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About NHSE elfh

  • What is NHSE elfh?
    • NHSE elearning for healthcare (NHSE elfh) is a NHS England (NHSE) Programme working in partnership with the NHS and professional bodies to support patient care by providing e-learning to educate and train the health and social care workforce.

      The online training resources enhance traditional learning, support existing teaching methods and provide a valuable reference point. They are designed and built to be engaging and interactive, using quality images, video, audio and animation to help trainees learn and retain knowledge. Content is presented using various templates such as 'real-life' scenarios, case studies and 'knowledge bites'.

      Find out more about NHSE elfh by visiting the NHSE elfh website.

  • What is eIntegrity?
    • eIntegrity Healthcare is the not-for-profit company that licenses access to high quality online professional healthcare training materials to individuals and organisations outside HEE elfh’s core audience. eIntegrity Healthcare is committed to delivering high quality e-learning resources for healthcare professions across the world. All net income from licensing is applied to supporting the cost of updating existing, or developing new e-learning materials.

      eIntegrity Healthcare was developed following interest from outside the UK into accessing the award-winning Radiology Integrated Training Initiative (R-ITI) e-learning programme, a collaborative project of the Royal College of Radiologists and the Department of Health. The partners, therefore, decided to establish a not-for-profit company for this purpose. As new e-learning resources become available through HEE elfh, so they are made available to eIntegrity customers.

  • What is the relationship between NHSE elfh and eIntegrity Healthcare?
    • eIntegrity Healthcare is the not-for-profit company that licenses access to NHSE elfh's elearning resources.

  • What is the Electronic Staff Record (ESR)?
    • The Electronic Staff Record (ESR) solution is an integrated recruitment, HR, payroll and learning management system; in place in all NHS organisations.

      As well as our content being available on the NHSE elfh Hub, most of our content is also available via the Electronic Staff Record (ESR).

      ESR provides a single point of access for all NHS staff with an ESR record to access national and local NHS e-learning courses, flexibly and free of charge.

      Further details are available here: Electronic Staff Record Programme.


  • How do NHSE elfh and ESR complement each other?
    • The learning platform within ESR is administered and run completely separately from NHSE elfh. However, NHSE elfh works with the ESR team to make most NHSE elfh content available on ESR as well as being available on the NHSE elfh Hub.

      For a full list of NHSE elfh content available on ESR please visit the ESR Support website

  • How is the elearning content organised?
    • Content that is relevant to a job role or speciality is structured into a programme of learning materials. The best platform for each specific type of elearning resource is determined by the parent programme.

      To gain access to an e-learning resource, please refer to the appropriate programme pages on This will provide you with information on the conditions that have to be met in order to access the content and how to register.

      Once you have registered, elearning resources are available via your account.

      Learn more about registering.

  • Where can I find out more about specific elearning programmes and their elearning content?
    • Each programme has its own web pages that you can access on the NHSE elfh website.
      Information on all the programmes available can be found at

  • What is the Hub?
    • The Hub is how NHSE elfh delivers the elearning content to the users of the service and tracks your online learning to support your training records.

  • What is available through the Hub and who is it available to?
    • The NHSE elfh content available on the Hub provides elearning to educate and train the health and social care workforce.

      In addition to the Hub, we also have a range of bespoke web applications delivering a variety of types of e-learning resources created by NHSE elfh.  These include the Pathopedia and Prescription Simulator.

      Non-speciality content created by NHSE elfh, such as Safeguarding Children and Young People, is also available via the Electronic Staff Record (ESR).

      For a full list of NHSE elfh learning resources and content visit the NHSE elfh programme list.

  • Quality assurance

  • What quality assurance processes has the NHSE elfh elearning content been through?
    • Our elearning materials are written by subject experts and quality assured by recognised and widely respected professional bodies. They have been assembled using appropriate educational guidance and principles.

  • How do I know the elearning content is up to date and still clinically appropriate?
    • All elearning content is developed in partnership with professional bodies and the NHS. These clinical partners are the experts in their field and we rely on their knowledge and experience to ensure that the content of our sessions is clinically appropriate. Before going live, all sessions are reviewed by a separate clinician for accuracy.

      It is inevitable, however, that content becomes out of date. We regularly put whole programmes through a full review and update process but we also update individual sessions as and when required.

      If you think that a particular session or programme needs to be updated, please use the feedback option available via the Hub.

