The End-of-life care for all (e-ELCA) programme has reached a significant milestone during in 2021.

e-ELCA was the third most accessed elearning programme on the elfh Hub since January 2020 and has now reached more than 1.1 million session launches.

Over the past 12 months 9 new sessions and 14 new learning paths have also been launched.

The elearning programme has been fully reviewed and updated and in response to user feedback the programme has also been restructured to ease navigation. A new programme catalogue is now available to download and new sessions have been added to the public access programme.

Programme evaluation surveys, for the e-ELCA programme and the e-ELCA (public access) programme, have now been launched to gain feedback from the programme restructure.

Next year further sessions will be added to the elearning. These will include:

• Time critical telephone conversations in the acute setting
• Engaging effectively about ACP with people from ethnically diverse backgrounds
• Palliative care for people with mental ill health
• Palliative and end-of-life care for transgender people
• Palliative care in advanced liver disease
• Deprescribing
• Recognising a patent with palliative care needs

New collaborative learning paths will also be announced in 2022 and the programme will continue to be reviewed and updated.

A new session on The management of diabetes at the end of life has been added to the End of Life Care for All (e-ELCA) elearning programme.

This new session explores the prevalence of diabetes, therapeutic approaches and practical decision making in patients who are approaching the end of life.

Ten sessions have also recently been updated within the programme.

These sessions are:

• ‘I don’t believe you, I’m not ready to die’ – Managing denial
  This session explores the issues associated with denial and the skills required to approach such situations.
• End of Life Care for people experiencing homelessness
  The scenario within this session reflects the complexities that usually exist when caring for a person who is experiencing homelessness.
• ‘Please don’t tell my husband’ – Managing collusion
  This session describes collusion and explores the reasons for this behaviour and effective approaches to managing it
• Communicating the plan of management and care
  The different aspects that need consideration in effectively communicating the management plan to the patient and family/carers, and to all professionals and services involved in the patient’s care are explored within this session.
• Talking with ill people: Considering the surrounding environment
  This session looks at the importance of the environment when communicating with patients in end of life care.
• Spirituality and the multidisciplinary team
  This is suitable for chaplains, registered nurses, health care assistants, social care workers, health and social care students, AHPs and doctors in early training.
• Dying as a prisoner
  The issues faced by a patient, who is also a prisoner, in different settings including prison, hospital or hospice are explored within this session.
• Communicating with non-English speaking patients
  This session is useful to all health and social care workers supporting patients and their families where languages may be a barrier to effective care.
• Introduction to the principles of assessment in end of life care: Part 2
  This session describes the structure of the end of life care assessment process and the personal and locations involved at each stage.
• General approach to assessment of symptoms
  Suitable for junior doctors, nurses and AHPS, this session looks at the essential first steps before a plan for symptom management and care can be started.