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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.
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
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