Accurate record-keeping is a fundamental part of safe and effective healthcare practice. This course is designed for healthcare professionals responsible for delivering training, providing a refresher for experienced staff and a structured framework for new trainers.
The programme combines trainer development with clinical record-keeping guidance, covering best practice, patient confidentiality, information governance, and the legal responsibilities surrounding healthcare records.
Participants will develop the skills needed to plan and deliver effective training sessions, communicate information clearly, assess learner understanding, and support teams in maintaining high standards of record-keeping.
Objectives
By the end of this course, delegates will be able to:
- Understand the role, responsibilities, and professional standards of a trainer
- Apply effective teaching and learning approaches
- Plan and deliver structured training sessions using appropriate resources
- Assess learner understanding and provide constructive feedback
- Design and deliver practical training sessions
- Provide a confidential service to patients and service users
- Understand and apply Information Governance principles
- Maintain accurate and effective record-keeping practices
- Understand data protection, confidentiality, and the Caldicott Principles
- Recognise professional and legal responsibilities relating to patient information
- Identify different types of healthcare records
- Understand the importance of good record keeping and the impact of poor practice
- Recognise common record-keeping errors and how to avoid them
- Improve communication through clear and accurate documentation
Course Content
Trainer Development
- Role and responsibilities of a trainer
- Understanding how people learn, including learning styles and cycles
- Effective communication and use of training resources
- Developing a training strategy and using training materials
- Course structure, lesson planning, and setting aims and objectives
- Risk awareness, insurance, and compliance requirements
- Assessment methods, feedback, and mentoring techniques
- Designing and delivering a mini lesson based on medication administration
Clinical Record Keeping
- Aims and principles
- Legal aspects
- Codes and standards
- Accountability
- Countersigning
- Ethical considerations
- Caldicott Report
- Data protection
- Freedom of Information
- Patient information
- Confidentiality and disclosure
- NHS Protect and counter fraud
- Types and functions of records
- Principles of good record keeping
- Errors and barriers to effective record keeping
Course Benefits
Delegates will receive an editable PowerPoint presentation (copyright form to be signed) to support future training delivery.

