Important: Insulin Safety online training

Insulin safety training is a requirement for all those who prescribe, prepare, handle or administer insulin. To ensure compliance with NPSA safe prescribing of insulin requirements, please can any prescriber, nurse or pharmacist who has not already completed the training now do so. Please note the website address to access this learning has changed and can be found at:

*Please note – of the 5 e-learning packages listed on this website, it is the Safe Use of Insulin module you are required to complete.

Each module allows users to log on, complete the course, take an on-line test and print a certificate if passed. There is an assessment at the end with a pass rate of 75% to gain a certificate. Please give a copy of your certificate to your line manager.

Extract from internal Staff Briefing

Kazmi S.M.H.; Chandramouli S.; Trafford R.; Murthy M.; Babores M; American Journal of Respiratory and Critical Care Medicine, May 2010,


Impact of structured teaching programme in chest drain insertion in a district general hospital

Introduction: Chest drain insertion is an invasive procedure that can lead to complications. British Thoracic Society guidelines1 recommend that all members of staff involved in insertion of chest drain should be adequately trained, and patients should be managed in specialist wards in order to optimise care. The National Patient Safety Agency UK issued a rapid response report2 in May 2008 highlighting the above issues and recommending
written consent in all patients requiring chest drain. A training programme was introduced in our hospital comprising of awareness lectures, workshops highlighting the importance of specialist wards and practical demonstrations in order to improve medical and nursing staff knowledge in chest drain insertion and management.

Rationale: To assess the impact of focused teaching programme in documentation and management of chest drains especially clinical area at the time of insertion.

Methods:  We retrospectively audited chest drain procedures undertaken from October 2008 to March 2009. Case note analysis was done to assess quality of documentation and clinical area at the time of insertion. The variables defined for adequate documentation were consent, aseptic technique, site of insertion and size of drain. Chest drain teaching programme was then rolled out trust  wide in March 2009. Further retrospective data were collected from April to August 2009. Complications were also assessed in both groups.

Results:  Data was divided into two groups reflecting data before and after teaching programme. The table shows comparison results: (Table Presented) No major complications were seen in either group. Minor complications included: surgical emphysema (5 patients in first group vs 3 in second group), entry site infections (2 in first group and 3 in second group) and 2 accidental fall-outs in second group.

Conclusions: The results show statistically significant improvement in consent documentation after teaching programme and in the number of chest drains being undertaken in specialised areas. Some improvement was also seen in
aseptic technique and site of insertion documentation. We can conclude that simple measures like effective and targeted teaching programme can significantly improve management of chest drain insertion. We suggest that these teaching programmes should be run on regular basis to ensure continuous promotion of safe practice.

Available in fulltext via ProQuest –  Athens account required

Directions on the transfer of patient safety function …

Directions on the transfer of patient safety function to the NHS Commissioning Board special health authority
These directions to the National Patient Safety Agency (NPSA) have been amended to reflect the transfer of the NPSA’s patient safety function to the NHS Commissioning Board Authority (NHS CBA) on 1st June 2012. The directions to Imperial College Healthcare NHS Trust have been amended to reflect that the oversight role for the National Reporting and Learning System (NRLS) has transferred from NPSA to the NHS CBA on 1st June 2012.

The National Patient Safety Agency (Amendment) Directions 2012

The National Patient Safety Agency (Amendment) Directions 2012
The Department has published two directions to local authorities which came into force on 1st April 2012. The Directions to the National Patient Safety Agency (NPSA) have been amended to reflect the transfer of  the operational delivery of the National Reporting and Learning System (NRLS) from NPSA to Imperial College Healthcare NHS Trust (ICHT) with NPSA retaining an oversight role. Directions are given to ICHT to undertake the NRLS function in accordance with the memorandum of understanding included as annex to the Directions.

Diabetes UK e-learning programme

Calling all Healthcare Staff

It is a requirement of the NPSA report that all healthcare staff who are expected to prescribe, prepare or administer insulin complete the Diabetes UK e-learning programme

Can you please cascade to all staff in your areas who this may apply to and ensure that they complete the e-learning programme before 31st March 2012

To register for the programme at staff will need their 8 digit ESR staff number found their payslip and will need to prefix this with the Trust number 209

Please follow the 10 steps below to register and access the training:

See with you ESR number and Trust code to hand

  • Select Safe Use of Insulin Module
  • Click on e-learning courses  link
  • Click on “The 111 e-learning module is now available click here to access” button
  • On Welcome Page selectEngland
  • Register for the programme (Login if already registered)
  • Accept terms and conditions box if registering for the first time
  • Input ESR staff number with  209 prefix
  • Complete Learner Tutorial
  • Complete Safe Use of Insulin Modules and deliver safe care

Staff will need 2 hours time to register for and complete the e-learning programme which can be completed using computers available within the Trust’s Staff Library. Further support in accessing the module will also be available if required.

Other elearning modules at this website include:

Online e-learning modules