarios within the Care Certificate elearning programme depict individual care settings to enhance workplace knowledge and to help assessors in the practice of assessing learners in their place of work. They are a great way of enhancing a person’s overall knowledge of the health and care system and are a valuable resource to all healthcare professions.

The interactive sessions also support colleagues to have conversations with their assessor around any observations and decisions made during the session.

Care Certificate Leads across England are encouraged to get involved in the Care Certificate through the Care Certificate Leads network. The network has facilitated the design and implementation of additional resources for the Care Certificate, including updated assessor guidance and the development of new Assessor Modules and linked Functional Skills/lifelong learning skills.

Accessing the training

The 2 new scenarios can be accessed within the Care Certificate elearning programme:

To find out more and to access the full Care Certificate elearning programme, please visit the programme page on the elearning for healthcare hub.

Learning disability nursing boosted by new professional development opportunities

Posted on: May 9th, 2023 by Kieron Bradshaw No Comments

All learning disability nurses have the opportunity to develop in key specialist areas following the launch of the Learning Disability Nursing CPD Award – an online training programme open to anybody with an interest in learning disability nursing.

As well as providing a programme to enable progression to various levels of practice and specialist roles, the training can be used to enhance core knowledge, and can help to decrease variances in practice between services. It also provides an opportunity for people from other nursing backgrounds to gain knowledge of the fundamental aspects of learning disability nursing.

This fantastic step forward is part of work to advance a dedicated career structure for learning disability nursing. The training provides a programme of continuing professional development and enhances the skillset of learning disability nurses working within specialist areas of community, inpatient, acute and primary care services.

Discussing the the training, David Harling, National Deputy Director for Learning Disability Nursing at NHS England, said:

“The launch of the new Learning Disability Nursing Continuing Professional Development Award signals an important marker in both the evolution and investment in our profession. For over 100 years learning disability nurses have been providing expert care to people with learning disabilities and their families, and the advent of this programme will enable them to further their knowledge and skills.

“The programme has been created by learning disability nurses working in a variety of specialist areas of care and we hope it will become one of requisite benchmarks supporting specific roles, be this within job descriptions or as part of the learning disability nursing career framework.”

Ellie Gordon, Senior Nurse; Autism, Learning Disability and Mental Health at NHS England, said:

“It has been a real pleasure to be part of this piece of work. Collaborating with learning disability nurses to progress from an ‘ask’ to a programme of continuing professional development that not only supports knowledge development, but also provides tools and resources to enhance nursing specific skills.

“When we first launched the All England plan for Learning disability nursing back in 2020, we had a clear vision that we not only needed to attract more people into learning disability nursing, but we also needed to develop those nurses who specialised in this area. We also knew that to develop such specialist nurses we would have to develop something that really spoke to nurses and nursing, and which showed how much we value and appreciate all that these great nurses do. I really feel that with this training we have started to do just that, and I look forward to continuing to work with learning disability nurses to develop and grow this great profession.”

The training supports the delivery of the All England Plan for Nursing Disability Nursing, and aims to support those thinking about a career in learning disability nursing, those training to become a learning disability nurse, and those currently working as a learning disability nurse.

It includes a range of topic areas relating to contemporary learning disability practice, including a foundation module which all learners must complete, followed by 3 specialist clinical pathways that can be chosen from:

  1. Learning disability nursing within specialist inpatient settings
  2. Learning disability nursing within community, forensic and intensive support
  3. Learning disability nursing within primary and acute care liaison

The programme forms a Qualification in Specialism (QiS) to provide a standardised pathway for nurses to develop in their specialist area, and is mapped to the Core Capabilities Framework for Supporting People with a Learning Disability.

The curriculum is also mapped to:

  • Nursing & Midwifery Council (NMC) Code of Conduct to support revalidation
  • NHS England Learning Disability Improvement Standards
  • NHS England Long Term Plan
  • HEE Competency Standards for Learning Disability and Autism

Providing the training online ensures ease of access and allows nurses to train at their own pace, fitting it around their busy working schedule.

Accessing the training

The first session of the training programme is now live, with the 3 specialist clinical pathways to follow soon. To find out more and to access the training, please visit the Learning Disability Nursing CPD Award programme page.

