Challenges for the Implementation of e-Learning in Healthcare Organisations

Dr Sue TatumDirector for Employer Partnerships (Public Sector)

s.tatum@fdf.ac.uk

Retos para la implementacion de e-learning en las instituciones de salud

• 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) (£1=3433.33)

• http://www.nhs.uk NHS Choices website. Espanol available

The UK National Health Service - NHS

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

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 Healthhttp://www.connectingforhealth.nhs.uk

• NHS Libraries http://www.library.nhs.uk

Solutions

• Mandatory and Statutory Training:

National Infection Control Training Programme

NHS Core Learning Unit CDROM

Hand HygieneThe University of Nottingham http://

www.nottingham.ac.uk/nursing/sonet/rlos/placs/handwashing/7.html

• 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 registrationprofessional training - 75 % medical

• 65 Universities providing education

NHS Education and Training: England

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

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/clinicalskills

Simulated web-based inter-professional education http://www.kcl.ac.uk/ipe/swipe2.php

Second Life (University of Leicester)

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=view&id=246&Itemid=297#ethics

See also CIPeL (Centre for Interprofessional e-

Learning – Universities of Coventry and Sheffield Hallam) http://www.cipel.ac.uk

Solutions:

• Whole programme deliveryExample 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

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 withflexibility and choice of when and where they wish to study.

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

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

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

Solutions:

• Whole programme deliveryExample 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

Dr Sue TatumDirector for Employer Partnerships (Public Sector)

s.tatum@fdf.ac.uk