1. Challenges for the Implementation of e-Learning in Healthcare Organisations Dr Sue Tatum Director for Employer Partnerships (Public Sector) s.tatum@fdf.ac.uk Retos para la implementacion de e- learning en las instituciones de salud

2. NHS established in 1948 - provides healthcare for 61 million people across the United Kingdom Principle: equal access for all based on need not on ability to pay: free at point of delivery Workforce £1.3 million (3rd largest employer in the world) England (population 51 million): - 1 66 ‘Trusts’ providing acute care (Trust can be several hospitals) - 74 Mental Health Trusts - 159 Primary Care Trusts + General Practitioner surgeries £100 billion budget (343,352,623,345,763.50 COP) (£1=3433.33) http://www.nhs.uk NHS Choices website. Espanol availablehttp://www.nhs.uk The UK National Health Service - NHS

3. Challenges ? NHS - the Size and Scale: centralised versus local activity ? Electronic Patient Records (EPR), Electronic Staff Records (ESR) ? Different systems set up within different hospitals and also education providers: inter-operability; accessibility; transferability ? Differences in user expertise ? Mandatory and Statutory training demands

4. Solutions  6 Guiding Principles: Only do nationally those things best done nationally Collaboration and partnership across NHS Avoid unnecessary duplication and unwanted variation More extensive use of e-learning Well-trained IT practitioners High quality information resources  NHS libraries – e-repository. Trialling: – accessibility – search criteria – transfer from different Virtual Learning Environments (VLEs) to the NHS Oracle Learner Management System Connecting for Health http://www.connectingfo rhealth.nhs.uk NHS Libraries http:// www.library.nhs.uk http:// www.library.nhs.uk

5. Solutions Mandatory and Statutory Training: National Infection Control Training Programme NHS Core Learning Unit CDROM Hand Hygiene The University of Nottingham http://www.nottingham.ac.uk/nursing/sonet/rlos/pla cs/handwashing/7.html http://www.nottingham.ac.uk/nursing/sonet/rlos/pla cs/handwashing/7.html

6. Funding from Department of Health and Department for Innovation, Universities and Skills Department of Health funding for England: £6 billion (20,601,157,400,742.81 COP) Whole workforce: majority for pre and post registration professional training - 75 % medical 65 Universities providing education NHS Education and Training: England

7. Challenges ? Universities are independent providers. Each develop courses in different ways ? Universities use different Virtual Learning Environments (VLEs) – inter-operability with NHS Trust systems and between university systems ? The ‘not invented here’ syndrome

8. Examples: Virtual environments: Huddersfield University Virtual Ward Bournemouth University Wessex-Bay Community Birmingham City University Ward CIPeL Bywater Village Kings College London http://www.kcl.ac.uk/clinicalskillshttp://www.kcl.ac.uk/clinicalskills Simulated web-based inter-professional education http://www.kcl.ac.uk/ipe/swipe2.php Second Life (University of Leicester)

9. Solutions: Resuable Learning Objects Example from RLO-CETL: Confidentiality University of Cambridge http://www.rlo- cetl.ac.uk/joomla/index.php?option=com_content&task=vi ew&id=246&Itemid=297#ethics See also CIPeL (Centre for Interprofessional e-Learning – Universities of Coventry and Sheffield Hallam) http://www.cipel.ac.uk

10. Solutions: Whole programme delivery Example One: Redbridge Children’s Trust with London South Bank University. Course delivered in the Trust by Trust training personnel and University staff through the university VLE and Action Learning Sets

11. Foundation Degree Programme for Assistant Practitioners: Children and Young People's Workforce - health, education and social care The “Blackboard” VLE provides the student with a “virtual” classroom where they can develop and enhance their learning by: Exploring new materials Recapping or replaying materials Gaining background and further information about the course and the topic Reinforcing and checking their learning Exchanging ideas with tutors and students Submitting their work on line and obtaining assignment grades The Blackboard environment can be accessed at any time and with any computer connected to the internet. This provides the student with flexibility and choice of when and where they wish to study.

12. All units have a plan of the activities indicating the learning activities required each week

13. Some activities are delivered as voice over PowerPoint presentations Students can also access a range of resources: articles, powerpoint presentations, videos, action learning activities, quizzes and tests with feedback

14. Solutions: Whole programme delivery Example Two: NHS e-learning for health http://www.e-lfh.org.uk Royal College of Radiology e-learning training programme 800 learning sessions covering the complete Radiology speciality syllabus. Being studied by all 4000 UK trainee Radiologists

15. Solutions: Whole programme delivery Example Two: NHS e-learning for health. http://www.e- lfh.org.uk Post-registration programmes for the Royal Colleges of Medicinehttp://www.e- lfh.org.uk By 2011 over 20,000 learning sessions (available for purchase) to include: RadiologyAnaesthetics DermatologyAcute Medicine Emergency MedicineEar, Nose & Throat (ENT) General PracticeAdolescent Health PathologyAudiology training

16. Dr Sue Tatum Director for Employer Partnerships (Public Sector) s.tatum@fdf.ac.uk