      Find out more about how to provide feedback on sessions.

  • elearning Session Support
  • Does NHSE elfh guarantee a certain level of service for its platform?
    • We aim to achieve 100% scheduled uptime with the platform.

      Whenever system maintenance is required, we will give as much warning as possible.

      Check the current Service Status here.

  • Does NHSE elfh guarantee a certain level of support for the users of its service?
    • The support team has in place a number of service level agreements which set standards for query resolution times.

      The majority of support requests concern password resets, registration enquiries and general support using the systems.

      For these three areas, you should expect your enquiry to be resolved within 8 working hours. The clock on those 8 hours begins when you send in your enquiry. However, the clock is stopped at 5:00pm and resumes at 9:00am the following morning during a normal working week (Monday to Friday).

      For example:

      • If you send an enquiry at 9.00 am on Friday morning, your enquiry should be resolved by 5:00 pm on Friday afternoon.
      • If you send an enquiry at 2:00 pm on Friday afternoon, your enquiry should be resolved by 2:00 pm on Monday afternoon.

      To resolve a query contact the support team via the Support site.

      Further assistance is also available via Live Chat.

  • Accessibility Statement
    • Accessibility statement for e-Learning for Healthcare Support Site

      This website is run by NHS England. We want as many people as possible to be able to use this website. For example, that means you should be able to:

      • navigate most of the website using just a keyboard
      • navigate most of the website using speech recognition software
      • listen to most of the website using a screen reader (including the most recent versions of JAWS, NVDA and VoiceOver)

      We’ve also made the website text as simple as possible to understand.

      AbilityNet has advice on making your device easier to use if you have a disability.

      What to do if you cannot access parts of this website

      If you need information on this website in a different format like accessible PDF, large print, easy read, audio recording or braille:

      • email

      We’ll consider your request and get back to you in 5 working days.

      Reporting accessibility problems with this website

      We’re always looking to improve the accessibility of this website. If you find any problems not listed on this page or think we’re not meeting accessibility requirements, contact:

      Enforcement procedure

      The Equality and Human Rights Commission (EHRC) is responsible for enforcing the Public Sector Bodies (Websites and Mobile Applications) (No. 2) Accessibility Regulations 2018 (the ‘accessibility regulations’). If you’re not happy with how we respond to your complaint, contact the Equality Advisory and Support Service (EASS).

      For users based in Northern Ireland, refer to the Equalities Commission for Northern Ireland (ECNI) instead of the EASS and EHRC.

      Technical information about this website’s accessibility

      NHS England is committed to making its website accessible, in accordance with the Public Sector Bodies (Websites and Mobile Applications) (No. 2) Accessibility Regulations 2018.

      This website is partially compliant with the Web Content Accessibility Guidelines version 2.1 AA standard, due to the non-compliances listed below.

      Non accessible content

      The content listed below is non-accessible for the following reasons.

      Non compliance with the accessibility regulations

      Some images do not have a text alternative, so people using a screen reader cannot access the information. This fails WCAG 2.1 success criterion 1.1.1 (non-text content).

      Some links use inappropriate language for people using a screen reader.

      We plan to correct these issues by the beginning of 2021. When we publish new content we’ll make sure it meets accessibility standards.

      Disproportionate burden

      We do not believe any issues on this site fall into this area currently, however, we will keep this under review.

      Here is the disproportionate burden statement. 

      Interactive tools and transactions

      Our interactive form is difficult to navigate using a keyboard. For example, because some form controls are missing a ‘label’ tag.

      We are investigating the issue with a view to resolve it by the end of September 2020.

      Content that’s not within the scope of the accessibility regulations

      PDFs and other documents

      Some of our older PDFs do not meet accessibility standards - for example, they may not be structured so they’re accessible to a screen reader. This does not meet WCAG 2.1 success criterion 4.1.2.

      Some of our PDFs are essential to providing our services. For example, we have PDFs with information on how users can access our services. By the beginning of 2021, we plan to either fix these or replace them with accessible HTML pages.

      Any new PDFs or Word documents we publish will meet accessibility standards.

      How we tested this website

      This website was last tested on 2nd June 2020. The test was carried out by Health Education England.

      As the site uses templated pages, a page from each template type was selected for testing.

      We tested:

      • our main support platform, available at

      What we’re doing to improve accessibility

      This statement was prepared on 6th August 2020. It was last updated on 1st October 2020.