NHS Health Education East of England (HEEoE) is the Local Education and Training Board that covers Bedfordshire, Hertfordshire, Cambridgeshire and Peterborough, Norfolk, Suffolk and Essex.
Formally Established on 1 April 2013 as a subcommittee of Health Education England, HEEoE’s aim is to ensure the security of workforce supply and continuously to improve the quality of education, training and development in the east of England.
They also aim to enable the health and care workforce to respond effectively to the needs of patients, carers and families.
The project was managed by the Norfolk & Suffolk Dementia Alliance, a local health innovation cluster funded by universities, charities and local authorities in Norfolk and Suffolk.
‘Harm free’ care is a concept developed by Norfolk County Council in 2014 with the intention of addressing the prevalence of the three ‘harms’ identified in care home residents and responsible for the majority of non-elective hospital admissions.
The harms identified were catheter acquired UTIs, falls and pressure ulcers. Other common areas appropriate to care professionals also include dementia and end of life care.
There are a number of resources available to care workers and medical professionals available online to help them understand about these conditions but it was decided that these are quite fragmented and not specifically tailored to the setting, role or qualification of the individual carer.
The Learning Location aims to address this problem by tailoring useful learning resources such as training, documents or videos to the individual.
A number of tools were developed to help determine the user’s level of understanding and confidence with the subject and with this information relevant resources could be suggested.
- The system should be clear and simple to navigate for non-technical users.
- The system should be accessible on both desktop and touch devices.
- The system should allow for the addition of any other resource subject matter such as cancer care or asthma with public microsites available for each subject.
- A secure closed user area should be available in the public website to allow users to register and manage their learning progress and resource usage.
- A searchable directory of resources should be available to public and registered users. Registered users should be able to view a filtered list of resources specific to their particular professional role and setting.
- Public users should be able to conduct self-assessments and be presented with a tailored list of resources to help with the own specific learning requirements.
- It should be possible for public users to submit their own resource suggestions for approval and inclusion in the database.
The confidence tool
For each of the subject areas, dementia, end of life, skin care, falls and continence the user can complete a “confidence tool”.
The confidence tool guides them through a series of questions and requires them to identify their level of confidence with a particular question or scenario.
The can complete the tool multiple times and the information is recorded against their profile. Over time, having accessed their recommended resources, their confidence should improve.
The learning and development needs tool
Central to the Learning Location is the L&D tool. This tool presents a series of scenarios in each subject area to the user and they respond with answers to questions relevant to the scenario.
Using these answers, in combination with the user’s role and qualifications a series of resources are suggested that are specific to that user.
These suggested resources can be saved, accessed and rated by the user in their own secure area.
The user profile
All users of the Learning Location can create their own profile. This allows them to record their learning over time, the resources they have found useful and a journal of notes that they can access at any point.
They can also see their progress using the confidence and learning tool which over time should show their understanding and confidence improving.
The project outcomes
The first version of the Learning Location, which covered only the dementia, palliative and skin subject areas was very successful with over 1,000 registered users after 2 years.
It was decided that adding UTIs, falls and pressure ulcers would complete the ‘harm free’ care concept and provide a complete resource for care professionals to access data and reduce hospital admissions. HEEoE funded a complete re-build of the site with a new launch of version two scheduled for November 2015.
- A number of tools were developed to help determine the user’s level of understanding and confidence with the subject and with this information relevant resources could be suggested.