TEL News April 2023

Posted on: May 2nd, 2023 by Louise Garrahan No Comments

This month’s edition includes an update of the Virtual Hybrid Learning Faculty’s CPD sessions for summer, new elearning programmes on the Learning Hub and TEL’s involvement in agreeing a set of principles that all health systems should work towards to protect the rights of health and care staff.

Read April’s TEL News >

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Stroke rehabilitation resource developed for the registered workforce

Posted on: April 26th, 2023 by Louise Garrahan No Comments

A course on stroke rehabilitation has been added to NHS England elearning for healthcare’s Stroke programme.

The course is designed to demonstrate that rehabilitation should continue outside of individual therapy sessions, if stroke survivors are to achieve the best possible outcomes.

Developed in partnership with NHS England’s Long-Term Conditions and Prevention team, it is aimed at the registered health and care workforce, which includes nursing staff and allied health professionals, and consists of 2 sessions:

Session 1 focuses on how you can support stroke survivors with eating, drinking, communicating, creating the right therapeutic environment and the importance of good mouthcare.

Session 2 focuses on your important role in 24-hour rehabilitation and how you can support stroke survivors with their upper limb, positioning, transferring and decision making. It also helps develop your understanding of perception and insight and how this can affect a stroke survivor.

For more information and to access the course, plus many other relevant resources, please visit the Stroke programme page.

e-GP elearning sessions now updated

Posted on: April 26th, 2023 by Louise Garrahan No Comments

e-GP elearning sessions now updated

NHS England elearning for healthcare has worked with the Royal College of General Practitioners to review and update 17 sessions within the e-GP elearning programme.

There are 4 updated sessions in the Being a General Practitioner course and other updates can be found in the following courses:

The sessions have been updated to reflect the current version of the RCGP Curriculum: Being a General Practitioner and any changes in clinical practice and guidelines that have been implemented since their last review. The sessions have also been updated to improve accessibility.

More than 57,000 GPs, nursing staff and allied health professionals have accessed e-GP and the sessions have been launched more than 795,000 times.

For more information and to access the revised resources, please visit the e-GP programme page.

4 sessions added to administrative triage programme

Posted on: April 20th, 2023 by Louise Garrahan No Comments

The Administrative Triage Using Digital Tools in General Practice programme has been updated with an additional 4 sessions.

Developed in partnership with NHS England and the Practice Managers Association, the programme supports general practice admin staff to design their practice workflow in sorting, signposting, and delivering
administrative triage. The sessions aim to support an inclusive approach to managing demand and workload in a general practice setting.

The resources each take approximately 10 to 20 minutes to complete and cover the following topics:

  • Effective communication techniques
  • Spotting and responding promptly to red flags
  • Maintaining patient confidentiality and privacy for patients and their carers and ensuring digital inclusion
  • Alerts and codes for reporting

The sessions focus on how administrative triage and online consultation systems can support your day-to-day practice. They complement the existing 5 sessions which cover topics including promotion and remote working, taking a patient through an online consultation and signposting.

For more information and to access the sessions please visit the Administrative Triage Using Digital Tools in General Practice programme page.

Learning Disability session added to All Our Health

Posted on: April 19th, 2023 by Louise Garrahan No Comments

The All Our Health elearning programme has been updated with a session on learning disabilities.

Developed by NHS England elearning for healthcare and the Office for Health Improvement and Disparities, the resource will help colleagues to provide the best possible support for people with a learning disability and their families, throughout their lifetime.

The resource has been developed in response to latest figures which show that there are approximately 1.3 million people with a learning disability in England who tend to experience poorer physical and mental health and significant health inequalities compared to people without a learning disability.

To help address these inequalities, the session aims to help health, care and the wider public health workforce such as emergency, local authority and integrated care board staff:

  • understand the importance of specific activities and interventions that can affect the wellbeing of people who have a learning disability and their families
  • consider resources and services available locally to support individuals and their families to live more independent, healthier lives, for longer
  • promote holistic family wellbeing

The elearning also features helpful additional resources from organisations including the Royal College of Nursing and Skills for Health’s core capabilities framework for people with a learning disability .

For more information and to access the resource, please visit the Learning Disability session within the All Our Health programme.

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