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P49 Willen hospice - Changing the face of mandatory training through blended learning
  1. Marilyn David and
  2. Annette Hart
  1. Willen Hospice, Milton Keynes, United Kingdom


Title Changing the face of mandatory training through blended learning.

Background New medical director observed that staff did not demonstrate an understanding of Mental Capacity Act (MCA).

MCA provides protection for both patients and staff.

Evidence of training required for CQINS.

Aims and objectives

  • By linking theory to practice, enhances staff knowledge.

  • By using mental capacity we were promoting patient choice as central to specialist palliative care.

  • Key functional skills embedded into mandatory training.

Approach used Practice Development Lead Nurse formed a multi-professional group to review how MCA training could be facilitated. The group decided to train staff who were in daily contact with patients. This included clinical and non-clinical staff from reception, housekeeping and catering.

Training was divided into two parts:

Part 1; included key facts related to the act. Staff completed an online training session. Online quiz was used to assess staffs understanding of the theory of the MCA.

Part two; Staff attended a workshop and small groups worked through different scenarios exploring how key points of the MCA works in day-to-day practice. Workshop facilitators were from different disciplines to provide breadth of insight.


  • Learning was measurable. An 80% pass mark was required to progress to part two of the training. Feedback was obtained from the workshops.

  • A competent hospice workforce with the MCA embedded into practice.

  • Staff demonstrating how to empower patients to make choices.

  • Innovative approach to hospice learning.

Staff feedback “It affects everyone and all staff has a responsibility”

“Mental capacity is part of everyday care”

“We should accept people’s decisions even if we don’t agree”

“Eccentric or odd decisions are okay”

Application to Hospice Practice Our education reflects the broadening horizons of palliative care. Developing, equipping and preparing staff for the new challenges ahead.

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