Challenges for the Implementation of

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Challenges for the Implementation of
e-Learning in Healthcare Organisations Dr Sue
Tatum Director for Employer Partnerships (Public
Sector) s.tatum_at_fdf.ac.uk Retos para la
implementacion de e-learning en las instituciones
de salud
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The UK National Health Service - NHS

• 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)
• - 166 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) (13433.33)
• http//www.nhs.uk NHS Choices website.
  Espanol available

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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

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Solutions

• Connecting for Health
• http//www.connectingforhealth.nhs.uk
• NHS Libraries http//www.library.nhs.uk

• 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

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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/pl
  a cs/handwashing/7.html

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NHS Education and Training England

• 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

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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

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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/clin
  icalskills
• ? Simulated web-based inter-professional
  education
• http//www.kcl.ac.uk/ipe/swipe2.php
• ? Second Life (University of Leicester)

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Solutions

• Resuable Learning Objects
• ? Example from RLO-CETL Confidentiality
• University of Cambridge
• http//www.rlo- cetl.ac.uk/joomla/index.
  php?optioncom_contenttaskvi ewid246Itemid29
  7ethics
• ? See also CIPeL (Centre for
  Interprofessional e-Learning Universities of
  Coventry and Sheffield Hallam)
• http//www.cipel.ac.uk

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Solutions

• Whole programme delivery
• Example One Redbridge Childrens 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

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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.
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All units have a plan of the activities
indicating the learning activities required each
week
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Students can also access a range of resources
articles, powerpoint presentations, videos,
action learning activities, quizzes and tests
with feedback
Some activities are delivered as voice over
PowerPoint presentations
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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

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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 Medicine
• By 2011 over 20,000 learning sessions
  (available for purchase) to include
• Radiology Anaesthetics
• Dermatology Acute Medicine
• Emergency Medicine Ear, Nose Throat (ENT)
• General Practice Adolescent Health
• Pathology Audiology training

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Dr Sue Tatum Director for Employer
Partnerships (Public Sector) s.tatum_at_fdf.ac.uk